Birmingham Inpatient Drug Treatment Service

Updated 12 July 2019

Change Grow Live is a social care and health charity in England and Wales. Park House is a purpose built 18 bedded residential detoxification and stabilisation unit for substance misuse. They provide services for men and women over the age of 18 years. Birmingham City Council commissions nine of the beds and the remaining beds are used for out of area placements. The unit accepts professional and self-referrals.

Park House is a consultant led service which is staffed 24 hours a day, seven days a week. It is supported by clinical and operational on-call systems. A client’s average length of stay at Park House is two weeks but the stay is based on clients’ individual needs.

Park House is not suitable for clients who have a primary mental or physical health issue that requires hospitalisation.

Park House registered with the Care Quality Commission in 2015 to deliver the following regulated activities:

• Accommodation for person who require treatment for substance misuse.

The service has a registered manager.

The service had been inspected in August 2016 with a focused inspection in August 2017.

When the service was inspected in August 2016 there were two breaches of the Health and Social Care Act 2008 (Regulated Activities) regulations 2014.

Dignity and respect, regulation 10 (2) (a).

We informed the provider that they must ensure that same sex accommodation is provided at Park House. Toilets must be identified for male or female use. We found that the provider did not provide privacy for the clients from those using the communal areas during the assessment phase of the clients’ admission. This was due to the proximity of the smoking shelter.

The focused inspection in August 2017 found the service had addressed the requirement notices issued at the last inspection in August 2016. They received requirement notices in the following areas; Person Centred Care, regulation 9 (3) (a) (b) (e):

Care plans must be provided for the service. They must ensure that all physical health care needs are documented in care plans. The provider must ensure all clients are involved in their own care and that care plans are person centred.

Dignity and Respect, regulation 10 (1)(a):

The provider must follow same sex guidance and provide a permanent female lounge.

Safe care and treatment, regulation 12 (2) (a)(b):

We told the provider that they must ensure that when assessing clients all risks identified must be correctly and accurately documented in risk management plans.

Our recent visit to the service found the provider had met all requirement notices.

Updated 12 July 2019

We rated Birmingham inpatient treatment drug treatment service as good because:

• Staff knew how to protect people from harm and could identify when clients were at risk of significant harm. Staff knew what incidents to report and the procedures to follow when reporting. The service discussed and learnt from incidents and implemented changes to improve working practices.

• There was clear learning from incidents the service developed an open learning culture that all staff contributed to and supported.

• Staff were aware of the service vison and values and felt respected and supported by the managers. Staff had opportunities to improve their working practices through supervision, training and team building days.

• Staff completed and updated clients’ risk assessments and risk management plans which included early exit from the service. All risks identified throughout the assessment phase were transferred through to the clients care records and regularly monitored.

• Recovery plans were individual and met the client’s needs, they included pathways to other services and agencies that could also support the client.

• Staff followed best practice when storing, recording and administering medicines. There were good systems and processes in place for controlled medicines. Staff had access to guidelines policies and procedures for managing medicines.
• Staff communicated with patients with compassion and kindness and clients spoke highly of staff and their knowledge, skills and professionalism.
• Staff understood the individual needs of clients and involved and supported clients in understanding their care and treatment.
• Managers had the skills, knowledge and experience required to effectively perform and lead in their roles. They had a good understanding of the service and were visible and approachable for staff and clients.

However:

• Although the service allowed children to visit clients at Park House and had a procedure to follow, to keep them safe they did not have child visiting policy.

Updated 27 March 2017