Source · CQC inspection
Verve Health
Type Independent Healthcare Org
Region East
Last inspected 12 Dec 2022
Overall rating: Inadequate View full CQC report
Domain ratings
Safe
Inadequate
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Inadequate
Well-led
Inadequate
Earlier inspection findings
Must-do actions (21)
Must-do action 1 of 21
Must do
Caring
The service must involve service users in care planning and risk assessment.
Must-do action 2 of 21
Must do
Well-led
The service must ensure managers have the skills and relevant operational training to perform their roles.
Must-do action 3 of 21
Must do
Safe
The service must ensure that staff complete a comprehensive assessment and care plan and maintain accurate risk assessments for each service user and that staff complete effective risk management plans to reduce identified risks.
Must-do action 4 of 21
Must do
Well-led
The service must ensure governance systems and processes are in place to assess, monitor and improve the quality and safety of the service.
Must-do action 5 of 21
Must do
Safe
The service must ensure that staff complete personal discharge plans and provide harm reduction advice for all service users leaving the service in order to safely support service users when they return to the community.
Must-do action 6 of 21
Must do
Effective
The service must ensure they have enough suitably competent, skilled and experienced clinical staff.
Must-do action 7 of 21
Must do
Effective
The service must ensure staff including those who work at the service but are not directly employed have the right skills and training to meet the needs of the service users in their care and that they receive a full induction to the service before they start work, ongoing training and that staff receive regular appraisals, supervision and access to team meetings.
Must-do action 8 of 21
Must do
Safe
The service must ensure they use systems and processes to safely prescribe, administer and record medicines and that the clinic room and medication is secure.
Must-do action 9 of 21
Must do
Effective
The service must ensure that staff are trained in Mental Capacity Act and have an understanding of the five principles and how to apply them and that service users have an opportunity to give consent to treatment when they are no longer under the influence of illicit substances.
Must-do action 10 of 21
Must do
Safe
The service must ensure service user safety incidents are managed, staff report incidents appropriately and managers investigate incidents and share lessons learned with the whole team.
Must-do action 11 of 21
Must do
Well-led
The service must ensure that staff are able to escalate concerns relating to medicines to an appropriately clinically trained and competent individual.
Must-do action 12 of 21
Must do
Safe
The service must ensure staff are applying the duty of candour when things go wrong.
Must-do action 13 of 21
Must do
Well-led
The service must ensure adequate medical governance processes and systems are in place to monitor and assess the practice and competence of clinical staff and ensure the safety of medical practices.
Must-do action 14 of 21
Must do
Well-led
The service must ensure that managers record and monitor key information used to assess compliance in order to improve the quality and safety of the service, such as training and supervision compliance.
Must-do action 15 of 21
Must do
Well-led
The service must ensure that staff are aware of how to use the whistleblowing process.
Must-do action 16 of 21
Must do
Safe
The service must ensure that service users undergoing medical detoxification are appropriately monitored during their detox programme, including respiration rates and temperatures.
Must-do action 17 of 21
Must do
Safe
The service must ensure that regular fire drills are completed to ensure service users and staff are able to safely vacate the building in the event of an emergency.
Must-do action 18 of 21
Must do
Safe
The service must ensure that service user records are legible and provide a contemporaneous account of all contact with the service user and relevant information in order to safely support each service user and manage risk.
Must-do action 19 of 21
Must do
Well-led
The service must create a risk register to effectively record and mitigate against key risks to the service.
Must-do action 20 of 21
Must do
Safe
This service must ensure that service users have Personal Emergency Evacuation Plan’s (PEEPs) in order to safely support them to evacuate the building in an emergency.
Must-do action 21 of 21
Must do
Safe
The service must ensure staff understand how to protect service users from abuse, and how and when to make a safeguarding referral.
Should-do actions (2)
Should-do action 1 of 2
Should do
Effective
The service should ensure that regular full staff meetings, staff multi-disciplinary meetings and handovers occur in order to discuss service user needs, share relevant key information and share learning or areas for improvement.
Should-do action 2 of 2
Should do
Effective
The service should ensure collating outcomes of treatment to establish effectiveness.
Previous inspection
| Rating | Inadequate |
| Type | Focused inspection |
| Actions | 13 must-do |
2 resolved
10 repeated
1 partial