Cygnet Lodge

Updated 30 October 2019

Cygnet Lodge is part of Cygnet Learning Disabilities Midlands Limited. Cygnet Learning Disabilities Midlands Limited is the registered provider. Cygnet Lodge, located in Sutton in Ashfield, Nottinghamshire, provides eight rehabilitation beds for adult males with an acquired brain injury. Rehabilitation services provide specialist assessment, treatment and support to stabilise the person’s symptoms and help them gain/regain the skills and confidence to live successfully in the community.

At the time of inspection, there were seven patients, five detained under the Mental Health Act 1983 and authorisations for two patients to be subject to Deprivation of Liberty Safeguards had been made.

The hospital has two floors, communal areas, patient bedrooms and offices on the ground floor and patient bedrooms, assisted bathroom, clinic room and an assisted kitchen on the first floor. A registered manager was present during this inspection.

Cygnet Lodge is registered with the Care Quality Commission to provide the following regulated activities:

• assessment or medical treatment for persons detained under the Mental Health Act
• treatment of disease, disorder or injury.

Patients admitted to this hospital have a diagnosis of established or suspected acquired brain injury, alcohol-related brain injury, Korsakoff’s Syndrome, Huntington’s disease or early onset dementia with rehabilitation potential. Patients might be detained under the Mental Health Act, the Mental Capacity Act, Deprivation of Liberty Safeguards or admitted on an informal basis.

Patients might also present with mental health disorders, cognitive impairment, organic psychiatric disorder or organic personality change, dysphagia or other communication problems and abnormal movements or restricted mobility.

Cygnet Lodge has a sister location, within walking distance. Both locations share the same registered manager and most of the multidisciplinary team. Cygnet Lodge is much smaller than the other location so patients and staff at Cygnet Lodge can use their facilities.

Cygnet Lodge was last inspected on 27 April 2016 when it was known as Cambian Lodge. The service was rated GOOD overall and there were no identified Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 breaches.

This inspection was part of the CQC’s ongoing comprehensive mental health inspection programme.

A Mental Health Act monitoring visit last occurred on 17 August 2018. When we inspected the hospital, the manager told us all actions had been addressed.

Updated 30 October 2019

We rated Cygnet Lodge as good because:

• The environment was clean. The wards had enough nurses and doctors. Staff assessed and managed risks well. They managed medicines safely and followed good practice with respect to safeguarding.
• Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the patients cared for in a mental health rehabilitation ward and in line with national guidance about best practice. Staff engaged in clinical audit to evaluate the quality of care they provided.
• The service included or had access to the full range of specialists required to meet the needs of patients at the hospital. The manager ensured these staff received training, supervision and appraisal. The staff worked well together as a multidisciplinary team and with those outside the hospital who would have a role in providing aftercare.
• Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. They actively involved patients and families and carers in care decisions.
• Staff planned and managed discharge well and liaised well with services that would provide aftercare. As a result, discharge was rarely delayed for other than a clinical reason.
• The service worked to a recognised model of mental health rehabilitation. It was well led, and the governance processes ensured that ward procedures ran smoothly.

However:

• Staff did not fully complete observation records or ensure hourly observations were varied within the hour. Observations should be at irregular intervals in a pattern which cannot be predicted.
• Staff did not always record the distribution of bladed razors to patients.
• The service did not always provide weekend activities for patients
• The provider should ensure the governance and oversight of the observation policy and the implementation into everyday practice.

Updated 6 September 2016

Updated 30 October 2019

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