Updated 3 November 2021
Gladstones Cotswolds Clinic provides accommodation and treatment for up to 12 clients who require residential substance misuse treatment which can include medically monitored detoxification from alcohol and opiates. The service only accepts privately funded clients.
At the time of this inspection there were 11 clients at the service. There were five clients undergoing detoxification.
The service is registered to provide accommodation for persons who require treatment for substance misuse and treatment for disease, disorder or injury. There was a registered manager in post. Currently the registered manager from London maintained oversight of the service while a new clinic manager was due to start their role the week following this inspection. The service had employed an operational director in April 2021 to improve the governance and quality of the service but they had left the service the week prior to this inspection.
Our last inspection of the service was in October 2018, when the service was rated good. However, there were recommendations around; completing appraisals in a timely manner, ensuring a service strategy and values were developed for staff, that information on the website was correct and the collection of information for governance systems was timely and not burdensome. During this inspection we saw that the website had been updated and a set of values had been developed for the staff to work with. Some work had also been done on the service strategy. We saw that staff were still not having their annual appraisals and governance systems remained an issue.
What people who use the service say
Clients told us they felt safe at the service and there were always staff available when they needed them. Clients felt comfortable and confident to speak with staff about their care without fear of repercussions. Clients spoke very highly of all the staff and the ‘amazing’ food, with the chef taking extra care to meet individual nutritional needs.
Clients we spoke with told us about different aspects of their bedrooms needing replacement or repair. They felt that the lounge area was cramped, needed modernisation and were not happy that it was used as therapy space in the day. Clients also told us that there was a lack of hot water in the evening, so it was uncomfortable to have a shower.
Clients told us that the internet was poor, or sometimes not available at all. This had impacted on their ability to access 12-step meetings as they were being run as online sessions.