Cranstoun City Roads (Crisis Intervention)

Last Updated: 24/04/12

Telephone: 020 7843 1640

Address: (map)
352-358 City Road, London, Inner London, EC1V 2PY 51.530222689 -0.1007623227

Email: edoyle@cranstoun.org.uk

Website: www.cranstoun.org

Print as PDF

Request brochure

What we do
Who we treat
Facilities / vacancies
Fees & other info
Reviews / videos

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:	8-12 days
Opiates:	8-10 days
Benzodiazepines:	8-12 days
Stimulants:	21 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 aims to resolve the immediate danger and crisis the client is experiencing in the community. This is done by using a model of crisis intervention - a place of safety, high level of staff and a focus on the current problems and solutions. 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.We also provide for planned detoxification
Family support services: City Roads provides detoxification, stabilisation or a combination if a client is a poly drug user. On average the stay is no more than 21 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 teir borough. We also provide advice and information via the 24 hour help line.
Activities provided for children and families: Toys, drawing, painting & refreshments are provided for child visits. These are supervised by a staff member and will take place in a suitable, private room for a period of 45 minutes. Residents can have one visit per week.We have a carers lead who attends borough meetings where carers representatives are present and will answer any questions they may have about the detox phase of treatment.
Post treatment support: City Roads is a detoxification service we aim for all clients to be linked with services before they leave the service, we liaise with the services and provide information on the clients stay with us and identify what needs they may have for longer term treatment. In addition we have a 24hour help line which can clients can use to access support and advice
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. Clean injecting equipment can be given if people are planning to use on discharge. Information is given to people on local services in their area and they are informed of the re-referral policy at City Roads.
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. Crisis clients are looking at a discharge package from the day of admission. Clients' needs, choices and options are explored and staff will facilitate and advocate for an ongoing plan of care. Contact will be made with Community Care Assessors and treatment providers. Clients may move on to further residential care of community treatment options depending on individual need. 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:	7
Group work:	7
Complementary therapies:	4
Education:	3
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	65 %
Service user transferred	5 %
Treatment incomplete :
- client dropped out	25 %
- treatment withdrawn by provider	5 %

Who we treat

Accepted clients	Male / Female
Age range of clients	18 - 65
The following are accepted:	Couples 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. However, in regard to dual diagnosis, 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: 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) extreme problematic behaviour on a previous admission.

Facilities / vacancies

Bed vacancies
Number of Beds	Registration	Room type	Detox	Disabled access	Gender	Contract
2	Drug/alcohol (D/A)	Single	Yes	None	Both	N/A

Total registered beds:	0
Ensuite rooms:	0
Shared rooms (3+):	0
Twin rooms:	9
Single rooms:	0
Female-only beds:	3
Male-only beds:	9
Beds for detox:	17
Detox programme details: City Roads excludes clients: *whose alcohol or benzodiazepine use/dependency is too high for rapid detoxification and increases the risk of complications.
Level of wheelchair access:	None
No. bedrooms with full disabled access:	0
Sign language:	No
Pets:	No
Level of catering	Full
Domestic responsibilities	Partial
Complementary therapies: Shiatsu Reiki Indian Head Massage Auricular acupuncture Full body acupuncture

Other facilities (eg. languages spoken, dietary options, religions etc.):

Religious holidays observed
Facilities for worship
Dietry requirements
German, French,Gujerati, Hindi and Punjabi

Fees & other info

Gross weekly residential charge:	Not yet supplied
Block contracts:
Block contracts costs:	Not yet supplied
Other cost-related services: Weekly charges vary depending on the type of admission avel expenses to further treatment may be required

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: City Roads is an open access service. Clients may self-refer, with or without the support of a worker in the field or a healthcare professional. Crisis (or urgent) referrals are made by telephone with a crisis helplines specifically for this purpose. A detailed assessment will be taken to assess that the individual is in a crisis in regard to their drug use and is in danger due to this. If this is the case, the individual would be suitable for immediate admission to City Roads and we would aim to admit as soon as possible. Cranstoun City Roads is a specialist detoxification service Planned admissions are referred via the Cranstoun admission team who also assess for the two residential rehabilitation run by Cranstoun. 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: No details supplied
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. No sexual relationships.

Registration:
Registration:	Care home providing nursing
Registered with the National Drug Treatment Monitoring System (NDTMS):	No
Registered with the Care Quality Commission (CQC) - from October 2010:
Local Authorities using this project	Ashford Barking and Dagenham Bromley Camden Croydon Hammersmith and Fulham Islington Lambeth Lewisham Maidstone Merton Newham Redbridge Tower Hamlets Waltham Forest Westminster
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:	No details supplied

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:	18
Doctors/psychiatrists:	2
Nurses:	7
Dual-diagnosis workers:	0
General counsellors:	0
Other clinical:	9
Volunteers:	18
Support/non-clinical:	5
Resettlement workers:	0
Children's workers:	0
Service managers:	1
Training/education staff:	0
Other non-clinical:	4
Total FTE paid staff:	21
Staff qualifications: No details supplied
Night cover:	24-hours