Core values represent a framework of guiding principles that can improve team cohesion and efficiency in an organisation.

To determine how well a medium secure hospital in South Wales is adhering to its identified core values from the perspectives of staff and patients.

Focus groups were used to uncover areas of good practice in line with the organisation's core values and possible areas for improvement.

The core values are regularly demonstrated in the organisation with the perceived benefits of enhanced clinical care and strong cohesion among the staff.

Strategies to improve value driven performance include increased staff, collaborative risk assessment and management, and equal training opportunities for staff of all grades, qualified and unqualified. It is hoped that this project may encourage other services to think proactively about their potential core values.