We visited two wards, Trent Ward, an acute adult psychiatric ward and The Beacon Centre which had opened on 13 June, the day before our inspection. This was formerly New Beginnings – a ward for young people with mental health needs. The new Beacon Centre had a 12 bed acute ward and a small 3 to 4 bed high dependency unit. Young people had moved in the previous evening. Staff told us that NHS England now commissioned the service so they may be taking young people from all over the UK.

Most people told us they were satisfied with the care and treatment which they received. We found there was a risk of informal patients and staff who care for them not being clear on their legal rights to leave the ward. We also found that beds in seclusion rooms had been used to admit people when there were no other beds available.

We checked a sample of records on both the wards we visited. We found most of the care plans and risk assessments were up to date.

We found that staff had training on safeguarding people from abuse.

We found that medication was stored appropriately and people had information about their medication and the possible side effects.

We found there were enough staff with the required skill mix on duty on the wards that we visited.

We saw that ways were provided for patients and staff to feedback information to the management and for changes and improvements to be made through internal quality assurance processes such as regular peer reviews.

People told us they felt treated with respect and dignity. They said they were fully involved in decisions about their care and treatment. People told us that they are asked to consent to their treatment.

We talked to fifteen patients on four wards. They said they were provided with treatment and care which met their needs. There were mixed views on the food provided. People told us that the Trust staff spoke with other professionals involved in their care, for example, social workers and care home providers, regularly. They said they had been visited by other professionals while they were in hospital and that they knew the plans for when they were discharged from hospital. Every patient said they always felt safe in the hospital. They praised staff for making them feel safe on the wards. Comments included, "they always try to make you feel safe,"they look out for me," "I feel safe on the ward."

All patients said they were satisfied that their ward was clean. Patients said they were happy with the ward environment. People generally felt there were enough staff on duty to meet their needs.

From our interviews with patients we concluded that there was a high level of satisfaction with the care provided to them at this hospital.