Staff take great care in considering the mental health and medical needs of pupils while planning their curriculum. Pupils who spoke to inspectors said how much they enjoyed school. They spoke of how school was a welcome break from the pressures that being in hospital brings. Relationships with staff and pupils are good. When pupils are well enough to access the school, they have good attitudes to learning. Pupils’ behaviour is good. Those who spoke to inspectors were polite, articulate and friendly. Staff make every effort to make the curriculum accessible for these pupils. Each pupil has a very bespoke curriculum which takes into account their particular needs and how those needs change from day to day. Leaders have not taken steps to ensure that the independent school standards are consistently met. Some leaders have not had the training, support and development to complete their roles effectively. A lack of clarity in leadership roles also contributes to some missing elements of quality assurance. However, this does not negatively affect the overall quality of care and education that pupils receive.