- Community substance misuse service
Ciconia Recovery London (Harley Street)
Assessment report published 5 November 2025
Contents
Ratings - Community-based substance misuse services
Our view of the service
Date of assessment: 13 August 2025
Ciconia Recovery London (Harley Street) provides community substance misuse services and mental health services for adults of working age.
We undertook this comprehensive assessment due to the aged rating and the time that had lapsed since the previous inspection. We undertook a site visit on 13 August 2025 and carried out further activities remotely. Our last interview was on 15 August 2025.
Ciconia Recovery London (Harley Street) is a community-based mental health and accompanying alcohol and drug service. The service first registered with the CQC in April 2020. The service is registered to provide treatment of disease, disorder or injury. There is a registered manager in place.
The service offers treatment for general psychiatry and dual diagnosis, including attention deficit disorder, depression and addiction for adults as outpatients. The service provides support to patients nationally.
The service had a caseload of 424 patients at the time of the assessment. All patients were receiving treatment for attention deficit hyperactivity disorder (ADHD) and additional mental health needs. There were no patients receiving treatment for opiate substitute prescribing or alcohol detoxification.
At the previous inspection in March 2022 the service was rated as good overall. Our rating of this service stayed the same. We rated the service as good. There were no breaches of regulation.
At this assessment we found areas of good practice. Staff knew what incidents to report and how to report them. Records had risk assessment and risk management plans that were regularly updated and contained relevant risk information. Staff completed mandatory training and specialist training to support them in their role.
Patients receiving treatment for attention deficit hyperactive disorder (ADHD) had a comprehensive assessment completed by the doctor. Staff provided appropriate care and treatment interventions suitable for patients’ recovery. Staff worked hard to reduce the physical and mental health problems related to having a dual diagnosis. Staff actively engaged with GPs and other healthcare organisations to provide holistic care to the patients.
Staff demonstrated a compassionate understanding of the impact patients’ care and treatment could have on their emotional and social wellbeing. Patients were positive about the care they received from staff.
Staff said they felt respected, supported and valued. They said they could raise any concerns without fear and reported that their concerns were taken seriously. Staff reported they were positive and proud to work for the provider. Staff described the leadership team as having a focus on staff well-being and ensured a culture promoting good practice, good quality, and safe care and treatment.
The service was easy to access and patients self-referred. The service had a clear admission criterion of which patients they could accept for treatment. The service only accepted patients whose needs they assessed they could safely meet. Staff planned and managed discharge well and had alternative pathways for people whose needs it could not meet.
The service aimed to support people in harder to reach communities through participating in community events and international conferences.
The service was well led, and the leadership team had the skills and experience to aid patients in their mental health recovery. Staff identified risks and planned for them by completing a service risk register. The governance processes ensured that its services ran smoothly.
Staff were committed to quality improvement. The service manager had developed the ADHD Alliance to support frontline workers with their ADHD care and treatment to treat them promptly.
Mental Health Act and Mental Capacity Act Compliance Summary
All staff had received training in the Mental Health Act. Staff had a good understanding of the Mental Health Act.
The medical director was responsible for ensuring that staff followed the Mental Capacity Act. Staff ensured that patients were able to consent to treatment.
People's experience of this service
We spoke with 10 patients who used the service.
Patients spoke positively about the staff and the service they received. Patients reported that staff were friendly, respectful and helpful. They told us that staff were ‘excellent’ and ‘brilliant’, very kind’ and ‘understanding’. Patients particularly spoke highly of the service manager and medical director stating that the doctor ‘changed their life’ and provided reassurance whilst going through treatment.
The service conducted a patient satisfaction survey. The results showed that 64% of patients responded that the concern staff showed for their questions and worries was great with 8% stating that it was good. A further 8% of patients commented that that was poor.
Patients told us that there was good communication with the staff. They said that staff explained everything to them about their treatment and medicines. Patients said, ‘they always respond’ and that communication was ‘brilliant’.