Cornerways

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We reviewed systems, pathways and transitions within the service and how the service was involving people to manage risk. Systems were effective and ensured safe transition into and out of the service. Staff included people in their risk assessments, planned for them unexpectedly leaving treatment and for deterioration in their mental health. Medicines management systems had improved following the last inspection and up-to-date GP summaries were routinely collected. Medical decisions were clearly documented and handling, dispensing and documentation of medicines were robust. This meant all breaches of regulation identified at the previous inspection were addressed effectively.

This service scored 59 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We reviewed care records which evidenced people’s voice and views were included in their care pathway. Staff worked closely with people to ensure their personal wellbeing, treatment side effects and concerns were raised and acted upon.

Staff and leaders were knowledgeable about risk and identified suitability of people’s needs prior to treatment. This included whether other residential substance misuse services were better equipped to meet their needs.

We received positive feedback from commissioning services from other areas of England regarding the care and treatment provided by the service.

The service had processes in place to ensure safe transition into and out of the service. Processes were in place to ensure people’s views were sought and included in risk assessments. The service worked collaboratively with people to identify their needs which were documented with action plans in place.

We did not look at Safeguarding during this assessment. The score for this quality statement is based on the previous rating for Safe.

People’s voice was present within their risk management plans. This helped the service ensure they could support people to safely manage risk in line with their personal preferences.

Staff and leaders were able to explain how they involved people to manage risks. Specific members of staff collaborated with people receiving treatment to ensure inclusion in their care pathway.

Processes and systems were in place to identify and manage people’s risks. We reviewed documents which evidenced prior to and following admission, people were included in care planning. People were supported to identify aspects of their own pathway with considerations and adjustments individual to their known risks and needs.

We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe and effective staffing during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

We reviewed Care records and key worker information evidenced that people were informed of medications required for treatment. People experienced individualised support to ensure effects on their physical and emotional wellbeing were being considered and acted on appropriately.

Staff and leaders were aware of and understood how to use the new processes and systems to manage medicines.

We observed the processes of medicine management to be robust. Staff were trained appropriately to dispense, administer and document information appropriately.

New digital systems were in that assisted staff in reconciliation, administration and documentation of medicines. As part of the admission process, up-to-date GP summaries were sought to ensure peoples medicines prescribed were correct.