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South Tyneside Substance Misuse Service - Cookson House Good

Inspection Summary


Overall summary & rating

Good

Updated 14 February 2019

We rated South Tyneside Substance misuse service as good because:’

  • The provider had systems and processes that ensured the service was safe, with good staffing levels and skilled staff to deliver care. Staff ensured that risk to service users were well assessed and well managed, and that good quality harm reduction interventions were offered at every engagement.

  • Staff delivered treatment in line with up to date best practice guidelines, including the segmentation of the opioid substitution caseload according to a service users stage of recovery. There was a commitment to interagency working with good working practices with primary care, the police and the local hospital. There was excellent multiagency working within the team.

  • Staff treated and supported people with dignity and respect, and involved them as partners in their care. Staff were caring, and demonstrated compassion, respect and understanding for service users. Service users gave positive feedback about their treatment.

  • The service was responsive to people’s needs and offered a range of recovery support interventions to help to achieve and maintain treatment goals. Staff understood the diverse range of service user needs and responded appropriately.

  • The leadership, governance and culture of the service led to the delivery of high quality person-centred care. Leaders had an inspiring shared purpose with robust governance systems in place to manage risk and performance. A culture of learning and continuous improvement was promoted. Staff were well supported, with high levels of staff satisfaction.

However,

  • Staff were not up to date with face to face Equality and Diversity and Mental Capacity Act training. Staff were booked onto courses in the next couple of months.

  • Although every service user had an up to date care plan they lacked detail around the interventions required to deliver treatment outcomes.
  • Staff understanding of the duty of candour was mixed.
Inspection areas

Safe

Good

Updated 14 February 2019

We rated safe as good because:

  • The environment was safe, clean and well maintained.

  • The service had enough skilled staff to meet the needs of service users.

  • Staff assessed service users risks and managed them effectively.

  • Incidents and safeguarding were effectively managed. Staff were proactive in identifying safeguarding concerns.

  • There was evidence of effective learning within the team.

However,

  • Staff were not up to date with face to face Equality and Diversity and Mental Capacity Act training. Staff were booked onto courses in the next couple of months.
  • Staff understanding of the duty of candour was mixed.

Effective

Good

Updated 14 February 2019

We rated effective as good because:

  • Service users had a comprehensive assessment of their needs and a recovery plan which set out realistic goals. Regular care plan reviews were taking place.

  • A range of treatment options were being delivered and staff assisted service users to identify and address physical and mental health concerns.

  • Staff were receiving regular supervision and had training and development plans in place.

  • There was excellent multidisciplinary working and good interagency working with partners such as the police, primary care, criminal justice and the hospital.

  • The service was committed to improving through regular audits and implementing new ways of working to meet service user needs.

However,

  • Although every service user had an up to date care plan they lacked detail around the interventions required to deliver treatment outcomes.

Caring

Good

Updated 14 February 2019

We rated caring as good because:

  • Staff treat service users with kindness, privacy, dignity, respect, compassion and support.

  • Staff supported service users to manage and understand their treatment. Service users were involved in the care they received.

  • Families and carers were encouraged where possible to be involved in their loved one’s care and treatment.

Responsive

Good

Updated 14 February 2019

We rated responsive as good because:

  • The service was delivered with flexibility and choice to meet the needs of the local population.

  • Care and treatment was coordinated with other services such as maternity, housing and mental health.

  • Staff had a good understanding of the potential problems faced by service users and adjusted services to meet needs.

  • Service users knew how to raise concerns/complaints which were dealt with appropriately.

Well-led

Good

Updated 14 February 2019

We rated well-led as good because:

  • Leaders had an inspiring shared purpose and strived to motivate staff. There were high levels of staff satisfaction across the service.

  • Effective governance systems were in place to monitor incidents, safeguarding, complaints, risk and performance. The service used this information to drive improvements.

  • There was a healthy culture with a staff team who felt valued and were committed to the vision of the service. There was a commitment to innovation, learning and continuous improvement.

Checks on specific services

Substance misuse services

Good

Updated 14 February 2019