Oxygen

Updated 26 October 2022

Oxygen registered in June 2015 and is a nine-bedded residential drug and/or alcohol, medically monitored detoxification and rehabilitation facility based in Hemel Hempstead, Hertfordshire. Oxygen provides ongoing abstinence-based treatment, which includes group therapy, individual counselling and support in life skills. Clients who have completed treatment are also welcomed back to the service for ongoing aftercare support. Oxygen is registered to provide accommodation for persons who require treatment for substance misuse and treatment of disease, disorder or injury. The service had a registered manager. Druglink is the registered provider whose objective is to make a positive impact on the lives of those affected by substance misuse, their families & communities.

At the time of this inspection, the service had 8 clients with an additional client being admitted that day. The service provides care and treatment for male and female clients. Oxygen takes referrals from private individuals and drug and alcohol community teams. The service was most recently inspected in August 2018. Following this inspection, we told the service:

• The provider must ensure that the blood pressure machine is calibrated.
• The provider must ensure that all staff wear their lanyard alarms as outlined in the provider’s lone working policy.
• The provider must ensure that risk assessments clearly indicate if the risk of being in mixed-sex accommodation has been considered.
• The provider should consider storing naloxone somewhere accessible in an emergency.

This service was inspected following a review of information and intelligence on the service which suggested improvements had been made. During this inspection, we saw evidence that the service had taken action to rectify the issues identified during the previous inspection.

What people who use the service say

We spoke with 5 clients. They told us the environment was very clean and tidy and well maintained. The only issue was that the plumbing needed improvement as the building was old and the plumbing had not been modernised, which the registered manager was aware of, and had plans to upgrade the system the following year.

Clients told us the staff were kind, caring and compassionate and understood their needs.

Clients felt the therapy and activity programme was excellent and met their needs, especially the boxercise, gym access, and yoga. Clients felt safe and comfortable and well supported within the service.

Updated 26 October 2022

Oxygen is a nine-bedded residential drug and/or alcohol, medically monitored detoxification and rehabilitation facility based in Hemel Hempstead, Hertfordshire. Oxygen provides ongoing abstinence-based treatment, which includes group therapy, individual counselling and support in life skills.

Our rating of this location stayed the same. We rated it as good because:

• The service provided safe care. The premises where clients were seen were safe and clean. The service had enough staff. 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 about 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 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.

However:

• There was a toilet that was used for urine testing in a side room attached to the clinic room. There was medical equipment stored in boxes in the room and there was not a cubicle around the toilet. This meant there was a potential infection prevention and control issue.
• Staff did not receive regular management supervision in line with the service policy. We reviewed the supervision records of 7 staff for the past year. We found that 5 staff had not received 6 supervisions a year, as per the service policy.

Updated 9 February 2017

Inspected but not rated

Updated 26 October 2022