Priory Wellbeing Centre Southampton

Updated 22 January 2019

The Manor Clinic Limited provides a range of services to patients, including a structured day programme six days a week, which clients attend as part of their recovery. The service includes detoxification and treatment based on group and individual therapy for seven, 14 or 28 day periods. The Manor Clinic Limited has 13 beds for both males and females.

The Manor Clinic is a medically managed service which mean that there is 24-hour, medically directed evaluation, care and treatment of substance misuse disorders on site.

We last inspected The Manor Clinic Limited in 2016. Following this inspection there were no requirement notices.

The service has a registered manager in post. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

The Manor Clinic Limited is registered to provide the following regulated activities:

• Accommodation for persons who require treatment for substance misuse.

Updated 22 January 2019

We rated The Manor Clinic as Good because:

• Staff completed comprehensive assessments prior to admission and completed care plans with clients on the first day in the service. Clients felt involved in their care and treatment.
• Staff felt supported and respected. Staff were passionate about the service that was delivered. Morale amongst staff was good, sickness and turnover of staff was low and the team worked well together.
• Staff worked with National Institute of Health and Care Excellence guidelines. Staff supported clients in line with “Drug misuse and dependence: UK guidelines on clinical management (2017)”.
• The service had a range of staff to support clients’ recovery. Staff were skilled to carry out their roles. All staff received a comprehensive induction.
• The service offered weekly family therapy which was free of charge and life-long. Therapists also provided a free of charge life-long after care service for clients.

• The service had made adjustments for clients with disabilities. There were adjustments to two of the bedrooms and wheelchair accessible ramps throughout the ground floor. The service had developed easy read documents and large print documents for clients with visual impairment.

However:

• Staff had not ensured that sufficient information regarding clients’ medical history and the current medicine prescription was available before treatment started.

• The provider had not considered the confidentiality and safety of clients from ‘other patients’ attending the service as an outpatient.
• Staff had not considered the safety of female clients sleeping in areas where there were male clients.
• Staff did not document clear rationale for risk ratings in clients’ risk assessments.

• Staff did not report disclosures of historical abuse to the local authority safeguarding team.

• Clients’ records were kept in paper format and electronic format and the current system was confusing and disorganised.

Updated 17 May 2016

This report describes our judgement of the quality of care provided within this core service by The Manor Clinic Limited.

Where relevant we provide detail of each location or area of service visited.

Our judgement is based on a combination of what we found when we inspected, information from our ‘Intelligent

Monitoring’ system, and information given to us from people who use services, the public and other organisations.

Where applicable, we have reported on each core service provided by The Manor Clinic Limited and these are brought

together to inform our overall judgement of The Manor Clinic Limited.

Updated 22 January 2019