Cygnet Lodge Salford

Updated 10 November 2021

Cygnet Lodge Salford was registered with CQC on 13 January 2020 for the regulated activities:

• Assessment or medical treatment for persons detained under the Mental Health Act 1983
• Treatment of disease, disorder or injury.

There was a registered manager and a controlled drugs accountable officer at the service.

The service is a High Dependency Rehabilitation Unit for women with mental health needs. The service has 24 beds including two flats to enable women to develop their independence.

This is the first inspection of the service.

What people who use the service say

We spoke with 11 patients and six relatives.

Patients told us it was the best placement they had been in. They enjoyed the activities that were available including art, the moving on group and cooking. They said staff were respectful and the food was good. Four patients knew how to complain, one did not. Two patients said they had been given copies of their plans and two did not. Three people said their families were involved in their review meetings.

Relatives told us that staff were nice and polite and encouraged their family member to pursue activities. They felt the service was better than other places that their relative had been in. However, staff did not update relatives on their family members progress and relatives did not feel involved in the service. Relatives told us they missed important meetings regarding their family member because they were not told when the meetings were. Relatives did not know how to complain and give feedback about the service. Three relatives said their family member had experienced significant weight gain due to medicines and the service were not supporting them with healthy lifestyles.

Updated 10 November 2021

We rated this location as requires improvement because:

The service did not provide safe care. Some staff were not following government guidance in relation to infection control and use of PPE. Some staff including bank and agency staff did not receive a thorough induction into the service.

The service was not well led; the governance processes were not effective as they did not identify that staff had not received a thorough service induction. Managers had not ensured that staff were following government guidance in relation to infection control and use of PPE. Areas for improvement identified by the manager had not been fully embedded.

However:

The ward environments were safe and clean. The ward 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 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 best practice guidance. Staff engaged in clinical audit to evaluate the quality of care they provided.

The service included the full range of specialists required to meet the needs of patients in the service. Managers ensured that these staff received training 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 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 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.

Updated 10 November 2021