The overall rating for the service, and the rating for how safe the service is, has again been rated as requires improvement.
The rating for how well-led the service is has improved from requires improvement to good.
Some staff had not completed mandatory training including basic life support, inspectors said. The trust said all staff were booked in to complete this.
Inspectors also found some wards to be cluttered and some areas “shabby” and “damaged”.
People were allowed to smoke in garden areas which led to a “a large quantity of cigarette ends and litter” and there were also exposed sharp edges on doors which people could use to hurt themselves, the report stated.
However, inspectors found staff felt supported and listened to and were confident in raising concerns.