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Cygnet Community Services West Midlands Good

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 20 October 2017

We rated CAS Community Services West Midlands as good because:

  • Staff were caring and compassionate in their work with patients. They were available to support patients and encouraged them to become independent at their own pace. Staff knew their patients well; they knew their strengths and limitations and treated patients as individuals.
  • The service had shown sustained improvement since the previous inspection. The registered manager and house managers had improved consistency of processes. 
  • Staff were up to date with mandatory training and received regular supervision. Sickness and turnover was low.
  • All locations had a homely and well-maintained environment. Staff and patients ensured houses were kept clean and carried out regular checks of the environment.
  • Records were clear, comprehensive and detailed. Care plans and risk assessments were up-to-date and personalised. Staff monitored the physical health of patients and knew how to support patient’s needs.
  • Staff routinely reported incidents and managers reviewed these and made changes to practice as a result. Staff and patients received excellent support following incidents.
Inspection areas

Safe

Good

Updated 20 October 2017

We rated safe as good because: 

  • The environment at all locations was homely and well-kept. Staff carried out regular checks of the environment.
  • Staff were up to date with mandatory training and were knowledgeable on safeguarding procedures.
  • There were sufficient numbers of staff on shift to support patients. Patient received regular one-to-one support.
  • Staff learnt from incidents and made changes to practice as a result. Staff and patients received excellent support following incidents.
  • Staff were aware of and managed areas of risk with patients’ well and promoted positive risk taking.

Effective

Good

Updated 20 October 2017

We rated effective as good because: 

  • Patient records were clear, concise and up-to-date. Care plans were comprehensive and supported a range of issues.
  • Staff carried out regular physical health monitoring with patients.
  • Care plans were recovery orientated and covered a range of issues.
  • Mental Health Act records were kept in patient's records and accessible to staff at all locations.
  • Staff had good support and good working relationships with staff working externally to the service.

Caring

Good

Updated 20 October 2017

We rated caring as good because: 

  • Staff adapted to the needs of patients and treated each person as an individual.
  • Staff were available to support patients and encouraged them to develop independence at their own pace. Staff knew their patients well; they knew their strengths and limitations and allowed them time to realise this themselves.
  • All patients we spoke with spoke positively about their treatment by staff.

Responsive

Good

Updated 20 October 2017

We rated responsive as good because: 

  • Patients had access to private space within the house to talk to or see visitors. They had their own, lockable room, which they could personalise.

  • Staff supported patients to fulfil religious and spiritual needs.
  • Staff encouraged and supported patients to access activities.
  • Patients held regular community meetings and staff acted on suggestions or comments.
  • There had been no complaints regarding the service.

Well-led

Good

Updated 20 October 2017

We rated well-led as good because: 

  • Staff were happy in their roles and proud to work for the provider. Staff were encouraged to develop their careers.

  • Senior managers and house managers were regarded highly by staff. Staff felt supported by management.
  • Managers were continually making improvements to the service and we noticed the changes and difference since the previous inspection.
  • Staff were supervised and appraised. Sickness and turnover rates were low.
Checks on specific services

Long stay or rehabilitation mental health wards for working age adults

Good

Updated 20 October 2017