- Independent mental health service
Outpatient Services
Report from 6 February 2025 assessment
Contents
Ratings
Our view of the service
At this inspection, we rated the service good. We rated the service as good because:
- The service is safe, well-governed, and clinically sound, with embedded systems for safeguarding, incident management, and continuity of care that reflect best practice and learning.
- People receive personalised, trauma-informed support from skilled practitioners who adapt care to individual needs, identities, and circumstances, underpinned by a strong therapeutic ethos.
- Clinical governance is effective and proportionate, with regular audits, supervision, and outcome monitoring in place to support service delivery and drive continuous improvement.
- The service demonstrates inclusive, values-led leadership, fostering a positive culture where staff feel heard, supported, and enabled to perform safely and compassionately.
- The service operates within a clear and consistent clinical framework, underpinned by strong systems, reflective practice, and a culture that supports personalised care and timely, needs-led interventions.
People told us they consistently experience timely, respectful, and coordinated care, with strong links to external partners and feedback systems that inform meaningful service development.
Mental Health Act and Mental Capacity Act Compliance
Staff were trained in and had a good understanding of the Mental Health Act, the Code of Practice and the guiding principles. The provider had relevant policies and procedures that reflected the most recent guidance. Staff had had training in the Mental Capacity Act. Staff had a good understanding of the Mental Capacity Act, in particular the five statutory principles. Staff took all practical steps to enable patients to make their own decisions