Updated
30 January 2025
Cygnet Joyce Parker is a 43 bedded inpatient Child and Adolescent Mental Health Service for males and females. It consists of 4 wards; Dragon- a mixed gender low secure ward, Mermaid- a mixed gender psychiatric intensive care unit, Pixie- a mixed gender general ward and Faun- a female psychiatric intensive care unit which was providing a bespoke placement for 1 young person at the time of our assessment. Cygnet Joyce Parker was last rated as requires improvement (published April 2023). The report was published following CQC’s old inspection approach. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We carried out a mix of onsite and offsite assessment activity between 8 July 2024 and 31 July 2024. This included an onsite evening/night visit. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. As this assessment was carried out in response to specific concerns, we looked at 5 quality statements across the key questions of safe, caring and well-led. At this assessment we identified serious concerns in relation to breaches of regulations 12, 13 and 17 and issued warning notices. These concerns included staff abuse of children and young people during incidents of restraint and staff using restraint when it was not a proportionate response. We had concerns about risk management involving ligatures and emergency interventions including the provider’s policies and procedures for emergency responses in relation to resuscitation events which was not in line with national guidance. We had concerns that the provider did not always assess, monitor and mitigate risks relating to the health, safety and welfare of children and young people. These included concerns about a closed culture at the service which allowed incidents of abuse to occur and not be reported by staff observing.
Child and adolescent mental health wards
Updated
5 July 2024
Cygnet Joyce Parker is a 43 bedded inpatient Child and Adolescent Mental Health Service for males and females. It consists of 4 wards; Dragon- a mixed gender low secure ward, Mermaid- a mixed gender psychiatric intensive care unit, Pixie- a mixed gender general ward and Faun- a female psychiatric intensive care unit which was providing a bespoke placement for 1 young person at the time of our assessment. Cygnet Joyce Parker was last rated as requires improvement (published April 2023). The report was published following CQC’s old inspection approach. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We carried out a mix of onsite and offsite assessment activity between 8 July 2024 and 31 July 2024. This included an onsite evening/night visit. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. As this assessment was carried out in response to specific concerns, we looked at 5 quality statements across the key questions of safe, caring and well-led. At this assessment we identified serious concerns in relation to breaches of regulations 12, 13 and 17 and issued warning notices. These concerns included staff abuse of children and young people during incidents of restraint and staff using restraint when it was not a proportionate response. We had concerns about risk management involving ligatures and emergency interventions including the provider’s policies and procedures for emergency responses in relation to resuscitation events which was not in line with national guidance. We had concerns that the provider did not always assess, monitor and mitigate risks relating to the health, safety and welfare of children and young people. These included concerns about a closed culture at the service which allowed incidents of abuse to occur and not be reported by staff observing.