This inspection focused on Bay Ward and the experience of people using this part of the service. Generally people were positive about their experience of staying on the ward. Some concerns were expressed by a minority of people regarding a minority of staff attitudes, although the majority of people expressed no concerns and said staff were helpful and supportive. We could not verify any concerns which were expressed to us. Most people said the food provided was to a good standard. People said the activities on offer at the hospital were good. Everyone said they were happy with their accommodation.

We spoke with approximately a third of patients on the ward over the two day inspection, some of whom had previously received care at Longreach and also a relative that was a carer. Some patients were unable to speak with us due to their current health needs. We spoke with the ward manager, senior members of Trust staff, nurses, health care assistanes, domestic staff, the senior nurse manager for physical health, the home treatment team manager and project manager

During this inspection Longreach hospital was undergoing a major environmental adaptation and refurbishment of the premises. The operation of Cove ward had been moved to Bodmin hospital. Bay ward which provided care, treatment and accommodation for 30 patients had been split into two wards. the ward was located on both the ground floor and on the first floor and provided care, treatment and accommodation for 30 patients in total. Staffing levels had been reviewed to ensure sufficient staff were on duty on both wards at all times.

Patients and staff we spoke with during the inspection were aware of the changes to the environment and were positive about the proposed changes to be made to the ward.

Patients told us they received “good” care and staff were “spot on” in meeting their particular care needs. Patients experienced care, treatment and support that met their needs and protected their rights. Patients were also complimentary regarding the staff who worked with them.

Patients were in the main complimentary about the food provided.

Patients were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

Staff told us that they had attended appropriate training to ensure their skills were updated. In addition they felt supported by the senior management team and told us if they had any concerns these would be listened to and acted upon.

The majority of patients we spoke with during the inspection told us that if they had a complaint or a concern they felt they would be able to speak to a member of staff.