We rated CHART Kirklees as requires improvement because:

• Staff had not completed comprehensive up to date risk assessments with each client. Where risks were identified it was not clear how staff planned to manage risks effectively. Clients did not have crisis plans in place and we did not see evidence in care records that clients were receiving physical health assessments in-line with the service’s policies. 
• Staff had not completed a comprehensive and holistic assessment and treatment plan with each client. Staff had not consistently recorded goals related to what clients wanted to achieve through engagement with the service. Staff had not recorded discharge plans or plans for unexpected exit from treatment. Staff recording of client information was inconsistent, with staff recording information in different locations within the electronic client record system.

However:

• Feedback from clients about staff and the service offered was consistently positive. Clients were satisfied with the frequency of their appointments and were supported by staff to understand their care and treatment. Clients could attend a variety of groups and appointments were made at flexible times to suit the needs of the clients. Clients were provided with access to appropriate supporting services and families and carers were supported and involved in client care where appropriate. Clients knew how to give feedback and make complaints about the service, and the service was responsive to feedback given. 
• There were sufficient numbers of suitably skilled staff who were up to date with required mandatory training. Clients had input into their assessment and care from a multidisciplinary team, all of whom could attend regular team meetings. Staff knew how to report incidents, including safeguarding alerts. Testing and vaccination against blood borne viruses were routinely offered to clients.
• Managers were visible throughout the service and staff told us that managers were approachable. Staff told us they felt respected and valued and were passionate about their role. There was a clear framework and agenda of what must be discussed within meetings at both team and directorate level to ensure that essential information, such as learning from incidents and complaints, was shared and discussed.