Cygnet Sedgley House and Cygnet Sedgley Lodge

Updated 6 June 2018

Information about the service:

The Sedgleys Hospital has 34 beds in total and was acquired by Cygnet Health Care in March 2018

Sedgley house is a 20 bedded locked psychiatric rehabilitation hospital for men with a diagnosis of mental health support needs. Sedgley House provides care for males from the age of 18 years upwards who require specialist care from nursing, support workers, psychiatry, occupational therapy and psychology. Patients may or may not be sectioned under the Mental Health Act 1983.

Sedgley Lodge is a 14 bedded locked psychiatric rehabilitation hospital and is the next step for recovery from Sedgley house. Sedgley Lodge provides care for males who are 18 years old and above and who may or may not be sectioned under the Mental Health Act 1983.

Referral criteria:

The Sedgleys hospital  accepts referrals from medium and low secure forensic services, acute wards, out-of-area services, rehabilitation services and the community. To be eligible for referral to the service, patients must be male and;

• may be detained under the Mental Health Act (1983), 3, 37, 37/41 or informal status.
• may have a primary diagnosis of mental illness with complex mental health needs.
• may have a forensic history
• May have a history of substance, drug and alcohol misuse.

Typical diagnoses include: schizophrenia, schizo-affective disorder, bipolar affective disorder, personality disorder or depression

Regulated activities that Sedgleys Hospital is registered with the CQC to provide are:

• Treatment of disease, disorder or injury.

• Assessment or medical treatment for persons detained under the Mental Health Act 1983/2007.

Registered manager:

At the time of our inspection a registered manager was in place and had been in post since 2015.

Previous inspections of this service by the CQC:

There have been four previous inspections at the Sedgleys Hospital, the most recent of these was March 2016.  The service was rated in 2016 as good for safe, good for effective, good for caring, good for responsive and good for well-led. The service received an overall rating of good and there were no requirement notices or enforcement actions taken by the CQC.

Updated 6 June 2018

We rated the Sedgleys Hospital as good because:

• A range of environmental risk assessments had been completed to ensure the safety of patients and staff. Emergency life saving and physical health monitoring equipment had been checked and calibrated in line with manufacturers recommendations and annual inspections of the services fire safety system were complete and in date.
• All care and treatment records contained detailed and up to date assessments of patients risk, and a plan of the care being provided by the hospital. We found that care and treatment records were routinely reviewed by the multi disciplinary staff team and reflected recent changes in patient risk or wellbeing.
• Morale amongst staff at the service was excellent. The registered manager and leadership team were described as leading by example and the service culture was one where patients and staff felt valued and listened to. Staff sickness rates were low and there had been no allegations of bullying or harassment in the 12 months prior to our inspection.
• Patients were offered a range of interventions to promote independence and social inclusion. Discharge planning was evident in all care and treatment records we reviewed and all patients discharged from the service in the 12 months prior to our inspection had moved to a less intensive community based service.
• Medicines for the use of patients were prescribed, reconciled and dispensed in line with the services policies and procedures and national guidance from the National Institute for Health and Care Excellence.
• Patients were able to access a range of specialist interventions, provided by staff that were suitably skilled and qualified. Attendance at mandatory training was high and all eligible staff had received an annual appraisal of their performance in the year prior to our inspection.
• A range of audits were routinely completed to measure the services performance and we found that actions plans had been implemented to improve the quality of service being delivered where required. Local and regional governance meetings enabled the service to measure their outcomes against similar services offered by the provider and to learn lessons from adverse events.
• Staff were able to describe their responsibilities for reporting incidents, ensuring patients were safeguarded against potential abuse and the actions they would take if they had concerns about patient wellbeing. All patients that we spoke with told us that they felt safe at the hospital and that staff treated them with kindness, dignity and respect.

However:

• We did not always find that care planning documentation was written in the patients voice or using accessible terminology.
• Staff were not always clear about the actions required if the fridges for the storage of medication exceeded the safe temperature range.

Updated 6 June 2018