- Independent mental health service
Cygnet Nield House
Report from 2 October 2024 assessment
Contents
Ratings - Personality disorder services
Our view of the service
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.
People's experience of this service
Patients were mostly positive about their care and treatment. They generally felt involved in their care and treatment plans, and attended their multidisciplinary team meeting to discuss this. They were confident they could speak with staff when they wanted to.
Patient and carer feedback was positive about staff, who they generally found kind and supportive. Patients said that there were not enough staff, and this sometimes stopped them having leisure leave or going shopping, or made it difficult to talk to staff particularly if there was an incident. Patients said there were usually more temporary staff at night, who they found less supportive.
Patients said they generally felt safe on the ward. Patients and carers knew how to raise their concerns, or seek out help from staff.
Patients told us that they had access to psychological therapy and occupational therapy. Some patients had received this throughout their time in hospital, but for others there had been significant gaps because of staff vacancies.
Patients were asked if they wanted information about them to be shared with their relatives, and their choices were respected.