Gramer House and Holly House are on the same site and provide a service to children in North Warwickshire. Gramer House provides care for up to four children with learning disabilities and additional physical health needs. Holly House has up to three beds for children with a learning disability who also have mental health and behavioural needs.

We found that the service provided safe, caring and effective care to children. Staff were trained and experienced and showed high levels of motivation and commitment. We were able to observe interactions between staff and children and saw these take place in a warm, friendly and supportive manner throughout.

There was a consistent staff team as many of the staff had worked at Gramer House and Holly House for many years. We saw staff supported children in a very positive and reassuring way. All staff showed a good knowledge of the needs of individual children and how to meet them, leading to a responsive and well-managed service.

Parents of the children who used the service were very positive about the service they received.

The approach to bed occupancy was led by the children’s needs. This meant the children’s care could be met through the right staffing levels, in a safe environment where their needs would not conflict with those of others.