Achieving

Change
Together
Annual Report 2015/16
3 WELCOME FROM OUR CHAIR
4 REPORT FROM OUR GROUP CEO
6 FINANCE REPORT
8 STRATEGY & VALUES
10 HR & IIP UPDATE
12 A NEW ADDITION TO THE FAMILY
14 GWENT DRUG AND ALCOHOL SERVICE - GDAS
16 POWYS REPORT
17 PAN-WALES CRIMINAL JUSTICE
18 GROUP CLINICAL DIRECTOR
19 CAIRN HOUSE REPORT
20 ALFRISTON DAY CENTRE
21 DYFED DRUG AND ALCOHOL SERVICE - DDAS
22 DRINK WISE AGE WELL
23 CO-PRODUCTION HUBS
24 OUT OF WORK SERVICE - OOWS/CYFLE CYMRU
25 KFORCE HOUSE/CHANGE STEP
26 OUR PARTNERS & FRIENDS
The Kaleidoscope Board is very engaged in the services we provide to vulnerable
people. We understand that governance is vital for the success of third sector
organisations. We provide both robust scrutiny and at the same time put in place
support of senior officers so they can best provide leadership of our services.
Kaleidoscope supports a coaching culture, which we believe helps best achieve our
key values of Integrity, Excellence, Innovation and Engagement. Our values are core
to the way we support our organisational partners, our staff and our service users.
I believe the success of Kaleidoscope over the last few years is because we are an
organisation that is trusted to provide the best services possible whilst maintaining
our commitment to campaign on behalf of our service users.
Innovation has always been important to us, be it with new ways of providing central
services or how we deliver front line services. This year we have been proud to work
with Creative Insomnia in developing an operational and HR management Tool. This
system has not only improved our own internal systems but is now being used by
a number of our partner agencies with whom we are working in partnership. By
developing this bespoke system we are using new technologies to improve our
reporting systems and communications. I am also delighted to see the development
of the Hub, which is a service user led provision in Newport. This provides Peer
Mentor support with creative spaces for art, music and a technology suite.
I am very pleased to welcome ARCH into the Kaleidoscope family and I recognise the
challenges that this partnership presents to us but I also welcome the opportunities
we are given through this development. We have an experienced Board with a wide
range of relevant skills. We look forward to taking a larger Kaleidoscope forward as
we continue to provide high quality services to all of our service users.
Above all, I am always proud when I visit services and see the dedication of staff and
the engagement of service users. I do know that Kaleidoscope is making a difference
to people’s lives. Seeing this happen makes my role and that of my fellow Board
Members truly fulfilling.
3
This has been another remarkable year in the history of Kaleidoscope, not least due to ARCH joining us. The move
has not been without its challenges but the staff we now have working with us have a huge passion for those they
support and bring with them lots of skills.
The growth and development of services over the last few years has been amazing. In Wales, which remains our
spiritual home, we now have some level of service in each of the 22 counties. What is so fantastic about working in
Wales is the desire of agencies to work in partnership rather than seek each other’s demise by building individual
empires. DACW (formerly Drug and Alcohol Charities Wales) encapsulates how agencies have felt the interest of the
service users is best served by sharing expertise and where possible seeking collaborative solutions to cutting our
own costs whilst maintaining or even developing better services. So as Kaleidoscope has developed in Wales, so
have many of our key partners.
The DACW partnership, which consists of CAIS, Drugaid, WCADA, TEDS and Kaleidoscope in Wales has led to raising
funds to provide DWAW (Drink Wise Age Well), Change Step, a service for veterans, and at the end of 2016 the
establishment of OoWS (Out of Work Service) , which is Welsh Government sponsored and ESF funded initiative.
The OoWS contract, with the service name Cyfle Cymru, is a peer mentoring service that helps people who have had
long terms drug, alcohol or mental health issues get the training they need to get back to work. The work is closely
linked to our previous ESF Peer Mentoring Project, so we are confident in achieving success. We are also delighted
that Hafal are partnering in this scheme and as a result have decided to join DACW whose initials will now mean
Developing a Caring Wales.
Partnership working has also led us to develop a new type of service model in South and West Wales. In essence
we have sought to develop fully integrated services when bidding for new contracts. To this end we have built close
partnership working with Drugaid and G4S. In the past couple of years this has led to the successful establishment
of GDAS (Gwent Drug and Alcohol Service), followed by DDAS (Dyfed Drug and Alcohol Service). This year we were
also delighted in the success of our partnership bid for Dyfodol, providing criminal justice services for substance
users across South Wales and the Prison Estate. The bid also included WCADA owing to their experience of
treatment in prisons. The partners all have a real commitment to excellent service and, to underpin this, we work
with Welsh Based Universities who have Doctorate and Masters students researching elements of our work.
Critical in the development of our services are our staff. Therefore, we are proud to be recognised with the Silver
Award from Investors in People 6th Generation Standard. We recognise that as a service supporting vulnerable
people our staff are critical in the success of our business. We celebrate staff achievement every year through our
own Awards event and it makes me very humble to hear some of the outstanding work of my colleagues.
At Kaleidoscope and ARCH we are lucky to have people who have committed a significant part of their lives to help
others. Our Alfriston service in Surbiton has been managed by Diane Double for over 15 years, and she made the
decision earlier this year to retire. She led the service over the turbulent years when it was threatened with closure,
to ensuring we continue to innovate but above all provide a wonderfully hospitable place for the elderly. The service,
now run by Lisa Blackman, can look forward to many more successful years thanks to her dedication.
What is fundamental to service provision is engaged staff who understand one of the key learning opportunities
comes through listening to those they seek to help. Innovation in service often comes by responding to client need
and trusting in them to be partners in delivering excellence. To demonstrate this we were delighted to open the Hub
in Newport, which is primarily run by service users supporting peers who are committed to their own recovery and
want to join with others in creating activities, which help them move forward in their lives.

A photo of staff singing their

praises for Diane with the Mayor of
Kingston present.
4 5
 INCOME and endowments from: Unrestricted (£) Restricted (£) Total (£)
Donations and legacies 1,042 259,736 260,778
Drug and alcohol treatment services 5,707,002 0 5,707,002
Residential services 21,331 490,271 511,602
Elderly 94,834 71,721 166,555
Other trading activities 94,569 0 94,569
Investment income 115,097 0 115,097
6,033,875 821,728 6,855,603

EXPENDITURE on: Unrestricted (£) Restricted (£) Total (£) 83% Drug and Alcohol Treatment Services
Raising funds 116,857 0 116,857 8% Residential Services
Drug and alcohol treatment services 5,758,666 0 5,758,666 4% Donations and Legacies
Residential services 0 490,271 490,271
2% Elderly
Education and training 1,197 0 1,197
2% Investment Income
Elderly 99,913 71,721 171,634
Capital grants 0 370,548 370,548 1% Other trading activities

5,976,633 932,540 6,909,173

Surplus/-deficit before transfers 57,242 -110,812 -53,570

Transfers 22,212 -22,212 0

Funds brought forward 1,661,553 1,806,808 3,468,361

Funds carried forward 1,741,007 1,673,784 3,414,791

83% Drug and Alcohol Treatment Services

7% Residential services
Unrestricted funds £1,741,007 5% Capital projects
Restricted funds £1,673,784 3% Elderly

2% Raising Funds

<1% Education and Training

6 7
 OUR PURPOSE
Kaleidoscope supports people with drug, alcohol and mental health issues so they can have a brighter future in their communities.

WHAT WE DO
We seek to tackle the stigma that people with drug, alcohol and mental health issues face. This can be through direct campaigning for
better governmental policies that support and not punish our service users to advocating for individuals.
We create a culture and environment where people feel valued and we inspire people to reach their own personal goals. To be a
successful service we recognise;
• That Service Users have skills and experience that brings about change for themselves, their peers and their communities
• Investing in our people builds compassionate and pioneering teams
• In our places stability and creativity thrive

OUR 2016-2019 STRATEGIC AIMS

To maximise positive change for those we seek to help

Service User People Partnership Quality Sustainable

Engagement Development Working Management Business Campaigning

HOW WE DO IT
Recruiting and retaining high
quality staff is critical to the
success of our Organisation.
We look to have staff who Integrity Excellence
strive for excellence, are able
and willing to innovate, that
understand the key to social Engagement Innovation
care is engagement with
staff, service users and our
communities and who work
with integrity.

8 9
 Our successes this year
Despite the vast number of changes this year,
Kaleidoscope Project has gone through a period of significant change and growth during the last 12 months, not only with the acquisition of Kaleidoscope has achieved great successes in
ARCH, but with the successful addition of projects such as the Out of Work and Dyfodol Services. people management terms, which demonstrates
not only our ongoing commitment to our people,
Our current employee headcount is 340 based across the whole of Wales, Bradford, Bolton, Shropshire, The Wirral, Surbiton and of course our but also the commitment, performance and loyalty
original home in Kingston. of our staff.
Our head office remains in Newport, but now supports a much wider geographical area, providing HR, Workforce Development and Finance • Successful awarding of the new Performance
support to managers and staff alike. Model, 6th Edition Investors in People
We launched a People Strategy this year to support our overall Standard, Silver.
Organisation Strategy. This focuses on our People Strategic aims to Attract Retain Support Develop Reward • Employee Engagement at 85.35%
ensure the success of our organisation’s objectives to succeed, grow,
develop and innovate as follows: • The introduction of Plato Systems, our internal
operational and people management database
providing real time management information
In order to meet our Organisation Strategic Leading and to staff and managers alike. This has provided
Objectives and the opportunities ahead, it Inspiring People us with significant administration time and
is vital that we have the right people in the cost savings.
Empowering and
right roles, with the right skills, values and Involving People
experiences to lead us into the future. • Introduction of Kaleidoscope benefits package
Managing employee choice to add additional benefits
Our vision is: Performance
• Absence rate for 2015-2016 = 2.6%
• To have adaptable, flexible, innovative staff Recognising and
and volunteer teams. Rewarding Performance • Staff Turnover = 12%
Structuring To give an indication of our performance against
• To have excellent Leadership and
Work
Management within the Organisation with industry comparators, our Investors in People
a coaching culture at our core. Building Assessment provided us with the statistical data
Capability showing Kaleidoscope performing at higher than
• To develop an engaged, diverse, high average level against all eight indicators.
Delivering Continuous
performing and inclusive workforce. Improvement
• To ensure the Organisation, staff and Creating Sustainable
volunteers are socially aware and that we Success
promote engagement, social inclusion and
0 1 2 3 4 5 6
participation in external, community and
Our Results Industry Average
civil duties.
• To foster a culture of equality, good health
and wellbeing.

How we demonstrate our values

Excellence
Delivering Excellent Service
Creating Value
Delivering the Vision
Delivers on Responsibilities
Continually Improving
Driving Performance
Making Effective Decisions
Innovation Engagement Integrity
Embracing Change Developing Self and Others Support Service Users with
Compassion and Empathy
Creativity Motivating Others
Building Respect
Problem Solving Giving and Receiving Feedback
Upholding Organisation Principles
Research & Development Building Effective Relationships
and Values
(Emerging Trends) Engaging Others to Achieve Goals
Communicating Effectively
Drive and Enthusiasm for Sharing Knowledge with Others
Services and Role Valuing Views and Needs of Others
Influencing and Negotiating
Lobbying/Campaigning Advocacy
Active Listening to Initiate Change Leadership/Line management with
Clear Direction and Compassion.

10 11
 Shropshire
This service was commissioned very recently, with ARCH winning
the tender with partners Addaction. It commenced in April 2016, with
staff transferring over from the previous providers including the Local
Authority, NHS, Aquarius and NACRO. The new service partnership
is branded as Shropshire Recovery Partnership, and although still in
its infancy, we are pleased to have a skilled, multi-disciplinary team
who have adapted well to a challenging year of change. The service
headquarters are in Shrewsbury, with services delivered across
Shropshire, from Ludlow to Oswestry and across to Bridgnorth and
Whitchurch. Tam Mosey, an existing Kaleidoscope employee from
our neighbouring service in Powys, has recently been appointed to
manage Shropshire Recovery Partnership from January 2017, and
we look forward to further developing this integrated service.
Bolton
In Bolton we deliver the Single Point of Access and Assessment
(SPAA) service, which is the gateway to and case management
service for the adult treatment system across the region. Kirsten
Griffiths manages the service, which is hosted in our own building
in the centre of Bolton. It provides not just a great service but
has developed a strong Peer Mentoring service, which provides
opportunities for people to move on in their treatment journey.
Bradford
ARCH Bradford offers support to adults who have substance misuse
issues that link to criminal behaviour. The service works with people
throughout their criminal justice journey; from point of arrest, whilst
The Bolton Team pictured with ARCH Chair Dr. Danny Antebi, Director
Frances Rutter and Kaleidoscope Chair Chris Freegard OBE
12
in prison, on bail, for the duration of community orders and into
recovery. Some service users may be on mandatory orders such
as Drug Rehabilitation Requirements, but some may access the
service on a voluntary basis for support or continue as a voluntary
client once their Probation order has finished. We can support
someone with drug or alcohol issues, and can deliver various types
of treatment ranging from basic advice and information to structured
psychosocial interventions and group work.
ARCH Bradford have staff based in the Magistrates’ Court and
Trafalgar House police station in Bradford, in addition to having their
main office at Shipley Town Hall which is where the majority of group
work and one-to-one sessions are held. The service offers late night
appointments until 7pm on Thursday evenings. ARCH have an Arrest
Referral Team who are in the police station seven days a week so
interventions and support can be provided at the earliest opportunity
after someone has been arrested. We also have a Crisis Team who
respond to local ‘hot spot’ issues raised by City Centre wardens,
offering assistance to people who are begging, homeless and
demonstrating anti-social behaviour. We also have another specialist
team who work alongside the Police and CRC colleagues to manage
a cohort of service users who present a high risk of re-offending.
ARCH Bradford has recruited and trained a number of volunteers
over the last 18 months. These individuals are representative of
the local community and may or may not be in recovery. Volunteer
placements are across the service provision and often offer valuable
experiences that can lead to obtaining work in the health and social
care field.
One of the main advantages of the ARCH takeover was the
acquisition of Birchwood – a residential treatment centre offering
detoxification packages for drugs and alcohol. Part of Kaleidoscope’s
strategic five-year plan 2011-2015 was to explore the possibility of
providing detox or rehab services, so taking over Birchwood was an
ideal fit for us.
Birchwood is situated in Birkenhead in The Wirral and comprises a
20 bed in-patient facility offering a range of detoxification packages
including rapid 5-7 day detox as well as a longer, more intensive
14-21 day detox regime.
Birchwood is proud of the fact that it offers detoxification to people
with complex physical and mental health issues and entrenched
addiction experiences. Many of these service users find it hard to be
accepted for detox elsewhere.
Since taking over Birchwood in July 2016, we have experienced a
challenging period during which the Cheshire and Wirral Partnership
NHS trust who were supplying our clinical team pulled out at very
short notice. Due to the fact that Kaleidoscope have 15 years
experience delivering clinical services across Wales, we were able
to deploy some staff to Birchwood to cover shifts and clinics and
managed to keep the unit operational under the guidance of our
group clinical lead Dr Mohan DeSilva.
In November 2016 we welcomed Dr Julia Lewis to the team to
become the medical director and provide supervision to the nursing
staff.
We have also welcomed back some old faces - Paul Perry, who has
joined Birchwood as a permanent detox nurse, and Steve Hamer, a
non-medical prescriber who will join the team in February.
The Therapeutic team have remained in place and have provided
the consistency needed to ensure that Birchwood continues to offer
a supportive, welcoming and user-led detox experience under the
guidance of Natasha Harris who has managed Birchwood for the
past 12 years.
Birchwood will continue to offer a pioneering service in partnership
with the local hospital Arrowe Park, which sees people admitted
for alcohol related conditions referred straight from the hospital to
Birchwood to complete their detox. Our aim is to continue to provide
this service but with improved clinical governance systems in place
that will be implemented by Dr DeSilva.
Part of service objectives for 2017 is to implement more effective
therapeutic training programmes for all staff in order to offer a larger
menu of therapeutic options such as Motivational Enhancement
Therapy and Social Behavioural Network Therapy. We also aim to
start health promotion groups for our service users that will raise
awareness of how to manage health conditions such as COPD,
Asthma, Hep C and other alcohol and drug related conditions.
We will also continue to provide Tier 4 framework services to
commissioning bodies in areas such as Bolton, Blackpool, Leeds
and Norfolk and we will also aspire to offer services to additional
frameworks across the UK. As standard, we provide transport to all
incoming service users regardless of what area they are travelling
from.
In 2017 we will begin to offer virtual detox tours via YouTube that will
be accessible to all Kaleidoscope and Arch staff so that they can get
a better appreciation of life at Birchwood.
We are extremely excited about offering Tier 4 residential detox
services at Birchwood.
13
GDAS launched in May 2015 and since then has gone from
strength to strength. Within Gwent we are now reaching more
people, providing more options for change and ensuring people
get better outcomes than ever before. GDAS provides a full
range of recovery orientated activities for adults over 18 who
are motivated to make changes to their use of substances and
their families and concerned others.
Drug and Alcohol Support
GDAS engages drug and alcohol users in a continuum of service
provision in order to reduce substance related harm, physical
dependence, related health problems and improve psychological,
family and social functioning in all domains of the service users
lives. This includes engaging and assessing service users, brief
interventions, outreach, case management, needle exchange
and recovery and aftercare services. GDAS provides a recovery
orientated service to maximise service delivery and outcomes.
Community Drugs in numbers:
• 1287 referrals in year one, 829 assessed (64%) and 824
entered treatment (64%)
• 1787 unique clients were active within this period, 783 clients
received their first brief intervention within their treatment
episode and 219 attended recovery activities for the first time
• 354 service user left treatment having completed their goals
Community Alcohol In numbers:
• 1793 referrals in year one, 1237 assessed (69%) and 1235
entered treatment (69%)
• 2037 unique service users were active within this period,
1157 clients received their first brief intervention within their
treatment episode and 429 attended recovery activities for the
first time
• 719 service users left treatment having completed their goals
Good practice example - Bridging the gap
Clinical Services
Our belief is that substance misuse clinical services should be
integrated into commissioned community and criminal justice
psychosocial support. As part of the integrated service, GDAS also
recognises the importance of clinical treatment as part of the service
user’s recovery journey. GDAS medical team provide prescribing
services for both drug and alcohol related concerns in tandem with
structured treatment plans. The medical team promotes abstinence
as the best possible outcome for most service users and recognises
that stabilisation and steps towards this will make improvements to
personal health, social welfare and aid recovery. GDAS also provides
support for non-abstinence based recovery so that we can maintain
a pragmatic, meaningful and service user orientated approach in line
with the Recovery Framework.
Preventative Medical Services
GDAS offers and facilitate wide range of health promotion initiatives.
Health promotion services offer BBV screening, Hepatitis B
immunisation, contraceptive advice, barrier contraception and DMPA,
nexplanon insertion, signposting for all methods of contraception,
dental care advice, diet and lifestyle advice.
Clinical service in numbers;
• 999 new clinical referrals were received in year one (275 for
community drug service users, 286 for community alcohol
service users, 438 criminal justice drug service users)
• 844 unique individuals received prescribed support within year
one. There were 734 service users being prescribed at the end
of the period
• 105 screenings for blood borne virus within the last quarter
Family and concerned others:
Many concerned others are motivated to
seek support because of feelings such
as hopelessness, stress, guilt, or blame.
GDAS delivers ‘concerned other’ services
that are versatile and transparent, where
service user empowerment is essential.
Concerned others are supported to return
personal responsibility and ownership of
substance misuse back to the substance
misuser. Alongside this they are encouraged
to develop positive support in line with the
changing relationship between them and
their loved one.
Family Support in Numbers
• 320 referrals in year one, 243 assessed
(76%) and 242 entered treatment (76%)
• 401 unique service users were active
within this period and 191 received
their first brief intervention within their
treatment episode
• 175 episodes were closed as treatment
complete. Outcome Rating Scale (ORS)
records show, 80.70% showed clinically
significant change and 6.80% more
showed reliable positive change
substance misuse, the more equipped Bevan University Health Board (ABUHB)
External support and training they will be to support our service users. and Public Health Wales, we have won a
To this end GDAS has provided training to prestigious Health Service Journal award for
GDAS delivers training to agencies on over 2000 external worker within Gwent Improving Outcomes through Learning and
screening and substance misuse; and since May 2015. This training has been Development. These awards are recognised
guidance and consultancy to professionals provided to a diverse cross-section of our as one of the most sought-after accolades in
regarding issues affecting adults who use communities that has included midwives, British healthcare and recognises, celebrates
substances. We recognise that the better our health visitors, Job Centre staff, small local and promotes the finest achievements in
partners in health, education, employment, firms, ambulance staff and mental health NHS and partnership working.
housing and in our communities understand professionals. In partnership with Aneurin

GDAS works in partnership with specialist staff from the

Gastroenterology Department at the Royal Gwent Hospital, Newport,
to bridge the gap between hospital admission and post-discharge
support in the community. The staff team provide twice-weekly What service users say: What staff members say:
clinics at the hospital in order to;
“I would like to convey my appreciation for the service I have “GDAS provides a uniformed approach where
• Make direct referrals into the Alcohol Service for immediate received since engaging with GDAS. It has been fabulous. everyone is treated equally, with respect and
appointment post hospital discharge You have a wonderful organisation. Long may it continue” with the knowledge that everyone can do it and
• Visit patients on the ward so that engagement and support everyone deserves the chance to change”
“The service you provide is invaluable. You save lives,
starts prior to discharge
educate people, listen to people and don’t judge. These things “Service users can access whatever they need,
• Assess patients for suitability to commence relapse prevention are invaluable to addicts, family and friends. Without your wherever and whenever they need it. They
medication pre-discharge care many would be on their own. They are all someone’s have complete, bespoke, continuity of care and
• Reduce the number of hospital re-admissions child, mother, father, brother or sister. You are very much part stability as long as they need it.”
of our determination to help our son”
What commissioners say: “The first twelve months has seen outstanding results”
Lyn Webber, Head of Criminal Justice & Rehabilitation
14 15
Following our successful award of the Powys contract again
for a further four-year period, we have seen an increase in
referrals and by the first six months we had met the targets set
to us by commissioners. In the first quarter Kaleidoscope saw
443 individuals, against the target of 406; We have had to work
differently and creatively to do this. Groupwork is now a primary
focus and all new referrals are inducted into treatment via a 4 week
group programme. SMART groups have also been a valuable asset in
helping service users in their recovery journey. In Welshpool, SMART
recovery still meets twice a week and has a good attendance there
has been up to 20 people attend and regularly has eight to nine
people. This has been successful in offering support to service users
outside of office hours. In Llandrindod Wells at the beginning of the
quarter there was a core group of 6 attending.
All services across Powys are also advocating diversionary activities
to improve people’s recovery. Links are being forged with other
agencies including the Brecon Wildlife Trust, SocceholicsRus, an
organisation that runs a football group for people with low self
esteem, Tir Coed, and the National Trust. Kaleidoscope have just
Staff and service users from Powys completing their SMART Recovery Facilitator Training
16
been successful in obtaining funding from PDAC for sports passes Perhaps one of the most significant outcomes from having ARCH the consortium with G4S overseeing the criminal justice services.
for each of its bases. within the Kaleidoscope family is that we are now delivering services Finally, in South Wales region, G4S lead the Dyfodol consortium, with
across the whole of Wales. Kaleidoscope are either the lead or a our role being to deliver community prescribing services for criminal
In May we undertook an exercise to improve service user care
partner in the delivery of Criminal Justice services across Wales’s 22 justice service users across the area.
among those who had a poor non attendance record and a high
local authority areas.
incidence of illicit on top use for those scripted. The exercise looked This national coverage provides us with opportunities for greater
at 43 service users who fell into either one or both of the above In North Wales, we work with CAIS, who support us with peer collaboration across regional boundaries; sharing best practice,
categories. These cases were discussed and action plans put into mentoring for Criminal Justice service users. CAIS are also our reducing duplication and improving outcomes. In early 2017, our
place to try and improve attendance and reduce on top use. After 3 partners in Powys, where their focus is with services for young North Wales Regional Lead Peter Moorhouse will be co-chairing a
months we found that 20% had left treatment, 15% had made no people. In Dyfed, we work with G4S to deliver Criminal Justice pan-Wales Criminal Justice operations meeting to begin to explore
improvement but there had been 55% improvement in one or both services within the Drugaid-led DDAS service. In Gwent, we lead these opportunities with Kaleidoscope and G4S colleagues.
of the categories. Work continues to look at how we can continue to
improve.
We have also improved our non-attendance rate for those referred
in and those just entering treatment. In the first quarter this year we
reduced DNAs from referrals down from 79 to 40 individuals against
the previous year and of those who entered in to treatment the figure
was reduced from 34 to 19.
Staff from our Dyfed team at the DDAS Launch Day
17

We are all risk managers: whatever we do, whatever we eat
and drink, wherever we travel, there is risk involved. We learn
continually to manage the balance between risk and reward. This is
especially so in Healthcare. As a third sector organisation delivering
interventions in the substance misuse field we have had to deal with
unpredictable risk due to the nature of the services we provide. It
is never possible for clinicians to know all the information needed
to make a perfect decision. They cannot avoid risk: they must
manage it in partnership with their service users, partner agencies
and making informed judgements using Policies and Protocols and
prevailing best practice.
Kaleidoscope clinical services manage over a 1000 clinical service
users throughout Gwent, Cardiff, Barry, Pontypridd, Bridgend, Neath,
Swansea and Powys. This is a tremendous task and a reflection on
the trust that has been placed on our services. It is an immense
responsibility.
It can be a very busy place especially at the Basement at Powells
Place, Newport. Just in the Gwent area we have conducted 7590
drug tests, 11290 clinical appointments, 157 Hep B vaccinations
in May 2015 to March 2016. We send out over 550 Prescriptions to
community pharmacies and dispense medication to over 500 service
users in our bases in Wales. In Powys we cover an extremely rural
setting with vast distances between clinics, challenging transport
links and pharmacies that are few and far between that are easily
accessible. There is a lot of risk management involved but at its
core we have good clinicians that have clear practice guidelines
for people to follow. We also have a culture in which pragmatism
and good judgement is used, so that when things don’t go to plan –
which by definition they sometimes will not – damage is minimised.
To undertake this task we have a devoted team of doctors, nurses,
clinical keyworkers and the vital support of prescription coordinators,
administrative staff and other behind the scene staff who work very
hard to ensure we deliver our services effectively with the resources
we have.
Over the past year our journey has taken us further afield towards
North Wales and parts of England. We are steadily expanding.
Our clinical teams continue to accommodate this expansion and
deliver on their objectives. We have at times struggled to recruit
doctors as there is nationally a shortage of GPs to fill vacancies in
General Practice. Substance misuse is no exception and it has been
a challenge at times to ensure the smooth running of the clinics.
Thanks to the dedication of the existing medical workforce we have
continued to be able to deliver.
18
Moving ahead we will be exploring alternatives and innovative
ways to safely deliver clinical care by employing Prescribing Nurse
Practioners to support our doctors. We have also further developed
IT systems to hear, see, look and listen to mistakes that happen
and explain more clearly, and to hold ourselves to account. We need
to be accountable to those who commission our services and the
service users who depend on us. We need to blame the process not
the person, to learn how to learn, and to balance compliance without
hindering compassionate care.
Recovery is firmly on the agenda and we need to strike a fair
balance between harm reduction and moving forwards to a life
outside a script of medication. We are getting there but there is
more work to be done. Our strong psychosocial support throughout
the treatment journey and after care that we deliver will hopefully
translate to tangible results in the future by decreasing relapse.
It is extremely pleasing to be able to record that the student
accommodation continues to be a great success, and that once
again there are no problems to report. The accommodation itself has
been inspected by the Kingston University Accommodation Team as
part of their regular responsibility, and they too have expressed their
pleasure at how well the students are respecting and looking after
the premises, together with their efforts to be ‘good neighbours’.
Perhaps as an indication of this, an enhanced rent fffer was
received from Kingston University. Copies of this rent offer were
forwarded to all Members of the Kaleidoscope Housing Association
for their information and consideration. Similarly, it was seen by
and discussed with our Chief Executive during his visit to Kingston.
Having had the opportunity to study the rent offer, it was agreed by
all Members to accept it, and therefore the document was signed by
the Chair of the Kaleidoscope Housing Association, and returned to
Kingston University Headed Tenancy Housing Management Service
accordingly.
Once again, the good working relationship both with Kingston
University itself and the students, together with open lines of
communication, have been of immeasurable value which has
contributed towards the success of this Project. Furthermore, it
re-confirms the interest of Kingston University in this Project and
their intention to look on it as a long-term one for their students.
The fact that those students not looking for a placement in the next
academic year have all asked to extend their tenancy of the student
accommodation, is an extremely good indication that it was definitely
the right decision to go into partnership with Kingston University, and
to convert and utilise the accommodation for the purpose for which it
is now being used.
After having put forward the idea of further student accommodation
following the departure of the members of the Korean Church
(IKMCL) from the Top Floor of the Hostel, and subsequently
discussing and agreeing it with Kingston University, work eventually
commenced on the conversion and refurbishment of the premises
into suitable and affordable accommodation for six students. It
was agreed with the University that because of the difference in the
‘quality’ of the accommodation compared to that in K2, this would be
reflected in the Rent being asked.
The work involved was quite extensive, not only including a complete
redecoration throughout, but also new flooring (vinyl throughout and
carpets in the six Bedrooms), but also the ripping out and installation
of a new Kitchen. In addition to this there was also the inevitable
small plumbing and electrical issues to be addressed. Having
started with an ‘almost’ blank canvas, the end result has been
exceptionally good, and as a result presented a highly marketable
accommodation for students.
Initially it was the idea of the Accommodation Services Officer from
the University to find a ready-made group of Six students, with
Nurses being his priority, but if not successful with that to find a
similar group from another department within the University. With
the work on the accommodation completed, it was becoming
somewhat frustrating that no group had been found, therefore there
was no alternative other than to apply ‘pressure’ for alternatives to
be looked at e.g.: six individual students, as obviously delays in filling
the accommodation would potentially be a problem.
As a result of this, the University met to discuss this as a matter of
priority, and following on from that, six students were found, and the
Contract has been issued accordingly, covering the period September
03rd 2016 to July 07th 2017 inclusive – this was countersigned
on behalf of Kaleidoscope (Kingston) Housing Association by Carol
Dicken. Interestingly, two of the students have already asked the
question as to whether or not it would be possible to extend their
stay for a further two to three years!
Cairn House has achieved
an enviable B rating in a
recent Quality Assessment
Framework review
19
In June this year, Diane Double retired as Manager of Alfriston Day
Centre and Outreach Services, and Lisa Blackman was appointed
as the new Manager. The transition was seamless as Lisa had
been working alongside Diane for the past six years. This ensured
that Service Users experienced minimal disruption and all the staff,
volunteers and service users were very pleased to have Lisa as their
new Manager. One of Lisa’s aims as the new Manager, in addition
to maintaining the warm and caring environment at the Day Centre,
is to work more closely with the team at Head Office to ensure that
Alfriston Day Centre is an asset to the Kaleidoscope Family.
Since June, service users at Alfriston have enjoyed two trips to the
seaside – Worthing and Eastbourne, and a river trip with a fish and
chip lunch. More recently there have been outings to the theatre and
a Christmas lights coach trip to get everybody in the festive mood.
In September, one of our service users’ sons – Graham Heal – took
part in the Great North Run to raise funds for Alfriston. We are so
grateful to him and proud of his achievement. He raised £600.
Our Outreach Service continues to attract new referrals, and we have
recently trained a number of new volunteer befrienders who will be
matched up with their befriendees.
20
In December, members of the staff team at Alfriston attended
the Kaleidoscope Christmas Lunch and Awards Ceremony in
Abergavenny. It was the first time staff have ever been able to
attend and were very proud to receive several nominations and an
Award for Ayesha Sodhi. It was wonderful to see all the different
members of the Kaleidoscope Family gathered together and to meet
the Newport team in person.
Meanwhile in the Day Centre, staff and volunteers were busy
rehearsing for the annual Christmas Pantomime which was written,
produced and directed by our multi-talented chef Tim Carter. This
year it was Babes in the Wood, featuring Robin Hood, Maid Marion
and his band of Merry Men. There were two performances, on each
of the Alfriston Christmas Party Days on 22nd and 23rd December.
The audience were rolling in the aisles! We also had our Christmas
shop open in the front room, selling cards and donated items – and
sometimes staffed by our Christmas Elf (in costume!) Lisa Blackman,
when she had time off from Managerial duties!
DDAS is a consortium of three companies, Kaleidoscope, Drugaid • Prisons, through the DDAS prison link worker who
and G4S. DDAS works across three counties, Ceredigion, coordinates the release on prisoners who require access to
Carmarthenshire and Pembrokeshire. The service that DDAS treatment on their release
provides is formed on the principles laid out in the Welsh
Three main orders
Governments Substance Misuse Treatment Framework (SMTF)
• RAR – Rehabilitation Activity Requirement
DDAS is divided into
- Referred by Offender Manager, usually in Assessment, agree
• Criminal Justice goals, formulate a care plan, 3-6 appointments then review
aim is then to signpost and/or refer on to DDAS generic/CDAT /
• Generic Substance Misuse (Engagement, Interventions,
Pathways 2 change
Recovery)
• ATR- Once- or twice-weekly meetings, group work and one
Criminal Justice Team carries out the following:
to one
Main sources of referrals come from:
• DRR- One- or twice-weekly testing, usually class A, but can
• Dyfed Powys Police be class B drug use
- IOM referrals
Dyfed Drug and Alcohol Service (DDAS)
- Arrest Referrals, service offered to those who are detained in
police custody • Tier 2 service
- Test on Arrest, 2 sessions and signpost or refer on to the
• Cover both Generic and Criminal Justice service users
appropriate service
• Brief interventions (Open Access walk in service Monday to
- Conditional Caution, structured 3 sessions of education and
Friday working hours
awareness
• Probation, working closely with offender managers helping • Psychosocial Interventions, one to one sessions and group work
offenders who have agreed to address their substance
• Harm reduction education and dispense Naloxone to prevent
misuse
deaths from opiate overdoses. Dry blood stop testing, screening
• Magistrates Court for Blood born viruses (HIV, Hepatitis)
- Weekly Court attendance assisting the probation officer by
assessing for DRR’s and ATR’s.
- Engaging with defendants and where appropriate taking
referrals from those who feel they would like to engage with
DDAS whatever the outcome of their hearing
21
Building on the relative successes of year one, there has been
consistency in exceeding targets of ABI screenings, public stalls and
an increase in ASDA events and contacts.
Building networks and partnerships with organisations such as PRIDE
Cymru, LGBT+, Bridges Project Safer Merthyr, Gypsy & Traveller and
Wales Council for Deaf People has been a long term focus of the
Prevention team to engage the hidden population of marginalised
groups.
The Resilience Team has seen a high number of attendees at
workshops, social activities and learning sessions using the Asset
Based Community Development techniques. The resilience team are
on course for achieving KPI targets for volunteer recruitment and the
development of the befriending scheme.
Social events have been well attended and have range from art
events, to events celebrating Recovery month, a Country & Western
event and coffee mornings. All the events are designed and delivered
in line with co-production and are participant led.
The Drink Wise Age Well program is seeing increasing amounts of
interest, the six-week course involves learning tools and techniques
that participants find useful to help create a happy and healthy
22
lifestyle. The course consists of mixed group discussions and
The Voice Hub, Newport
learning.
The Direct Engagement Support Team are developing peer led and
family support groups, along with delivering drop-ins at health parks
such as Kier Hardie. The team are community based and provide
home visits and 1-2-1 support, supporting their service users
to make healthier choices about alcohol as they age. The team
proactively seek the hidden population of drinkers through targeted
methods and approaches via community outreach.
The team has helped people reduce their alcohol use through drink
diaries and supported individuals to increase their wellbeing through
looking at eating habits, coping strategies and supporting individuals
in getting back into the community by accessing activities, which
encourage new routines and community peer support.
The activity in the training work stream has increased and the trainer
has successfully delivered day courses, half day courses and in
house tailored courses. The participants have ranged from health
practitioners, police, housing departments, social services and
volunteers. The training work stream has received 47 expressions of
interest this quarter.
On 22nd September 2016, the South Wales Argus featured a
story on our Voice Hub launch…
“People in recovery from drug and alcohol problems now have
a new, safe place to meet in Newport city centre, to take part in
activities and social events.
The Voice Hub, at McCarthy’s Court on School Lane in Newport,
hosted a vibrant launch event today to showcase facilities and
services on offer across three floors, including a ‘dry’ bar/cafe,
and art and music spaces.
It is also the city base for Cyfle Cymru, a service that helps
people with substance misuse issues and/or mental health
conditions to get into education, training or work, while other
organisations based at the Hub include Change Step, a service
for veterans with drug and alcohol problems.
The Hub began two years ago in premises on Charles Street, but
the new venue offers much more space and scope for running
events and groups.
Regular drop-in sessions are held, along with art, music, English
and maths, and sessions designed to support ongoing recovery.
Rondine Molinaro, social enterprise and co-production manager
with the charity Kaleidoscope, said “The Hub aims to provide a
safe and welcoming environment with a heavy emphasis on peer
support.
There are treatment centres set up for people in active addiction,
but nothing for people who have come out of it,” she said.
“Often, there is nowhere to go for people where, for instance,
alcohol is not served.
It is all very well getting people off drugs and alcohol, but what
happens then?
This is a community venue for people in recovery from drug and
alcohol problems, and some will have mental health problems
too.
It’s a peer-led project. People in recovery are providing many of
these services and activities themselves.”
Rob Howe, from Newport, was helped by Gwent Drug and Alcohol
Service (GDAS), which is hosted by Kaleidoscope, and he also
helped set up the previous Hub on Charles Street.
“This is a place where people can come and feel safe and
socialise, make new friends,” said Mr Howe, who now works for
GDAS.
Hub co-ordinator Ken Trayner said “A tremendous amount of
work has been done to get the hub ready for its official launch.
People have worked very hard to make this a welcoming space,”
23
Building on the success of the last ESF funded Wales-wide peer
mentoring programme, Kaleidoscope have again been successful KForce House is a 4 bed supported move-on house in What is Change Step?
in bidding to provide these services in Powys and Gwent as part of Newport City Centre with a capacity for 4 single occupants or
Delivered by veterans for veterans, Change Step offers peer
the Cyfle Cymru partnership. We are working together with Drugaid, 3 single occupants and 1 couple. The KForce House Support
mentoring and help to access relevant services — including
CAIS, WCADA, Hafal and Remploy to deliver employment support, Worker post is funded by Supporting People Newport.
support with mental health, substance misuse, criminal justice and
volunteering opportunities and training/education to people affected All residents must have or have had substance misuse issues housing issues.
by substance misuse and mental health. We are especially pleased and must reside or be deemed NFA within the Newport area.
that the project will again be delivered using a peer mentoring model Our peer mentors deliver support at drop-in locations throughout
– where one person in recovery from substance misuse and mental The aim of KForce house is to provide accommodation in a Wales, plus activities and one-on-one support, while dedicated staff
health helps another to follow in their footsteps to sustained recovery drug- and alcohol-free secure environment for those who are work with veterans’ families.
with a focus on volunteering and employment. in need of a stable transition period before moving to more
Who is Change Step for?
permanent accommodation.
Nothing can illustrate more beautifully how this inspiring model works We help anyone who has been a member of the UK Armed Forces.
The aim of the project is to:
than Rachel’s journey which is described below. We can also provide practical and confidential support for family
• Enable service users to achieve the skills they need to members or carers — either alongside or independently of the
gain and sustain tenancies veteran.
• Provide housing related support, for a period of up to one
My name is Rachel Wood I am 24 years old and I live in Newport. I am What can Change Step offer?
year, to people in recovery from substance misuse issues
currently employed by Kaleidoscope as a Peer Mentor on The Cyfle Cymru • To support service users to develop skills and build • a contact point for veterans, their families and carers, with
Out of Work Service. confidence with a view to obtaining, managing and help to access other services
maintaining their own accommodation successfully • community-based peer mentoring delivered by veterans for
At the age of 18 my life changed drastically. My Ketamine addiction had • To refer and sign-post to other agencies to help service
become so bad that my bladder was damaged beyond repair and I was veterans
users meet their needs
informed that I would have to have a catheter fitted for life. At the time, I • training and volunteering opportunities
was living in a homeless shelter and had ongoing issues with self-harm and
depression. It was at this point something in my life had to change.

In 2009, after a 9 month stay in hospital I was referred to the Peer

Mentoring project in Newport. I was advised to enroll on the peer
mentoring course as a service user in need of support. I loved every
minute of it, and finished the peer mentoring accredited course. After this I
went on to be a volunteer peer mentor within the project before going over
to the active treatment team at Kaleidoscope for my volunteer placement.
In 2012 I was awarded the WCVA young volunteer of the year for the work
I had done. I got involved in volunteering at the Hub in Newport and it was at this time a job
came up as a paid Peer Mentor within the new Cyfle Cymru peer mentoring service. I was quite nervous doing the
formal interview – as it was the first time I was going for a paid position in my recovery. I was over the moon when
I received the call offering me the job! I can honestly say that peer mentoring has changed my life – and I have now
gone full circle and am helping others who are where I was when I joined the scheme. My confidence has grown. I
feel valued as a paid member of staff. I feel trusted to support others and I am grateful to Kaleidoscope for seeing
the potential in me and giving me the chance to prove it.

24 25
Addaction Church London) Rakat, Kingston
Age Concern John Bunyan Baptist Church Reckitt Benckiser Pharmaceuticals
Aneurin Bevan University Health Board Kaleidoscope Housing Association Release
Appleyard & Trew Kingston Furniture Project Rodney Parade Ltd
Argus Global Kingston Hospital Royal Borough of Kingston - Housing
Arthritis Care Kingston Mosque Department
BBC Wales Kingston University Royal Borough of Kingston -
BDI Systems Ltd. Kingston Voluntary Action Group Vol Sector Team
Blaenau Gwent CBC Kingston Wellbeing Service Self Harm-Ed
Bonser Penningtons Lark Insurance Brokers SET Office Supplies
CAIS London Ambulance Service (Kingston) Skills for Justice (Wales)
Canbury Medical Centre London Baptist Property Board South Wales Argus
Cardiff City Football Club Loosemores (Solicitors) S West London & St.Georges Mental
ClarksLegal LLP Louiscomm Telecommunications Health NHS Trust
Coleg Gwent Medical Frontier St. John the Evangelist, Maindee
Community Cohesion Fund Metropolitan Police Kingston St. Pauls Church, Newport
Creative Insomnia MIND Kingston Supporting People - Royal Borough of
DACW MJS Designs Kingston Adult
Department for Work and Pensions Monkey Puzzle Day Nurseries Social Care Services
Drink & Drug News Monmouthshire County Council Supporting People -
Drugaid National Probation Service Carmarthen Newport
Elite Fire & Security Ltd Newport City Council Surrey Comet
Fairfax Financial Management Limited Newport Community Care Services Swansea and Brecon Diocese
Frontier Medical Services Newport MIND Tata Steel Corporation
G4S Newport Supporting People The Big Issue Wales
GSSMS NHS Trust The Gwent High Sheriff’s Community
Gwent Area Planning Board Odd Jobs Kingston Fund
Gwent Community Safety Partnership Philip Shaw (Design) The Voice
Hallaran Health and Safety Compliance Police Crime Commissioner Gwent University of South Wales
Health Protection Agency Powys County Council Welsh Assembly Government
Heddlu Gwent Police Powys Teaching Health Board Welsh Council for Voluntary Action
Hestia Pret a Manger (Kingston) Western Mail & Echo
Hywel Dda Health Board Psychro Women’s Aid
IKMCL (Immanuel Korean Methodist Public Health Wales YMCA Surbiton

26 27
KALEIDOSCOPE / 01633 811950
Brecon / 01874 622 333 / 9 Castle Street, Brecon, LD3 9DD
Carmarthenshire / 03303 639 997 / Old Parish Hall, Church Street, Llanelli, SA15 3DD
Kingston / 0208 549 2681 / 28-46 Cromwell Road, Kingston-Upon-Thames, Surrey, KT2 6RN
Llandrindod Wells / 01597 825 102 / Old Grosvenor Bakery, Wellington Road, Llandrindod Wells, LD1 5NF
Newtown / 01686 610 422 / Severn House, Severn Square, Newtown, SY16 2AG
Welshpool / 01938 554 013 / The Armoury, Brook Street, Welshpool, SY21 7NA
Ystradgynlais / 01874 622 333 / 16 Station Road, Ystradgynlais, SA9 1NT

GDAS / 0333 999 3577

Head Office - 01633 811 950 / Integra House, Vaughan Court, Celtic Springs, Newport, NP10 8BD
Godfrey Road - 01633 252 045 / 11 Godfrey Road, Newport, NP20 4NX
Hafod Deg Day Centre - 01685 840905 High St, Rhymney, Caerphilly, NP22 5LP
Chambers House - 01495 233 403 / 49 Blackwood Road, Pontllanfraith, Blackwood, NP12 2BW
Powells Place - 01633 245 890 / Old School Building, Powells Place, Newport, NP20 1EL
St Fagans House - 02920 868 675 / St Fagans Street, Caerphilly, CF83 1FZ
The Citadel - 01495 713 040 / Mount Street, Tredegar, NP22 3QL
The Junction - 01291 635 355 / Cedar House, Station Road, Chepstow, NP16 5PB
The Lighthouse - 01495 742 323 / 33-35 George Street, Pontypool, NP4 6BZ

DYFODOL
Barry - 25 Holton Road, Barry, CF63 4HA
Bridgend - 01656 767283 / 41-43 Market Street, Bridgend, CF31 1LJ
Cardiff - 02920 641 213 / Harlech Court, Ground Floor, Bute Terrace, Cardiff, CF10 2FE
Merthyr Tydfil - Oldway House, 2nd Floor, Castle Street. Merthyr Tydfil, CF47 8UX
Neath - 01639 622360 / 5/6 London Road, Neath, SA11 1HB
Pontypridd - The Basement, St David’s Uniting Church, Gelliwasted Road, PontyprIdd, CF37 2BN
Swansea - 01792 656400 / Grove House, Grove Place, Swansea, SA1 5DF
Dyfodol Custodial & Detention Services - G4S Central Government Services, 1 Parc Cottage, Heol Hopcyn John, Bridgend, CF35 6AP

ALFRISTON DAY CENTRE / 0208 399 4289

3 Berrylands Road, Surbiton, Surrey, KT5 8RB

CAIRN HOUSE HOSTEL / 0208 939 8060

28-46 Cromwell Road, Kingston-Upon-Thames, Surrey, KT2 6RN

ARCH
Anglesey / Ynys Mon - 1 Glanhwfa Road, Llangefni, Ynys Mon, LL77 7EN. 01248 751 092
Bangor - 336-338 High Street, Bangor, Gwynedd, LL57 1YA. 01248 372 688
Colwyn Bay, Conwy - Dawn Centre, 35-37 Princes Drive, Colwyn Bay, Conwy, LL29 8PD. 01492 523 683
Rhyl, Denbighshire - Dewi Sant Centre, Clwyd Buildings, Clwyd Street, Rhyl, Denbighshire, LL18 3LA. 01745 345 900
Shotton, Flintshire - 10-12 Salisbury Street, Shotton, Flintshire, CH5 1DR. 01244 845 920
Wrexham - Hafod, 21 Grosvenor Road, Wrexham, LL11 1BT. 01978 366 941
Birchwood Detox Unit, Birkenhead - 23-25 Balls Road, Birkenhead, CH43 5RF. 0151 670 0033
Bolton Integrated Drugs & Alcohol Service (BiDAS) - Beacon House, 69/73 Manchester Road, Bolton, BL2 1ES. 01204 557 977
ARCH Bradford - 2nd Floor, Shipley Town Hall, Kirkgate, Shipley, BD18 3EJ. 01274 809 800
Shropshire Recovery Partnership - Crown House, 1st Floor, St Mary’s Street, Shrewsbury, SY1 1PD.01743 294 700

DDAS
DDAS Cardigan / 01239 623 831 / No. 39, St Marys Street, Cardigan, SA43 1EU
DDAS Aberystwyth / 01970 626 470 / No. 25, North Parade, Aberystwyth, Ceredigion, SY23 2JN
DDAS Llanelli / 03303 639 997 / Heol Copperworks Road, Llanelli, SA15 2NE
DDAS Pembrokeshire / 03303 639 997 / Allied House, Perrots Road, Haverfordwest, SA61 2HD
DDAS Carmarthen / Old Parish Hall, Town Hall Square, Llanelli, SA15 3DD
DDAS/Drugaid Carmarthen / 03303 639 997 / 1-3 Vaughan Street, Llanelli, SA15 3TY

DRINK WISE AGE WELL (DWAW)

Pontypridd - 0800 161 5780 / First & Second Floor, 35 Taff Street, Pontypridd, CF37 4TR

K-Force House / 01633 245 881

Klean Contract Cleaning / 01633 811 950
The NEW Hub Drop-In Centre / 01633 546 363 / McCarthy’s Court, School Lane, Newport

28 29