Winstone House - Horizon

Updated 22 March 2024

Winstone House – Horizon provides community substance misuse services for the Blackpool area. The service is run by Delphi Medical Consultants Limited. The service is commissioned by the Local Authority as part of a wider service pathway.

Winstone House – Horizon provides services for specialist substance misuse which include substitute prescribing and recovery coordination. Those whose primary diagnosis is alcohol related are treated by a sister service, that is registered separately.

The service is registered with the CQC to provide the following regulated activities:

Treatment of disease, disorder, or injury.

The service prior to this registration had been inspected in November 2019 and rated as good in all domains of safe, effective, caring, responsive and well led.

Delphi Medical also provided a sister service which was registered separately and delivered treatment for clients requiring alcohol services. Both services had the same managers, and most staff work across both services. We inspected both services at the same time and that service is subject to a separate report. Within these reports there is some data, that the provider could not separate between the two services.

What people who use the service say

We spoke with 10 clients and 2 carers; all spoke positively about the service citing incidents where staff had in their opinion gone above and beyond normal expectations and supported them physically and emotionally.

Updated 22 March 2024

Our rating of this service stayed the same. 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.
• The service had improved risk assessment and care plans since the last inspection and had 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. 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:

• Equipment requiring calibration should have an up-to-date sticker confirming calibration.
• Not all clinic rooms had examination beds or were neat and tidy.
• Not all clients had received a medical review every 6 months in line with the providers policy.
• The service had not reached its 90% target of its staff completing mandatory training.
• Privacy and confidentiality were not always maintained in the reception area.
• The service did not always complete wider physical health checks as recommended by the National Institute for Health and Care Excellence. Where the service was providing checks, for example fibro liver scans and lung checks these were not captured as part of the physical healthcare notes.

We rated this service as good because it was safe, effective, caring, and responsive, and well led.

Updated 22 March 2024

Updated 30 January 2018

See overall summary