Turning Point -Wakefield Inspiring Recovery Integrated Substance Misuse

Updated 16 June 2022

Turning Point – Wakefield Inspiring Recovery Integrated Substance Misuse is part of a national charity called Turning Point. It is a community-based organisation offering treatment and support to people with drug and alcohol problems. It provides services from the following sites in Wakefield and the surrounding areas:

• Radcliffe House – Inspiring Recovery (service for adults aged 25 and over) in central Wakefield
• Cross Street – Inspiring Futures (service for young people aged up to 25) in central Wakefield
• Socialicious – a community café where clients of the service can work and gain vocational training, which also has space for training and group sessions
• Get Connected and Out There Everywhere – aftercare services providing psychosocial support in the community supported by a team of trained volunteer peer mentors
• Wesley Street – service for adults aged 25 and over in Castleford

The service provides medication assisted treatment, advice and information, group work, psychosocial interventions, harm reduction interventions, blood borne virus testing and immunisation. The service is delivered in partnership with other health and social care stakeholders through shared care arrangements. These include GP partnerships, the police, the probation service and a neighbouring NHS mental health trust.

This service was registered by CQC at its current location in August 2020 to provide one regulated activity: Treatment of Disease, Disorder and Injury. There was a registered manager in post at the service. This was the first time we have inspected the service since it was registered.

What people who use the service say

We spoke to nine clients in total. People using the service told us that they felt welcomed by staff and they were treated with respect and compassion. People said the premises were usually clean and they felt safe when attending their appointments. Clients spoke positively about the Buvidal opiate substitution treatment pilot the service was running at the time of our inspection and those receiving this treatment said it was greatly benefiting their recovery and overall wellbeing. People said their clinic appointments and group sessions ran on time and were never cancelled and they were happy with the level of information they were given about their medicines and recovery plans. Some people told us they were being supported to train as peer mentors, which was also beneficial to their recovery. People also told us how the service had supported them in other areas of their lives, for example accessing suitable housing and support following domestic abuse.

Updated 16 June 2022

We rated this location as good because:

• The service provided safe care. The care environment at all the premises was safe and generally clean. Staff told us that their caseloads were not too high to prevent them from working safely. Records included comprehensive risk assessments and staff managed risks well. Medicines were managed safely, including controlled drugs. Staff understood their responsibilities for safeguarding children and adults from abuse and neglect and complied with local safeguarding procedures.
• People received effective care which was informed by a comprehensive assessment of their physical and mental health needs. The service provided holistic support to individuals, taking into account their needs and social circumstances. We saw examples of innovative practice which was benefiting people using the service. Staff engaged in clinical audit and compliance with relevant national guidance was promoted.
• Clients and their relatives told us that staff treated them with respect and compassion. Recovery plans were developed in partnership with people using the service and the people we spoke with were happy with the information they were given about the support available to them and said they had choices. Clinics ran on time and people said their appointments were never cancelled. We observed positive and caring interactions between staff and clients.
• The service was accessible. At the time of our inspection there was no waiting list for the service and people were seen promptly for assessment and treatment following their initial referral. The provider engaged in outreach work and partnership working to target harder to reach populations. The premises were physically accessible to people with impaired mobility and the provider made arrangements to meet the communication and support needs of people with protected characteristics.
• Governance processes were well-embedded and enabled managers to monitor risks, outcomes for people using the service and staff performance. The service worked effectively in partnership with other stakeholder organisations, for example mental health and criminal justice services.

However:

• At the time of our inspection the service was in the process of changing cleaning providers and we identified some isolated infection prevention and control issues with the environment at Radcliffe House as a result of this.
• Some staff told us that they were experiencing work-related stress due to high caseloads and having to cover for vacant positions.
• Staff turnover had been high in the 12 months preceding our inspection which risked compromising the quality of care if staff were frequently changing.
• Some staff told us it was a challenge to complete mandatory training due to their high workloads and some e-learning modules were below 80% completion according to the provider’s training figures.

Updated 16 June 2022

See summary above for details.