1 Kendrick Mews

1 Kendrick Mews and associated locations is run by Start2Stop - a London independent provider of addiction treatment. The service offers outpatient treatment for people with binge-pattern addiction problems, and for clients that will be some months into their treatment process and have been referred to the service following primary or secondary rehabilitation. The service does not offer detoxification. The service supports clients with adjusting to life in London, and offers support with; abstinence, food, and returning to work or education. The service offers therapeutic support based on the 12-Step programme, and includes dedicated individual counselling, group therapy, yoga, art, mindfulness, Kirtan chanting, meditation, family counselling, educational workshops, and targeted written assignments. Since 2012, they have been providing residential secondary and tertiary treatment.

At the time of the Inspection the service had 2 people receiving support and treatment. This was the first inspection of the service.

We rated this location as good because:

• The service provided safe care and the premises where clients were seen were safe and clean.
• The service had a strong, visible person-centred culture. Staff were highly motivated and inspired to offer care that was kind and promoted people’s dignity. Relationships between clients, those close to them and staff were strong, caring, respectful and supportive. Clients were respected and valued as individuals and empowered as partners in their care. Consideration of people’s privacy and dignity was consistently embedded in everything that staff do.
• Staff demonstrated an understanding of the potential issues facing vulnerable groups, for example, lesbian, gay, bisexual, transsexual people (LGBTQ); and Black, Asian, minority ethnic groups.
• Staff were experienced and qualified and had the right skills and knowledge to meet the needs of the patient group. Staff reported an overwhelmingly positive culture, they felt valued and felt that when concerns were raised, they were taken seriously and where possible addressed.
• Governance arrangements were proactively reviewed and reflected best practice. Risk was managed well. The service was careful to admit only clients who demonstrated good motivation to complete treatment and there were no waiting lists.
• Staff regularly reviewed and updated care plans when clients' needs changed. Care plans reviews were personalised, detailed, thoughtful and recovery orientated.
• Staff made good use of recognised rating scales, which were repeated upon discharge from the service to highlight improvement in the clients’ condition.
• Staff understood how to protect clients from abuse and the service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

However:

• Portable appliance testing (PAT) had not been carried out on some electrical appliances and equipment to ensure they were safe to use. The practice manager told us that some new equipment had been purchased since the last test and all appliances and equipment were due for testing in April 2023.
• Patient information was visible from the window on the white boards within the staff office. The service manager was informed, and they immediately ordered a privacy screen for the window and rectified this.
• One rug within the service did not have grippers on the bottom, which could cause slips/falls or injury to those within the accommodation. The service was informed, and this was remedied immediately.