• Residential substance misuse service

Archived: Helping Hands Essex

7-8 Brockley Road, Chelmsford, Essex, CM2 6HQ (01245) 356169

Provided and run by:
Helping Hands Essex

All Inspections

27 November 2017

During an inspection looking at part of the service

We do not currently rate independent standalone substance misuse services.

We found the following issues that the service provider needs to improve:

  • Ward areas were not clean and were not well maintained. There were stains on the walls and carpets and furniture were dirty. There were areas of damp in the lounge and decor was in need of updating.
  • Staff did not complete risk assessments in full upon admission. They did not contain all relevant information. There were no management plans, stating how staff would manage identified risks.
  • The service had continued to use social media messaging applications to communicate client information, despite receiving a warning notice following our comprehensive inspection. Support staff used personal mobile phones to share client information.

However, we also found the following areas of good practice:

  • Managers had introduced systems to monitor staffs compliance with mandatory training. This was up-to-date and included all staff working at the service.
  • The service had improved its recruitment processes. The provider requested references prior to staff starting employment. The service had a list of all staffs Disclosure Barring Service checks reference numbers. However, we could not find evidence of whether any staff with criminal convictions were risk assessed, as the provider did not keep copies of Disclosure Barring Service forms, or a log of if the DBS had any convictions listed.

27 November 2017

During an inspection looking at part of the service

We do not currently rate independent standalone substance misuse services.We found the following issues that the service provider needs to improve:

• Ward areas were not clean and were not well maintained. There were stains on the walls and carpets and furniture were dirty. There were areas of damp in the lounge and decor was in need of updating.

• Staff did not complete risk assessments in full upon admission. They did not contain all relevant information. There were no management plans,stating how staff would manage identified risks.

• The service had continued to use social media messaging applications to communicate client information, despite receiving a warning notice following our comprehensive inspection. Support staff used personal mobile phones to share client information.

However, we also found the following areas of good practice:

• Managers had introduced systems to monitor staffs compliance with mandatory training. This was up-to-date and included all staff working at the service.

• The service had improved its recruitment processes.The provider requested references prior to staff starting employment. The service had a list of all staffs Disclosure Barring Service checks reference numbers.However, we could not find evidence of whether any staff with criminal convictions were risk assessed, as the provider did not keep copies of Disclosure Barring Service forms, or a log of if the DBS had any convictions listed.

29 March and 10 April 2017

During a routine inspection

We do not currently rate independent standalone substance misuse services.

We found the following issues that the service provider needs to improve:

  • The environment was visibly dirty.

  • Staff did not use SMART (specific, measurable, achievable, realistic and time limited) when creating care plans with clients.We checked three records and none of the care plans were SMART. Many goals were recorded as ‘ongoing’ and not always specific.

  • Staff did not complete assessments and risk assessments in full. There were gaps in all records that we checked that staff had left blank; including the formulation of clients initial care plans.

  • Staff used a social media application to record clinical notes. Staff did not have designated mobile phones to be used for work purposes; therefore they were using their personal phones to send sensitive information about clients accessing the service.

  • Managers did not recruit staff in a safe way. Disclosure and barring checks were not completed in a timely way and managers did not keep records that references were checked prior to offering employment. Managers did not keep clear records regarding how staff were inducted to their roles when they began employment.

    However, we also found the following areas of good practice:

  • Clients we spoke with told us staff were interested in their wellbeing and recovery. They identified that this was due to the ‘family’ environment promoted by the service. Clients said they felt included in their treatment and everyone was working to the same goal.Clients said that there was always a member of staff available to talk to.

  • The provider ran a structured programme but were able to adapt sessions in a flexible way to meet specific client needs.