Edwin House

The service provides support to people with a wide range of ages with varying levels of treatment and support required for their substance misuse. This is provided across two separate buildings. Edwin House focuses on providing up to 43 people with the initial accommodation required. The Level is a medically managed inpatient detox unit that provides individually tailored programmes of treatment and care for people who need medically assisted stabilisation or detoxification from alcohol or other substances. The Level accepts referrals from specialist community drug and alcohol teams located throughout the UK, and accommodates up to 20 service users.

At the time of the inspection 31 people resided at Edwin House and 8 at The Level.

People told us they received safe care and treatment. Measures were in place to protect people from the risk of abuse. Risks to people's health and safety were assessed, monitored and changes acted on. People were supported through a robust programme that assisted them with trying to end their substance misuse.

There were enough skilled, trained, and experienced staff to provide safe care. Recruitment was on-going at Edwin House. It was acknowledged that agency staff use was high, but plans were in place to address this. There was no impact on the quality of care provided. Medicines at The Level were well managed. Edwin House had similar measures in place to manage people's medicines safely, although there were some issues with the administration and management of 'when required' medicines. This was rectified during the inspection and will be checked at our next inspection.

At Edwin House, some people's bedrooms were unclean and posed an infection control risk. However, the people affected had the capacity to make their own decisions. Records showed staff had on numerous occasions attempted to work with people to clean their bedrooms. This attempted support continues. There were no concerns with people's bedrooms at The Level.

Communal areas at Edwin House and The Level were clean and tidy and procedures were in place to reduce the risk of the spread of COVID-19 and other infections. Learning from accidents and incidents took place, appropriate notifications were forwarded to the relevant authorities.

There was a clear structure in place for monitoring risk, assessing staff performance, and driving improvement and development. There were two registered managers in place, one for Edwin House and one for The Level. They were supported by senior management to carry out their role. The registered managers understood and adhered to the regulatory requirements of their role. They were well liked by the people they supported and staff. The provider acted on feedback from people and staff.