Lothingland provided assessment, care and treatment to six young people and three adults, accommodated in three bungalows. One person was detained under the Mental Health Act 1983. People were admitted to individual bungalows according to their needs. A community intensive support team was based at Lothingland, but was not included in this inspection.

We visited the two bungalows that were providing services to young people. Number five Airey Close was designated as a child and adolescent mental health service (referred to in this report as the 'CAMHS'). It had been operational for one year. Number six Airey Close provided care and treatment to young people who had a learning disability (referred to in this report as the 'LD service'). This service was well-established, with some staff who had worked there for many years. However, the LD service model was under review by commissioners.

Care and treatment was planned and delivered in a way that met most young people’s needs and ensured their welfare. However, within the CAMHS we found that some restrictions were universally applied by staff, rather than in response to individual risk assessment. Also that young people did not always understand the care and treatment choices available to them.

Young people received their medicines as intended by the prescriber. Medicines were managed safely and these arrangements were monitored by pharmacy staff.

Staff received appropriate training, supervision and appraisal. However, some CAMHS staff required further professional development. A staff skills analysis had been completed and an action plan was in place to address the shortfalls in skills or training.