Background to this inspection
Updated
27 June 2017
Piccadilly Project is a Community Alcohol service for people suffering from alcohol addiction who are 18 years of age and older. This service offers psychosocial interventions and is one of 10 services in the Bradford district commissioned to deliver alcohol recovery services.
The service is registered to carry out the following regulated activity:
- Treatment of disease, disorder or injury
Bradford Piccadilly Project work closely with other specialist substance misuse providers, GP’s, Hospitals, and probation services to provide a holistic service. They offer psychosocial interventions including, solution focused approaches, motivational interviewing and low level cognitive behavioural therapy. The service has set programmes which include group work and one to one work. The service aims to develop clients’ recovery capital by offering support around housing, benefits and employment. Bradford Piccadilly Project does not provide any clinical intervention such as prescribing; however, they have care pathways in place to support referrals into appropriate services.
When the Care Quality Commission inspected the service in October 2016, we found Bradford Piccadilly Project had breached regulations. We issued the service with two requirement notices and two warning notices. These related to the following regulations under the Health and Social Care Act (Registration) Regulations 2009 and Health and Social Care Act (Regulated Activities) Regulations 2014:
- Regulation 12 HSCA (Regulated Activities) Regulations 2014 Safe care and Treatment
- Regulation 17 HSCA (Regulated Activities) Regulations 2014 Good governance
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Regulation 18 HSCA (Registration) Regulations 2009 Notification of other incidents
Updated
27 June 2017
We do not currently rate independent standalone substance misuse services.
We found the following areas of good practice:
- The service had addressed all but one action identified in the last inspection in relation to regulation 12 and 17 of the Health and Social Care Act (Regulated Activities) Regulations 2014 and regulation 18 of the Health and Social Care Act (Registration) Regulation 2008.
- Bradford Piccadilly Project were assured of the safety of their building in relation to fire and gas safety. The service had an up to date gas safety check, and commissioned a new fire risk assessment. All actions had been undertaken within the correct time frames including the implementation of a Personal Emergency Evacuation Plan (PEEPs) policy.
- The service had implemented a new risk management tool to be aligned with the already existing risk assessment tool. We found staff were now completing risk management plans and scoring risk assessments according to guidance. Staff told us they felt the new risk management plans enabled them to identify and mitigate risk effectively.
- All staff had received appraisals in the last 12 months.
- The service had notified the Care Quality Commission of two notifiable incidents in the last six months.
- The service implemented a risk register and regular annual audit cycle. The provider were now able to document how they assessed, monitored and mitigated risks relating to health, safety and welfare within the service.
However, we also found the following issues the provider needs to improve:
- The service did not meet all the actions as a result of their last inspection. The service did not have systems in place to monitor compliance with supervision. The service implemented a system in place to monitor training; however, we found the data inputted onto the training matrix was not always correct. This meant management were not able to monitor compliance with training accurately.
Substance misuse services
Updated
8 February 2017
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