The Care Quality Commission
  • Residential substance misuse service

Archived: Bayberry Clinic

The Bayberry Community, 6 Church Lane, Wendlebury, Bicester, Oxfordshire, OX25 2PN (01869) 321717

Provided and run by:
Bayberry Limited

All Inspections

02/04/2014

During a routine inspection

Bayberry Clinic provides residential accommodation together with a structured psychosocial treatment programme for up to eight people who are recovering from drug and alcohol addiction. The clinic provides abstinence based treatment. At the time of our visit two people were receiving treatment and support from the service.

People told us that they felt safe at the service and that their rights were protected. One person told us “I feel safe and I’m involved in my treatment.”

People were protected from the risk of self-harm as the provider had appropriate risk assessments and treatment plans in place to meet their needs. Detailed risk assessments were in place and reviewed as people’s needs changed.

People were involved in the assessment of their needs and were involved in planning their treatment to meet their individual outcomes. People were encouraged to express their views about the service they received. One person we spoke with told us “I was involved in the assessment of my treatment and I’ve been given a copy of my treatment plan.”

People received support and treatment from well trained and motivated staff. Staff were also supported and encouraged to develop professionally. Support workers demonstrated good knowledge of how to meet people’s needs and were aware of their preferences and personal history. We observed that support workers treated people with dignity and kindness. People and support workers talked positively about their professional relationships.

The provider acted upon any concerns raised from people’s feedback. We saw that some people stated they felt that the environment, especially bathrooms, of the service required updating. We saw that these comments had been acted on. We saw that bathrooms in the home had been refurbished and that the registered manager had plans in place to refurbish areas of the home identified as in need of attention.

The provider had detailed risk assessments and policy and procedures in place regarding the safety of the service. These included health and safety and fire safety policies and procedures. There were detailed risk assessments in place, which identified clear risks and how these are managed. Support workers were aware of how to manage risks and who to contact.

27 January 2014

During a routine inspection

The Bayberry clinic provided short term residential psychosocial treatment primarily for healthcare professionals recovering from drug and alcohol addiction. Psychosocial treatments include certain forms of psychotherapy (often called talk therapy), social and vocational training, guidance and support.

The service provided a structured psychosocial treatment programme. The Bayberry Clinic's Statement of Purpose described the treatment programme as a 'core 12- step programme. This will include working together with residents to achieve a routine, develop assertiveness via community meetings, regular care planning reviews, 1:1 sessions with their counsellor and a variety of group work'. The treatment programme also included a family support programme. Once people had completed their residential treatment they were encouraged to attend the five year aftercare treatment service which included weekly therapy sessions.

The service worked closely with a local GP who independently prescribed people's detoxification treatment. People were supported by the Bayberry Clinic staff to attend their appointments with the GP during their detoxification treatment. Opiate replacement medication was administered under supervision of the local pharmacist. People were supported by Bayberry clinic staff to take any other type of detoxification medication as per the instruction of the prescribing GP. An independent psychiatrist was also available to people with mental health needs.

People could subscribe to the primary six weeks residential treatment programme and if required this could be extended for another six weeks of secondary treatment. People lived and worked together as a therapeutic community. At the time of our visit five people used the service.

We saw that staff and managers were passionate about the people they supported and committed to ensuring people completed their treatment programme. People were treated with dignity and respect. We found that people were supported to access activities in the community and to take part in the day to day running of the home.

We spoke with three of the five people who accessed the treatment programme at the time of our visit. People were satisfied with their treatment and staff knew people and their needs well. However, we found that people's needs had not always been assessed. Care and treatment had not always been planned on the basis of assessments to ensure the care delivered met people's needs and kept them safe.

The provider had suitable arrangements in place to protect people from the risk of abuse. We found that staff knew their responsibility with respect of safeguarding adults. The service acted in accordance with local safeguarding arrangements when

abuse was identified or suspected.

Staff received regular supervision and training to enable them to undertake their roles. We found that the provider acknowledged that working in this type of service could be emotionally challenging and staff had access to regular support.

12 March 2013

During a routine inspection

The service is provided mainly to healthcare professionals including doctors, dentists and nursing staff who have any form of addiction. At the time of the visit one person's placement had been sponsored and one person had been placed by social services.

House rules are strictly adhered to as part of the contract to be there. They include an undertaking that people have been free of substance misuse for 48 hours. People are immediately placed on a 'seven day status' which means that people agree not to make or receive phone calls, write letters (they can receive them ) or leave the premises without staff permission. This places them in a position of relying on their fellow peers for support.

People we spoke with accepted these rules. People told us 'its my last chance'. People who had been in other therapy centres told us ' that they liked the fact that Bayberry treats you as an individual' and valued the fact that 'the service has their own therapists that you can go to for one to one sessions when things are getting tough'. People told us that initially they did not want to share a room with anyone else, but had found this aspect of the programme very helpful ' its good to be able to talk things through with someone who has been where you have been and understands' People we spoke with told us that ' its like a family the staff eat with us and have coffee with us'.