The Care Quality Commission
  • Residential substance misuse service

Archived: Cranstoun - Oak Lodge

Oak Lodge, 136 West Hill, Wandsworth, London, SW15 2UE (020) 8788 1648

Provided and run by:
Cranstoun

All Inspections

6 – 7 January 2016

During a routine inspection

We found the following issues that need to improve:

  • The provider had not recognised the medicine training needs of staff and had not carried out criminal record checks in an appropriate time scale. Staff had not been provided training in the duty of candour, which came into effect in April 2015.

  • The provider had not carried out an environmental risk assessment to identify risks in the environment that could affect clients and staff. Clients did not receive an induction covering how to use the equipment at the gym safely. There was no

  • Staff relied on information from the referrer and did not always carry out comprehensive assessments of needs for clients themselves. records did not contain management plans for an unexpected treatment exit.

  • Clients did not regularly receive a written copy of their recovery plan or have access to an independent advocate.

However, we also found the following areas of good practice:

  • There was a manager on call at all times and there was a clear system in place for reporting incidents.

  • All clients we spoke with felt supported in their transition from detoxification services to this service and felt involved in their care.

  • All staff received an annual appraisal of their performance at work and the provider supported staff members in leadership training and development.

  • There was a clear system for recording and managing complaints about the service.

12 September 2013

During a routine inspection

People told us that they liked being at the service as the support they received helped them to become more independent. One person told us: "They get you involved here, and always move at your pace, because everyone's different". We saw that assessments of people took place prior to their moving to the service, and that they were involved in this process.

People we spoke with told us that they were involved in their programme of treatment and in choosing the support they need. One person told us: Although I sometimes don't want to do anything, the fact that the staff are there and other people, it makes you go along with it and then you feel good that you've done it". Care plans were individualised and gave clear details about the support needs of the person in relation to their rehabilitation, social and financial issues. They were kept under regular review and updated where there have been any changes in the person's needs.

The manager confirmed that, since the previous inspection, staff had undergone safeguarding training. Records we looked at confirmed this. Staff we spoke to demonstrated a good understanding of each person, and were able to identify situations where people were more vulnerable or at risk. Any specific areas identified in people were recorded in their care plans. People told us that they felt safe at the home.

There were effective recruitment and selection processes in place in the home.

During a check to make sure that the improvements required had been made

The provider had identified appropriate actions to take in order to ensure that staff received appropriate professional development, and these had been completed. The provider had further established a wider system of ongoing professional development for staff at all locations across London.

29 November 2012

During a routine inspection

Care plans contained a resident's consent form which all people signed meaning that they had understood the care and treatment choices. One person told us "it was my choice to come here". The care plans were a standard format and were reviewed regularly.

There was a structured timetable at the home involving number of different activities and weekly groups which were facilitated by staff. One person using the service told us the 'rehab is really good'; another person told us 'the care was exactly what I needed to get better'. People using the service told us they felt safe living at the home.

People using the service felt that the staff were qualified to carry out their duties, although staff we spoke with told us that opportunities to acquire further skills and qualifications were limited.

17 October 2011

During a routine inspection

People told us that they receive good support from the staff, and feel respected.

People said that they get the right support to help them meet their needs and to develop their self esteem and independence.

We saw that there was a positive and respectful rapport between the staff and people who use the service.