Cygnet Grange

Updated 28 September 2026

We assessed Cygnet Grange Hospital from 12 May 2026- 28 May 2026. This assessment included an onsite inspection visit.

We assessed Cygnet Grange Hospital as the rating was aged. We last inspected Cygnet Grange Hospital in April 2019, which resulted in a rating of good for the service.

Cygnet Grange is part of Cygnet Learning Disabilities Midlands Limited. Cygnet Learning Disabilities Midlands Limited is the registered provider. Cygnet Grange, located in Sutton in Ashfield, Nottinghamshire, provides 8 rehabilitation beds for adult males with an acquired brain injury. At the time of inspection, there were 6 patients, 5 patients were detained under the Mental Health Act 1983, and 1 patient was admitted on an informal basis.

The hospital has 2 floors, communal areas and offices on the ground floor and patient bedrooms and a nursing station on the first floor. A registered manager and nominated individual were in post during this inspection.

The service had Closed-Circuit Television (CCTV), in place within the service to support patient safety and security. Staff were aware of its purpose, and its use was proportionate and monitored.

Cygnet Grange Hospital was registered with CQC in November 2012 to deliver the regulated activities:

• Assessment or medical treatment for patients detained under the Mental Health Act 1983
• Treatment of disease, disorder or injury. The service had a controlled drugs accountable officer and a Registered Manager.

Patients admitted to this hospital have a diagnosis of established or suspected acquired brain injury, alcohol-related brain injury, Korsakoff’s Syndrome, Huntington’s disease or early onset dementia with rehabilitation potential. Patients might be detained under the Mental Health Act (1983), admitted under Deprivation of Liberty Safeguards (DoLS) or be admitted on an informal basis. Patients might also present with mental health disorders, cognitive impairment, organic psychiatric disorder or organic personality change, dysphagia or other communication problems and abnormal movements or restricted mobility.

At this assessment we identified breaches of regulations 12 (safe care and treatment) and 17 (good governance).

At this assessment we assessed 1 assessment service group; Long stay or rehabilitation mental health wards for working age adults where we assessed all quality statements.

We have assessed the location against ‘right support, right care, and right culture guidance to make judgements about whether the provider guaranteed patients with an acquired brain injury respect, equality, dignity, choices, independence and good access to local communities that most patients take for granted. Staff completed appropriate training to enable them to support patients.

We rated the location as requires improvement. In Long stay or rehabilitation mental health wards for working age adults we found breaches of regulations 12 (safe care and treatment) and 17 (good governance) in relation to safety and cleanliness of the environment; not completing accurate observation records and governance.

We have asked the provider for an action plan in response to the concerns found at this assessment.

Updated 18 February 2026

We assessed Cygnet Grange Hospital from 12 May 2026- 28 May 2026. This assessment included an onsite inspection visit.

We assessed Cygnet Grange Hospital as the rating was aged. Cygnet Grange Hospital was last inspected in April 2019 and rated as good.

Cygnet Grange consisted of 1 ward, a long stay ward for men with 8 beds (6 patients at the time of our site visit)

At this assessment we found breaches of regulations 12 (safe care and treatment) and 17 (good governance) in relation to safety and cleanliness of the environment; not completing accurate observation records and governance. We found the provider addressed breaches of regulation 12 identified at the previous inspection in relation to staff not always effectively monitoring patients’ physical health with the use of tools to assess and respond to clinical changes in patients.

The service was in breach of regulations 12 (safe care and treatment) and 17 (good governance).

We have asked the provider for an action plan in response to the concerns found at this assessment.

Mental Health Act and Mental Capacity Act Compliance Summary

Mental Health Act

Staff were trained in the Mental Health Act, the Code of Practice and the guiding principles. The provider had relevant policies and procedures that reflected the most recent guidance that staff had easy access to. Patients had easy access to information about independent mental health advocacy. Staff explained to patients their rights under the Mental Health Act in a way that they could understand. Staff requested an opinion from a second opinion appointed doctor when necessary. Staff stored copies of patients' detention papers and associated records correctly.

Mental Capacity Act Staff had a good understanding of the Mental Capacity Act, in particular, the 5 statutory principles. The provider had a policy on the Mental Capacity Act, including deprivation of liberty safeguards. Staff took all practical steps to enable patients to make their own decisions. When patients lacked capacity, staff made decisions in their best interests, recognising the importance of the patient’s wishes, feelings, culture and history. The service had arrangements to monitor adherence to the Mental Capacity Act.

Updated 26 October 2017