15 May 2017
During an inspection looking at part of the service
We do not currently rate independent standalone substance misuse services.
- Following our last inspection in August 2016, we did not require or recommend any areas for improvement for caring, responsive or well led. Since that inspection, we have received no information that would cause us to re-inspect these key questions.
- During this most recent inspection, we found that the service had not fully addressed the issues that had previously resulted in regulatory breaches or recommendations following the August 2016 inspection.
- Staff did not regularly assess or review the possible risks for young people or ensure that identified risks were included in plans to effectively manage or mitigate them.
- Staff did not explore all areas in the young person’s life for the purpose of goal setting and achieving improved lifestyles. Recovery plans were not holistic and contained basic and limited goals.
- The manager was unable to provide information relating to the numbers of staff who had received a recent appraisal.
However,
- The provider had appointed a new manager two months prior to our inspection. The manager had carried out an audit on both risk management and recovery plans. The audit had clearly identified all the issues found during this inspection May 2017. The service had also improved their paperwork relating to both recovery plans and risk management since our previous inspection in August 2016. In response to the audit findings, all staff had training booked for the week following our inspection to improve the quality and effectiveness of both risk management and recovery planning.
- The service had implemented a system to identify and monitor mandatory training compliance. Overall staff mandatory training compliance was 96%.
- The previous inspection recommended that improvements were made relating to regular audits. This inspection evidenced that staff had undertaken regular audits to ensure clinical equipment was in date. The new manager had also completed an audit on the quality of records.
- Lone working practices had improved since the previous inspection. The service had systems in place, which staff followed to help ensure their safety.