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Seasons Rehabilitation Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 6 March 2019

We rated Seasons Rehabilitation Centre Good overall because: 

  • The service provided safe care. The environment was safe and clean. There were enough support staff, nursing staff and medical staff to provide safe care and treatment. Staff assessed and managed risk well. They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding.

  • Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a range of therapy and therapeutic activity suitable to the needs of the clients in line with national best practice guidance. Staff engaged in clinical audit to evaluate the quality of care they provided.
  • Staff had access to range of services and specialists required to meet the needs of the client group. Managers ensured that these staff received training, supervision and appraisal.
  • Staff worked well together as team and with external services who would have a role in supporting or providing aftercare. Staff treated clients with compassion and kindness, respected their privacy and dignity and understood the individual needs of patients. They actively involved patients in care decisions and involved family members where appropriate.
  • Staff planned and managed discharge well, offered aftercare through their own service and liaised well with other services that would provide aftercare. The service had clear procedures in place for people who requested to leave the service unexpectedly.
  • The service worked to a recognised model of rehabilitation. It was well led and the governance processes ensured that the service ran smoothly.
Inspection areas

Safe

Good

Updated 6 March 2019

  • The service was safe, clean, well equipped, well furnished, well maintained and fit for purpose. The service had enough support, nursing and medical staff, who knew the clients and received basic training to keep people safe from avoidable harm.
  • Staff assessed and managed risks well and achieved the right balance between maintaining safety and providing the least restrictive environment possible to facilitate client's recovery.
  • Staff understood how to protect patients from abuse and/or exploitation and the service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and/or exploitation and they knew how to apply it.
  • Staff had easy access to clinical information and it was easy for them to maintain high quality clinical records.
  • Staff followed best practice when storing, dispensing, and recording the use of medicines. Staff regularly reviewed the effects of medications on each patient’s physical health. The service had a good track record on safety.
  • The service managed client safety incidents well.

Effective

Good

Updated 6 March 2019

  • Staff assessed the physical and mental health of all clients on admission. They developed individual care plans which were reviewed regularly and updated as needed. Care plans reflected the assessed needs, were personalised, holistic and recovery-oriented.
  • Staff provided a range of care and treatment interventions suitable for the client group. This included access to therapies in line with national guidance on best practice and support for self-care and the development of daily living skills. Staff ensured that clients had good access to physical healthcare and supported clients to live healthier lives.
  • Staff used recognised rating scales to assess and record severity and outcomes. They also participated in clinical audit, benchmarking and quality improvement initiatives.
  • The service had access to the full range of specialists required to meet the needs of clients. Staff had a range of skills needed to provide high quality care. Staff received appraisals, supervision, reflective practice sessions and opportunities to update and further develop their skills. The service provided an induction programme for new staff.
  • Staff from different disciplines worked together as a team to benefit clients. They supported each other to make sure clients had no gaps in their care. Staff had good and effective working relationships with external services including criminal justice and community teams.
  • Staff supported clients to make decisions on their care for themselves. They understood the provider’s policy on the Mental Capacity Act 2005 and assessed and recorded capacity clearly for patients who might have impaired mental capacity.

Caring

Good

Updated 6 March 2019

  • Staff treated clients with compassion and kindness. They respected clients’ privacy and dignity. They understood their individual needs and supported them to understand and manage their care, treatment or condition.
  • Staff involved clients in care planning and risk assessment and actively sought their feedback on the quality of care provided. Staff ensured that patients had easy access to independent advocates.
  • Staff informed and involved families and carers appropriately.

Responsive

Good

Updated 6 March 2019

  • Staff planned and managed discharge well. They liaised well with services that would provide aftercare and were assertive in managing the discharge care pathway.
  • The design, layout, and furnishings of the ward/service supported clients’ treatment, privacy and dignity. Clients had their own bedroom, or a shared room with an en suite bathroom and could keep their personal belongings safe. There were quiet areas for privacy.
  • The food was of a good quality and clients could access hot drinks and snacks at any time.
  • The service met the needs of all people who use the service, including those with a protected characteristic. Staff helped clients with communication, advocacy and cultural and spiritual support.
  • The service treated concerns and complaints seriously, investigated them and learned lessons from the results, and shared these with the whole team and the wider service.

Well-led

Good

Updated 6 March 2019

  • Managers had a good understanding of the service they managed. They had the skills, knowledge and experience to perform their roles, were visible in the service and approachable for clients and staff.
  • Staff felt respected, supported and valued. They reported that the provider promoted opportunities for development. They felt able to raise concerns without fear of retribution.
  • Our findings from the other key questions demonstrated that governance processes operated effectively and that performance and risk were managed well.
  • Staff had access to the information they needed to provide safe and effective care and used that information to good effect.
  • Staff engaged actively in local and national quality improvement activities.
Checks on specific services

Substance misuse services

Good

Updated 6 March 2019