11 December 2013
During a routine inspection
We noted that recovery plans reflected issues identified during the triage assessment process for example housing, primary medical care or mental health. We saw that the provider had then made appropriate referrals to other agencies/services.
One person who used the service told us 'I can't read too well; they were really patient with me and read it all out to me, made sure I got it before I signed the paper'.
Appropriate arrangements were in place for the generation and safe storage of prescriptions.
Appropriate arrangements were not in place for the prescribing of medicines and prescribing records. We and the staff were unable to find a clear summary of an individual's current medication and allergy status.
We observed that there were sufficient staff throughout our visit to provide services to people dropping into the service as well as those attending appointments. One person who used the service told us "I came in off the street. Someone saw me straight away'. Another person told us "You can turn up any time and talk to anyone about your problems'.
The provider ran two groups for people who used the service that provided them with an opportunity to comment on the quality of service provision; the Recovery Task Force and Service Users Forum. We saw that these meetings had been recorded and action taken as a result of feedback received. For example, the service had created a 'chill out' room and a family room following feedback from people who used the service.
At this inspection we looked at seven people's care records. We saw that records were complete and included, but were not limited to, a triage assessment, comprehensive assessment, signed recovery plans and documents confirming agreement and understanding of confidentiality and information sharing, toxicity results and daily progress notes which included updates from discussions held in the weekly multi-disciplinary team meetings.