You are here

Archived: Tonbridge Recovery Service

All reports

Inspection report

Date of Inspection: 3 December 2013
Date of Publication: 4 January 2014
Inspection Report published 04 January 2014 PDF

People should get safe and coordinated care when they move between different services (outcome 6)

Meeting this standard

We checked that people who use this service

  • Receive safe and coordinated care, treatment and support where more than one provider is involved, or they are moved between services.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 3 December 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service and talked with staff.

Our judgement

People’s health, safety and welfare was protected when more than one provider was involved in their care and treatment, or when they moved between different services. This was because the provider worked in co-operation with others.

Reasons for our judgement

There was a close working relationship between the service and other providers.

The service worked with Sussex Partnership NHS Foundation Trust who supplied consultant psychiatric services.

We sat in on a team meeting. The meeting was chaired by a consultant psychiatrist. People’s’ needs were discussed and it was clear that collaborative working was central to the discussions. Examples included a discussion about where to place a difficult discharge from a mental health hospital. The key worker said,” I have been working with the CPN (community psychiatric nurse)” Staff members made suggestions of other facilities within the area that might be suitable for the person’s complex needs. Comments on other cases included, “the GP has seen (name) and knows what we are trying to do”,” I have liaised with (mental health trust) and now we have a three way appointment” and (from the consultant psychiatrist) “the ward can always ring me if they have any problems”.

There was a wide range of services from other providers on display in the reception area. This included a service from health trainers on eating, exercise, stress and emotional wellbeing from a local community NHS trust and those offering assistance with accommodation, training, employment and mental health. Alcoholics Anonymous, Cocaine Anonymous and Narcotics Anonymous all had sessions on the provider’s weekly timetable of events. These organisations all rented accommodation at the location at on advantageous terms. This meant that people were more able to access the range of services that they might need to provide for the whole of their health and social care needs.

The service was signed up to the Kent and Medway Joint Working Protocol regarding dual diagnosis for people with mental health and substance misuse problems. The consultant psychiatrist sat on the dual diagnosis steering group. We saw examples of joint assessment for people who used the service where dual diagnosis was an issue.