Background to this inspection
Updated
22 December 2022
Be Smoke Free which is part of Change Grow Live has had been registered with the Care Quality Commission since December 2020. This was the first time the service had been inspected.
Be Smoke Free provided services in Manchester for smoking cessation which for the majority of patients was nicotine replacement which falls outside the scope for which the service was registered with the Care Quality Commission. Only those clients prescribed Bupropion received treatment which fell within regulated activity. Between April and August 2022 this had been nine patients.
The service is registered with the CQC to provide the following regulated activities:
Treatment of disease, disorder or injury.
What people who use the service say
We spoke with 3 clients; all spoke positively about the service and the support they had received to stop smoking.
Updated
22 December 2022
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.
- Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. There was a strict admittance criterion to be prescribed Bupropion, and those clients who did not match that criterion were supported with nicotine replacement products such as vapes or patches. Staff engaged in clinical audit to evaluate the quality of care they provided.
- The team included or had access to the full range of specialists required to meet the needs of clients under their care. The manager had ensured that staff had received specialist nicotine reduction training, as well as supervision and appraisal. 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, they had a community outreach officer. 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.
Substance misuse services
Updated
22 December 2022
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.
- Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. There was a strict admittance criterion to be prescribed Bupropion, and those clients who did not match that criterion were supported with nicotine replacement products such as vapes or patches. Staff engaged in clinical audit to evaluate the quality of care they provided.
- The team included or had access to the full range of specialists required to meet the needs of clients under their care. The manager had ensured that staff had received specialist nicotine reduction training, as well as supervision and appraisal. 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, they had a community outreach officer. 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.