Cygnet Acer Clinic

Updated 30 September 2022

Cygnet Acer Clinic is an independent hospital based in North East Derbyshire.

It is made up of two wards;

Lower House- A 14 bed Long stay Rehabilitation mental health ward for adult female patients with complex mental health needs including personality disorder.

Upper House- A 14 bed acute ward for adult female patients with new or emerging complex mental health needs and who are in mental health crisis.

Both wards are registered with the care quality commission to provide:

• Assessment or treatment for persons detained under the Mental Health Act 1983

• Treatment of disease, disorder or injury.

There was a registered manager in post at the time of this inspection.

The hospital was last inspected in April 2021 when both wards provided long stay rehabilitation only. The rating was good in all domains and good overall.

Upper House was redeveloped and opened for patients 1 June 2021; This is the first inspection of this ward.

At this inspection we inspected Upper House Acute ward only.

This ward provided 14 beds; these beds were blocked booked by two clinical commissioning groups.

Prior to and during the inspection we received feedback from the host clinical commissioning group. They had no concerns about the ward and told us that they have a good level of continued communication between themselves and the hospital.

When we inspected the ward had 14 patients.

What people who use the service say

Patients and carers told us that they found the ward clean, one patient said that the décor was like a mural and can get comfy. One patient told us that the ward was spacious and that the buildings was nice.

Two out five patients told us that they get seen by medical staff weekly and that physical health nurse comes onto the ward too. One patient told us that they found it difficult to see the doctor. However, we saw evidence of the doctor being on the ward and attending ward rounds and multidisciplinary meetings. When the doctor isn’t there the service had an on call system for doctor support.

Patients said they felt safe on the ward.

Patients told us that medication was discussed weekly and patients can make requests also. They told us that they are involved in these discussions along with discussions about their care.

Patients told us that they are given support in mindfulness. However, one patient discussed not doing any exercise. We saw the activity timetable for the patients and local walks were encouraged and we saw patients using leave during the time of our inspection.

Patients told us that staff care, are polite and respectful.

We were told that patients and carers did not know about their care plans or have copies of their care plans. However, we observed that care plans were discussed and reviewed at every patient ward round where carers and family could attend. We also saw evidence of patients views in their care plans.

Patients were able to describe activities available on the ward and how they can access their leave.

They told us that the food was of good quality and there is always options available.

Patients told us that there was opportunities to discuss issues with an advocate and are able to make complaints if needed.

Updated 30 September 2022

This was the first time we had inspected this ward. We rated it as good because:

• The service provided safe care. The ward environments were safe and clean. The wards 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 and in line with national guidance about best practice. Staff engaged in clinical audit to evaluate the quality of care they provided.
• The ward teams included or had access to the full range of specialists required to meet the needs of patients on the wards. Managers ensured that these staff received training, supervision 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 and families and carers in care decisions.
• The service managed beds well so that a bed was always available locally to a person who would benefit from admission and patients were discharged promptly once their condition warranted this.
• The service was well led, and the governance processes ensured that ward procedures ran smoothly.

Updated 3 June 2021

Please see overall summary for more information.

Updated 30 September 2022

This was the first time we had inspected this ward. We rated it as good because:

• The service provided safe care. The ward environments were safe and clean. The wards 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 and in line with national guidance about best practice. Staff engaged in clinical audit to evaluate the quality of care they provided.
• The ward teams included or had access to the full range of specialists required to meet the needs of patients on the wards. Managers ensured that these staff received training, supervision 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 and families and carers in care decisions.
• The service managed beds well so that a bed was always available locally to a person who would benefit from admission and patients were discharged promptly once their condition warranted this.
• The service was well led, and the governance processes ensured that ward procedures ran smoothly.