We rated 255 Lichfield Road as Good because:

• The service routinely completed assessments of the environment to ensure the safety and wellbeing of staff and patients.
• Risk assessments and care plans were detailed, reviewed frequently and identified patients strengths and goals. Patients and carers were involved in care planning and review meetings and we saw a focus on recovery and discharge planning by the clinical team.
• Local and regional governance structures were in place to ensure that quality of service delivery was monitored by senior managers. The service reported on a range of key performance indicators and there was evidence of shared learning with other hospitals in the organisation.
• Patients had access to a range of staff to meet their physical health, psychological and rehabilitation needs. The service used nationally recognised rating scales and assessments to identify patient need and monitor improvements in patients' wellbeing.
• There were sufficient staff with suitable qualifications and skills to support patients. Sickness levels were low and the registered manager was able to access bank and agency staff where needed.
• Attendance at mandatory training was high and was monitored by the registered manager. All eligible staff had received an annual appraisal and accessed regular supervision and peer support.
• Staff were aware of their responsibility to report incidents and had received training in the safeguarding of children and adults.
• Staff adhered to the Mental Health Act Code of Practice and restrictions placed on patients were based on an individual assessment of risk and need.
• Staff described morale as excellent and reported a culture of mutual support and team working. The registered manager was described as accessible, responsive and patient focussed.