• The service was safe. There had been no serious incidents since the last inspection.
• Staff could describe what it meant to safeguard people and report any suspected abuse.
• There were sufficient staff on duty to meet people's needs.
• Staff training was up to date and in line with the service target.
• Staff worked within the principles of the Mental Capacity Act 2005 where appropriate.
• People told us that staff were caring, supportive and respectful.
• Staff took time to engaged with patients and families and patients felt listened to and felt safe.
• People were involved in developing their care plans which were person centred.
• The service was delivered and co-ordinated to be accessible and responsive to people with complex needs.
• There a strong emphasis on the safety and well-being of staff.
• There were clear responsibilities, roles and systems of accountability to support good governance and management.
• There were clear and effective processes for managing risks, issues and performance.
• People’s views and experiences were gathered and acted on to shape and improve the service.

However;

• We did not find that relevant National Institute for Health and Care Excellence guidelines and quality standards were fully embedded for example QS13 End of life care for adults, NG31 Care of Dying Adults in the Last Days of Life. Good practice was followed, but not all staff could tell us the guidance they were following