Cygnet Hospital Stevenage

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• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

We rated the service as good for responsive because: The service actively sought out and listened to information about people who are most likely to experience inequality in experience or outcomes. The service tailored the care, support and treatment in response to this. People had care and support that was coordinated and everyone worked well together. People were encouraged and enabled to feedback about their care in ways that worked for them and they knew it was acted on. People were supported to plan ahead for important changes in their lives that they could anticipate.

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 Person-centred Care during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

Staff told us that they made adjustments for patients with differing needs, for example they arranged an interpreter for a patient for whom English was not their first language.

The service complied with legal equality and human rights requirements, including avoiding discrimination and had regard to the needs of people with different protected characteristics and made reasonable adjustments to support equity in experience and outcomes. The service provided a variety of food to meet the dietary and cultural needs of individual patients. Staff made sure patients could access information on treatment, local service, their rights and how to complain. Patients were asked if they had any unmet spiritual or cultural needs during their regular ward rounds and CPA reviews. We saw good evidence of review and discussion of patient, carer and advocacy feedback, complaints and compliments in Clinical Governance Meeting minutes We saw evidence of patient feedback being collated and reviewed regularly with improvements to service provision where needed. The service undertook a closed culture observation survey on all 3 forensic wards in August 2023 which demonstrated a low risk of a closed culture and showed ratings of notable good practice on all wards including protecting patients from discrimination, harrassment and abuse.

Patients told us they felt able to give their views and staff helped them understand their rights including their rights under the Mental Health Act. A patient told us that they were supported to follow his christian faith. A patient with dyslexia was giving support to access education adapted to their needs.

Patients were supported to make informed choices about their care and plan for the future and professionals worked together to support them to achieve their goals. Patients told us that they either had a discharge plan or knew what they had to do to progress whilst at the hospital and to be able to move on. Patients were able to participate in discussions about their future at ward rounds and discharge meetings. Carers we spoke with told us they were kept updated regarding their loved ones progress and the plans for their transition out of the service when appropriate.

We looked at 11 care plans and minutes from patient ward rounds and CPA discharge planning meetings. There were plans for each patient's discharge, however we could not see copies of discharge plans in the care plans we looked at . However, we looked at the wards rounds and Care Programme Approach (CPA) meeting minutes for 5 patients. These meetings were attended by the patient and carers as well as doctors, nurses, members of the multi-disciplinary team, legal representatives and external mental health professionals such as community care co-ordinators. We saw good evidence of detailed transition and discharge planning and patients views and wishes were discussed in detail and recorded in the minutes.