Cygnet Sedgley House and Cygnet Sedgley Lodge

Ratings - Long stay or rehabilitation mental health wards for working age adults

• Overall

  Good

• Safe

  Good

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

Cygnet Sedgley House and Cygnet Sedgley Lodge is a 34 bedded high support inpatient mental health rehabilitation service for men aged 18 and over with complex needs. It is split into 2 wards, the House and the Lodge. The House has 20 beds and is a locked door rehabilitation ward for men with a diagnosis of mental illness and who have had at least 1 admission to an acute or forensic ward. The Lodge has 14 beds. It is not locked and is a step down ward following assessment at the House. Most patients were detained under the Mental Health Act 1983 but not all. The service is part of Cygnet Behavioural Health Limited.

We last inspected the service in June 2018 and rated it as Good overall. At this assessment we reviewed all the quality statements.

We carried out an onsite assessment on the 3 and 4 December 2024 and asked for, and reviewed data related to the assessment.

During this assessment we piloted an approach to identifying and improving service culture using extended observations.

Staff assessed risks to people's health and safety and mitigated those risks. People had care plans to guide safe practice. Patients felt safe and said they were cared for well.There was a good range of activities and therapy to support patients rehabilitation. Managers understood the service and staff were suitably trained.

However, we found a breach of the legal regulation in relation to good governance. Not all staff felt supported by managers and some said they did not get formalised supervision on a regular basis. Some staff felt their morale was low and there was a poor culture. Most staff said they did not think there were enough staff.

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

People's experience of this service

Patients we spoke with said staff were polite and approachable. They knew their needs well and were helpful. Two patients said this was the best hospital they had been in and, overall, all patients reported a positive experience. Carers we spoke with said the service had helped their relatives and were happy with the service. 

We observed staff speaking with patients in a way that showed they understood them as individuals.