29 & 30 January 2020
During a routine inspection
We rated Addaction North Lincolnshire as good because:
- The service provided safe care. The premises where clients were seen were safe and clean. The number of clients on the caseload of the team, and of the 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. They followed good practice with respect to medicines management, safeguarding and appropriately investigated incidents to ensure lessons were learnt and shared.
- Staff provided a range of treatments suitable to the needs of the clients and in line with national guidance about best practice. They engaged in audits and benchmarking to evaluate the quality of the care they provided.
- The team included all specialists required to meet the needs of clients under their care. Managers ensured these staff received training, supervision and appraisal. Staff worked well together as a multidisciplinary team and with relevant services outside the organisation.
- Staff treated clients with compassion and kindness. They understood the individual needs of the clients and actively involved them in their care.
- The service was easy for clients to enter into treatment. Staff planned and managed transfers and discharges well and encouraged clients to engage with the wider community. They met the needs of clients with complex needs and in vulnerable circumstances who often found engagement with services difficult. They listended to, investigated and learnt from concerns and complaints.
- The service was well led and the governance processes ensured that its procedures ran smoothly.
However:
- Recovery plans and case notes did not reflective of the holistic conversations which had taken place. They did not contain goals which were specific, measurable or timely.
- Client’s privacy could be compromised due to rooms not being soundproof.