24 April 2019
During a routine inspection
We rated Livingstone House Good overall because:
- The service provided safe care. The environment was safe and clean. The service had enough staff and they assessed and managed risk well. They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding.
- Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the client group and in line with national guidance and best practice. Staff engaged in clinical audit to evaluate the quality of care they provided.
- Managers ensured that staff received training, supervision and appraisal. The staff worked well together as a multidisciplinary team and with those outside the service who would have a role in providing aftercare.
- Staff truly respected and valued people using the service as individuals and empowered them to understand and manage their care. They treated clients with dignity, compassion and kindness. They understood the individual needs of clients and supported them to understand and manage their condition.
- Staff actively involved clients and families and carers in care decisions. Staff involved families and carers and provided them with exceptional levels of support. Staff actively worked with clients and their families to rebuild broken relationships caused by addiction.
- The service provided a range of treatment options including detoxification, day care, aftercare, resettlement, peer support and volunteering. Staff planned and managed discharge well and liaised well with community services.
- The service was well led. Staff were undertaking a programme of improvement and updating governance processes to ensure the service ran smoothly.