We rated The OAD Clinic as good because:

• Staff managed clients’ risk safely and effectively. Staff safely carried out appropriate physical health checks on clients. Client records addressed the potential risks of early exit from the treatment programme.
• Medical staff followed best practice guidance when prescribing medicines for clients.
• Staff completed risk assessments and recovery plans. minimised the risk to clients and children from abuse and avoidable harm. Staff worked closely with the local safeguarding lead to seek guidance and support.
• Staff provided appropriate care and treatment interventions suitable for clients’ recovery. The staff team worked with clients to reduce health and other problems directly related to drug misuse. Interventions addressed reducing harmful or risky behaviours associated with the misuse of drugs, optimising personal physical and mental wellbeing and achieving specific personal goals.
• Staff demonstrated a compassionate understanding of the impact clients’ care and treatment could have on their emotional and social wellbeing and demonstrated an understanding of the needs of people with protected characteristics. Clients were positive about the care they received from staff.
• Staff actively engaged with GPs, social services as well as other care organisations if necessary. This ensured staff could plan, develop and deliver the service to meet the needs of the clients.
• The service made sure staff were competent for their specialist roles working in substance misuse. Medical staff received an annual appraisal of their work and performance. The service manager and recovery workers received regular managerial supervision to provide support and monitor the effectiveness of the service.
• The service was well-led at team level and by the senior leadership team who had the skills, experienced and leadership to lead the team. Staff had access to information they needed to provide safe care and treatment to clients.

However,

• The service did not store controlled drugs in a controlled drugs cabinet or record the receipt of controlled drugs. Although the controlled drugs were stored in a locked cupboard within a locked room. The medical director and service manager responded promptly to our concerns and took the necessary action.
• The service had not checked whether staff were up to date with routine vaccinations or advised that they should get vaccinated specifically for hepatitis B on commencing employment
• Whilst care and treatment was discussed and agreed with clients, this was not systematically recorded in the care planning template
• The service did not have a policy on the Mental Capacity Act.