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Home > Information for Professionals > Research > Extended Care Unit Care Commission Report
| Service Name | Castle Craig Hospital ECU Ltd |
| Service Type | Independent Health Care Service |
| Title of Applicable Standards | Independent Hospitals |
| Service Provider | Castle Craig Hospital (ECU) Ltd |
| Location | Blyth Bridge |
| Date of Original Registration | 12/02/2004 |
| Date of Inspection(s) | 08/07/2004 |
| Period since most recent Inspection | First Inspection |
| Type of inspection | Announced |
| Care Commission local office | Local Resource Centre Galabank MillWllderhaugh Trading EstateGalashielsTD1 1PR |
Castle Craig Extended Care Unit was registered as an Independent Hospital to provide ongoing treatment for people with drug and alcohol dependence. The objectives of the unit was to "offer in?patient treatment which incorporates an intensive psychologically orientated approach assisting patients who have completed a period of first?stage intensive in?patient treatment, to consolidate the gains of this treatment and maintain abstinence from alcohol and drugs"
The unit was registered for 55 adults and at the time of the inspection the unit was full.
The unit is in a rural setting between Peebles and Biggar and has extensive grounds
The report was based on the Regulation of Care (Scotland) Act 2001, Scottish Statutory Instruments (202) 114 and National Care Standards? Independent Hospitals. The inspection was conducted by Mandy Falconer and Susan Donnelly, Care Commission Officers The report was informed by Physical observation Review of six care plans Discussion with staff and service users Review of specific policies and procedures in use at the unit.
The information presented in this report reflects what was evidenced by the Care Commission officers on the day of the inspection visit and information provided by the management
This was the first inspection of this service.
The self evaluation was received by the Care Commission prior to he inspection and clearly Identified strengths and areas for development, that are. incorporated into the body of the report
Four service users were happily engaged in conversation with the Care Commission officers. All commented highly on the service provided at the unit and that they were fully informed of the treatment programme prior to commencement of the treatment. Service users were happy with the accommodation provided and the meals and snacks available to them The female service users were happy that there were female only houses and that they felt safe and secure within the homes. Service users all contribute to their assessment and were involved daily in therapy on a group or individual basis Service users were particularly pleased with the support family are given and the contribution from the unit to involve the family in their treatment plans
No carers were available at the time of the inspection.
You are actively involved in making decisions about your care and treatment You feel fully prepared for your admission and have an understanding of your likely needs on discharge.
Strengths All service users were given an information booklet detailing
the treatment
they would receive.
Staff will carry out a pre?assessment 7?10 prior to admission from primary
care.
Service users had the opportunity to visit prior to the second phase of
their treatment.
Service users would be designated a therapist on admission who would be
responsible for their plan of care.
Areas for development:
The unit was hoping to send brochures out to referring agencies in the
future for prospective patients.
Your treatment is carried out to professional standards, when you expect it and in a manner designed to put you at ease. You are advised of the recovery process and options for the management of any pain.
Strengths Patients were involved at all stages of the assessment process.
Therapists and doctors carry out necessary assessment tools and patients
and therapists meet regularly to review progress.
Patents were involved in writing diary entries and self evaluations as
part of their treatment process.
Therapists and senior staff meet weekly to discuss progress of patients.
Patients give their consent to treatment.
Areas for development:
No areas for development were identified at this inspection.
Following your operation, investigation or treatment, your after and ongoing care is designed with you to meet your needs. You are fully involved in planning your ongoing care and putting the plans info action
Strengths All patients prepare an individual aftercare plan for the next two years and was relevant to the area or country they are moving back to.
The unit provides ongoing support for patients with weekly meetings at various venues.
All patients were given a contact person who they could speak to after discharge.
Areas for development:
The management were looking to introduce a life skills programme in the
future to equip patients on discharge.
You can be confident that you will receive comprehensive services from the allied health and social care professionals.
Strengths
All nurses and doctors were registered with the appropriate professional
bodies.
Therapists and carers adhere to the code of ethics provided by COSCA (Counselling and Psychotherapy in Scotland) and their own set of ethics.
Professional development was encouraged by the hospital and a rigorous training plan was in place for all staff.
Patients were made aware of the programme and the demands placed on them but were provided support from individual therapists.
Dally and weekly meetings were held to discuss each patients treatment and information shared where required.
Areas for development: No areas for development were identified at this inspection.
You can be confident that the hospital will have a skilled resuscitation team on duty 24 hours a day.
Strengths
All doctors and nurses recieve training in resuscitation and life support
bi-annually from Lothian Health Board. Therapists and carers were able
to access the training also. although not compulsory for them to attend
A doctor was on?call 24hrs a day.
There was always a registered nurse on duty who had been trained in resuscitation
Areas for development: No areas for development were identified at this inspection
There had been no enforcement action taken by Care Commission against this service in the past 12 months.
Whilst reviewing personal plans it was apparent that patients were referred from a number of sources One of those was through the criminal justice system Management should develop a policy relating to the care of the patient and the responsibilities of the unit under the system.
No other issues were identified
No recommendations were made at this inspection.
No requirements were made at this inspection.
Mandy Falconer
Care Commission Officer
