Cygnet Grange

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

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.