• Residential substance misuse service

ESH Community

Overall: Good read more about inspection ratings

Holt Cottage Farm, Welsh Road East, Southam, Warwickshire, CV47 1NJ (01926) 811702

Provided and run by:
ESH Works Ltd

Important: This service was previously registered at a different address - see old profile

Latest inspection summary

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Background to this inspection

Updated 19 March 2019

ESH Community is a rehabilitation service that is registered to provide accommodation for adults who require treatment for substance misuse. The service is registered for a maximum of eleven beds. It is a ‘not for profit’ service.

The registered manager had extensive experience in providing community substance misuse services. People who use the service are either self-funded, or funded directly by health or local authorities or via community substance misuse services.

It provides its service in an adapted and extended farm house, with a variety of private, communal areas and activity rooms. The service is set in countryside just outside the town of Southam, with fields to the rear. We have not previously inspected this service. It began receiving clients in January 2018. The service is still in its infancy, developing slowly, with a small number of clients. At our inspection and previous introductory visit, there were two clients.

Overall inspection


Updated 19 March 2019

Werated ESH Community as good because:

  • There were good systems in place to keep clients safe during detoxification and recovery. Staff were skilled at observing, monitoring, recording and being alert to the health and well-being of clients.
  • The environment was safe and therapeutic. The service used new technology to support safe unobtrusive monitoring of clients undertaking detoxification.
  • The service was effective in ensuring recovery, both during and after a client’s admission. A major part of this was involving clients in frequent activities and therapies, both inside the service and out in the wider community. It helped to build clients’ resilience by involving families and carers and supporting them to develop new networks.
  • All staff worked together well, were open and transparent and communicated effectively.
  • The service was well-led by an experienced and ‘hands on’ management team, always available to advise and support.


  • There was no routine audit process in place to ensure information from assessments were reflected clearly within the care plan and risk assessment. However, there was no impact on patient care and no evidence of harm.