Archived: Addaction - Bradford Clinical Support Services

Updated 21 June 2017

Bradford Clinical Support Services is one of 46 locations registered by the provider Addaction. This location was registered by the provider on the 4 August 2015. The location has a registered manager and a responsible person, and provides the following regulated activities:

• Diagnostic and screening procedures

• Treatment of disease, disorder or injury

Based in the same premises, Addaction works in partnership with three other organisations to deliver care and treatment in the Bradford Recovery System. They were awarded the contract in July 2015 to deliver the clinical support services for this system.

The clinical support service includes the provision of physical healthcare and well-being services, such as physical health assessments and blood borne virus screening and interventions, as well as the prescribing interventions primarily for opioid dependence. This clinical provision is delivered by doctors, non-medical prescribers and nurses employed by Addaction across 10 sites, known as host sites.

The CQC last inspected Addaction in October 2016. We issued Addaction with two requirement notices which related to the following regulations under the Health and Social Care Act (Regulated Activities) Regulations 2014:

• Regulation 10 HSCA (Regulated Activities) Regulations 2014 Dignity and respect

• Regulation 12 HSCA (Regulated Activities) Regulations 2014 Safe care and Treatment

Updated 21 June 2017

We do not currently rate independent standalone substance misuse services.

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

• The provider had not taken action to address the recommendations made following the inspection in October 2016. This was in relation to ensuring that the systems in place with regard to the transport, storage and recording of prescriptions was safe or ensuring that service continued to work with partners and commissioners to fully integrate governance at a strategic level with the partner organisations in the Bradford recovery system.

• At this inspection in March 2017, the systems in place remained insufficient for Addaction to be assured that the transfer, recording and storage of prescriptions in, and between, the host services was safe. Also, the integrated clinical governance structure did not adequately allow the service to address service delivery issues such as interruptions to client appointments and the safe and secure transfer and storage of prescriptions between partner services.

• The provider had in place a Controlled Drug Policy and Standard Operating Procedures that was revised following the inspection in April 2017. This policy included guidance on batch prescribing and audit. However, during the inspection senior staff were not aware that there was a policy or operating procedure regarding batch prescriptions in place that was underpinned by national guidance.

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

• Addaction Bradford Clinical Support Services were now meeting Regulations 10 and 12 of the Health and Social Care Act (Regulated Activities) Regulations 2014.

• Staff were up to date with policy changes, and now followed the policy for taking blood samples from clients. The system that ensured prescribers reviewed the client treatment record before signing a prescription where there had been a change that was not in line with the original treatment plan was working well in practice.

• The provider had taken action in response to the recommendation at the last inspection and staff received regular management supervision in line with the policy.

Updated 21 June 2017

Inspected but not rated