Cygnet Sedgley House and Cygnet Sedgley Lodge

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

This means we looked for evidence that the service met people’s needs.

At our last assessment we rated this key question good. At this assessment the rating has remained.

Good: This meant people’s needs were met through good organisation and delivery.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We make sure people are at the centre of their care and treatment choices and we decide, in partnership with them, how to respond to any relevant changes in their needs.

Staff developed care plans around patients’ individual needs and preferences. Care plans were personalised based on each individuals’ recovery and rehabilitation needs

Patients who would benefit, had a behaviour support plan which recognised strengths and challenges and described specific ways to help the patient if they became upset or distressed.

Patients told us they were involved in planning their care and attended two weekly multidisciplinary team meetings to provide feedback and be part of decision making for next steps and future goals.

We understand the diverse health and care needs of people and our local communities, so care is joined-up, flexible and supports choice and continuity.

Staff worked in collaboration with other agencies to provide appropriate after care and arrange discharge. One patient told us how the consultant psychiatrist was determined and working hard to get him out on authorised leave which had been delayed due to factors beyond the hospital’s control.

Patients were involved throughout their care journey and attended regular multidisciplinary care meetings. Carers and families were invited to attend and told us they felt part of the decision making.

Patients had access to the multi faith room, although it was locked, or could attend places of worship in the community if they had prescribed leave.

We provide appropriate, accurate and up-to-date information in formats that we tailor to individual needs.

Staff told us information was shared in a format that was accessible and met patients' communication needs. All patients had a communication care plan to ensure communication and preferences were met. Staff said they did not have anyone who required support from interpreters or signers when we visited but could access this if needed. Psychologists were involved in developing a more accessible discharge plan in conjunction with patients, following feedback that they did not read or fully understand the longer versions.

Posters and information was available on the wards about treatments, local services, their rights, advocacy and how to complain.

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We make it easy for people to share feedback and ideas or raise complaints about their care, treatment and support. We involve them in decisions about their care and tell them what’s changed as a result.

Patients said they felt listened to by staff and were able to raise a concern if required. They said staff dealt with any concerns quickly. The hospital had processes in place to manage complaints. Patients attended a weekly community meeting where they could raise any issues and staff fed back on actions from previous concerns.

Patients said they did not see an advocate regularly. Patients knew how to access an advocate and contact information was displayed. Staff told us that there was not a specific advocate who currently visited the service, however patients could still access one if required through the telephone number displayed.

The advocacy service was sourced from an external organisation and information about external organisations was displayed on ward notice boards.

We make sure that everyone can access the care, support and treatment they need when they need it.

Information was available in a format that was accessible and met patients communication needs.

An expert by experience visited the service each week. This was someone who had previously been a patient at the service. His role was to be supportive and chat with patients about their experiences and feedback any issues they may be having to staff. Patients felt comfortable speaking with him as a peer and someone who had similar experiences to themselves.

There was adequate medical cover day and night and a doctor could attend the ward quickly in an emergency and the hospital was within a reasonable travelling distance to the local acute hospital.

The service was accessible for patients with physical disabilities. Referral criteria was inclusive for males aged 18 or over with complex needs and required high dependency rehabilitation. The average length of stay was 12 to 18 months. At the time of our assessment, 1 patient’s discharge was delayed which was due to funding issues. Staff ensured patients had access to post-discharge care such as community mental health services and care coordinators from the local NHS teams.

We actively seek out and listen to information about people who are most likely to experience inequality in experience or outcomes. We tailor the care, support and treatment in response to this.

The service complied with legal equality and human rights requirements, including avoiding discrimination, and had regard to people with different protected characteristics and made reasonable adjustments to support equity in experience and outcomes. Staff provided a variety of food to meet the dietary and cultural needs of patients.

Patients feedback was collated and reviewed so the service could make improvements when required.

We support people to plan for important life changes, so they can have enough time to make informed decisions about their future, including at the end of their life.

Patients said they were involved in their care and treatment plans; they planned their activities and timetables with support from staff and their choices and opinions were valued and listened to. Rehabilitation plans were individualised and dependent on their assessed needs.

Staff developed comprehensive care plans for each patient that met their mental and physical health needs. Care plans were personalised, holistic and recovery oriented and updated regularly.

Care plans were developed collaboratively with members of the multidisciplinary team with clear focused goals and outcomes. Staff completed core care plans based on the provider’s model. They consisted of personal needs, communication and social needs, mental health needs, rehabilitation needs, restrictions on freedom and choice, potential risks and physical health.