CNTW provides a wide range of mental health, learning disability, autism and neuro-rehabilitation services to a population of 1.8 million people across North Cumbria and the North East of England.

It employs more than 9,000 staff, working in 70 sites with an annual turnover of about £647m.

The CQC report, based on an inspection in autumn, found “examples of great partnership working” but also found “pockets of poor culture”.

The findings included:

The trust did not always ensure safeguarding concerns were accurately reported to local authorities and staff were confused about what type of incidents should be reported

High vacancy and sickness rates, which mean an increased reliance on temporary employees

Some staff felt work was needed to address bullying and discrimination

Berry said “staff told us leaders were making decisions without always consulting” those who were providing the care, and “some didn’t feel safe speaking up when they had concerns”.

She added: “It’s absolutely critical that the trust tackle this issue.

“Everyone should feel respected, and able to speak up.”