Oasis Runcorn

Updated 14 May 2019

Oasis Runcorn is a substance misuse and detoxification service offering two treatment programmes, allowing for tailored treatment and client choice. Detoxification is medically monitored, not medically managed. A 12-step programme and Oasis Strengths programme are both delivered within the therapeutic environment. Oasis Runcorn provides primary and secondary treatment which consists of community process, process groups, therapeutic activities, one to one counselling, house meetings, workshops, groups and worksheets. The service has 22 bedrooms and can accommodate up to 34 clients.

The service operates under the regulated activity of accommodation for persons who require treatment for substance misuse. There was a registered manager in place at the time of inspection. The service registered with the CQC in August 2015. The service was last inspected in March 2017, at which time independent standalone substance misuse services were not given ratings.

Updated 14 May 2019

We rated Oasis Runcorn as good because:

• The service had up to date health and safety assessments. The environment was clean and mostly well maintained. We saw staff adhering to infection control principles.
• Staff were trained and there were sufficient numbers to meet clients’ needs.
• Risk assessments were comprehensive and up to date. There were plans in place for clients who decided to leave the programme before its completion. Staff administered and managed medication effectively. All staff knew how to report incidents, and understood the duty of candour.
• Care records were comprehensive, holistic, and completed in a timely manner. All relevant information pertaining to the client and the treatment programme was outlined in the records, and included input from the client. The service was following best practice and national guidance with relation to treatment. Care records were up to date and had been amended according to events involving the client. All staff had completed mandatory training, were up to date, and records were maintained in personnel files. Multi-disciplinary team approach was evident, with input from care managers external to the service. Staff were trained in the Mental Capacity Act.
• We saw good interaction between staff and clients at the service, with respect being shown to all parties. Clients felt comfortable with staff at the service, and felt they could talk to them as many staff members were former clients in treatment programmes. Clients told us they felt supported and safe at the service. Care records showed that clients could understand and knew what treatment they were getting and why. Client consideration to change treatment path was available. We saw evidence of family involvement. Client forum minutes and client interviews indicated that clients were happy with the service.
• The referral and assessment process for the service was comprehensive. Clients who entered the service and found that the treatment was not suitable could change their treatment option, with possible transfer to another service if deemed necessary. Discharge planning started on admission to the service, with plans in place for possible unexpected exit from the programme. Clients were encouraged to contact families and try to integrate them into their treatment programme. Equality and diversity was promoted at the service. There had been 19 formal complaints in the 12-month period prior to the inspection, and 300 compliments had been received in the same period.
• Managers at the service provided key leadership, with the skills, knowledge and experience required. There was a clear definition of recovery within the model followed at the service, and staff were aware of it. Staff said they felt valued and supported, they were happy working in the service. Staff survey results were very positive. Staff appraisals indicated career development and consideration of training courses that might be helpful. Leadership training was available to all staff at the service. Key performance indicators were used to identify and promote good practice, and to identify aspects that required action. The provider actively arranged conferences and learning opportunities for staff.

However:

The environment did not fully cater to clients’ needs. There was no separate lounge area for female clients.  

Updated 14 May 2019