Leeds and York Partnership NHS Foundation Trust

Systems and guidance were either not in place, not suficiently embedded, or not operated efectively to ensure the delivery of safe and quality care. Incidents were not reported to the National Reporting and Learning System in a timely way and systems were not robust enough to ensure that incidents were reported to the trust from some services, including the supported living service and the forensic and secure inpatient services. The trust did not always meet its own targets or those agreed with the commissioners, for example the clustering targets. The trust did not return the data requested by the Care Quality Commission during the inspection in a timely way. Records were not always accurate and contemporaneous and did not always include all decisions about patient’s care and treatment within their care record.