We do not currently rate independent standalone substance misuse services.

We found the following areas of good practice:

• Oasis Recovery Bradford had a safe, clean and well maintained environment. Medication management and storage was good, the service had emergency medication with the appropriate audits in place. There were appropriate staffing levels with a robust process in place to replace staff during sickness, vacancy or unplanned leave.There was medical and management cover twenty-four hours a day, seven days a week. All clients had up to date risk assessments and risk management plans. They were detailed and staff reviewed risks regularly during daily hand overs.

• All clients had a pre admission assessment which was done by a nurse and a doctor. The service had clear criteria for clients entering the service and recognised its limitations.Care plans were detailed, person centred and holistic. They identified any physical health needs and required support. The service had a skilled multi-disciplinary team including doctors, nurses, support workers, recovery coaches and a counsellor. They had good links with external community groups, and services such as mental health services, drug and alcohol teams, mutual aid, and housing.The service supported clients after their treatment had completed through an after care service, onward referrals, information about mutual aid groups and peer networks. Consent to share information was sought from clients during the assessment and reviewed regularly throughout their treatment.

• Clients told us staff were caring, kind and compassionate. They felt staff did not judge them and were empathetic to their needs. We found the service was working closely alongside carers offering them support if required. The service had a successful discharge rate, averaging 92% over the last 12 months. For those clients who did not complete their treatment the service offered alternatives or additional support. The service met the needs of its clients, recognising spiritual or cultural requirements. Clients told us they felt comfortable to make a complaint, and we found the service responded to all complaints comprehensively in a timely manner.

• Oasis Recovery Community Bradford was well led, with local governance arrangements in place to ensure good quality care, including a range of performance indicators, policies and procedures and clinical audit. Staff understood and followed safeguarding, incident reporting, and complaints procedures, and worked within the guidelines of the Mental Capacity Act (2005). Staff, clients, relatives and carers were able to give feedback on the planning, delivery and development of the service. The directors completed detailed quarterly quality audits, reviewing the service governance structures to ensure that treatment and care was safe, effective, and continued to improve.

However, we also found the following issues that the service provider needs to improve:

• The service had completed a ligature assessment of the environment, however had not identified all the ligatures in the communal areas.