TLC Rehab

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Requires improvement

• Caring

  Not rated

• Responsive

  Requires improvement

• Well-led

  Inadequate

Our view of the service

Date of assessment: 9 and 10 July 2025

TLC Rehab is a residential substance misuse rehabilitation service. At the time of our inspection it offered alcohol detoxification, opiate detox, benzodiazepines detox and residential substance misuse rehabilitation. The service had capacity for 10 clients. The accommodation was mixed-sex. There were 8 clients residing at the service at the time of this inspection.

The service registered with the CQC in September 2024. It is registered to deliver the regulated activities of Accommodation for persons who require treatment for substance misuse and Treatment of disease, disorder, or injury. There is a registered manager in place.

We conducted this unannounced assessment in July 2025 to follow up concerns identified in the comprehensive assessment completed in April 2025. TLC Rehab was the only registered location for the provider and was for self-funding clients.

At the previous assessment in April 2025, we found concerns relating to all key questions. As a result, we issued a Section 31 Letter of Intent to the service, outlining our serious concerns and intention to take enforcement action. The service responded by bringing together an action plan to address all areas, with all points to be completed by 30 June 2025. The concerns related to the model of care, inclusion and exclusion criteria, safeguarding, risk management of clients, safe staffing, security of premises, fire safety, governance, outcome measures, policies and procedures, discharge planning and incidents and complaints. We also issued a warning notice around the safe management of medicines.

During this current assessment, we returned to the service to assess the progress against the action plan and to ensure areas of concern had been addressed appropriately. We found that a significant number of actions had not been completed. We found continued areas of concern across all areas of the service that the service had not addressed. We found the warning notice around medicines management was not complied with.

As a result, we took enforcement action and issued a Notice of Decision to impose conditions on the provider’s registration in respect of their regulated activities. We took this urgent action as we believed persons would or may be exposed to the risk of harm if we did not do so.

We imposed the following conditions:

1. The Registered Provider must not admit any new service user to TLC Rehab from 5pm on the 11 July 2025, until they can demonstrate completion of all necessary actions in relation to areas or concern outlined in the Letter of Intent, dated 2 May 2025.
2. The Registered Provider must ensure that all current service user’s health and care needs are reviewed immediately, and a copy of this review is sent to the Care Quality Commission by midday on 14 July 2025. Any service user whose needs align with the providers’ exclusion criteria must be informed in writing so they can identify an alternative service where their needs can be safely met. Copies of the correspondence to these service users must be provided to the Commission.

The overall rating for this service remained Inadequate. During this inspection we found continued breaches of regulation. We also found that the requirements of a warning notice around medicines management had not been met.