CGL Cheshire East Integrated Recovery Service

This service has not been previously inspected or rated. We rated it 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 teams, and of 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 and followed good practice with respect to safeguarding.
• Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the clients and in line with national guidance about best practice. Staff 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 clients under their care. Managers ensured that these staff received training, supervision and appraisal. Staff worked well together as a multidisciplinary team and relevant services outside the organisation.
• Staff treated clients with compassion and kindness, and understood the individual needs of clients. They actively involved clients in decisions and care planning.
• The service was easy to access. Staff planned and managed discharge well and had alternative pathways for people whose needs it could not meet.
• The service was well led, and the governance processes ensured that its procedures ran smoothly.

However:

• Clients privacy was not fully adhered to in Macclesfield. The interview rooms were not soundproof. Conversations could easily be overheard in the waiting area.
• Unexpected exit from treatment plans were not always robust or detailed enough. Information was vague with no clear plan of the actions to take.
• Not all policies were up to date. The induction policy and the medicines management policy were overdue for review.
• Client care records did not clearly indicate that a copy of the care plan had been offered to clients.
• Clients and their families and carers did were not involved in the service design and development.