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  • Community substance misuse service

Cranstoun Worcestershire

Overall: Not rated read more about inspection ratings

Castle House, 14 Castle Street, Worcester, Worcestershire, WR1 3AD 0300 303 8200

Provided and run by:
Cranstoun

Important: The provider of this service changed. See old profile

Report from 7 February 2024 assessment

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Well-led

Not rated

Updated 6 November 2024

There are clear and effective governance, management and accountability arrangements. Staff understand their role and responsibilities. Managers can account for the actions, behaviours and performance of staff. There is a clear provider strategy in place and future ways of working have been discussed with commissioners. There are robust arrangements for the confidentiality of data, records and data management systems. Information is used effectively to monitor and improve the quality of care.

This service scored 11 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Shared direction and culture

Not yet scored

We did not look at Shared direction and culture during this assessment. There is no score yet for this quality statement for Well-led.

Capable, compassionate and inclusive leaders

Not yet scored

We did not look at Capable, compassionate and inclusive leaders during this assessment. There is no score yet for this quality statement for Well-led.

Freedom to speak up

Not yet scored

We did not look at Freedom to speak up during this assessment. There is no score yet for this quality statement for Well-led.

Workforce equality, diversity and inclusion

Not yet scored

We did not look at Workforce equality, diversity and inclusion during this assessment. There is no score yet for this quality statement for Well-led.

Governance, management and sustainability

Score: 3

The service has one main hub in Worcester and two satellite services: one in Kidderminster and the other in Redditch. The county services 6 local authorities and a wide area in terms of its geography. The contract is focused on equitability of access to care has been improved by shared care arrangements delivered at a range of community settings, however some GP surgeries were struggling with general demand. In response to previous challenges within the service, the model of care has changed. The service has 3 locality teams, each of which service 2 local authorities, as well as additional county wide teams. Staff told us that the service is now in a good place. The service has several distinct teams including the clinical team, the criminal justice team, the youth team, the rough sleepers’ team, and the psycho-social group work team. This ensured staff had clearly defined roles and responsibilities. In addition, the service employed non-medical prescribers, who conducted assessments and prescribed associated medicine regimes. The service had processes in place for incident reporting, investigation and for learning lessons, the outcomes of which were shared with staff.

There are clear and effective governance, management and accountability arrangements. Service Performance and Incident Review Group meetings take place on a monthly basis to review the performance of the service, reviewing data from dashboards such as safeguarding, lessons learned, clinical updates and audits. There were audits in place to monitor the quality of care and treatment at both an organisation and local level. Staff understood their role and responsibilities. Managers accounted for the actions, behaviours and performance of staff and these were monitored through supervision and appraisal. Data or notifications were consistently submitted to external organisations as required and where there were delays, these were communicated. Leaders implemented relevant quality frameworks, recognised standards and best practices to improve equity in experience and outcomes for people using services. There was a clear business continuity plan in place to address emergency preparedness and included staffing, premises, information technology and cost of living. There were systems in place to manage current and future risks. The service had a risk register in place with clear descriptions of risk, ratings, owners of each risk with appropriate controls in place to minimise risk. The highest risks on the register were around staffing and recruitment.

Partnerships and communities

Not yet scored

We did not look at Partnerships and communities during this assessment. There is no score yet for this quality statement for Well-led.

Learning, improvement and innovation

Not yet scored

We did not look at Learning, improvement and innovation during this assessment. There is no score yet for this quality statement for Well-led.