CGL Inspire East Lancashire

Updated 30 November 2022

Change, Grow, Live is a substance misuse provider that delivers substance misuse services across the country. Change, Grow, Live is the registered provider of the location Inspire East Lancashire which delivers community substance misuse services and provides opiate substitute medication, community and home detoxification and psychological treatment to clients in that geographical area.

Inspire East Lancashire was registered with the Care Quality Commission on 19 December 2017 for the regulated activity:

• treatment of disease, disorder or injury.

There was one registered manager for this location. Since our last inspection in October 2018 Inspire East Lancashire has reduced in size to one registered location, Inspire Accrington, which has one satellite hub. The service covers the geographical footprint of East Lancashire only. The satellite hubs are in Burnley and Nelson in East Lancashire, also covering a large rural area within the Ribble valley and Rossendale.

We last inspected the service in 2018 and rated it Good overall. We did not identify any breaches of the regulations at our last inspection of the service.

The provider works with several partner organisations by subcontracting them to deliver different areas of the service but remains the main contract holder. The includes family intervention work, counselling services and local charities supporting people who live on the street or who are homeless. The provider also has its own team of non - medical prescribing nurses, midwife and hospital and prison in reach services, as well as a physical healthcare team.

The service also works with the local NHS Mental Health Trust, who support clients with a dual diagnosis of mental health issues and substance misuse problems.

What people who use the service say

People who used the service told us it gave them hope, had saved their lives and help them understand the impact of their addictions on their health, relationships, families and community. People told us the three sites were safe places to visit, staff were kind, respectful, interested in their recovery, treated them as people and not addicts and went the extra mile. People told us the different pathways, flexible opening times, variety of support groups and partnerships with other stakeholders offered them individualised services.

Updated 30 November 2022

Our rating of this location improved. We rated it as outstanding because:

• The service was extremely well led, and the governance processes ensured that its procedures ran smoothly. Staff felt really well supported by managers who they felt were very approachable. Collaborative work between the service and its partner organisations was highly effective and focused on meeting the needs of the clients. The service was highly innovative and ensured it was up to date with and involved in, new ways of working. The service had effective systems in place for gathering feedback from those who used the service which were used to improve the service.
• Staff treated clients with compassion and kindness and respect, and truly understood the individual needs of clients. There was a strong person-centred culture which was incorporated into all aspects of the service. Feedback from people who used the service was overwhelmingly positive and we were told that staff always go the extra mile to support clients. Staff actively involved clients in all decisions and about their care and clients were regularly consulted and involved in the running of the service. Staff identified groups of people with specific needs and developed pathways to provide tailored support and helped those clients overcome barriers that were stopping them from achieving their goals. 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 a wide range of tailored training, supervision and appraisal. For example, staff took part in peer supervision groups which involved them recording their one-to-one sessions, with the client's permission, and sharing this with a group of peers for in depth reflection and constructive feedback in order to help them improve their practice.
• Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a wide range of treatments and interventions suitable to the needs of the clients and in line with national guidance and best practice. The service truly considered the needs of different groups of people using its service and sought to address gaps where people’s needs were not being met. Staff regularly engaged in clinical audit to evaluate and improve the quality of care they provided.
• 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 monitored by managers so each staff member was able to give each client the time they needed. Staff assessed and managed risk well and followed good practice with respect to safeguarding.
• Staff worked extremely well together as a multidisciplinary team and with relevant services outside the organisation.
• The service was easy to access, staff made reasonable adjustments to enable clients to access the service in a way that met their needs and preferences. Staff planned and managed discharge well and had alternative pathways for people whose needs it could not meet.

Updated 30 November 2022