Archived: Turning Point - Wakefield Substance Misuse service

Updated 16 January 2020

Grosvenor House is one of 15 locations registered by the provider Spectrum Community Health. The service delivered from Grosvenor House is called Inspiring Recovery and provides drug and alcohol services to people living in Wakefield.

This location was registered by the provider on the 12 April 2011. The location has a registered manager and a nominated individual. responsible person. Spectrum Community Health CIC is registered by the CQC to provide the following regulated activities:

• Diagnostic and screening procedure

• Treatment of disease, disorder or injury.

Spectrum Community Health CIC is sub-contracted by another service to work in partnership with them to deliver the service ‘Inspiring Recovery’ within the Wakefield District. The substance misuse services are commissioned by Public Health England through the local authority. Spectrum Community Health CIC provides both the clinical services and the shared care element of the Inspiring Recovery service. Shared care is where treatment and support are offered in the local GP practices and delivered in partnership with the GP and a recovery worker. This means that clients can attend their local GP service for their substance misuse appointments. The Inspiring Recovery services are for adults aged 18 years and over. The clinical service provision includes the well-being services, blood borne virus and health screening, as well as detoxification and substitute prescribing for drug and alcohol dependence. The clinical provision is delivered by doctors, non-medical prescribers, nurses, and associate practitioners employed by Spectrum. The clinical treatment is delivered from the main Grosvenor House site at Union Street in Wakefield and from two satellite sites: one in Castleford and one in South Kirby. These three sites are known as the ‘hubs.’ The shared care provision is delivered by recovery workers employed by Spectrum Community Health CIC. There are currently 10 shared care practices that are included in the Inspiring Recovery provision. They offer treatment for opiate dependence only. However, the recovery workers in these practices will support clients with low level alcohol misuse or other substance misuse alongside their opiate dependence. The Spectrum Community Health CIC recovery workers in these shared care practices co-ordinate all the clients care and treatment.

Grosvenor House was inspected on 15 October 2012 and 10 February 2014 using the previous inspection methodology. On both occasions, the service was found to be meeting all the required standards inspected.

This location was inspected on 12 September 2016 using the new Care Quality Commission inspection methodology. At this inspection, the provider was found to be in breach of Regulation 12 (Safe Care and Treatment), Health and Social Care Act (Regulated Activities) Regulations 2014.

The location was inspected again on 4 May 2017. This was a focused inspection to review the action taken by the provider in relation to the regulatory breach. The provider had made all the required improvements. The provider had improved recording of risk assessment, staff had received additional training in safeguarding and risk management.

At the time of this inspection the local authority was retendering the service and Spectrum had been notified that they had not been successful in securing the contract. Spectrum will continue to deliver the clinical element of the contract until March 2020.

Updated 16 January 2020

We rated Grosvenor House (Inspiring Recovery provide community drug and alcohol detoxification, prescribing and well-being checks for clients) 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 on 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.

Updated 16 January 2020