Updated 1 March 2019
Addaction are a national charity who provide a range of services. They currently deliver 81 services across England and Scotland. They work with adults and young people in community settings, prisons and residential rehabilitation.
Addaction Shropshire are part of the Shropshire Recovery Partnership which offers information, advice and support for adult and young people with drug and alcohol issues. Shropshire Recovery Partnership is based at Crown House in Shrewsbury but offers services from hubs around the county, including Oswestry, Whitchurch, Ludlow and Bridgnorth. Addaction Shropshire’s role within the recovery partnership is to deliver clinical services such as substitute prescribing, needle exchange, blood borne virus testing and vaccinations for hepatitis. They are responsible for qualified staff such as doctors, nurses and independent prescribers. The partner organisation is the lead in the partnership and delivers one to one and group work. They employ the recovery workers. This part of the service is not regulated by the Care Quality Commission and was not included in the inspection.
Young Addaction Shropshire is in a separate building, Fletcher House, in Shrewsbury. This is solely managed by Addaction. The young person’s service is for those aged 10 to 18 and for care leavers up to the age of 25, young people in supported housing projects up to the age of 25 and young people under the care of community mental health teams up to the age of 25.
Both the adult and young person’s service is commissioned through the local authority and is free for people to use.
Addaction Shropshire has a registered manager.
They were previously inspected in June 2017. The services were not rated as the Care Quality Commission has only rated substance misuse services since July 2018.
The service had the following breaches in regulation:
Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
- All staff could access clinic room keys from an unsecured key safe located at reception.
- Clinic room and fridge temperatures were not consistently monitored and recorded.
- Staff had not taken necessary action to ensure that vaccines remained safe to use when fridge temperatures went outside of the accepted range.
Regulation 15 HSCA (RA) Regulations 2014 Premises and equipment
- Daily checks of the defibrillator had not been regularly completed and recorded.
Regulation 17 HSCA (RA) Regulations 2014 Good governance
- Addaction had not introduced measures to ensure that buildings and fire risk assessments were present and responsive to building work at Crown House.
- Documentation to support prescribing decisions and client recovery was often missing from records or incomplete. This included risk assessments, risk management plans, unexpected exit from treatment plans and recovery plans.
We found that these breaches had been resolved before this inspection.