The Lighthouse - Horizon Drug and Alcohol Recovery

Updated 22 March 2024

The Lighthouse – Horizon, provides community alcohol services to residents of the Blackpool area. It is part of the wider Horizon programme which is the framework for all substance misuse and support services commissioned in the area. The Lighthouse is run by Delphi Medical Consultants Limited.

Delphi Medical also runs a sister community drug service within the Horizon framework. The community drug service is operated from a different building to the Lighthouse. The two services have the same management, governance structure, policies and several shared staff. However, the services are registered separately with the CQC and as a result we have completed a separate inspection and report for the community drug service.

Some of the data submitted by the service also covers both the drug and alcohol teams and could not be broken down further. As a result, this report refers to some data that covers the drug service as well as the Lighthouse.

The Lighthouse is registered with the CQC to provide the following regulated activities:

Treatment of disease, disorder, or injury.

The service was last inspected in November 2019. It was rated as good overall and in the safe, caring, responsive and well led domains. The service was rated requires improvement in effective and issued a requirement notice in relation to the quality of client care plans.

What people who use the service say

We spoke with 4 clients who were using the service and 1 family member of people who were using the service. Clients and family members we spoke with gave positive feedback on both the service and staff. They felt that staff were supportive and generally felt involved in their care and treatment. They considered staff to be caring, professional and respectful.

Updated 22 March 2024

Our rating of this location stayed the same. We rated it as good because:

• 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 not too high to prevent staff from giving each client the time they needed. Staff assessed and managed risk well and followed good practice with respect to safeguarding.
• The service had improved risk assessment and care plans since the last inspection and had developed holistic, recovery-oriented care plans informed by a comprehensive assessment. Staff engaged in clinical audit to evaluate the quality of care they provided.
• The teams included or had access to the full range of specialists required to meet the needs of clients under their care. Staff worked well together as a multidisciplinary team and relevant services outside the organisation.
• Staff treated clients with compassion and kindness and understood the individual needs of clients. They actively involved clients in decisions and care planning.
• The service was easy to access. Staff planned and managed discharge well and had alternative pathways for people whose needs it could not meet.
• The service was well led, and the governance processes ensured that its procedures ran smoothly.

However:

• Some equipment requiring calibration did not have an up-to-date sticker confirming when calibration was due.
• The clinic room was cluttered and did not have an appropriate examination bed.
• Not all clients had received a medical review every 6 months in line with the providers policy.
• The service had not reached its 90% target of its staff completing mandatory training.
• The service did not always complete wider physical health checks as recommended by the National Institute for Health and Care Excellence. Where the service was providing checks, for example fibro liver scans and lung checks these were not captured as part of the physical healthcare notes.
• At the time of our inspection the service was not delivering a community detoxification programme. The service was in the process of reestablishing the programme.

Updated 22 March 2024

Our rating of this location stayed the same. We rated it as good because:

• 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 not too high to prevent staff from giving each client the time they needed. Staff assessed and managed risk well and followed good practice with respect to safeguarding.
• The service had improved risk assessment and care plans since the last inspection and had developed holistic, recovery-oriented care plans informed by a comprehensive assessment. Staff engaged in clinical audit to evaluate the quality of care they provided.
• The teams included or had access to the full range of specialists required to meet the needs of clients under their care. Staff worked well together as a multidisciplinary team and relevant services outside the organisation.
• Staff treated clients with compassion and kindness and understood the individual needs of clients. They actively involved clients in decisions and care planning.
• The service was easy to access. Staff planned and managed discharge well and had alternative pathways for people whose needs it could not meet.
• The service was well led, and the governance processes ensured that its procedures ran smoothly.

However:

• Some equipment requiring calibration did not have an up-to-date sticker confirming when calibration was due.
• The clinic room was cluttered and did not have an appropriate examination bed.
• Not all clients had received a medical review every 6 months in line with the providers policy.
• The service had not reached its 90% target of its staff completing mandatory training.
• The service did not always complete wider physical health checks as recommended by the National Institute for Health and Care Excellence. Where the service was providing checks, for example fibro liver scans and lung checks these were not captured as part of the physical healthcare notes.
• At the time of our inspection the service was not delivering a community detoxification programme. The service was in the process of reestablishing the programme.

Updated 21 November 2018

See overall summary