A CARE trust has been told it requires improvement.

The Care Quality Commission inspection gave Bradford District NHS Foundation Trust the same rating as 18 months ago.

In areas of safety, effectiveness and being well-led, the trust was told it requires improvement, but it was graded good for being caring and for its responsiveness.

The trust provides mental and community health and specialist learning disability services in the Bradford district and in Airedale, Craven and Wakefield.

In the report, the CQC said: “The trust did not have effective systems in place to investigate incidents within appropriate timescales to identify learning and make improvements.

“The arrangements for governance and performance management didn’t always operate effectively.

“Whilst there had been a recent review of governance arrangements, the plans to change these were in the early stages and were not embedded at the time of the inspection.

“CQC rated community health services as outstanding overall for caring. Inspectors also rated community end-of-life care as outstanding.

“Due to concerns found during the inspection of the trust’s acute inpatient mental health wards for adults of working age and psychiatric intensive care unit, CQC used its powers to take immediate enforcement action. Inspectors issued the trust with a warning notice, advising it that our findings indicated a need for significant improvement.

“CQC will revisit these services to check that appropriate action has been taken.

“It was encouraging to note that by the time of the review the trust had already taken significant action.”

Brent Kilmurray, chief executive of Bradford District Care NHS Foundation Trust, said: “The report acknowledges areas of outstanding practice including activity on our secure wards to better support patients’ recovery, innovative work in our mental health crisis service, and initiatives in our end-of-life care for hard to reach groups. It also rightly recognises that our staff are kind and compassionate and the trust’s positive, values-based culture.

“The CQC also identified important areas for improvement and we acted quickly to address these. This work continues as we embed a trust-wide approach to continuous quality improvement, with robust audits at every level, to ensure we’re on track. Reviewing key systems and processes will give additional oversight and assurance.”