Cygnet Hospital Godden Green

We reviewed all 8 quality statements in the safe key question. This means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question Good. At this assessment the rating has changed and is now rated as Requires Improvement. This meant people were not always safe and protected from avoidable harm.



Care plans were not always being followed in respect of patients’ medicines and were sometimes out of date. Rapid tranquilisation on the wards did not always follow national recommendations for what medicines to use and where an alternative medicine was used this was not done in line with the provider’s own policy. Physical health checks following the use of rapid tranquilisation were not always being completed appropriately to ensure people were being kept safe. Because of this, we have found the provider to be in breach of regulation 12, Safe care and treatment.