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Archived: Abbeycare Newmarket Good

Inspection Summary


Overall summary & rating

Good

Updated 31 May 2019

We rated Abbeycare Newmarket as good because:

  • The service employed sufficient staff to administer and oversee detoxification safely, including two staff overnight.
  • The service had good medicines management procedures including safe storage and handling of medications.
  • Staff completed thorough risk assessment prior to and on admission, and these were reviewed and updated weekly.
  • Staff completed a thorough medical and psychosocial assessment on admission to the service. This included blood and liver function tests.
  • Staff completed personalised and holistic care plans with clients and updated these weekly at one to one sessions.
  • The service offered a range of therapies that included cognitive behavioural therapy groups, one to one therapy and complementary therapies.
  • The service provided access to four mutual aid support groups per week.
  • The consultant held a weekly clinic to monitor and review any physical health problems.
  • Clients spoke highly of staff and their knowledge, skills and compassion.
  • Care plans were personalised, recovery focussed and clients were involved in setting goals Staff supported clients to maintain relationships and to build recovery focussed support systems by attending mutual aid support groups.
  • Staff morale was good and staff told us that they worked well as a team and supported each other.
  • Staff took part in weekly medication audits and regular care records audits and the outcomes were discussed at clinical governance meetings.
Inspection areas

Safe

Good

Updated 31 May 2019

We rated safe as good because:

  • The service employed sufficient staff to administer and oversee detoxification safely, including two staff overnight.

  • Staff compliance for mandatory training was 97% with most sessions having a completion rate of 100%.

  • The service had good medicines management procedures including safe storage and handling of medications.

  • Staff completed thorough risk assessment prior to and on admission, and these were reviewed and updated weekly.

  • Naloxone was available on site in case of an overdose and was provided to clients on leaving the service. Naloxone is an opiate antagonist that provides short term reversal of an opiate overdose.

  • Staff completed observations on all clients following admission, with the frequency dependent on assessed risk.

Effective

Good

Updated 31 May 2019

We rated effective as good because:

  • Staff completed a thorough medical and psychosocial assessment on admission to the service. This included blood and liver function tests.

  • Staff completed personalised and holistic care plans with clients and updated these weekly at one to one sessions.

  • The consultant prescribed medication as described by Department of Health guidance, drug misuse and dependence: UK guidelines on clinical management (2007) for alcohol and opiate detox. This included intra-muscular injections of Pabrinex for clients undergoing alcohol detoxification to reduce thiamine deficiency.

  • The service offered a range of therapies that included one to one therapy, cognitive behavioural therapy groups and complementary therapies.

  • The service provided access to four mutual aid support groups per week.

  • The consultant held a weekly clinic to monitor and review any physical health problems.

  • Staff received supervision every six weeks in line with the provider policy and the senior therapists also received external supervision.

  • The service had a Mental Capacity Act policy in place and the consultant completed a capacity assessment on admission.

Caring

Good

Updated 31 May 2019

We rated caring as good because:

  • Clients spoke highly of staff and their knowledge, skills and compassion.

  • Care plans were personalised, recovery focussed and clients were involved in setting goals. Clients told us that staff listened to them and that their treatment was individualised.

  • The service encouraged clients to provide feedback during weekly community meetings and by completing a questionnaire on completion of treatment.

  • The service offered family therapy sessions once every two weeks.

Responsive

Good

Updated 31 May 2019

We rated responsive as good because:

  • The service was well furnished and comfortable with a sufficient number of rooms to deliver treatment.

  • The communal lounge had a kitchen area where clients could make hot and cold drinks at all times. Clients made their own breakfast and lunch using the kitchen area.

  • Staff supported clients to maintain relationships and to build recovery focussed support systems by attending mutual aid support groups.

  • The service was accessible to clients who used a wheelchair or had restricted mobility. Clients could access spiritual and religious support in the community.

However,

  • Clients told us that they quality of the catered evening meal had declined and we saw that this had been raised with the provider in community meetings.

Well-led

Good

Updated 31 May 2019

We rated well-led as good because:

  • Leaders had a good understanding of the service, client group and had the relevant skills and knowledge to perform their roles.

  • Staff morale was good and staff told us that they worked well as a team and supported each other.

  • The service implemented an equality and diversity policy that supported staff and clients, and protected against discrimination.

  • Staff took part in weekly medication audits and regular care records audits and the outcomes were discussed at clinical governance meetings.

  • Clients had the opportunity to provide feedback as part of weekly community meetings, and actions were reported at the following meeting and on the ‘You said, we did’ board in the lounge area.

Checks on specific services

Substance misuse services

Updated 9 June 2016

Inspected but not rated

Residential substance misuse services

Good

Updated 31 May 2019