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

Cygnet Nield House

Overall: Good read more about inspection ratings

Barrows Green, Crewe, CW1 4QW

Provided and run by:
Cygnet Behavioural Health Limited

All Inspections

During an assessment of Acute wards for adults of working age and psychiatric intensive care units

We assessed all 33 quality statements across the safe, effective, caring, responsive and well-led key questions. The service had previously been inspected in June 2021 and received a rating of Requires Improvement. The service had made improvements and was no longer in breach of regulations. We now rate the service as Good.

The service provided safe care. The environment was clean, well maintained and fit for purpose. Environmental risks, including ligature risks, were assessed monitored and mitigated against. Staff completed risk assessments of patients and updated these regularly.

Care and treatment was delivered in line with national guidance and best practice. Patients had access to a range of specialists to help meet their needs. Staff received training, supervision and appraisal. Staff worked well together as a multidisciplinary team. Staff worked well with external stakeholders and partner services to provide continuity of care.

The service treated people with kindness, empathy and compassion and respected their privacy and dignity. They promoted people’s independence, so they knew their rights and had choice and control over their care, treatment and wellbeing.

During an assessment of Personality disorder services

Date of assessment: 5 November to 6 November 2024.

We assessed all 33 quality statements across the safe, effective, caring, responsive and well-led key questions. The service had previously been inspected in June 2021 and received a rating of Requires Improvement. The service had made improvements and was no longer in breach of regulations. We now rate the service as Good.

The service provided safe care. The environment was clean, well-maintained and fit for purpose. Environmental risks, including ligature risks, were assessed monitored and mitigated against. Staff completed risk assessments of patients and updated these regularly.

Care and treatment was delivered in line with national guidance and best practice. Patients had access to a range of specialists to help meet their needs. Staff received training, supervision and appraisal. Staff worked well together as a multidisciplinary team. Staff worked well with external stakeholders and partner services to provide continuity of care.

The service treated people with kindness, empathy and compassion and respected their privacy and dignity. They promoted people’s independence, so they knew their rights and had choice and control over their care, treatment and wellbeing.

During an assessment of the hospital overall

Cygnet Nield House is an independent hospital registered to provide care and treatment for women with mental health conditions. Patients may be admitted voluntarily or detained under the Mental Health Act. It has 2 wards: Compton ward (15 bed acute inpatient ward) and Clarion ward (14 bed inpatient ward for women with a personality disorder with disordered eating).

Cygnet Nield House registered with the Care Quality Commission in September 2020. It is registered to provide the regulated activities: assessment or medical treatment for persons detained under the Mental Health Act 1983; and treatment of disease disorder or injury.

We carried out an onsite assessment on the 5 and 6 November 2024. We assessed all 33 quality statements across the safe, effective, caring, responsive and well-led key questions. The service had previously been inspected in June 2021 and received a rating of Requires Improvement. The service had made improvements and was no longer in breach of regulations. We now rate the service as Good.

The service provided safe care. The environment was clean, well-maintained and fit for purpose. Environmental risks, including ligature risks, were assessed monitored and mitigated against. Staff completed risk assessments of patients and updated these regularly.

Care and treatment was delivered in line with national guidance and best practice. Patients had access to a range of specialists to help meet their needs. Staff received training, supervision and appraisal. Staff worked well together as a multidisciplinary team. Staff worked well with external stakeholders and partner services to provide continuity of care.

The service treated people with kindness, empathy and compassion and respected their privacy and dignity. They promoted people’s independence, so they knew their rights and had choice and control over their care, treatment and wellbeing.

8&9 June 2021

During a routine inspection

Cygnet Nield House is an independent hospital that provides care for up to 30 women with mental health conditions.

This was our first inspection of this service. We rated it as requires improvement because:

  • The service did not always provide safe care. The risks presented by the ward environment were not always assessed and managed well. For example, not all parts of the ward were easily observable, and it was not always clear if information about risks was shared with temporary staff. The wards did not always have enough nurses and support workers.
  • The documentation of care plans and risk assessments was not always recovery-oriented and easily accessible to patients, and all staff.
  • The service did not always actively involve patients and families and carers in care decisions.
  • The governance processes did not always ensure that ward procedures ran smoothly.

However

  • The ward environments were clean. Staff minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding.
  • Staff carried out comprehensive assessments of patients and developed care plans in response to these. They provided treatments suitable to the needs of the patients and in line with national guidance about best practice.
  • The ward teams included or had access to the range of specialists required to meet the needs of patients on the wards. Managers ensured that these staff received training, supervision and appraisal. The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare.
  • Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients.
  • Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005.