Staff build effective relationships with pupils. They work with care staff on the wards to support pupils when they are admitted to hospital. They use a ‘trauma informed care’ approach to help pupils to feel settled and engage in learning. Teachers teach pupils on the wards where necessary. Pupils attend lessons at the school when teachers assess they are ready to do so. The school is a calm, caring environment. Structured, well-established routines help pupils to feel safe. They are closely supervised and supported well by skilled teachers. The large majority of pupils are positive about the school. They say that staff listen to them and help them to manage their emotions and behaviour. This support helps pupils to behave exceptionally well when they are in school. Teachers plan learning to help pupils develop resilience to overcome barriers to learning. Parents are positive about the school. They told us that the school has changed their children’s lives for the better. Pupils gain qualifications and enjoy experiences that prepare them well for their future lives and learn about their local community. For example, pupils raise money for local and national charities.