We found the following areas of good practice:

The staff culture of overwhelming pride in their work and desire to provide a service with children, young people and their families at the centre.

The organisation had systems and processes in place to keep patients free from harm. Patients were protected from the risk of abuse and avoidable harm.

Infection prevention and control practices were in line with national guidelines. Staff kept clinical records accurately and securely in line with the Data Protection Act 1998. Medicines were stored appropriately and administration was in line with relevant legislation.

There was good demonstration of multidisciplinary working within the organisation and with external agencies such as local acute care providers and adult social care.

Staff treated patients with kindness, compassion and respected patients' dignity at all times. We saw staff involving patients and their families in decision making about their care and providing emotional support with great depth of understanding.

We saw good local leadership with an open and transparent culture. There was clear vision and focus on the delivery of excellent quality of care. Staff were positive about their experience of working in the organisation and showed commitment to achieving the provider's strategic aims and demonstrating their stated values. The senior management were visible and regularly engaged with staff and patients.

However, we also found the following issues that the service provider needs to improve:

The organisation should review the Healthy Child Programme to identify the improvements required in order to ensure targets are met.

Following this inspection, we told the provider that it should make improvements, even though a regulation had not been breached, to help the service improve. Details are at the end of the report.