The Care Quality Commission
  • Mental Health
  • Independent mental health service

Cygnet Community Services West Midlands

Overall: Good read more about inspection ratings

Regional Office Heathers, Grout Street, West Bromwich, West Midlands, B70 0HD (0121) 796 2731

Provided and run by:
Cygnet Behavioural Health Limited

Important: This service was previously registered at a different address - see old profile

All Inspections

15-16 August 2017

During a routine inspection

We rated CAS Community Services West Midlands as good because:

  • Staff were caring and compassionate in their work with patients. They were available to support patients and encouraged them to become independent at their own pace. Staff knew their patients well; they knew their strengths and limitations and treated patients as individuals.
  • The service had shown sustained improvement since the previous inspection. The registered manager and house managers had improved consistency of processes. 
  • Staff were up to date with mandatory training and received regular supervision. Sickness and turnover was low.
  • All locations had a homely and well-maintained environment. Staff and patients ensured houses were kept clean and carried out regular checks of the environment.
  • Records were clear, comprehensive and detailed. Care plans and risk assessments were up-to-date and personalised. Staff monitored the physical health of patients and knew how to support patient’s needs.
  • Staff routinely reported incidents and managers reviewed these and made changes to practice as a result. Staff and patients received excellent support following incidents.

9 & 10 May 2016

During a routine inspection

We rated Cambian Community Services West Midlands as good because:

  • Staff delivered a safe and supportive service to patients within a homely and friendly atmosphere. All areas of the service were well maintained and visibly clean and tidy.
  • Staff encouraged patients to rehabilitate in the community by encouraging independence. The service ensured enough staff were available to support without impacting the patient’s ability to integrate into the community.
  • Patient records were comprehensive and up-to-date.Care plans were holistic and patient centred. Risk assessments were detailed and clear.
  • Staff demonstrated patient focused working practice and delivered this in a caring way. Patients described staff as helpful and supportive. Saw positive interactions between staff and patients. 
  • Staff carried out comprehensive handovers and communicated well with each other across services. The service had appropriate processes in place to support patients and provide information to them.
  • Patients were able to raise issues with staff and managers without concern. Staff were also able to raise issues with management and were aware of who the senior managers were in the organisation.
  • There were opportunities for staff to access training and progress in their roles and many staff had chosen to do this.
  • There were governance processes in place to ensure safety of the patients. Staff carried out audits and made changes and improvements to the service as a result of their findings. 

However:

  • At the time of our inspection CQC had reviewed the provider policies in relation to the Mental Health Act code of practice as detailed in Annex B of the code. CQC found that the policies and procedures had been reviewed but that they still did not meet the requirements of the Mental Health Act code of practice. Cambian were aware of this and had developed an action plan to address it. Some patient records did not show that patients had been informed of their rights under the Mental Health Act.
  • Consent to treatment information was not accessible in patient files at Portland Road and was kept separately at the inpatient facility, Raglan House. This meant staff could not access this on site if needed.
  • Some patients were not suitable for the service and as a result were taking up spaces for patients who were ready to move on from inpatient services. 
  • Staff did not record duty of candour within files.