MOSAIC

Updated 4 February 2022

MOSAIC has been registered with CQC since 2010. It is a community substance misuse service for young people aged 0-26 who live in Stockport and their families.

MOSAIC is registered for the regulated activity Treatment of disease, disorder and injury. The service had a registered manager.

MOSAIC was provided by Stockport Local Authority.

Services provided were:

• Treatment service
• Education and schools based service
• Children of substance misusing parents service
• Family service
• Think Family

At the time of the inspection, the treatment team were supporting 86 people over the age of 18 and nine people under the age of 18. The schools based team were supporting 25 children and the family team were supporting 97 people.

From the end of January 2022, MOSAIC will be extending their offer to parents over the age of 26 years and their families where children's social care are involved with the family and the case is at child protection level and above. Providing the holistic model at an early stage is expected to improve outcomes for children and families.

We last inspected MOSAIC in January 2019 and rated the service outstanding. There were no requirements or regulatory breaches.

What people who use the service say

We spoke with seven clients and seven family members. Everyone we spoke with was positive about the service, describing staff that went above and beyond their expectations, tailoring the support to meet their needs and progressing at their pace. Clients said staff were excellent at listening to them, being non judgemental and setting realistic aims and goals.

Family members described the service as saving their loved ones and the family. They described how the service enabled family members to reflect on their reactions to their loved one’s alcohol or substance misuse and consider alternative responses with the aim of different outcomes.

Updated 4 February 2022

Our rating of this location went down. We rated it as good because:

• Staff treated clients with compassion and kindness, and understood the individual needs of clients. They actively involved clients in decisions and care planning. Feedback from clients, families and stakeholders was overwhelmingly positive.
• The service was easy to access, with no waiting list for the service. Staff planned and managed discharge well. MOSAIC provided support to the whole family in a variety of innovative approaches including group work, one to one support, support to children whose parents misuse substances, support to parents whose children misuse substances. MOSAIC constantly aimed to increase its impact, recently, with education provided to foster carers and the development of prevention work for foetal alcohol syndrome. Also training school staff regarding substance misuse, to be able to share the information and risks with the young people, with an aim of harm reduction.
• 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 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, supervision and appraisal. Staff worked well together as a multidisciplinary team and relevant services outside the organisation. The service was well led, and the governance processes ensured that its procedures ran smoothly.

However:

• Oversight of training was not consistent. Clients did not receive information about the service for those accessing remote support. Following transition to electronic records, the records were not as person centred as they had previously been when paper based.

Updated 4 February 2022

Updated 27 March 2019