We do not currently rate independent standalone substance misuse services.

We found the following areas of good practice:

• All clinical detoxification practices followed the National Institute for Health and Care Excellence guidelines with a reduction programme carried out over seven days.

• Medical records were very detailed, with all clients assessed by a doctor on day of admission.

• All staff had completed mandatory training in substance misuse, physical health issues, first aid and an intensive programme in medication administration.

• Extensive risk assessments and risk management plans were completed on the client’s day of admission and regularly reviewed.

• All staff were trained in, and had a clear understanding of, safeguarding.

• Thorough care plans were written with the client and their families which involved all parties in decisions around an individual’s treatment and care.

• Clients had access to a local GP for all physical and mental health needs while in treatment.