- Residential substance misuse service
Passmores House
Assessment report published 9 September 2025
Contents
Ratings - Residential substance misuse services
Our view of the service
We rated Passmores House as good because:
The service provided safe care. The environment was safe and clean. The service had enough staff, and the service had the full range of specialists to meet the needs of people. Staff followed good practice with respect to safeguarding. Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment and provided a range of treatments suitable to the needs of the people and in line with national guidance about best practice. Staff completed individualised risk assessments with people and updated these regularly and/ or when risk presentation changed. Managers ensured that staff received training, supervision and appraisal and had developed strategies to boost staff wellbeing and recognise staff achievements. Feedback from people about the service was very positive. All the people we spoke with told us they felt safe, they were getting effective support and treatment, and staff were caring and treated them with kindness and respect.
Mental Health Act and Mental Capacity Act Compliance
Mental Health Act
The service did not admit people detained under the Mental Health Act.
Mental Capacity Act
Staff received and kept up to date with training in the Mental Capacity Act and had a good understanding of the five principles. Training on the Mental Capacity Act was mandatory for staff, and the compliance rate was 100% at the time of inspection.
Staff completed an assessment of each person’s capacity to consent to admission and treatment on admission, ensuring they were not intoxicated. We looked at the care records for 6 people and could see there was evidence of assessment for mental capacity in all the records we looked at.
People's experience of this service
We spoke with 5 people during the inspection visit carried out on 10 July 2025. Everyone we spoke with told us they felt safe, supported and were receiving effective treatment for their recovery. People were very positive about the staff and managers and told us they were skilled, understanding, kind and caring. Everyone we spoke with said they found the environment, including the garden, therapeutic and the food was tasty and of good quality. One person told us `I have been to four different rehabs, and I can't find anything to fault here — this is the best rehab I have been to'.
Managers collected feedback from 78 people between January and June 2025 and 82% of people rated their experience at Passmores House as `excellent' or `good'.
We looked at the compliments log for the service which recorded many positive comments from people. One person fed back `Mere words could never express my gratitude, affection I have for all the staff, nurses and doctors who supported me, cared for me and guided me on my journey. For me, it was a unique, positive experience.'
We received feedback from 4 carers or family members of people who had been recently discharged, and 3 family members were very happy with the care their loved one had received. One family member told us `I can't really speak highly enough of the staff ..key worker was excellent, ensuring that he was ok and that things ran smoothly…they gradually built his confidence back up and gave the family back the person that had been lost'.
However, 1 family member told us their loved one found communication with staff was not always very good and they would have liked more information about the medication they were prescribed.