CGL Cheshire East Integrated Recovery Service

Updated 26 August 2022

The service provides community substance misuse services to the area of Cheshire East. Clients can access support and treatment for opiate dependency, alcohol dependency and any other issues relating to non-opiate drugs. The service has a separate alcohol and opiate teams. There are bases in both Crewe and Macclesfield. Clients can receive support via individual keyworker sessions, opiate substitute prescribing and psychosocial group work. The service can offer home detoxes and refer clients for inpatient detox and rehabilitation where this is clinically indicated.

The service is registered to provide the following regulated activities; diagnostic and screening procedures, and treatment for disease, disorder or injury.

The registered manager had recently left the service. A new registered manager had applied to register and was awaiting this registration.

The service registered with the Care Quality Commission in June 2019 and had not been inspected since that date due to delays caused by the Covid 19 pandemic.

What people who use the service say

Clients told us the buildings were in easily accessible locations and the environments were always clean and tidy. Clients said there was always enough staff and that staff were not difficult to get hold of. Clients spoke about how easy it was to see the doctor and that this has been arranged within the same week. Clients said they felt involved in their care and that staff took time to explain choices and options to them. Clients remarked that staff were always friendly and caring with a professional approach. Clients were positive about the holistic care they received around physical health, mental health and harm minimisation. Clients reported that they had good access to supportive online applications to aid sleep and reduce anxiety.

Updated 26 August 2022

This service has not been previously inspected or rated. We rated it as good because:

• The service provided safe care. The premises where clients were seen were safe and clean. The number of clients on the caseload of the teams, and of individual members of staff, was not too high to prevent staff from giving each client the time they needed. 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. Staff engaged in clinical audit to evaluate the quality of care they provided.
• The teams included or had access to the full range of specialists required to meet the needs of clients under their care. Managers ensured that these staff received training, supervision and appraisal. Staff worked well together as a multidisciplinary team and relevant services outside the organisation.
• 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 easy to access. Staff planned and managed discharge well and had alternative pathways for people whose needs it could not meet.
• The service was well led, and the governance processes ensured that its procedures ran smoothly.

However:

• Clients privacy was not fully adhered to in Macclesfield. The interview rooms were not soundproof. Conversations could easily be overheard in the waiting area.
• Unexpected exit from treatment plans were not always robust or detailed enough. Information was vague with no clear plan of the actions to take.
• Not all policies were up to date. The induction policy and the medicines management policy were overdue for review.
• Client care records did not clearly indicate that a copy of the care plan had been offered to clients.
• Clients and their families and carers did were not involved in the service design and development.

Updated 26 August 2022

Please see overall summary