• Patients received compassionate care and were involved in discussions and decisions about their care and treatment.
• Staff knew how to report incidents and received feedback with learning shared with the wider team.
• Staff were aware of the signs of potential and actual abuse and the action to take in the event of this occurring.
• Patients received effective care and treatment. Outcomes were monitored and information was used to improve care and treatment.
• Staff followed infection prevention and control procedures which minimised risks to patients.
• Patients were cared for in a safe appropriate environment.
• Medicines were managed safely and staff followed best practice when prescribing, administering and storing medicines.
• Services were planned to meet the individual needs of patients.
• Patients living with a learning disability or cognitive impairment had access to a hospital passport and a similar document had been developed for patients living with dementia.
• The leadership team promoted an open and supportive culture.
• Services had systems to continually monitor and improve the quality and safety of care provided.

However:

• Outpatients did not have a separate waiting and clinical area for children.
• In surgery staff were unaware of the pain assessment tool for patients living with a learning disability or dementia.
• Outpatients were not always meeting national referral to treatment times.
• At the time of the inspection there were vacancies for medical staff in outpatients and surgery and following the inspection the trust told us these had all been filled.