We saw evidence that people had been involved in discussions with their key nurse regarding their care and treatment. This showed us that people’s views and experiences were taken into account in the way the service was provided and delivered for them.

Staff engaged with people in a positive way and they adopted a consistent and therapeutic approach towards the people who used this service. This showed us that care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

The hospital’s environmental risks assessments were linked to the assessed clinical needs of the people who used the service. This meant that people, staff and visitors were protected against the risks of unsafe or unsuitable premises.

A clear trust audit programme was in place. Evidence was seen of the actions taken by the provider in response to any identified concerns. This demonstrated to us that the provider had an effective system in place to identify, assess and manage risks to the people who used the service and others.

Evidence was seen in individual care records that people were supported to make their concerns known through the key worker system and by accessing the independent advocate. This showed us that comments and complaints people made were responded to appropriately.