Cygnet Joyce Parker Hospital

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

At our last assessment we did not rate this key question. This is the first rated assessment for this service. We looked for evidence that people's care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This key question has been rated as good. This meant people's outcomes were consistently good, and people's feedback confirmed this. Staff provided patients with care, treatment and support that was evidence-based and in line with good practice standards. Information was shared between teams and services to ensure continuity of care. Staff involved patients in regularly reviewing their health and wellbeing needs where appropriate and necessary.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider did not always make sure people's care and treatment were effective because they did not always check and discuss people's health, care, wellbeing and communication needs with them.

We reviewed care records for 4 patients on Blythe ward. Staff completed care plans for each patient, however, these plans were generic and not person centred. The occupational therapist had not completed an assessment of any of the 4 patients, including 1 patient who was admitted in November 2024. On Beck ward we were unsure of the occupational therapy input for patients. We requested a copy of the occupational therapy timetable and were told this was not available. The occupational therapist completed assessments for 5 out of the 8 patients on Beck ward.

However, on Beck and Brook wards we found staff completed person-centred care plans for patients and reviewed these regularly.

We plan and deliver people's care and treatment with them, including what is important and matters to them and in line with legislation and current evidence-based good practice and standards.

Staff provided patients with care, treatment and support that was evidence-based and in line with good practice standards. Staff used positive practices, such as de-escalation and distraction techniques to avoid the use of restraint, rapid tranquillisation and seclusion. Leaders advised they ensure treatment procedures, for example, acuphase and rapid tranquillisation are administered in line with NICE guidance. Staff completed physical health observations and recorded these on the patient's National Early Warning Score (NEWS) chart following administration of rapid tranquilisation medicines. Occupational therapists and psychologists use recognised interventions, for example Early Warning Signs, sensory assessments, Montreal Cognitive assessments.

Staff identified patients' physical health needs and completed care plans to support, for example, diabetes care plan, asthma care plan. Staff made sure patients had access to physical health care, including specialists as required. This was evidenced in care plans and confirmed by the local GP for the service. The provider advised there were Service Level Agreements (SLA) in place with a local GP and the pathology service. The local GP visited weekly, and staff were able to take bloods and submit for tests directly to the pathology service without going via the GP. Staff supported patients to access other physical healthcare specialists as required and would facilitate visits to the service if the patient was unable to access the community. Staff liaised with patients' home GPs to ensure knowledge of all health issues. However, on Blythe ward staff had not updated a patients epilepsy care plan in line with the patient's current presentation and feedback from the GP. Staff care planned for the use of rescue medication, but this was not included on the patient's medication card.

The provider's systems ensured that staff were up-to-date with national legislation, evidence-based good practice and required standards. The provider's section 17 leave policy and procedures complied with the Mental Health Act. We reviewed a sample of completed section 17 leave forms, which staff completed correctly.

We work effectively across teams and services to support people, making sure they only need to tell their story once by sharing their assessment of needs when they move between different services.

Staff had access to the information they needed to appropriately assess, plan and deliver people’s care, treatment and support. We observed the morning meetings on Beck, Brook and Blythe wards. Staff provided a comprehensive review of each patient, taking a holistic approach and reviewing risks, medication, leave, mental health. Actions required were agreed.

Information was shared between teams and services to ensure continuity of care. During the morning meeting on Brook ward staff discussed actions taken in relation to a current patient to keep the police and local authority updated on their plans for discharge due to potential risks within the community. An external healthcare professional told us they found the team to be highly professional and informative when attending ward rounds or obtaining updates. We found evidence in care plans of community team involvement throughout the patient’s care journey.

We support people to manage their health and wellbeing so they can maximise their independence, choice and control, live healthier lives and where possible, reduce their future needs for care and support.

Staff involved patients in regularly reviewing their health and wellbeing needs where appropriate and necessary. Staff encouraged and supported patients to make healthier choices to help promote and maintain their health and wellbeing, this included improvements made to food provision. Staff involved patients in regularly monitoring their health, including health assessments and checks where appropriate and necessary with health and care professionals. This was evidenced through regular GP visits and patient care records.

We routinely monitor people’s care and treatment to continuously improve it and to ensure that outcomes are positive and consistent, and that they meet both clinical expectations and the expectations of people themselves.

There were effective approaches to monitor people’s care and treatment and their outcomes. Leaders told us they track complaints and compliments to monitor outcomes for patients. They also track patient feedback from other sources, for example, community meeting minutes, online reviews and discharge feedback. We reviewed ‘Global Assessment of Progress’ scores for wards between November 2024 and January 2025. Brook ward reported an increase in patient progress of 34% and Beck ward 12%. Blythe ward reported a decrease of 47%.

We tell people about their rights around consent and respect these when we deliver person-centred care and treatment.

Staff understood the importance of ensuring that people fully understand what they are consenting to and the importance of obtaining consent. We saw evidence in care plans of staff seeking consent to care and treatment. Staff explained rights to patients detained under the Mental Health Act and ensured they understood them.