Background to this inspection
Updated
15 November 2019
Steps Together Rehab – Chestnuts registered with CQC in March 2019 and opened in April 2019. It is one of two registered locations under Steps Together Rehab Limited.
It provides the following regulated activities:
• Accommodation for persons who require treatment for substance misuse
• Treatment of disease, disorder or injury
Steps Together Rehab - Chestnuts has a CQC registered manager and an accountable controlled drugs officer.
Steps Together Rehab - Chestnuts is a 15-bedded mixed gender residential substance misuse service providing detoxification and rehabilitation interventions, called Chestnuts. The service offers an abstinence-based programme that includes a structured day, group-based interventions, educational workshops, mutual aid,12 step and Self-Management and Recovery Training, and discharge and relapse prevention plans. Length of stay ranges from seven days to 12 weeks.
All clients at Steps Together Rehab - Chestnuts are self-funded and choose to receive treatment at Chestnuts. When we inspected, Chestnuts had 11 clients admitted.
This was the first inspection of Chestnuts, Steps Together Rehab Leicester.
Updated
15 November 2019
We rated Steps Together Rehab as good because:
All clinical premises where clients received care were safe, clean, well equipped, well furnished and well maintained.
Staff completed comprehensive assessments with clients on admission to the service. They worked with clients to develop individual care plans and updated them as needed. Care plans reflected the assessed needs, were personalised, holistic and recovery-oriented.
Staff from different disciplines worked together as a team to benefit clients. They supported each other to make sure clients had no gaps in their care. The team had effective working relationships with other relevant teams within the organisation and with relevant services outside the organisation.
The service met the needs of all clients, including those with a protected characteristic or with communication support needs. The service treated concerns and complaints seriously, investigated them and learned lessons from the results, and shared these with the whole team and the wider service.
Staff knew and understood the provider’s vision and values and how they were applied in the work of their team. Staff felt respected, supported and valued. They reported that the provider promoted equality and diversity in its day-to-day work and in providing opportunities for career progression. They felt able to raise concerns without fear of retribution.
However;
Managers did not ensure that all supervision was recorded as per the provider’s policy.
Managers were unable to provide evidence of a risk register, we were therefore not assured that risks were adequately monitored and mitigated.