Cranstoun Wokingham

Updated 18 May 2022

Cranstoun Wokingham provides drug and alcohol services to adults and young people in Wokingham. The service provides opioid substitute therapy (OST), which involves the prescribing of medicines like methadone and buprenorphine to people needing treatment for heroin dependency. In addition, the service usually supports clients with community alcohol detoxification, although this was not available at the time of the inspection. The service provides one to one work and group psychosocial interventions to help people to develop their recovery skills and support networks to sustain their recovery from alcohol or drug misuse.

Cranstoun Wokingham has been registered with CQC since 14 May 2021 to provide treatment of disease, disorder or injury and diagnostic and screening procedures.

The service had a registered manager in place.

This was the first inspection of the service since Cranstoun had begun delivering the contract.

What people who use the service say

People who use the service all gave excellent feedback about the care and treatment they received. They told us what a positive impact the service had on their lives and their recovery. They told us that staff were kind, compassionate, caring and always made time for them.

Updated 18 May 2022

Cranstoun Wokingham provides drug and alcohol services to adults and young people in Wokingham.

This was the first time we had rated this service. We rated it as good because:

• The service provided safe care. The number of clients on the teams’ caseload, 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.
• Managers ensured that staff received training, supervision and appraisal. Staff worked well as a multidisciplinary team and with 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 had effective governance processes in place which ensured that its procedures ran smoothly.

However:

• The premises where clients were seen could be improved. The floor in the clinic room was unsuitable from an infection control perspective; there was no privacy curtain or lock on the clinic room door which could pose a risk to privacy and dignity and the rooms where clients were seen were not adequately soundproofed.
• The premises were not suitable for people with disabilities as the toilets were not large enough to fit a wheelchair in and did not have a pull cord for people to summon assistance. There was also no hearing loop installed within the building.
• None of the care records we reviewed contained unexpected exit from treatment plans.
• The service had not been able to offer alcohol detoxification since December 2021 when the previous healthcare practitioner left. However, a new healthcare practitioner was now in post and they planned to resume this from April 2022.

Updated 18 May 2022

This was the first time we had rated this service. We rated it as good because:

• The service provided safe care. The number of clients on the teams’ caseload, 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.
• Managers ensured that staff received training, supervision and appraisal. Staff worked well as a multidisciplinary team and with 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 had effective governance processes in place which ensured that its procedures ran smoothly.

However:

• The premises where clients were seen could be improved. The floor in the clinic room was unsuitable from an infection control perspective; there was no privacy curtain or lock on the clinic room door which could pose a risk to privacy and dignity and the rooms where clients were seen were not adequately soundproofed.
• The premises were not suitable for people with disabilities as the toilets were not large enough to fit a wheelchair in and did not have a pull cord for people to summon assistance. There was also no hearing loop installed within the building.
• None of the care records we reviewed contained unexpected exit from treatment plans.
• The service had not been able to offer alcohol detoxification since December 2021 when the previous healthcare practitioner left. However, a new healthcare practitioner was now in post and they planned to resume this from April 2022.