Cocoon Residential Rehab

Ratings

• Overall

  Requires improvement

• Safe

  Inadequate

• Effective

  Requires improvement

• Caring

  Requires improvement

• Responsive

  Requires improvement

• Well-led

  Requires improvement

Our view of the service

Cocoon Residential Rehab is a 9- bedded residential substance misuse service based in Hemel Hempstead. At the time of our inspection the provider name was changing from Drug Link to Cocoon Support Limited and the service name was changing from Oxygen Recovery to Cocoon Residential Rehab.

The service provides detoxification and rehabilitation for both males and females. Cocoon Residential Rehab provides medically monitored detoxification and therapeutic interventions to support people in their recovery.

Cocoon Residential Rehab is registered with Care Quality Commission to provide:

• Treatment of disease, disorder or injury.
• Accommodation for persons who require treatment for substance misuse.

We carried out an unannounced inspection on 12 May 2026. At the time of inspection there was a registered manager in post. We previously inspected the service in 2022 and rated the service as good. There were no breaches at the last inspection. However, the provider were told they should ensure that staff and volunteers receive regular supervision, infection prevention and control risk posed by the toilet in the clinic room should be rectified and leaders should ensure staff are up to date with mandatory training.

At this inspection we rated the service as requires improvement. Following inspection on 12 May 2026, the CQC sent a Letter of Intent to the service. This meant we considered using potential enforcement action. We asked the service to send an urgent action plan of how they would improve patient safety. Following review of the action plan, a warning notice was served on the provider. This was due breaches of regulations 12 (safe care and treatment) and regulation 17 (good governance) of the Health and Social Care Act (Regulated Activities) Regulations 2014.

We also found 3 breaches that did not require immediate action. This included a breach of regulation 9 (person centred care), regulation 18 (staffing) and regulation 20 (duty of candour).

Mental Health Act and Mental Capacity Act Compliance

People had mental capacity assessed at assessment. We found staff had requested a mental capacity assessment for a person that was due to be discharged from treatment.