During this inspection we followed up on the action plan submitted to the Care Quality Commission on 21 March 2013. We visited Cherry Tree Close and Derbyshire Low Intensity Drug Service. We found that the provider had put into place all the actions stated in their action plan.

People we spoke with told us that they felt supported by staff and had been fully involved in developing their care plan. One person told us "I have a copy of my care plan, staff are always asking if I am ok or if I need any support".

We saw that people's care records were well ordered and accessible with clear goals for care and treatment. Records showed us that people were actively involved in setting their own treatment goals.

Staff told us that mentoring had increased their skills in developing care plans with people who used services. They told us that their enhanced knowledge had led to people who use the service engaging more in the development of their care plans and treatment goals.

People told us they were supported to make decisions about whether or not to give consent to care and treatment. We found that staff were aware of the processes for gaining and recording consent to treatment and the sharing of information.

We found that people were involved in developing their care and treatment. One person told us “because of my sectioning, my choices are limited but I am able to express my own choices and staff listen to what I say”.

In three of the services we inspected we found that peoples' care and treatment was not always delivered in line with their care plan. We also found that recorded risk assessments were not always sufficient to ensure the safety of staff and people using the service.

We found that staff had access to a broad range of mandatory and job specific training. Staff felt supported by the trust. People told us that the staff that provided their care and support were “brilliant and so approachable” and “very supportive”.

We found that the communication and support systems ensured that people were protected from the risk of abuse. All of the staff we spoke with were aware of the trust’s safeguarding policies and procedures.

Peoples care records were stored securely in all of the services we inspected. However, in two of the services we inspected we found that people were not always protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were not maintained.