Archived: The Haynes Clinic Limited - Cople Also known as Cople

Updated 27 September 2021

The Haynes Clinic is a residential substance misuse service, which opened in 2009. The service provides residential rehabilitation, detoxification, and a holistic therapy approach to addiction, that includes supporting clients access the 12-Step principles of Narcotics Anonymous and Alcoholics Anonymous. Clients engage in one to one cognitive behavioural therapy, family relationship groups and group therapy sessions. All clients self-refer and are privately funded.

The Haynes Clinic includes a therapy unit known as the clinic and three residential houses. The clinic provides treatment for up to 18 males and females. At the time of inspection 10 clients were accessing the service.

Clients engage in a comprehensive therapy programme held at the clinic in Chicksands, Monday to Friday. At all other times, including weekends, they reside in one of the three houses. Cople, a six bedded house, The Spinney, a five bedded house and Everton Park, a seven bedded house. The houses run as small therapeutic communities with all clients and staff sharing the household duties.

The Haynes Clinic is registered with the Care Quality commission to provide:

• treatment of disease, disorder or injury.

• accommodation for persons who require treatment for substance misuse.

At the time of inspection, the service had a registered manager and a nominated individual.

The Care Quality Commission carried out a comprehensive inspection of The Haynes Clinic in February 2019. We rated the Haynes clinic as requires improvement overall. Safe and effective were rated requires improvement, caring and responsive were rated as good and well-led was rated inadequate. Following the inspection, we issued the provider with requirement notices for the following regulations:

• Regulation 9 HSCA (RA) Regulations 2014 Person-centred care

• Regulation 10 HSCA (RA) Regulations 2014 Dignity and respect

• Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment and a warning notice for the following regulation:

• Regulation 18 HSCA (RA) Regulations 2014 Staffing.

We carried out a focused inspection of the Haynes Clinic in July 2019 and found improvements had been made in most areas identified in the requirement notices issued after the February 2019 inspection. The warning notice had been fully complied with.

Updated 27 September 2021

We rated The Haynes Clinic as good because:

• The service had enough staff. Staff assessed and managed risk well and followed good practice with respect to safeguarding.

• Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the clients and in line with national guidance about best practice.

• The team had access to the full range of specialists required to meet the needs of clients under their care. Managers ensured that staff received training, supervision and appraisal. Staff worked well together as a multidisciplinary team.

• Staff treated clients with compassion and kindness and understood the individual needs of clients. They actively involved clients in decisions and care planning.

• The service was well led, and the governance processes ensured that its procedures ran smoothly.

However:

• Blood pressure and temperature monitoring for one client on a detox regime was not present within their file. This was not in line with The National Institute for Health and Care Excellence guidance which states close monitoring and review is needed.

• The provider’s accommodation was mixed sex. Bathrooms were not designated for males or females and sleeping areas were not separated for males and females.

• The client’s kitchen area at the clinic where clients could make hot drinks was unclean.

Updated 27 September 2021

The service had enough staff. Staff assessed and managed risk well and followed good practice with respect to safeguarding.

• Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the clients and in line with national guidance about best practice.

• The team had access to the full range of specialists required to meet the needs of clients under their care. Managers ensured that staff received training, supervision and appraisal. Staff worked well together as a multidisciplinary team.

• Staff treated clients with compassion and kindness and understood the individual needs of clients. They actively involved clients in decisions and care planning.

• The service was well led, and the governance processes ensured that its procedures ran smoothly.

However:

• Blood pressure and temperature monitoring for one client on a detox regime was not present within their file. This was not in line with The National Institute for Health and Care Excellence guidance which states close monitoring and review is needed.

• The provider’s accommodation was mixed sex. Bathrooms were not designated for males or females and sleeping areas were not separated for males and females.

• The client’s kitchen area at the clinic where clients could make hot drinks was unclean