- SERVICE PROVIDER
Sirona Care & Health C.I.C.
This is an organisation that runs the health and social care services we inspect
Assessment report published 29 October 2025
Contents
Ratings - Community mental health services for people with a learning disability or autism
Our view of the service
Sirona is a community interest company that provides community health and adult social care services and was established in October 2011. Sirona provides a number of services for people with a learning disability including health services and social care.
Sirona deliver community adult learning disability services across Bristol, South Gloucestershire, and North Somerset. The teams main bases are Church House (South Gloucestershire), New Friends Hall (Bristol) and Castlewood (North Somerset).
At the last inspection we said Sirona must ensure that the care records systems it has in place do not pose unnecessary risk for staff and service users. This was because they had multiple and different record systems in use. At this inspection we found that Sirona had met this requirement and had consolidated its records into one system. However, we saw that the system in use could be difficult to navigate and staff told us that it was very intensive to check old records as they had been batch uploaded and it required them to manually search through 100 pages for the information they were looking for in each uploaded batch.
We carried out this inspection on site on the 29 and 30 January 2025. We had received information to suggest the quality of care had declined at the service and so we carried out a focused inspection. At this inspection, we inspected enough parts of the effective domain to re-rate this key question as well as looking at parts of the safe, responsive and well led domains.
We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.
We rated effective as good because:
Staff assessed peoples` needs and formulated treatment plans based on recommended treatments by the National Institute for Health and Care Excellence (NICE). They assessed these needs in a timely way.
There was a range of staff from different professions to ensure that people benefitted from a multidisciplinary care team. Staff received supervision regularly. Most of the care records we reviewed (10 out of 11) showed good documentation around mental capacity and best interest meetings.
Staff held regular and effective multidisciplinary meetings and had good working relationships with local teams inside and outside the organisation . We heard from other service providers who spoke positively about the service.
Safe, Well led and Responsive stayed the same, at good, because:
Staff involved people with a learning disability in care planning and risk assessments in the 11 records we reviewed. Care was observed during clinic and domiciliary visits across a range of professions and clinical needs.Staff communicated with people with a learning disability so they understood their care and treatment.
The governance framework was clear about what would be discussed by whom to make sure essential information was shared and discussed. Staff knew and understood the provider’s vision and values and how they were applied in the work of their team.
People's experience of this service
We spoke with four people who cared for people using the service. They said they had no complaints or concerns. One carer spoke of how staff had used the internet to help explain a condition to them. Another carer spoke of the difficulties they had transferring from child to adult services, with different expectations between the services. We also received two comment cards from other services who cared for people with a learning disability or autism. These cards were very positive about the service, saying that staff treated people with respect, the service was clean, and staff gave enough information to keep people safe.