Shardale St Annes

Updated 30 January 2020

Shardale St Annes is an independent substance misuse service situated near Blackpool, in a residential area close to public transport and local amenities.

The ground floor is accessible for clients with mobility needs. The service provides residential rehabilitation for opiate addiction and alcohol addiction for males and females over 18 years of age. The recovery model includes a structured programme of group work and individual pieces of work based on seven core values. There are 35 beds. At the time we inspected there were 31 clients.

Shardale St Annes admits clients from across England. Most clients are funded by statutory bodies.

Shardale St Annes is registered to provide the following regulated activities:

• Accommodation for persons who require treatment for substance misuse.

There is a registered manager and a nominated individual.

The service has been inspected three times before.

At the last inspection on 5 March 2019 we rated the service as requires improvement. This was because we had concerns in relation to breaches of the following regulations:

• Regulation 12 HSCA (RA) Regulations 2014: Safe care and treatment.

Risks identified through assessments were not formulated into individual risk management plans.

Staff did not always record essential information about clients’ individual risk in their individual records.

• Regulation 17 HSCA (RA) Regulations 2014: Good governance.

The provider’s governance systems had not identified the issues we found with care and treatment records.

Recovery plans did not set out clearly what clients needed to do to complete the recovery programme and how they were progressing through the recovery programme.

Essential information contained in handover notes was not transferred to clients’ individual records.

We issued requirement notices in relation to these concerns.

Updated 30 January 2020

We rated Shardale St Annes as good because:

• The service provided safe care. The premises were safe and clean. The service had enough staff. Sickness and vacancies were low, which meant clients were cared for by a stable staff base who knew them well.
• Staff assessed and managed risk well. All clients were assessed and only admitted if it was safe to do so. Harm minimisation was an integral part of the recovery programme.
• All the records we looked at contained an up to date risk assessment and risk management plan that was reviewed by staff and clients on a regular basis. This had improved since we last inspected this service.
• Staff followed good practice in safeguarding. They had training on how to recognise and report abuse, and they knew how to apply it. They understood how to protect clients from abuse and worked well with other agencies to do so. Clients also received information about safeguarding to help them recognise abuse.
• The service had a good track record on safety and managed client safety incidents well. There was a clear process around reporting incidents, staff understood what they should report and how to do this. Staff recognised incidents and reported them appropriately. Managers investigated incidents and shared lessons learned with the whole team and the wider service.
• Staff completed comprehensive assessments with clients and worked with them to develop individual recovery plans.
• The service was well led, and the governance processes ensured that its procedures ran smoothly.
• Leaders had appropriate skills and experience. They had a good understanding of the service and were approachable for clients and staff. Staff knew and understood the provider’s vision and values and how to apply them in their everyday practice.
• Staff felt respected, supported and valued. They told us their managers were supportive and caring. They felt able to raise concerns without fear of retribution. They received regular supervision, and training and appraisals were up to date.
• Governance processes operated effectively. Performance and risks were managed well.
• The provider collected and analysed data about outcomes and performance to monitor how well the service was performing. The service carried out regular audits to assess the quality of work. Managers reviewed the audits and fed back the results to the staff. This had improved since we last inspected this service.

Updated 31 May 2019

Shardale St Annes provides residential rehabilitation for opiate addiction and alcohol addiction to males and females over 18 years of age.