Evaluates the performance of acute general and mental health services in delivering inpatient care to people with learning disability and explore the influence of organisational factors on the quality of care they deliver. Participants were adults with learning disability who received inpatient hospital care between May 2013 and April 2014 in nice acute hospitals and six mental health services. Covers physical health/monitoring, communication and meeting needs, capacity and decision-making, discharge planning and carer involvement.