17 May 2022 to 9 June 2022
During an inspection looking at part of the service
Change Grow Live Norfolk Alcohol and Drug Behavioural Change Service is part of a national Change Grow Live provider who provide a not-for-profit drug and alcohol treatment service. The Norfolk location has been delivering a service since April 2018.
We carried out an unannounced focussed visit to Change Grow Live Norwich on 17 May 2022 and an announced visit on 9 June 2022.
The aim of this focussed inspection was to review the breaches in regulation identified following our most recent inspection in October 2021, which were contained in the warning notice. These breaches identified under the safe, effective and well-led domains.
During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate in the Well led key question. As a result of this, the imposed conditions have now been removed. The requires improvement ratings for Safe and Effective key questions remain unchanged. Our rating of this location stayed the same. We rated it as requires improvement because:
- Since the previous inspection there had been improvements made to the governance structure and an action plan had been implemented to address the issues found at the previous inspection. However, whilst we saw improved mechanisms for capturing and monitoring information had been introduced, actions had not always been taken as a result.
- Managers had not always ensured that drug testing had taken place in line with the service’s policy. Staff had missed opportunities to resolve this issue at face-to-face appointments.
- Managers had not ensured that clients always had timely access to medical reviews.
- Managers had not ensured that all staff had access to supervision.
However:
- Staff had ensured that clinical environment and equipment audits had been completed and were up to date.
- Service user plans reviewed were comprehensive, personalised, holistic and recovery orientated.
- Staff had completed comprehensive risk assessments and updated these regularly.
- Managers ensured staff were up to date with appraisals.