Cygnet St. Williams Also known as Cygnet Behavioural Health Limited

Updated 28 April 2022

Cygnet St Williams is a 12 bed neuropsychiatry service offering care and treatment to men over the age of 18 years affected by acquired brain injuries.

The service has been registered with the Care Quality Commission since 18 February 2019 to provide the following regulated activities:

• Assessment or medical treatment for persons detained under the Mental Health Act 1983

• Treatment of disease, disorder and or injury.

The service has a registered manager and controlled drugs accountable officer.

There had been one previous inspection of this service, carried out on 5 & 6 February 2020. The inspection found the provider to be meeting all of the standards inspected in the domains of effective, caring, responsive and well led however in the safe domain the service required improvement.

What People who use the service say

We spoke with five patients during our inspection and reviewed feedback from eight patients from a survey in January 2022.

Patients who used the service gave overwhelmingly positive comments. They said the staff treated them with kindness, respect and dignity and they felt safe.

We spoke with four relatives who were positive about the service and commented that patients were safe living there. They reported staff knew and supported their relatives well, involved them in the relatives’ care and kept in touch with the family on a regular basis even when they lived a long way away.

Updated 28 April 2022

Our rating of this location stayed the same. We rated it as good because:

• The service provided safe care. The hospital had enough nurses and doctors. Staff assessed and managed risk well. They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding.
• Staff developed personalised, holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided care and treatments suitable to the needs of the patients and in line with national guidance about best practice.
• The hospital team included or had access to a range of specialists required to meet the needs of patients in the hospital. The staff worked well together as a multidisciplinary team and with those outside the hospital who would have a role in organising 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. The service received consistently positive feedback from patients.
• Staff planned and managed discharge well and liaised well with services that would provide aftercare. As a result, discharge was rarely delayed.
• The service was well led, and the governance processes ensured that ward procedures ran smoothly.

However:

• Not all staff had up to date appraisals in place in line with the providers policy
• The manager did not have oversight of whether nurse to patient 1:1 time was completed on a weekly basis.

Updated 28 April 2022

As detailed in the summary section above.