Cygnet Hospital Stevenage

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• 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

We rated the service as good for effective because: The service planned and delivered people’s care and treatment with them, including what is important and matters to them. The service did this in line with legislation and current evidence-based good practice and standards.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

People received care, treatment and support that was evidence-based and in line with good practice standards. On admission, staff completed a comprehensive assessment of patients including psychological assessment, specialist diagnostic assessments for autism spectrum disorder (ADOS) and personality disorders (IPDE and PCL-R). Staff offered personalised therapy packages with a range of therapies that supported the care pathway towards independent living. The therapies offered were evidence-based and included: dialectical behavioural therapy, substance misuse programmes, fire setting intervention programme for mentally disordered offenders (FIP-MO) and sex offender treatment programme for mentally disordered offenders (SOTP-MO). The psychology team offered a range of individual therapies such as cognitive behavioural and cognitive analytical therapy, schema focused and acceptance and commitment therapy and family therapy and trauma work. The occupational therapy (OT) department offered a range of evidence-based assessments and interventions addressing daily living, educational and occupational needs. There was an overarching focus on delivering transformative and recovery focused care that recognised the positive impact of meaningful occupation. The service used a model of practice called the The Model of Human Occupation, which guides interventions and offers standardised assessments and outcome measures, along 5 with non-standardised locally designed assessments, to promote individualised treatment. We looked at 11 care plans. Care plans were person centred and we saw all patients had a comprehensive assessment and that staff provided a range of evidence-based care and treatment suitable for the patients individual needs, including regular physical health monitoring.

People received care, treatment and support that was evidence-based and in line with good practice standards. Staff told us that staff complete a comprehensive multi-disciplinary assessment on admission and care plans and risk assessments are reviewed regularly. Patients had access to a full multi-disciplinary team including doctors, nurses, occupational therapists, social workers and psychologists. Staff told us that there was good physical healthcare for patients and patient's physical health was monitored on a daily basis. A dietician consulted on the menus, designing and implementing a traffic light system that was displayed in dining areas. Staff and leaders were encouraged to learn about new and innovative approaches that evidence showed can improve the way their service delivers care. We saw that staff were involved in a number of quality improvement (QI) projects and innovations including, a project to develop a family therapy pathway, decision making in multi-disciplinary teams about Section 17 Leave, mindfulness for staff and a ward round project to improve the ward round experience for patients with an aim to develop co-produced and trauma informed ward round guidelines. Nurses were involved in a safe medication QI project and staff were undertaking a QI project to address racism.

Patients told us that that they were receiving good care, treatment options were explained to them and they were offered treatment choice, involved in care decisions and given a copy of their care plan. It was noted in the May 2023 Quality Network for Forensic Mental Health Services review that patients felt involved in the development of their care plans and expressed that care plans were realistic and clear. They reported that the mental health team was open to discuss different treatment options based on their preferences. Patients also felt supported to care for their physical health and valued the staff’s responsiveness to any related concerns. Patients told us they receive good physical health monitoring and patients felt encouraged to stay active and make use of the gym facilities available.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.