We rated Change, Grow, Live in Coventry and Warwickshire as good because:

• The service provided safe care. The premises where clients were seen were safe and clean. The number of clients on the caseload of the teams, and of individual members of staff, was not too high and staff ensured that people who required urgent care were seen promptly. Staff assessed and managed risk well and followed good practice with respect to safeguarding.

• Staff developed holistic, recovery-oriented plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the clients and staff engaged in clinical audit to evaluate the quality of care they provided.
• The teams included or had access to the full range of specialists required to meet the needs of the clients. Managers ensured that these staff received training, supervision and appraisal. Staff worked well together as a multi-disciplinary team and with relevant services outside the organisation.
• Staff treated clients with compassion and kindness and understood the individual needs of patients. They actively involved clients and families and carers in care decisions.
• The service was easy to access. Staff assessed and treated people who required urgent care promptly and those who did not require urgent care did not wait too long to start treatment. The service did not exclude people who would have benefitted from care.
• The service was well led and the governance processes ensured that procedures relating to the work of the service ran smoothly.

However:

• The hubs in Rugby and Nuneaton were new to the service and we found that not all rooms used for one to one support were adequately soundproofed. This was fed back to managers who have put music in the corridors and have an action plan to have further work completed to rectify this issue.
• Staff understood the need for independent advocacy for clients and knew who to contact but this information was not displayed in public areas for clients to access it.