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Search by your postcode below to find your local needle exchange. New Direction is a free and confidential drug and alcohol service for adults aged 18+ (including offenders) and affected others in Lewisham.
New Direction is a free and confidential drug and alcohol service for adults aged 18+ (including offenders) and affected others in Lewisham.
CGL Lewisham New Direction is part of Change Grow Live, who deliver a not-for-profit drug and alcohol treatment services nationally. The service provides specialist community treatment and support for adults affected by substance misuse who live in Lewisham.
- Overall summary
- What people who use the service say
- How we carried out this inspection
- Areas for improvement
- Action the service SHOULD take to improve:
- Safe staffing
- Assessment of client risk
- Safeguarding
- Staff access to essential information
- Medicines management
- Track record on safety
- Reporting incidents and learning from when things go wrong
- Assessment of needs and planning of care
- Best practice in treatment and care
- Monitoring and comparing treatment outcomes
- Multidisciplinary and interagency team work
- Good
- Involvement in care
- The involvement of people in the care they receive
- Involvement of families and carers
- Access and waiting times
- The facilities promote comfort, dignity and privacy
- Meeting the needs of all people who use the service
- Listening to and learning from concerns and complaints
- Leadership
- Vision and values
- Culture
- Good Governance
- Management of risk, issues and performance
- Information management
- Leadership, morale and staff engagement
- Commitment to quality improvement and innovation
Our rating of this location was good because: The service provided safe care. The premises where clients were seen were safe and clean. Staff managed risk well. Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the clients and in line with nati...
Most clients that we spoke to were extremely positive about the service they were receiving. Multiple clients told us that they felt the service had saved their life and they were incredibly appreciative of the help and support they had received. Clients felt involved in their care and treatment. Clients told us that they felt listened to and parti...
This inspection was carried out by three inspectors, one inspector who specialised in inspecting the management of medicines and one specialist professional advisor with expertise and experience in substance misuse. During this inspection, the inspection team: Summary of this inspection visited the service and observed the environment and how staff...
Action the service MUST take is necessary to comply with its legal obligations. Action a service SHOULD take is because it was not doing something required by a regulation but it would be disproportionate to find a breach of the regulation overall, to prevent it failing to comply with legal requirements in future, or to improve services.
The service should ensure that risk assessments clearly identify current client risk and how those risks are managed. The service should continue their work to ensure that all clients receive a medical review or a non-medical prescriber review annually, in line with their policy and procedure. The service should ensure that work continues to addres...
The service had enough staff, who knew the clients and received basic training to keep them safe from avoidable harm. The number of clients on the caseload of some key workers was high. Staff told us this affected the time they could spend with some clients. The service had enough nursing and support staff to keep clients safe. At the time of the i...
The service had clear criteria to describe which clients they would offer services to and offered clients a place on waiting lists. The service used a complexity matrix which helped staff identify which service in the borough was best placed to accept clients. We reviewed ten client care and treatment records. Staff completed risk assessments as ea...
Staff understood how to protect clients from abuse and the service worked well with other agencies to do so. Staff had training on how to recognise and report abuse, and they knew how to apply it. Staff received training on how to recognise and report abuse, appropriate for their role. Staff kept up-to-date with their safeguarding training. At the ...
Staff kept detailed records of clients' care and treatment. Records were clear, up-to-date and easily available to all staff providing care. Staff used an electronic records system. Staff kept comprehensive and detailed records of clients’ care and treatment. Staff used this system to record and access each client’s progress notes, care plan, risk ...
The service used systems and processes to safely prescribe, administer, record and store medicines. Staff regularly reviewed the effects of medications on each client's mental and physical health. Staff followed systems and processes to prescribe and administer medicines safely. Medicines and controlled stationary were stored securely. Records were...
The service had a good track record on safety Staff made notifications to the relevant external bodies as needed. Staff sent notifications in a timely manner to the Care Quality Commission.
The service managed client safety incidents well. Staff recognised incidents and reported them appropriately. Managers investigated incidents and shared lessons learned with the whole team and the wider service. When things went wrong, staff apologised and gave clients honest information and suitable support. All staff we spoke with were aware of w...
Staff completed comprehensive assessments with clients on accessing the service. They worked with clients to develop individual care plans and updated them as needed. Care plans reflected the assessed needs, were personalised, holistic and recovery-oriented. We reviewed ten clients’ care and treatment records. Staff completed a comprehensive mental...
Staff provided a range of care and treatment interventions suitable for the client group and consistent with national guidance on best practice. They ensured that clients had good access to physical healthcare and supported clients to live healthier lives. Staff provided a range of care and treatment suitable for the clients in the service. The ser...
Staff used recognised rating scales to assess and record severity and outcomes. They also participated in clinical audit, benchmarking and quality improvement initiatives. Staff took part in clinical audits and there was an annual service audit plan. These audits were set by the provider. These audits looked at health and safety, safeguarding, infe...
Staff from different disciplines worked together as a team to benefit clients. They supported each other to make sure clients had no gaps in their care. The team had effective working relationships with other relevant teams within the organisation and with relevant services outside the organisation. Staff held regular multidisciplinary meetings to ...
We rated it as good. Kindness, privacy, dignity, respect, compassion and support Staff treated clients with compassion and kindness. They understood the individual needs of clients and supported clients to understand and manage their care and treatment. As part of the inspection we spoke to 10 clients currently using the service. Most clients we sp...
Staff involved clients in care planning and risk assessment and actively sought their feedback on the quality of care provided. They ensured that clients had easy access to additional support.
Staff communicated with clients so they understood their care and treatment. Clients reported that they felt informed and involved within their treatment decisions and care planning. Nearly all clients reported that they had seen their care plan and were happy with it. Clients told us that they received advice from the staff about medications and t...
Staff informed and involved families and carers appropriately. Most clients we spoke to told us that they did not want their families involved. When clients did provide consent family members were invited to attend meetings with their loved ones. For example, family members had recently attended a joint meeting with the service and a local hospice ...
The service was easy to access. Staff planned and managed discharge well. The service had alternative care pathways and referral systems for people whose needs it could not meet. The service had clear criteria to describe which clients they would offer services to and offered clients a place on waiting lists. The service used a complexity matrix wh...
The design, layout, and furnishings of treatment rooms supported clients' treatment, privacy and dignity. The service had a full range of rooms and equipment to support treatment and care. The service had six individual rooms for 1:1s and two rooms for group activities. Furniture was in good condition. However, due to the Covid-19 pandemic furnitur...
The service met the needs of all clients, including those with a protected characteristic or with communication support needs. The service acted as a women only service for one day a week. Staff from other organisations such as domestic violence charities would also attend the service on that day to meet and offer support to clients. The service co...
The service treated concerns and complaints seriously, investigated them and learned lessons from the results, and shared these with the whole team and wider service. Clients, relatives and carers knew how to complain or raise concerns. All clients told us that they knew how to complain and would feel able to do so. Staff knew how to acknowledge co...
Leaders had the skills, knowledge and experience to perform their roles, had a good understanding of the services they managed, and were visible in the service and approachable for clients and staff. The local senior leadership was in the service were motivated and enthusiastic about supporting the client group. Staff told us that they felt well su...
Staff knew and understood the service's vision and values and how they applied to the work of their team. Leaders and staff clearly understood the provider’s vision and values of making a difference in people’s lives and giving everyone an opportunity. Leaders clearly demonstrated the values in practice and ensured staff understood how they applied...
Even though the service did not use a quality improvement model to improve the service, managers had identified improvements and developed the service. For example, managers planned to improve the psychosocial interventions offered by the service and to add new treatment pathways to the service.
Even though the service did not use a quality improvement model to improve the service, managers had identified improvements and developed the service. For example, managers planned to improve the psychosocial interventions offered by the service and to add new treatment pathways to the service.
Even though the service did not use a quality improvement model to improve the service, managers had identified improvements and developed the service. For example, managers planned to improve the psychosocial interventions offered by the service and to add new treatment pathways to the service.
Even though the service did not use a quality improvement model to improve the service, managers had identified improvements and developed the service. For example, managers planned to improve the psychosocial interventions offered by the service and to add new treatment pathways to the service.
Even though the service did not use a quality improvement model to improve the service, managers had identified improvements and developed the service. For example, managers planned to improve the psychosocial interventions offered by the service and to add new treatment pathways to the service.
Even though the service did not use a quality improvement model to improve the service, managers had identified improvements and developed the service. For example, managers planned to improve the psychosocial interventions offered by the service and to add new treatment pathways to the service.
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