Parkland Place Lancashire

Updated 28 October 2019

CAIS at Salus provides detoxification for drug and alcohol addiction to men and women over the age of 18. The service admits both NHS and privately funded clients from across the country. There are 14 beds at the service. At the time of our inspection there were four clients in treatment.

The service is registered to provide the following regulated activities:

• accommodation of persons who require treatment for substance misuse
• treatment of disease, disorder or injury

The service has a registered manager and a nominated individual.

CAIS at Salus has been registered with the CQC since February 2018. It has been inspected once, in January 2019. Following that inspection, the service was rated inadequate and placed in special measures. The service was rated inadequate in the safe, effective and well-led domains; requires improvement in the caring domain and good in the responsive domain.

We issued one warning notice under regulation 18 (staffing). We told the service that they must ensure staff received regular supervision and an annual appraisal. We also issued four requirement notices under regulation 9 (person-centred care); regulation 10 (dignity and respect); regulation 12 (safe care and treatment) and regulation 17 (good governance).

Following the findings of this inspection and due to improvements made we are removing this service from special measures.

Updated 28 October 2019

We rated CAIS at Salus as good overall because:

• The findings of this inspection mean the service is being removed from special measures.
• The service had implemented an action plan following our last inspection that addressed all of our previous concerns. There was clear evidence that the service had improved.
• The service provided safe detoxification from illicit substances and alcohol. The environment was safe, clean and supported recovery. The service had enough staff. Staff assessed and managed risks associated with detoxification well 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 treatments suitable to the needs of the clients and in line with national guidance about best practice. Clients had access to different detoxification programmes amd supporting interventions.
• The teams included or had access to the full range of specialists required to meet the needs of clients and deliver detoxification programmes. Managers ensured that these staff received relevant training, supervision and appraisal. Staff worked well together as a multidisciplinary team and relevant services outside the organisation.
• Staff treated clients with compassion and kindness and understood the individual needs of clients. They actively involved clients in decisions and care planning around their detoxification.
• The service was easy to access. Staff planned and managed discharge well and had alternative pathways for people whose needs it could not meet.
• The service was well led, and the governance processes ensured that its procedures ran smoothly.

However:

• The rationale for the length of a clients’ detoxification programme was not always recorded in care records.

• Although staff could provide a rationale for storing emergency medications securely there was no documented risk assessment to support this.

Updated 12 July 2019

Medically managed detoxification service.