Cygnet Bury Hudson

Updated 27 July 2026

We assessed Cygnet Bury Hudson from 28 April to 1 May 2026.

We assessed the service due to the length of time since the last inspection, which was March 2023.

Cygnet Bury Hudson was registered with the CQC in October 2021 to deliver the regulated activities: Assessment or medical treatment for persons detained under the Mental Health Act 1983, Diagnostic and Screening procedures and Treatment of disease, disorder or injury. The service had a controlled drugs accountable officer and a Registered Manager.

We visited the following wards as part of the assessment:

• Madison ward, medium secure unit for men with a personality disorder with 13 beds.
• Columbus ward, medium secure unit for men with a personality disorder with 13 beds.
• Lower East ward, medium secure unit for men with 13 beds.
• West Hampton ward, medium secure unit for men with 13 beds.
• East Hampton ward, low secure unit for men with 13 beds.
• Upper East ward, low secure unit for men with 13 beds.

We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

The service had met the breach of Regulation 10 Privacy and Dignity from the last inspection. Seclusion rooms had been upgraded to ensure patients had ease of access to toilets and showers.

The service had met the breach of Regulation 12 Safe Care and Treatment from the last inspection in relation to medicines management. Medicines had an expiry date clearly displayed.

The service had met the breach of Regulation 17 Good Governance from the last inspection, there was strong oversight of the service with daily ward based safety review meetings and the hospital wide daily brief meetings to ensure senior leaders had oversight of staffing, incidents, maintenance, housekeeping, catering, complaints and compliments.

At this assessment we identified breaches of Regulations: 12 Safe Care and Treatment and 15 Premises and Equipment.

At this assessment we assessed 1 assessment service group; Forensic inpatient or secure wards, where we assessed 33 quality statements.

We rated the service as Good. We found 3 breaches of regulations in relation to medicines monitoring, sharing of risk and incidents and cleanliness and maintenance of the environment.

We have asked the provider for an action plan in response to the concerns found at this inspection.

Updated 22 December 2025

We rated the service as good. The service had made significant improvements since the last inspection. Seclusion rooms had been upgraded to ensure patients had ease of access to toilets and showers. Medicines had an expiry date clearly displayed. There was strong oversight of the service with daily ward based safety review meetings and the hospital wide daily brief meetings to ensure senior leaders had oversight of staffing, incidents, maintenance, housekeeping, catering, complaints and compliments.

The service involved patients in the development of the service and had improved the involvement of carers in the service, with a carer ambassador who attended the carer meetings and delivered carer awareness training to staff. Leaders listened to feedback from patients, carers and staff and acted on the feedback.

However, at this inspection, we found 3 breaches of regulations in relation to medicines monitoring, sharing of risk and incidents and cleanliness and maintenance of the environment. The service had the systems, processes and oversight to address these promptly and had started to address these following feedback during the inspection.

Mental Health Act and Mental Capacity Act Compliance Summary

Staff received training in the Mental Health Act and Mental Capacity Act. Compliance for the service was 96% for Mental Capacity Act and 100% for Mental Health Act.

There were policies and procedures in place for both the Mental Health Act and Mental Capacity Act.

Staff we spoke with understood their role in relation to the legislation.

Medicines administration records were clearly completed and where needed the appropriate Mental Health Act authorities for prescribing were in place.

Records evidenced examples of capacity assessments completed for decisions including treatment for physical health conditions and dietary intake.