CGL Spectrum

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Staff completed comprehensive assessments with service users on accessing the service. They worked with service users to develop individual care plans and updated them as needed. Care plans reflected the assessed needs, were personalised, holistic and recovery oriented. However, copies of care plans were not given to service users. Staff used recognised rating scales to assess and record severity and outcomes. They also participated in clinical audit, benchmarking and quality improvement initiatives.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Service users we spoke with said they were not offered a copy of their care plan, with one service user saying they had to take notes during their appointment so they could remember their goals. However, all service users confirmed they were involved with setting their own goals, and there were several treatment options available to support them in reaching, including key work sessions, residential rehabilitation, community detox, group work and referral to external agencies.

Staff told us they assessed people who needed urgent care quickly and those who did not require urgent care did not wait too long to start treatment. Staff we spoke with had a good understanding of individual service user needs and preferences and could describe service users’ treatment goals. Key workers told us they supported service users to identify appropriate treatment goals based on their needs.

Assessments included the service user’s health, care, wellbeing, and lifestyle, to enable service users to receive care or treatment that has the best possible outcomes.

Service users who were on medically assisted treatment had a full physical health assessment before commencing treatment. This included vital statistics and blood tests where appropriate. Staff supported service users to access other services and worked closely with other care professionals.

Care plans reflected the assessed needs, were personalised, goal focused and recovery oriented and staff updated them when appropriate. However, they did not routinely offer a copy to service users

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

Service users we spoke with felt that staff supported them to achieve positive outcomes, and that staff understood the service user’s goals to achieve and maintain abstinence.

Staff used recognised rating scales to assess and record severity and treatment outcomes. They also participated in clinical audit, benchmarking and quality improvement initiatives. Rating scales were incorporated into the electronic care records system and were completed as part of the assessment process and reviewed again at different stages of treatment.

Staff told us that they used treatment outcomes profile (TOPS) to assess service users progress and outcomes before, during and at the end of treatment.

The service data analyst monitored clinical outcomes and created reports for managers and the team, which informed meetings with staff and management meetings for management monitoring, this fed into the weekly discharge meetings. The service held regular meetings to monitor how many people had started treatment and how many had discharged positively or negatively.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.