Turning Point -Wakefield Inspiring Recovery Integrated Substance Misuse

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.