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Cranstoun City Roads

Cranstoun City Roads
Last Updated: 18/02/19

Telephone: 0207 278 8671

Address: (map)
352-358 City Road, Islington, Inner London, EC1V 2PY

Email: admissions@cranstoun.org.uk

Website: www.cranstoun.org

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What we do
Substance misuse: Drugs:      Alcohol:  
Female only project: No
Typical length of the first-stage programme 0
Typical length of the second-stage programme 0
Mandatory drug/alcohol testing: Regularly
Detoxification available
Detox length  
Alcohol: 10-12days
Opiates: 10-14 days
Benzodiazepines: 10-14 days
Stimulants: 14 days
Support available
Supported housing and resettlement: No
Education, training & employment No
Female only groups: No
Philosophy/programme of care: Eclectic/integrated
CBT/social learning
Programme details:
City Roads provides for planned detoxification and/or stablilisation from drugs and alcohol for clients referred in by community services.

During a client's stay, they will take part in a group programme and one-to-one sessions which will provide information on harm reduction and the processes of their treatment. A discharge and treatment package will be planned on an individual basis and clients will have an opportunity to begin to explore their drug use and related issues.
Family support services:
City Roads provides detoxification, stabilisation or a combination if a client is a poly drug user. On average the stay is 10-14 days, during which time the client will be withdrawing. If the client has given consent we are happy to talk with and advise carers and family of the support services in their borough.
Activities provided for children and families:
We can arrange visits for children but generally these will take place off the premises at a local coffee shop.
Post treatment support:
City Roads is a detoxification service where the clients have a plan for the their onward treatment arranged before they are admitted. We work closely with community services to dovetail clients' stays to fit their aftercare plan.
Harm reduction policies for clients leaving the programme early:
There is a warning system which is used to work with people's behaviour and challenge this. People may be discharged if they are not addressing their behaviour despite being made aware of this by staff. If treatment is withdrawn, clients will be informed of the risks in regard to reduction in tolerance. All opiate using clients are offered Naloxone and shown how to use it. We inform the referring service of the discharge and, if circumstances indicate it, the local police. All clients have a contingency plan in place for re-engaging with services if they leave early for any reason.
Resettlement / after-care services:
Planned admissions have a discharge careplan in place and the detoxification timed to for a seamless transfer to a rehabilitation or day programme.
Additional costs include travel expenses when visiting treatment centres.
Hours a client would typically spend on elements of the programme in a week:
One to one counselling and keyworking: 4
Group work: 14
Complementary therapies: 2
Education: 7
Domestic duties: 7
Other activities: 12
Other details:
Medical assessment & healthcare (external & internal appointments)
Structured outings
Sports and leisure
Meal times
Optional workshops
Treatment completion rate (% clients discharged for)
Treatment complete 0 %
Service user transferred 0 %
Treatment incomplete :
   - client dropped out 0 %
   - treatment withdrawn by provider 0 %
Who we treat
Accepted clients Male / Female
Age range of clients 18 - 65
The following are accepted: Pregnant women
Orders of residence
Clients under Drug Rehabilitation Requirements (DRRs)
Clients under other community orders
Criminal Justice referrals: Court reports provided
Accompanied court attendance
Child care options: Children can have day visits
Dual diagnosis clients accepted
How the programme is equipped for dual diagnosis or complex needs:
City Roads' programme is designed to respond to those with complex needs. Clients should be stable on their medication. We have registered mental health nurses who can assess and deliver care. When a client is linked in with mental health services we obtain a report prior to admission
Accepts client on the following prescribed psycho-active medication: Anti-depressants
Anti-psychotics
Exclusions and restrictions to admission:
City Roads may exclude clients with:
*unstable mental health problems - a thorough assessment of behaviour, presentation and severity of mental health problems would be made prior to admission to ascertain if City Roads was a suitable service, or whether mental health services may be more appropriate
*misuse of specific drugs - long-term and high use of alcohol or benzodiazepines is carefully assessed and monitored as it may mean that it is unsafe for the individual to detox at City Roads
*convictions for violence, arson and sexual offences (none of these convictions would result in automatic exclusion)
*problematic behaviour on a previous admission. A behavioural contract may be considered necessary prior to admission
Facilities / vacancies
Bed vacancies
Number of Beds Registration Room
type
Detox Disabled
access
Gender Contract
1 Drug/alcohol (D/A) Shared Yes None F N/A
2 Drug/alcohol (D/A) Shared Yes None M N/A
Total registered beds: 17
Ensuite rooms: 1
Shared rooms (3+): 10
Twin rooms: 10
Single rooms: 4
Female-only beds: 7
Male-only beds: 10
Beds for detox: 17
Detox programme details:
City Roads can exclude clients:
with a significant recent history of violence to persons or property and in some cases, criminal sexual history.
High level of complexity indicating more appropriate treatment should be accessed in a specialised unit
Level of wheelchair access: Limited
No. bedrooms with full disabled access: 1
Sign language: No
Pets: No
Level of catering Full
Domestic responsibilities Partial
Complementary therapies:
Shiatsu
Yoga
Indian Head Massage
Auricular acupuncture
Full body acupuncture
Reflexology
Reiki
Other facilities (eg. languages spoken, dietary options, religions etc.): Religious holidays observed
Facilities for worship
Dietry requirements
German, French, Gujerati, Hindi and Punjabi, Port
Fees & other info
Gross weekly residential charge: Not yet supplied
Block contracts:
Block contracts costs: Not yet supplied
Other cost-related services:
On application
Detox additional weekly charge  
Alcohol: Not yet supplied
Opiates: Not yet supplied
Benzodiazepines: Not yet supplied
Stimulants: Not yet supplied
Admission and discharge information:
Assessment and admissions:
Planned admissions are referred from community services via the Cranstoun admission team.



A further assessment, completed in person, would take place at a local hospital to check that the client is safe and suitable for admission. The client would be immediately brought to City Roads if this assessment is unproblematic. Clients are seen by a nurse and doctor on admission and settled into the house by a member of the admissions team.
Additional admission services:
We take private clients provided they fit the same criteria as planned admissions especially with regard to their aftercare plan.
Discharge policies:
City Roads will discharge clients who:
*jeopardise the safety of the service for the other residents or staff
*use drugs or alcohol on the premises
*are suspected of using
*try to get drugs onto the premises
*show intimidating or aggressive behaviour towards others - staff will work with challenging behaviour and have to assess the risk associated with the behaviour displayed
*are violent.
*demonstrate or direct racist or sexist behaviour towards others
No sexual relationships are permitted.
Registration:
Registration: Care home providing nursing
Registered with the National Drug Treatment Monitoring System (NDTMS):
Registered with the Care Quality Commission (CQC) - from October 2010:
Local Authorities using this project None yet selected
Local Care Quality Commission(CQC) office: No details supplied
Region: London
Local Authority area: Islington
Drug and Alcohol Team: Camden
Primary contact: No details supplied
Contact phone: No details supplied
Admission phone: 0207 278 8671
Quality initiatives
Health and Social Care Act 2008(regulated activities) Regulations 2010 and the Care Quality Commission CQCRegistration) Regulations 2009
Staffing - Full Time Equivalents (FTEs)
Clinical: 0
Doctors/psychiatrists: 0
Nurses: 0
Dual-diagnosis workers: 0
General counsellors: 0
Other clinical: 0
Volunteers: 0
Support/non-clinical: 0
Resettlement workers: 0
Children's workers: 0
Service managers: 0
Training/education staff: 0
Other non-clinical: 0
Total FTE paid staff: 0
Staff qualifications:
No details supplied
Night cover: 24-hours
Reviews / videos
Video
Not available
Reviews
Service user reviews:
No details supplied
Professional reviews:
No details supplied

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