Background to this inspection
Updated
14 April 2022
Chart Kirklees which is part of Change Grow Live has had been registered with the Care Quality Commission since March 2021.
Chart Kirklees provide services in Huddersfield and Dewsbury for specialist substance misuse which include substitute prescribing and recovery coordination.
The service is registered with the CQC to provide the following regulated activities:
Treatment of disease, disorder or injury.
The service prior to this registration had been inspected in November 2018 and rated as requires improvement in safe and effective and good in caring, responsive and well led.
The service had been issues two requirement notices;
Not all clients had a care plan which was holistic and personalised. Records did not include evidence of individual goal setting and were not recovery focused. Records did not include a plan for unexpected exit from treatment or discharge and did not evidence the range of interventions offered by the service. There was no evidence that clients were offered a copy of their care plan.
Not all clients had a completed and up-to-date individual risk assessment. Risk management plans were not in place to mitigate risks identified. Records did not include evidence of clients being offered physical health assessments in line with service policy.
During this inspection we found that both these requirement notices had been met.
What people who use the service say
We spoke with 14 clients and 3 carers; all spoke positively about the service citing incidents where staff had spoken to them on their days off and how they had been supported both physically and emotionally.
Updated
14 April 2022
Our rating of this location improved. 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.
The service had improved risk assessment and care plans since the last inspection and had 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 with 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. Feedback from clients, families and stakeholders was overwhelmingly positive.
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.
Community-based substance misuse services
Updated
14 April 2022
Our rating of this service improved. We rated it as good
Substance misuse services
Updated
21 January 2019