CGL Pathways to Recovery

Updated 12 February 2020

CGL Pathways to Recovery are part of a national charity who provide treatment and support to vulnerable people facing addiction, homelessness and domestic abuse. The service in Warrington in Cheshire specifically provides support with substance misuse.

The service operates from the main Warrington hub which is open five days a week. The hub has a late opening evening and opens on Saturday morning to support clients who work or have daytime commitments.

The service has a single point of contact which is staffed 24 hours seven days a week. Out of office hours the single point of contact is managed by the locality staff on a roster basis. It provides support, advice and signposting for clients and information for professionals about shared care clients. This service is not an emergency service line.

The service is commissioned by Warrington Borough Council, Public Health.

The service has a registered manager who was registered in April 2019 for the regulated activity Treatment of disease, disorder or injury.

This was an unannounced visit which meant staff and clients did not know that we would be visiting.

This was CGL

Updated 12 February 2020

We rated CGL Pathways to Recovery as outstanding 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 teams, and of individual members of staff, was not too high and staff ensured that people who required urgent care were seen promptly. Staff assessed and managed risk well and followed good practice with respect to safeguarding.

• Staff developed holistic, recovery-oriented plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the clients and engaged in clinical audit to evaluate the quality of care they provided.
• The teams included or had access to the full range of specialists required to meet the needs of the clients. Managers ensured that these staff received training, supervision and appraisal. Staff worked well together as a multi-disciplinary team and with relevant services outside the organisation.
• Staff treated clients with dignity, respect, compassion and kindness and understood the individual needs of clients. There was a strong person-centred culture. The service had a culture of coproduction which ensured clients were active partners in their care. Staff empowered clients to have a voice and realise their potential. Clients individual needs and preferences were reflected in the way care was delivered. Clients were supported to access community support services and networks.
• Clients were active partners in the delivery, review and development of the service. There was a developing service user forum and clients held service user representative roles. The service was proactive in securing client feedback and used this to inform service development.
• The service was easy to access. Staff assessed and treated people who required urgent care promptly and those who did not require urgent care did not wait too long to start treatment. The service did not exclude people who would have benefitted from care.
• There was compassionate, inclusive and effective leadership at all levels. Managers were a visible presence. There were clear vision and values embedded within the service. Effective governance processes ensured that managers had a clear overview of service performance. There was a commitment to service improvement and innovation. Clients and staff were active participants in service development projects. Service improvement plans had been developed and delivered.
• There were high levels of staff satisfaction. Staff reported that they felt empowered, recognised, valued, supported and were encouraged to develop their knowledge and skills. Team morale was strong, and staff worked collaboratively within the team and with external agencies. There was an open and honest culture. Staff felt able to raise concerns without fear of reprisal.
• The service was well led, and the governance processes ensured that procedures relating to the work of the service ran smoothly.

Updated 12 February 2020