We undertook a review of three locations managed by Rotherham, Doncaster and South Humber NHS Foundation Trust. We visited the trust headquarters in Doncaster and also the learning disability assessment and treatment unit in Rotherham. At the trust headquarters we visited the adult community mental health access team and also the adult mental health unit.

During our inspection we spoke with a number of patients who use the service. Patients we talked with were generally positive about their care and experience in hospital. Patients we spoke with told us they were happy with the progress they had made in hospital and were aware of their care needs and their care plans. Patients said that they had been involved in their care reviews and had attended meetings about their care. Patients we spoke with told us that their medicines and any changes to them were discussed and that they had enough privacy and support when taking medicines.

Patients said that the staff who supported them on a daily basis listened to them and did their best for them. Patients said they received appropriate support from staff. Patients told us that staff listened to their comments and concerns and acted on them, although two patients said that they were worried about their discharge.

Patients we spoke with told us they were looked after well, they understood their care and treatment. They also told us staff always explained their treatment.

One patient told us, “I am looked after very well, staff work very hard. I have nothing but admiration for them”.

We spoke with six people about their medicines and the care they received. No-one we spoke with self-administered any of their prescribed medicines. Managers told us that there was no policy to support self-administration. People we spoke with told us that their medicines and any changes to them were discussed and that they had enough privacy and support when taking them. We asked about how people could receive treatment for minor ailments such as, a cold. One person we spoke with told us that the nurse had brought them some painkillers when they needed them. Nurses confirmed there was a stock of discretionary medicines for this purpose.

One patient told us they had a copy of their plan of care kept in their locker.

Patients we spoke with said that they knew what treatment and support they were to receive and they were happy with it.

Patients we spoke to told us they understood their care and treatment and were supported by staff.

Patients told us that they had attended a healthy life style, healthy eating meeting that day. They talked about the food that they normally like and that they should eat more fruit and try and exercise to be healthy. One of the staff joined in and encouraged the discussion. They told us It was a very positive session relating to their health and wellbeing.

Patients also told us they attended the multi disciplinary meetings and said, ‘They are alright’.

Our observation of staff and patient’s interactions were positive and there was respect from both sides. When staff sat with patients and chatted there was a sense of support and friendship.

Patients told us they knew who to contact if they had a problem and felt listened to and informed us they were taken seriously

The focus of this inspection was the service provided by the Trust Headquarters, Doncaster location. The inspection team of 12 people consisted of inspectors, specialists and experts by experience. We spoke with 52 people who used the service and 13 relatives.

We found that before people received any care or treatment they were asked for their consent. If they did not have capacity to consent the provider acted in accordance with the law. People told us they were asked for their consent and their care and treatment was explained to them.

We found that care and treatment was planned and delivered in a way that ensured people’s safety and welfare. Most people we spoke with told us they were happy with the care provided.

We found that the provider worked in co-operation with others. Organisations which co-operated with the trust told us they were satisfied with the way the trust worked with them.

We found that people who used the service were protected from the risk of abuse. People told us they felt safe.

We found there were enough qualified, skilled and experienced staff to meet people’s needs. People told us they felt there were enough staff on duty.

We found that staff were supported to deliver care and treatment safely. People told us they were satisfied that staff knew what they were doing.

We found there were effective systems in place to assess and monitor the quality of service. People told us they were asked for their opinions.