The Care Quality Commission
  • Community
  • Community substance misuse service

Archived: Lifeline Redcar: South Bank Hub

92 Normanby Road, South Bank, Middlesbrough, Cleveland, TS6 6RX

Provided and run by:
Lifeline Project

All Inspections

13 June 2017

During a routine inspection

We do not currently rate independent standalone substance misuse services.

Following our last inspection in July 2016, the provider was required to make improvements to comply with two regulations as follows:

  • The service did not always complete risk assessments in sufficient detail and update them as required to reflect changes in risk. Risk management plans were not always personalised and did not clearly show when clients were high risk.

  • The first floor of the building was dark and in general need of redecoration. The lighting on the stairs was dim and made it difficult to see the area adequately.

    The 2016 inspection report was published in January 2017. We carried out a focused inspection within six months of the published report and found that the provider had improved the service.

    We found that:

  • All clients’ records included a risk assessment, which contained clear, concise and personalised information.

  • Staff recorded more detailed, quality information in the client risk assessment using an updated standardised format

  • Staff had prepared plans to manage risk where risk was medium or high in line with Lifelines policy.

  • Managers completed a full audit of all clients’ records in January 2017. Following the audit a team leader checked and all new and updated risk assessments.

  • The landing and staircase area on the first floor had been redecorated and the lighting had been improved.

    This means that the provider was no longer in breach of regulation.

13 July to 14 July 2016

During an inspection looking at part of the service

We do not currently rate independent standalone substance misuse services.

We found the following areas of good practice:

  • Staff worked collaboratively as a team and with other organisations to support the care and treatment needs of the client group.
  • Staff monitored clients’ physical health in line with national guidance. Staff had access to a range of physical health equipment that was clean and calibrated in line with manufacturer’s recommendations.
  • Staff treated clients and their families with kindness and respect. We observed positive interactions between staff and clients in one to one and group sessions. Staff understood the needs of their clients and used this to build positive relationships with them.
  • Staff provided access to flexible appointment times and gave clients a choice about where they would like to be seen. Staff actively sought feedback from clients and their families to improve and develop service provision.
  • Staff knew when and how to report incidents. Staff provided clients and families with information on how to complain.
  • Lifeline Redcar and Cleveland had governance systems in place which included the Lifeline Redcar: South Bank Hub. The service produced local and national reports on its clinical effectiveness.Managers conducted regular audits on documentation and treatment offered to clients.

However, we also found the following issues that the service provider needs to improve:

  • All clients had a risk assessment in place. However, staff did not always accurately reflect all client risks in the assessment. Staff did not complete individualised risk management plans to identify actions required to mitigate client risks.