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CGL St Helens Integrated Recovery Service Good

Inspection Summary


Overall summary & rating

Good

Updated 23 March 2020

We rated CGL St Helens Integrated Recovery Service as good because:

  • The premises where clients received care were safe, clean, well equipped, well furnished, well maintained and fit for purpose. Staff assessed and managed risks to clients and themselves well. The service had enough staff, who knew the clients and received basic training to keep them safe from avoidable harm. The service embedded personal safety protocols for staff including lone working policies where necessary.
  • Staff completed comprehensive assessments with clients on accessing the service. They worked with clients to develop individual care plans and updated them as needed. Care plans reflected the assessed needs, were personalised, holistic and recovery-oriented. Staff provided a range of care and treatment interventions suitable for the client group. The interventions were those recommended by, and were delivered in line with, guidance from the National Institute for Health and Care Excellence.
  • Staff supported clients to live healthier lives – for example, through participation in smoking cessation schemes, healthy eating advice, managing cardiovascular risks, screening for bacteraemia in wounds, and dealing with issues relating to substance misuse. The service had effective working relationships with other relevant teams within the organisation and with relevant services outside the organisation.

  • Staff treated clients with compassion and kindness. They understood the individual needs of clients and supported clients to understand and manage their care and treatment. Staff supported clients to understand and manage their care, treatment or condition. Each person using the service had a recovery plan and risk management plan in place that demonstrated the person's preferences, recovery expectation and goals. Staff engaged with people using the service, their families and carers to develop responses that meet their needs and ensured they have information needed to make informed decisions about their care.

  • The service was easy to access. Staff planned and managed discharge well. The service had alternative care pathways and referral systems for people whose needs it could not meet. The design, layout, and furnishings of treatment rooms supported clients’ treatment, privacy and dignity. Staff encouraged clients to develop and maintain relationships with people that mattered to them, both within the services and the wider community.

  • Leaders had the skills, knowledge and experience to perform their roles, had a good understanding of the services they managed, and were visible in the service and approachable for clients and staff. Staff knew and understood the provider’s vision and values and how they were applied in the work of their team. Governance policies, procedures and protocols were regularly reviewed and improved and included an equality impact assessment. Staff undertook or participated in local clinical audits. The audits were sufficient to provide assurance and staff acted on the results when needed.
Inspection areas

Safe

Good

Updated 23 March 2020

We rated safe as good because:

  • The premises where clients received care were safe, clean, well equipped, well furnished, well maintained and fit for purpose.

  • Staff assessed and managed risks to clients and themselves well.

  • The service had enough staff, who knew the clients and received basic training to keep them safe from avoidable harm.

  • The service embedded personal safety protocols for staff including lone working policies where necessary.

  • Staff kept detailed records of clients’ care and treatment. Records were clear, up-to-date and easily available to all staff providing care.

  • The service used systems and processes to safely prescribe, administer, record and store medicines. Staff regularly reviewed the effects of medications on each client’s physical health.

Effective

Good

Updated 23 March 2020

We rated effective as good because:

  • Staff completed comprehensive assessments with clients on accessing the service. They worked with clients to develop individual care plans and updated them as needed. Care plans reflected the assessed needs, were personalised, holistic and recovery-oriented.

  • Staff provided a range of care and treatment interventions suitable for the client group. The interventions were those recommended by, and were delivered in line with, guidance from the National Institute for Health and Care Excellence.

  • The teams included the full range of specialists required to meet the needs of clients under their care. Managers made sure that staff had the range of skills needed to provide high quality care. They supported staff with appraisals, supervision and opportunities to update and further develop their skills. Managers provided an induction programme for new staff.

  • Staff supported clients to live healthier lives – for example, through participation in smoking cessation schemes, healthy eating advice, managing cardiovascular risks, screening for bacteraemia within wounds, and dealing with issues relating to substance misuse.

  • The service had effective working relationships with other relevant teams within the organisation and with relevant services outside the organisation.

  • Staff ensured clients consented to care and treatment, that this was assessed, recorded and reviewed in a timely manner.

Caring

Good

Updated 23 March 2020

We rated caring as good because:

  • Staff treated clients with compassion and kindness. They understood the individual needs of clients and supported clients to understand and manage their care and treatment.

  • Staff supported clients to understand and manage their care, treatment or condition.

  • Each person using the service had a recovery plan and risk management plan in place that demonstrated the person's preferences, recovery capital and goals.

  • Staff engaged with people using the service, their families and carers to develop responses that meet their needs and ensures they have information needed to make informed decisions about their care.

  • Staff enabled families and carers to give feedback on the service they received.

  • Staff informed and involved families and carers appropriately.

Responsive

Good

Updated 23 March 2020

We rated responsive as good because:

  • The service was easy to access. Staff planned and managed discharge well. The service had alternative care pathways and referral systems for people whose needs it could not meet.

  • The design, layout, and furnishings of treatment rooms supported clients’ treatment, privacy and dignity.

  • The service met the needs of all clients, including those with a protected characteristic or with communication support needs.

  • The service treated concerns and complaints seriously, investigated them and learned lessons from the results, and shared these with the whole team and the wider service.

  • Staff encouraged clients to develop and maintain relationships with people that mattered to them, both within the services and the wider community.

Well-led

Good

Updated 23 March 2020

We rated well-led as good because:

  • Leaders had the skills, knowledge and experience to perform their roles, had a good understanding of the services they managed, and were visible in the service and approachable for clients and staff.

  • Staff knew and understood the provider’s vision and values and how they were applied in the work of their team.

  • Staff reported that the provider promoted equality and diversity in its day to day work and in providing opportunities for career progression. Staff felt positive and proud about working for the provider and their team.

  • Governance policies, procedures and protocols were regularly reviewed and improved and included an equality impact assessment.

  • Staff undertook or participated in local clinical audits. The audits were sufficient to provide assurance and staff acted on the results when needed.

  • There were clear quality assurance management and performance frameworks in place that were integrated across all organisational policies and procedures.

  • Innovation by way of the Building Bridges Project was deemed as outstanding practice.

Checks on specific services

Substance misuse services

Good

Updated 23 March 2020