We do not currently rate independent standalone substance misuse services. At the time of our inspection, there were no clients using the service.

We found the following areas of good practice

• The service was clean and well-furnished for clients.

• A doctor and a nurse would assess clients on admission and carried out and physical health checks. Clients were medically reviewed during their admission.

• Clients had access to a range of therapies and self-help groups including Alcohols Anonymous.

• There were sufficient staff to meet the needs of clients who had been using the service.

However, we found the following areas the service needs to improve

• We checked historic risk assessments of clients and found they had not had clear risk assessments and risk management plans in place.

• The pharmacist had identified high clinical room temperatures in four out of the last five months. The service had addressed the temperature issue at the time of the inspection. However, this was after the concern had been raised repeatedly. This meant that the service had not responded in a timely manner to the outcome of audits or feedback from staff.There was no evidence that some equipment had been calibrated regularly.

• While staff had received supervision in the month prior to our inspection visit, consistent access to supervision had not yet been embedded in the service.

• Rooms in No 4 did not have access to a linked alarm system to make contact with staff in an emergency if staff were on another site on the same street. This was mitigated by risk assessment on admission but meant there was a risk that in emergency, clients may not be able to contact staff immediately.