Table 1 Items of the QELS checklist

1. Whether the service has an external perimeter that meets the standards for security.

2. Whether there are separate, accessible and appropriately furnished facilities for visitors.

3. Whether all visitors, staff and patients access the ward via airlock.

4. Whether there are any ligature points on the ward.

5. Whether the ward has a multi-faith room accessible and appropriate for use by all patients.

6. Whether the ward has an up to standards seclusion room.

7. Whether the ward has a de-escalation room.

8. Whether patients’ bedrooms are designed to maintain safety.

9. Whether there is a variety of recreational facilities accessible to patients.

10. Whether there is a variety of occupational facilities accessible to patients.