- Residential substance misuse service
Primrose Lodge
We served a warning notice on Blue Skies Addiction Centre Ltd on 17 October 2025 for failing to ensure that the care and treatment of clients who used the service received safe care and treatment. We identified that clients were not seen face to face in person as part of the initial assessment process, the service did not corroborate information from a client’s own doctor regarding their medical history and staff performed physical health observations on clients that were beyond their skills and experience. This put clients at significant risk of harm as they may not receive the correct care and treatment required at Primrose Lodge.
Assessment report published 2 February 2026
Contents
Effective
At our last assessment, we rated this key question good. At this assessment the rating has changed to requires improvement.
The service did not always make sure people’s care and treatment met their needs because they did not always check and discuss their health needs with them. Care records showed that clients were taking medicines but that the conditions they were taking them for had not been discussed during the assessment process.
However:
Staff had a good understanding of the Mental Capacity Act and assessing people’s capacity to consent to treatment.
Staff provided a range of therapeutic interventions suitable for the client group.
Managers supported staff with regular supervision and appraisal.