Our rating of this service stayed the same. We rated it as good because:

• Services provided safe care. Staff assessed and managed risks well and the use of restrictive practices was minimised. Medicines were managed safely and safeguarding processes were in place to protect people.
• Patients worked with staff to develop their own care plans that were holistic, recovery-oriented and informed by comprehensive assessments of their needs.
• An effective multidisciplinary team was in place and staff collaborated effectively with external services to ensure a range of treatments were available to patients that followed national best practice guidance.
• All staff received training, supervision and appraisal to ensure they had the right skills, knowledge and experience to deliver safe care.
• Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005 well.
• The service was truly person centred. Patients were treated as equal partners in the delivery of their care and regarded as key stakeholders in the running of the hospital. Where appropriate family and carers were also involved.
• Staff planned and managed discharge well and worked pro-actively with other services involved in the discharge pathway, including care coordinators.
• The hospital was well-led and governance processes were in place to ensure services ran smoothly. Staff engaged in clinical audit to evaluate the quality of care they provided.

However;

• Some patients’ length of stay was longer than expected for the relevant service setting and there were delayed discharges across both services.
• Some agency staff were not able to communicate effectively with patients using British Sign Language.
• Certain aspects of the services could have been delivered in a way that made them even more accessible to deaf patients.
• Some staff had not yet received updated mandatory training from the new provider.
• Governance and audit processes relating to medicines management had failed to identify one recording issue we found in a timely manner.