Mental Health Rehabilitation and Recovery Services - High Dependency Inpatient Rehabilitation Community Rehabilitation

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Mental Health Rehabilitation and Recovery Services - High Dependency Inpatient Rehabilitation Community Rehabilitation
Mental Health
Rehabilitation and
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> High Dependency Inpatient Rehabilitation
> Community Rehabilitation

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Mental Health Rehabilitation and Recovery Services - High Dependency Inpatient Rehabilitation Community Rehabilitation
Welcome                                                                                                                                       Click the buttons to find out more
                                                                                                                                              about our Mental Health Rehabilitation
                                                                                                                                              and Recovery Services
Cygnet Health Care was established in
1988. Since then we have developed a
                                                                                                                                           Introduction
wide range of services for individuals with   Our expert and highly dedicated care           We maintain a good relationship with our
mental health needs, autism, and learning     team of 10,000 employees empower               quality regulators and undergo regular        Our Model of Care
disabilities within the UK. We have built     2,864 individuals across 150 services          inspections, with 82% of our services rated   Our myPath Care Model
a reputation for delivering pioneering        to consistently make a positive difference     ‘Good’ or ‘Outstanding’. We also operate      Global Assessment of Progress
services and outstanding outcomes for         to their lives, through service user focused   an internal system of quality care,           (GAP) Outcomes
the individuals in our care.                  care and rehabilitation.                       treatment and positive outcomes.
                                                                                                                                           Our Service User Pathways
                                                                                                                                           Our Discharge to Assess Programme
                                                                                                                                           High Dependency
                                                                                                                                           Inpatient Rehabilitation
                                                                                                                                           Community Rehabilitation
                                                                                                                                           Case Study

Contents
                                                                                                                                           Map
                                                                                                                                           How to Make a Referral

Introduction		                                3 Cygnet Lodge Woking, Surrey                                   25
Our Model of Care                             6 Cygnet Oaks, South Yorkshire                                  26
Our myPath Care Model                         7 Cygnet Raglan House, West Midlands                            27
Global Assessment of Progress (GAP) Outcomes  9 Cygnet Sedgley House &
Our Service User Pathways                    10 Cygnet Sedgley Lodge, West Midlands                           28
Our Discharge to Assess Programme            11 Cygnet Sherwood House, Nottinghamshire                        29
High Dependency Inpatient Rehabilitation        Cygnet St Augustine’s, Staffordshire                          30
Cygnet Aspen House, South Yorkshire          12 Cygnet St Teilo House, South Wales                            31
Cygnet Churchill, London                     13 Cygnet Storthfield House, Derbyshire                          32
Cygnet Delfryn House, North Wales                14        Community Rehabilitation
Cygnet Delfryn Lodge, North Wales                15        1 Vincent Court, Lancashire                        33
Cygnet Fountains, Lancashire                     16        15 The Sycamores, Derbyshire                       34
Cygnet Hospital Colchester, Essex                17        12 Woodcross Street, West Midlands                 35
Cygnet Hospital Derby, Derbyshire                18        20A & 20B Turls Hill Road, West Midlands           36
Cygnet Hospital Maidstone, Kent                  19        45 Portland Road, West Midlands                    37
Cygnet Lodge Brighouse, West Yorkshire           20        Gledholt Mews and Coach House, West Yorkshire      38
Cygnet Lodge Kenton, London                      21        Malborn and Teroan, Nottinghamshire                39
Cygnet Lodge Kewstoke, Somerset                  22        Rhyd Alyn, North Wales                             40
Cygnet Lodge Lewisham, London                    23        Case Study                    41-42
Cygnet Lodge Salford, Greater Manchester         24        Map                              43
                                                           How to Make a Referral     		    44

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Mental Health Rehabilitation and Recovery Services - High Dependency Inpatient Rehabilitation Community Rehabilitation
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                                                                                                                                              about our Mental Health Rehabilitation
                                                                                                                                              and Recovery Services

                                                                                                                                           Introduction
                                                                                                                                           Our Model of Care
                                                                                                                                           Our myPath Care Model
                                                                                                                                           Global Assessment of Progress
                                                                                                                                           (GAP) Outcomes
                                                                                                                                           Our Service User Pathways
                                                                                                                                           Our Discharge to Assess Programme
                                                                                                                                           High Dependency
                                                                                                                                           Inpatient Rehabilitation
                                                                                                                                           Community Rehabilitation
                                                                                                                                           Case Study
                                                                                                                                           Map
                                                                                                                                           How to Make a Referral

Introduction
T   he main aim within our mental health rehabilitation and
    recovery services is to make a positive difference to the lives
of our service users by building essential community links and
                                                                      All our environments offer high staffing ratios, skill development
                                                                      opportunities and vocational development in a welcoming and
                                                                      nurturing environment, enabling each individual to flourish on
strategies that support re-integration into the wider community       their journey.
through working in partnership with each individual.
                                                                      When the time is right, we also provide community rehabilitation,
Our model of care is based on an integrated approach whereby          which provides increased independence, and a more
family, service users, commissioners and carers are all involved in   outward-looking community based programme for those
the rehabilitation and recovery of the individual.                    requiring additional support before full social reintegration.
Our services support those who are experiencing complex
mental health difficulties and may require specialist treatment
programmes for areas such as behaviours that may challenge,
offending, self-harm, substance, drug and alcohol misuse,
addiction, trauma and anger management.

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Mental Health Rehabilitation and Recovery Services - High Dependency Inpatient Rehabilitation Community Rehabilitation
Our service user profile:                                                                                                    Click the buttons to find out more
                                                                                                                             about our Mental Health Rehabilitation
 >   Primary diagnosis of mental illness with:                                                                               and Recovery Services
     •   Complex comorbidities
     •   Substance, drug and alcohol abuse                                                                                Introduction
     •   Treatment resistance                                                                        18+ years            Our Model of Care
     •   Behaviours that may challenge                                                                                    Our myPath Care Model
 >   Aiming for a return to community or community-based care                                                             Global Assessment of Progress
                                                                                                                          (GAP) Outcomes
 >   History of sexual abuse or domestic violence
                                                                                                                          Our Service User Pathways
 >   Typical diagnoses: schizophrenia, schizoaffective disorder, bipolar affective disorder                               Our Discharge to Assess Programme
     or depression
                                                                                                                          High Dependency
 >   May have secondary diagnoses of mild learning disability, autism spectrum disorder                                   Inpatient Rehabilitation
     or personality disorder                                                                                              Community Rehabilitation
 >   May have a forensic history and/or be stepping down from secure services
                                                                                                  Male & Female           Case Study
 >   May have a history of repeated acute admissions                                                                      Map
                                                                                                                          How to Make a Referral

     Our services at a glance:
     >   High staffing ratios                     >   Daily living skills                     Mental Health Act Status:
     >   Specialist treatment programmes:         >   Employment support and vocational        Detained or Informal
                                                      /educational development
         •   Treatment for offenders including
             forensic psychology                  >   Psychology and occupational
         •   Self-harm, addictions, personality       therapy led
             disorder, anger and                  >   In-house integrated
             anxiety management                       multi-disciplinary teams

     Our multi-disciplinary teams:
     >   Psychiatry                               >   Substance misuse workers
     >   Psychology                               >   Sessional therapists including art
     >   Occupational therapy                         therapy, music therapy and
                                                      holistic therapies
     >   Nursing
     >   Specialist trained support workers

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Our outcome                                                                   Our specialist interventions                                                   Click the buttons to find out more

measurement tools:                                                            and approach:
                                                                                                                                                             about our Mental Health Rehabilitation
                                                                                                                                                             and Recovery Services
                                                                              In addition to our psychiatry and nursing interventions we offer:
  >   START                               >   Vocational qualifications
                                                                                                                                                          Introduction
  >   HCR20                               >   Family, social and              Occupational therapy-led interventions:
                                                                                                                                                          Our Model of Care
  >   HoNOS                                   community reintegration
  >   GAP                                 >   Medication management               >    Daily living skills                                                Our myPath Care Model

  >   BPRS, LUNSERS                       >   Assessments and measures            >    Targeted occupational therapy sessions according to
                                                                                                                                                          Global Assessment of Progress
                                              are tailored to individual                                                                                  (GAP) Outcomes
  >   Recovery Star
                                              needs and selected to
                                                                                       individual need
                                                                                                                                                          Our Service User Pathways
  >   MOHOST                                  address change of specific          >    Financial management training
                                                                                                                                                          Our Discharge to Assess Programme
  >   Self-harm risk assessment toll          difficulties, e.g.:
                                                                                  >    Education and vocational programmes                                High Dependency
      and immediate revision                  •   Beck inventories of
      of START                                    anxiety and depression          >    Therapeutic earnings focusing on career and job                    Inpatient Rehabilitation
                                                                                       skill development                                                  Community Rehabilitation
  >   Improved communication                      (BAI & BDI)
      and social understanding                •   Clinical Outcomes               >    Development of social skills and interests                         Case Study
  >   Acquisition of coping skills                in Routine
                                                                                  >    Activities to improve self-esteem including self-image
                                                                                                                                                          Map
      and self-regulations                        Examination (CORE)                                                                                      How to Make a Referral
  >   DLSOS                                   •   Warwick-Edinburgh               >    Creative activities

  >   PHATT                                       Mental Wellbeing                >    Cultural and spiritual needs
                                                  Scale (WEMWBS)
  >   Improvements in                                                             >    Social family integration (where appropriate)
      metabolic profile                       •   Brief PSI Inventory (BSI)
                                                                                  >    Community activities
                                                                                  >
Our approach:
                                                                                       Sensory profiling and sensory strategies

 >    Encourages hope,                    >   Dovetailing with                Psychology-led interventions:
      empowerment and wellness                existing pathways
 >    Supports development of             >   Innovation around                    >   Cognitive Behavioural             >   Mindfulness                     >   Mental Health relapse
      personal responsibility                 outreach                                 Therapy (CBT)                                                             prevention
 >    Is community-focused                >   Co-production culture:                                                     >   Alternatives to self-harm
                                                                                   >   Dialectical Behaviour Therapy
                                                                                                                         >                                   >   Offence-focused interventions
 >    Is person-centred                       building engagement
                                                                                       (DBT)
                                                                                                                             Behaviour analysis and
 >    Development of internal
                                              through meaningful activity
                                                                                       informed approach
                                                                                                                             problem-solving approaches      >   Emotional Management
      progression ethos                   >   Social inclusion                                                           >   Psychometric assessments
                                                                                                                                                                 interventions including anxiety
      through service                     >   Recovery                             >   Schema informed approach                                                  and anger
                                                                                   >                                     >   Cognitive functioning
                                                                                                                                                             >
                                          >   Optimism                                 Brief Solution Focused therapy
                                                                                                                             assessments
                                                                                                                                                                 Motivational enhancement
                                                                                   >   Eye Movement Desensitisation
                                                                                                                         >   Drug and alcohol awareness
                                                                                                                                                             >   Self-esteem enhancement
                                                                                       and Reprocessing therapy
                                                                                       (EMDR)
                                                                                                                             and                             >   Individual risk assessments
   Average expected length of stay in our high                                                                               relapse prevention                  including HCR-20, PCL-R and
  dependency inpatient rehabilitation services is                                  >   The Wellness Recovery Action
                                                                                                                         >   Cognitive skills
                                                                                                                                                                 SARA
                                                                                       Plan (WRAP®)
                         12-18 months
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Our Model of Care                                                                                                                                                                                                             Click the buttons to find out more
                                                                                                                                                                                                                                 about our Mental Health Rehabilitation
                                                                                                                                                                                                                                 and Recovery Services
                                                                                                              At Cygnet Health Care we are doing all we can to make a positive difference.
                                                                                                              To help guide us & ensure we are working together to achieve this we have
                                                                                                              collaboratively developed our model of care for our high dependency                                             Introduction
                                                                                                              rehabilitation services. A guide that shows what we do as an organisation to                                    Our Model of Care
           N                                                                                                  support individuals with mental health needs on their road to recovery.
             The service will provide a therapeutic setting and will
           e                                                                                                                                                                                                                  Our myPath Care Model
My Past    w have achieved or be working towards AIMS accreditation
           B      Staff supporting individuals in our care will be provided with continuing
                                                                                                                                                                                                                  My Future   Global Assessment of Progress
           e      training, development & supervision relevant to the service user needs                                                                                                                                      (GAP) Outcomes
           g
           i      The effectiveness of the service will be measured using standardised                                                                                                                                        Our Service User Pathways
           n      outcome measures and the quality of life of individuals in our care                                                                                                                                         Our Discharge to Assess Programme
           n
           i      A specific model of care will be provided which offers a flexible                                                                                                     Stage Four                            High Dependency
           n      and person centred approach in line with best practice
           g                                                                                                                                                                  Transition & Discharge                          Inpatient Rehabilitation
                                                                                                                                                                                          My Future
           s                                                                                                                                                                                                                  Community Rehabilitation
                                                                                                                                                                      >Medical                  >Nursing
                                                                                                                                                                       • Final                  • Completion of              Case Study
                                                                         Stage Two                                                   Stage Three                        pharmacological           self-medication             Map
                                                                                                                                                                        review                    stages
                                                                         Recovery                                                   Consolidation                     • Discharge               • Transfer to local          How to Make a Referral
                                                                           My Skills                                                My Independence
                                                                                                                                                                        summary                   GP/dentist
                                                     >Medical                     • Educational                   >Medical                   >Nursing                 • Formulation of         • Coordinate
                                                      • Physical                       activities                 >Final titration           >Self-medication           physical and              discharge
                     Stage One                          health review              • Vocational skills             of medication             >Discharge liaison         mental well-being       • Liaison with
                                                      • Review                     • Social skills                >Review of capacity        with family              >Psychology                 care coordinator
          Assessment & Engagement                                                                                                                                      • Pre-discharge         >Multi-Disciplinary
                   Understanding Me                     of detention               • Sensory Strategies           >Review of detention       >Self-management
                                                      • Clarifying diagnosis                                                                                            support                  Team
                                                                                  >Nursing                        >Progression of           of physical health
   >Medical                  • DLSOS                  • Pharmacological                                           unescorted leave          >Liaison with           • Update relevant        • Service user
                                                                                   • Stages of
    • Physical health       • MOHOST                                                                                                                                   risk assessments          review meetings
                                                        formulation                    medication                 >Psychology                care coordinator
      screening              • Sensory Screening     >Psychology                                                  >Relapse Prevention       >Multi-Disciplinary     • Review of                 (including CPA)
                                                                                  • Family liaison work
      & examination          • MOHO Case                                                                                                    Team                       relapse plans           • Placement visits,
                                                      • Direct and               • Well man                       work (WRAP)
    • Capacity                Formulation              indirect                                                  >Developing               >Service user           • Ending of                family/community
                                                                                       /woman clinic                                                                                              support
      to treatment                                                                                                                                                      therapeutic
                             >Nursing                   interventions             • Communication                 confidence with           review meetings
    • Comorbidity                                                                                                                           (including CPA)            relationships           • Handover to
                              • Physical health       • Individual and/or             with care                   skills generalisation
      screening                                         group therapy                                             >Skills testing            >Psychoeducation         >Occupational              community team
                              • Religious needs                                        coordinator
                                                                                                                                                                      Therapy                   • 5 Ways to
    • Leave review                                      using evidence                                            >Evaluation                >Risk formulation and
                              • Orientation to                                    • Insight
   >Psychology                                          based approaches                                           of progress               positive risk taking     • Placement                 Wellbeing
                               the unit                                                development
    • Assessment of                                  • Intervention to                                                                     >Family support            assessment              • WRAP & PBS
                             • Baseline                                           >Multi-Disciplinary            >Occupational
      intervention                                      reduce distress                                            Therapy                   >5 Ways to Wellbeing     • Orientation to           (or equivalent)
                               assessments                                         Team                                                                                                           review
      need using set                                    and/or risk                                                                                                     future placement
                             >Multi-Disciplinary                                 • Service user                 >Community                 >WRAP & PBS                                        • Risk formulation
      assessments and                                 • Development                                               focused activities        (or equivalent)
                                                                                                                                                                      • Referral to
                             Team                                                      review meetings                                                                                            and positive
      those driven                                      of insight                                                                                                      community
      by case                >Service user                                            (including CPA)            >Review of                review
                                                                                                                                                                        organisations             risk taking
                                                        /self-awareness
                             review meetings                                      • Psychoeducation                functional
      specific needs                                  • Psychoeducation                                           assessments
                                                                                                                                                                      • Establishing
    • Case formulation
                             (including CPA)                                      • PBS (or equivalent)                                                                community links
                                                        work
                        >Family links                                                  plan review                >Vocational activities
    • Readiness for                                  • Offence
                                                                                  • Risk formulation &           >Independent
      change assessment > Sleep scales                  focused work
                        >PBS (or equivalent)                                           positive risk taking        implementation
   >Occupational                                    >Occupational                                                of learnt skills
    Therapy                  Plan development                                     • 5 Ways to
                                                      Therapy
                             >5 Ways to Wellbeing                                      Wellbeing
    • Baseline                                       • Functional
      functional             >Baseline assessment                                >On-going risk
                                                        skill building
      assessments            of risk                                               assessment
                                                      • Therapeutic               and management
                                                        programme

                                                                                   Enabling and Nurturing Environment

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Our myPath Care Model                                                                                                    Click the buttons to find out more
                                                                                                                         about our Mental Health Rehabilitation
                                                                                                                         and Recovery Services

                                                                                                                      Introduction
      Therapeutic support within our mental health
      rehabilitation and recovery services is provided                                                                Our Model of Care
      by a specialist multi-disciplinary team who                                                                     Our myPath Care Model
      apply our bespoke care model and digital                                                                        Global Assessment of Progress
      service user management system, myPath.                                                                         (GAP) Outcomes
      myPath has a wide range of functions, but the                                                                   Our Service User Pathways
      key deliverable is that it keeps the individual                                                                 Our Discharge to Assess Programme
      at the centre of all avenues and enables high
                                                                                                                      High Dependency
      quality and sustainable care to be delivered in
                                                                                                                      Inpatient Rehabilitation
      a meaningful and realistic way.
                                                                                                                      Community Rehabilitation
                                                                                                                      Case Study
                                                                                                                      Map
                                                                                                                      How to Make a Referral
          For each individual
          we can:                                                    “As a clinician working in mental
            >   Deliver transparent care                            health rehabilitation and recovery
            >   Offer bespoke care pathways
                                                                       services, myPath helps me to
                                                                   evidence collaborative care but also
            >   Monitor engagement levels
                                                                    answer those key questions around
            >   Evidence tangible outcomes
                                                                    when and if a service user is, or will
            >   Predict discharge readiness
                                                                         be ready for discharge.”
                                                                        Cygnet staff member

      Assessing and managing risk of an individual with a mental illness is pivotal to mental health rehabilitation
      and recovery. For each individual, a daily risk assessment is completed, which enables dynamic responses
      to individual presentation within any 24 hour period. Through this process we provide integrated care to
      make informed choices over positive risk-taking.
      A further layer is added with robust management plans correlating to presenting risk, so that supportive
      and therapeutic strategies can be implemented based on presenting need. The daily risk assessment
      permeates all our mental health rehabilitation and recovery services providing safe and effective care
      that is proactive to longer term success.

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    For most individuals how they spend their time in the day
                                                                                                                         about our Mental Health Rehabilitation
    is important to their socialisation, self-esteem and financial
                                                                                                                         and Recovery Services
    situation, but it is also a core focus of mental health care
    planning. We acknowledge that everyone has different                                   Self Care:
    needs, interests and engagement abilities, we work to                                  Activities we              Introduction
    develop individualised and bespoke activity programmes to                               do with the               Our Model of Care
    allow the greatest chance of recovery through activities that                           purpose of                Our myPath Care Model
    carry individualised meaning.                                                          looking after
                                                                                             ourselves                Global Assessment of Progress
    Our services link in with mainstream community resources to                                                       (GAP) Outcomes
    support each individual in learning how to manage day to
                                                                                                                      Our Service User Pathways
    day occurrences and apply their coping strategies in a safe
    and supportive way.                                                                                               Our Discharge to Assess Programme
                                                                                                                      High Dependency
    Each individual is offered a minimum of 25 hours meaningful                 Leisure:             Productivity:    Inpatient Rehabilitation
    activity in the categories of self-care, leisure and productivity.        Activities we           Activities we   Community Rehabilitation
                                                                               do for the              do for the
                                                                              pleasure of                             Case Study
                                                                                                     end outcome
                                                                              doing them                              Map
                                                                                                                      How to Make a Referral
   Everyone’s care pathway is reviewed in full
   by the multi-disciplinary team at least every 4
   weeks and guided by a dynamic care plan.
   This is closely linked to our specialist outcome
   tool, the Global Assessment of Progress (GAP).
   In our mental health rehabilitation and                        In applying myPath, the team around the
   recovery services, the GAP allows us                           individual are able to be proactive in their
   to measure an individual’s progress                            approach and use myPath to positively
   throughout their placement, plot the positive                  combine risk management and longer-term
   developments, setbacks and changes in                          rehabilitation and recovery.
   wellbeing but also identify warning signs of                   This enables each individual to live their
   any possible deterioration, whilst informing                   life as independently as possible with the
   care planning and being transparent about                      appropriate support, guidance
   future risks.                                                  and assistance.

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                                                                                                           and Recovery Services

                                                                                                        Introduction
                                                                                                        Our Model of Care
                                                                                                        Our myPath Care Model
                                                                                                        Global Assessment of Progress
                                                                                                        (GAP) Outcomes
                                                                                                        Our Service User Pathways
                                                                                                        Our Discharge to Assess Programme

Global Assessment of                                                                                    High Dependency
                                                                                                        Inpatient Rehabilitation

Progress (GAP) Outcomes
                                                                                                        Community Rehabilitation
                                                                                                        Case Study
                                                                                                        Map
                                                                                                        How to Make a Referral
The Global Assessment of Progress (GAP) is our specialist outcome tool used within our mental health
services. The tool allows us to measure an individual’s progress throughout their placement, plot the
positive developments, setbacks and changes in wellbeing but also identify the warning signs of
any possible deterioration, whilst informing care planning and being transparent about future risks.

60
       n=230

40                                                        10
                                                          or 23%
                                                                                  53

                                     43                average increase
                                                           in score
                                                            p
Mental Health Rehabilitation and Recovery Services - High Dependency Inpatient Rehabilitation Community Rehabilitation
Our Service User Pathways                                                                                               Click the buttons to find out more
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                                                                                                                        and Recovery Services

                                                                                                                     Introduction
                               Acute                               Transitional                       Other Mental   Our Model of Care
                                                  Secure                              Prison
       Referral Route         or PICU                              Services /                            Health      Our myPath Care Model
                                                 Services                            Service
                              Services                               CAMHS                              Services     Global Assessment of Progress
                                                                                                                     (GAP) Outcomes
                                                                                                                     Our Service User Pathways
                                                                                                                     Our Discharge to Assess Programme
                                                                                                                     High Dependency
                                                                                                                     Inpatient Rehabilitation

         Intensive                                                                                                   Community Rehabilitation

       Rehabilitation              Cygnet High Dependency Inpatient Rehabilitation Services                          Case Study
          Services                                                                                                   Map
                                                                                                                     How to Make a Referral

                                     Cygnet Community                                  Independent /
                                    Rehabilitation Services                        Semi-independent Living
         Destination
         Outcomes

                                                              Community Services

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Our Discharge to Assess Programme                                                                                                                   Click the buttons to find out more
                                                                                                                                                    about our Mental Health Rehabilitation
                                                                                                                                                    and Recovery Services
We offer a discharge to assess service for individuals who no           Our service user profile:
longer require acute care but who remain on acute wards as a
                                                                         > Men or women, aged 18+                                                Introduction
delayed discharge due to not being able/ready to transition into
the community. The expected length of stay is three months.              > Detained under the Mental Health Act                                  Our Model of Care
                                                                                                                                                 Our myPath Care Model
The service is offered at all of our high dependency inpatient           > Individuals who no longer require acute care but:
                                                                                                                                                 Global Assessment of Progress
rehabilitation services.                                                   • Require some support prior to discharge                             (GAP) Outcomes
                                                                                 to the community
As the average length of stay for acutely unwell service users is
                                                                                                                                                 Our Service User Pathways
usually 14 days, each individual who remains on an acute ward              •     Do not require a long term rehabilitation placement
                                                                                                                                                 Our Discharge to Assess Programme
for 3 months blocks this bed for up to six other service users who do      •     Need a period of assessment to identify their
require acute care.                                                              next placement                                                  High Dependency
                                                                                                                                                 Inpatient Rehabilitation
                                                                           •     Have a placement identified with no agreed
                                                                                 admission date                                                  Community Rehabilitation
                                                                           •     Have no fixed abode and require housing/benefit support         Case Study
                                                                                                                                                 Map
                 Acute Services                                                                                                                  How to Make a Referral
            Delayed Discharge Patients                                    Our service at a glance:
                                                                           > Access to a multidisciplinary team including but not
                                                                                limited to; mental health nurses, clinical and forensic
                                                                                psychologists, occupational therapists, and psychiatrists
                                                                            >   Assessment from the whole MDT including physical health
                   Cygnet Discharge to                                          assessments, functional skills assessments, recovery star,
                                                                                lunsers, Hogans etc.
                     Assess Services                                        >   Psychological assessment and formulation
                                                                            >   Activities of daily living (ADLs) in preparation for discharge
                                                                            >   Support to address social issues such as benefits
                                                                            >   Engagement in meaningful therapeutic activities
       Cygnet                                                                   of choice
     Community                   Community                Independent
    Rehabilitation                Services                   Living         >   Optimisation of medication if appropriate
      Services                                                              >   Support to access community services
                                                                            >   Future planning regarding discharge

     Each Discharge to Assess 3 month placement saves NHS Trusts a considerable
     amount of money

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Cygnet Aspen House, South Yorkshire                                                                                 Click the buttons to find out more
                                                                                                                                             about our Mental Health Rehabilitation
                         Manvers Road, Mexborough, Doncaster, Yorkshire & Humber S64 9EX
                                                                                                                                             and Recovery Services
                          High Dependency Inpatient Rehabilitation
                                                                                                                                          Introduction
                              18+ years         Female               20 beds                                                              Our Model of Care
                                                                                                                                          Our myPath Care Model
                                                                                                                                          Global Assessment of Progress

C   ygnet Aspen House is a 20 bed service specialising in high
    dependency inpatient rehabilitation for women who have
severe and enduring mental illness.
                                                                        Our facilities:
                                                                                                                                          (GAP) Outcomes
                                                                                                                                          Our Service User Pathways
                                                                         >     En-suite bedrooms                                          Our Discharge to Assess Programme
The service has been designed to provide a safe and
comfortable environment that promotes recovery for women
                                                                         >     Beauty salon                                               High Dependency
                                                                                                                                          Inpatient Rehabilitation
with its focus on space, personal privacy and dignity. The women         >     Self-modulation room
we support at Cygnet Aspen House may be detained under the                                                                                Cygnet Aspen House, South Yorkshire
Mental Health Act.
                                                                         >     Therapy kitchen                                            Cygnet Churchill, London

Dedicated clinical teams provide a multi-disciplinary input
                                                                         >     Horticulture polytunnel                                    Cygnet Delfryn House, North Wales
                                                                                                                                          Cygnet Delfryn Lodge, North Wales
including occupational therapy, psychology, psychiatry and               >     Spacious communal garden with outdoor seating
                                                                                                                                          Cygnet Fountains, Lancashire
vocational training. Person-centred care plans are devised and
determined on individual need.                                                                                                            Cygnet Hospital Colchester, Essex
                                                                                                                                          Cygnet Hospital Derby, Derbyshire
Access to the local community is an essential step along the          Vocational support is provided to help service users prepare for
                                                                                                                                          Cygnet Hospital Maidstone, Kent
pathway to mental health rehabilitation. Located in a residential     employment and other vocational activities. The women are
part of Mexborough, Aspen House has excellent shopping                supported to create CVs, apply for jobs, practice for and attend    Cygnet Lodge Brighouse, West Yorkshire
facilities available close to the hospital, where independence        interviews as well as develop other skills necessary in a           Cygnet Lodge Kenton, London
skills may be practised. Nearby is a leisure centre for swimming      work environment.                                                   Cygnet Lodge Kewstoke, Somerset
and sports activity. We use the local colleges for literacy and                                                                           Cygnet Lodge Lewisham, London
                                                                      We also offer a range of internal therapeutic earning positions
numeracy education and NVQ courses. External activities are                                                                               Cygnet Lodge Salford, Greater Manchester
                                                                      within Cygnet Aspen House where service users have the
tailored to individual needs and wishes.                                                                                                  Cygnet Lodge Woking, Surrey
                                                                      opportunity to apply for, be interviewed for and take on the
                                                                      responsibility of a suitable job. The women receive training from   Cygnet Oaks, South Yorkshire
                                                                      a staff member that is skilled in the particular job.               Cygnet Raglan House, West Midlands
                                                                                                                                          Cygnet Sedgley House &
                                                                      Our community links:                                                Cygnet Sedgley Lodge, West Midlands
                                                                                                                                          Cygnet Sherwood House, Nottinghamshire
                                                                       > Doncaster College / Adult and Family Community Learning          Cygnet St Augustine’s, Staffordshire
                                                                       > Leisure centre                                                   Cygnet St Teilo House, South Wales
                                                                       > Local shops, cafes and restaurants                               Cygnet Storthfield House, Derbyshire
                                                                       > Art galleries and museums                                        Community Rehabilitation
                                                                       > Riding for the Disabled – Volunteering                           Case Study
                                                                                                                                          Map
  “Cygnet Aspen House has provided a safe therapeutic environment for the service                                                         How to Make a Referral

  user to progress and to begin to express her needs.”
  Care Coordinator

12 | www.cygnethealth.co.uk                                                                                                                                      Back       Next
Cygnet Churchill, London                                                                                                 Click the buttons to find out more
                                                                                                                                                    about our Mental Health Rehabilitation
                           Barkham Terrace, Lambeth Road, London SE1 7PW
                                                                                                                                                    and Recovery Services
                             High Dependency Inpatient Rehabilitation
                                                                                                                                                 Introduction
                                  18+ years               Male          40 beds in 3 wards                                                       Our Model of Care
                                                                                                                                                 Our myPath Care Model
                                                                                                                                                 Global Assessment of Progress

C    ygnet Churchill is a 40 bed high dependency inpatient
     rehabilitation service for men who have severe and enduring
mental illness and who may have been detained under the Mental
                                                                         We offer more than just specialists and treatments: We value
                                                                         service users as individuals, help enhance their interests, abilities
                                                                         and self-knowledge, encourage them to find their voice, support
                                                                                                                                                 (GAP) Outcomes
                                                                                                                                                 Our Service User Pathways
Health Act. Men often come to this service following multiple            them to rebuild their lives. We deliver high-quality care with          Our Discharge to Assess Programme
placement breakdowns, failed treatment programmes or stepping            specialist interventions, but never lose sight of the goal of           High Dependency
down from secure settings.                                               personal recovery.                                                      Inpatient Rehabilitation
By combining a collaborative, multi-disciplinary approach and            We offer a range of internal therapeutic earning positions where        Cygnet Aspen House, South Yorkshire
state-of-the-art facilities, Maple Court and Mulberry Court in           service users have the opportunity to apply for, be interviewed for     Cygnet Churchill, London
Cygnet Churchill deliver high-quality care within a community            and take on the responsibility of a suitable job. The men receive       Cygnet Delfryn House, North Wales
atmosphere, while focusing on discharge planning from the                training from a staff member who is skilled in the particular job.      Cygnet Delfryn Lodge, North Wales
moment service users arrive. In addition, we offer a four bed step                                                                               Cygnet Fountains, Lancashire
down service called Elm Court.                                                                                                                   Cygnet Hospital Colchester, Essex
Our recovery programme is delivered in a culture that balances                                                                                   Cygnet Hospital Derby, Derbyshire
risk management with therapeutic optimism, where men have                    “My son is doing well and is not as angry as he used                Cygnet Hospital Maidstone, Kent
the opportunity to learn and practice the skills they will need in a         to be. Staff are looking after him well and things are              Cygnet Lodge Brighouse, West Yorkshire
completely safe environment.                                                 fantastic! I am pleased as I will have my son back!”                Cygnet Lodge Kenton, London
Cygnet Churchill is a service built on recovery principles around            Parent                                                              Cygnet Lodge Kewstoke, Somerset
hope, empowerment, wellness, personal responsibility, community                                                                                  Cygnet Lodge Lewisham, London
focus and connectedness. Throughout the many years that                                                                                          Cygnet Lodge Salford, Greater Manchester
Cygnet Churchill has been open we have achieved excellent                  Service users are supported to attend                                 Cygnet Lodge Woking, Surrey
outcomes for service users, and we are committed to constantly             Mosaic Clubhouse for a unique                                         Cygnet Oaks, South Yorkshire
improving their experience and clinical outcomes further.                  transitional employment programme,                                    Cygnet Raglan House, West Midlands
                                                                           enabling them to experience entry level                               Cygnet Sedgley House &
  Our facilities:                                                          employment opportunities                                              Cygnet Sedgley Lodge, West Midlands
                                                                                                                                                 Cygnet Sherwood House, Nottinghamshire
    >   En-suite bedrooms
                                                                                                                                                 Cygnet St Augustine’s, Staffordshire
    >   Beauty salon                                                       Individuals supported to attend                                       Cygnet St Teilo House, South Wales
                                                                           local vocational courses including,
    >   Self-modulation room
                                                                           literacy, numeracy and IT skills
                                                                                                                                                 Cygnet Storthfield House, Derbyshire
                                                                                                                                                 Community Rehabilitation
    >   Therapy kitchen
                                                                                                                                                 Case Study
    >   Horticulture polytunnel                                            95% of individuals discharged in last 2 years
                                                                                                                                                 Map
                                                                           have stepped down along their care
    >   Spacious communal                                                  pathway to a more community facing setting                            How to Make a Referral
        garden with outdoor seating

13 | Mental Health Rehabilitation and Recovery Services                                                                                                                 Back       Next
Cygnet Delfryn House, North Wales                                                                                  Click the buttons to find out more
                                                                                                                                              about our Mental Health Rehabilitation
                           Argoed Hall Lane, Mold, Flintshire, North Wales CH7 6FQ
                                                                                                                                              and Recovery Services
                           High Dependency Inpatient Rehabilitation
                                                                                                                                           Introduction
                               18+ years            Male                   28 beds        CCAPS   Part of the Welsh Hospital Framework     Our Model of Care
                                                                                                                                           Our myPath Care Model
                                                                                                                                           Global Assessment of Progress

S   et amid the rolling hills of Flintshire, Cygnet Delfryn House is our
    28 bed high dependency inpatient rehabilitation service for men
who have severe and enduring mental illness and who may have
                                                                             Our facilities:
                                                                                                                                           (GAP) Outcomes
                                                                                                                                           Our Service User Pathways
been detained under the Mental Health Act. Men placed with us
                                                                               >   En-suite bedrooms               >   Activities room     Our Discharge to Assess Programme
often come from multiple placement breakdowns, failed treatment                >   Learning centre                 >   Therapy kitchen     High Dependency
programmes or are stepping down from secure settings.                              with library                        & laundry room      Inpatient Rehabilitation
                                                                                                                                           Cygnet Aspen House, South Yorkshire
Our state-of-the-art service has been designed with wellness in                >   Multi-faith room                >   Spacious communal
mind, providing a safe and comfortable environment that                                                                garden with         Cygnet Churchill, London
promotes efficient rehabilitation and recovery. We are dedicated
                                                                               >   Gym
                                                                                                                       outdoor seating     Cygnet Delfryn House, North Wales
to understand, stabilise and break the traumatic cycles of relapse                                                                         Cygnet Delfryn Lodge, North Wales
that can impact individual’s lives.                                                                                                        Cygnet Fountains, Lancashire
Our psychology and occupational therapy led interventions                                                                                  Cygnet Hospital Colchester, Essex
effectively tackle the challenges of mental health and alongside                                                                           Cygnet Hospital Derby, Derbyshire
our clinical interventions, we help men enhance their personal skills                                                                      Cygnet Hospital Maidstone, Kent
to rebuild their lives.                                                                                                                    Cygnet Lodge Brighouse, West Yorkshire
When the time is right, access to the local community is an essential                                                                      Cygnet Lodge Kenton, London
step along the pathway to independence, for both leisure pursuits                                                                          Cygnet Lodge Kewstoke, Somerset
and for social training such as shopping and using public transport.                                                                       Cygnet Lodge Lewisham, London
External activities are tailored to individual needs and wishes.                                                                           Cygnet Lodge Salford, Greater Manchester
Vocational support is provided to help service users prepare for              Positive                             People’s Council        Cygnet Lodge Woking, Surrey
employment and other vocational activities. The men are supported             Healthcare                           meetings                Cygnet Oaks, South Yorkshire
to create CVs, apply for jobs, practice for and attend interviews as          Inspectorate                                                 Cygnet Raglan House, West Midlands
                                                                                                                   held monthly
well as develop other skills necessary in a work environment.                  Wales (HIW) report                                          Cygnet Sedgley House &
We also offer a range of internal therapeutic earning positions within                                                                     Cygnet Sedgley Lodge, West Midlands
Cygnet Delfryn House where service users have the opportunity                                                                              Cygnet Sherwood House, Nottinghamshire
to apply for, be interviewed for and take on the responsibility of a
                                                                              “Thank you for your support and OT encouragement             Cygnet St Augustine’s, Staffordshire
suitable job. The men receive training from a staff member who is             and facilitating groups at the weekend. “                    Cygnet St Teilo House, South Wales
skilled in the particular job.                                                Service user                                                 Cygnet Storthfield House, Derbyshire
                                                                                                                                           Community Rehabilitation
Our community links:                                                          Strong external links with Cyfle Cymru providing:            Case Study
 > Learndirect / Deeside College >         Photography and walking             >   Mentorship
                                                                                                                                           Map
 > Flintshire Local                        groups at local
                                                                               >   Qualifications and training                             How to Make a Referral
                                           country parks
     Volunteer Centre                                                          >   Real life work experience
 >   Sport facilities at               >   Local beaches                       >   Help to search and apply for jobs
     Northop College                   >   Local market

14 | www.cygnethealth.co.uk                                                                                                                                       Back       Next
Cygnet Delfryn Lodge, North Wales                                                                                              Click the buttons to find out more
                                                                                                                                                             about our Mental Health Rehabilitation
                              Argoed Hall Lane, Mold, Flintshire, North Wales CH7 6FQ
                                                                                                                                                             and Recovery Services
                              High Dependency Inpatient Rehabilitation
                                                                                                                                                          Introduction
                                  18+ years                 Female               24 beds        CCAPS   Part of the Welsh Hospital Framework              Our Model of Care
                                                                                                                                                          Our myPath Care Model
                                                                                                                                                          Global Assessment of Progress

S    et amid the rolling hills of Flintshire, Cygnet Delfryn Lodge is
     a 24 bed service specialising in high dependency inpatient
rehabilitation for women who have severe and enduring mental
                                                                                  When the time is right, access to the local community is an essential
                                                                                  step along the pathway to independence, for both leisure pursuits
                                                                                  and for social training such as shopping and using public transport.
                                                                                                                                                          (GAP) Outcomes
                                                                                                                                                          Our Service User Pathways
illness and who may have been detained under the Mental Health                    External activities are tailored to individual needs and wishes.        Our Discharge to Assess Programme
Act. Women admitted to the service often come from multiple                                                                                               High Dependency
                                                                                  Vocational support is provided to help service users prepare
placement breakdowns, failed treatment programmes or are                                                                                                  Inpatient Rehabilitation
                                                                                  for employment and other vocational activities. The women
stepping down from secure settings.                                                                                                                       Cygnet Aspen House, South Yorkshire
                                                                                  are supported to create CVs, apply for jobs, practice for and
Our state-of-the-art service has been designed with wellness                      attend interviews as well as develop other skills necessary in a        Cygnet Churchill, London
in mind, providing a safe and comfortable environment that                        work environment. We also offer a range of internal therapeutic         Cygnet Delfryn House, North Wales
promotes efficient rehabilitation and recovery. We are dedicated to               earning positions within Cygnet Delfryn Lodge where service users       Cygnet Delfryn Lodge, North Wales
understand, stabilise and break the traumatic cycles of relapse that              have the opportunity to apply for, be interviewed for and take          Cygnet Fountains, Lancashire
can impact individual’s lives.                                                    on the responsibility of a suitable job. The women receive training     Cygnet Hospital Colchester, Essex
                                                                                  by a staff member who is skilled in the particular job.                 Cygnet Hospital Derby, Derbyshire
Our psychology and occupational therapy led interventions
effectively tackle the challenges of mental health and alongside                                                                                          Cygnet Hospital Maidstone, Kent
our clinical interventions we help women enhance their personal                                                                                           Cygnet Lodge Brighouse, West Yorkshire
skills to rebuild their lives.                                                                                                                            Cygnet Lodge Kenton, London
Our community links:                                                                                                                                      Cygnet Lodge Kewstoke, Somerset
                                                                                                                                                          Cygnet Lodge Lewisham, London
 > Flintshire Local                           >   Mostyn Estate Project
                                                                                                                                                          Cygnet Lodge Salford, Greater Manchester
          Voluntary Council                   >   Learndirect/
                                                                                                                                                          Cygnet Lodge Woking, Surrey
  >       Trelogan Animal                         Deeside College
                                                                                                                                                          Cygnet Oaks, South Yorkshire
          Rescue Centre                       >   Local churches and libraries
                                                                                                                                                          Cygnet Raglan House, West Midlands
                                                                                                                                                          Cygnet Sedgley House &
  Our facilities:                                                                   “Thank you for teaching me the skills to live independently.”         Cygnet Sedgley Lodge, West Midlands
      >    En-suite bedrooms              >       Sensory room                      Service user upon discharge                                           Cygnet Sherwood House, Nottinghamshire
                                                                                                                                                          Cygnet St Augustine’s, Staffordshire
      >    Beauty salon                   >       Snooker and                                                                                             Cygnet St Teilo House, South Wales
                                                  communal lounges                  Positive               Support and guidance
      >    Gym and external
                                                                                    Healthcare             with exploring vocational
                                                                                                                                                          Cygnet Storthfield House, Derbyshire
           personal trainer               >       Spacious garden                                                                                         Community Rehabilitation
                                                  with outdoor seating
                                                                                    Inspectorate           opportunities online and
      >    Learning centre
                                                  overlooking                       Wales                  in the community                               Case Study
           with library                                                             (HIW) report                                                          Map
                                                  Welsh landscapes
      >    IT café
                                          >       Therapy and                                              Extensive on-site MDT
                                                                                                                                                          How to Make a Referral

      >    Therapy kitchen and                    sensory garden                                           providing a wide range of
           laundry room                                                                                    person-centred therapies

15 | Mental Health Rehabilitation and Recovery Services                                                                                                                          Back       Next
Cygnet Fountains, Lancashire                                                                                          Click the buttons to find out more
                                                                                                                                               about our Mental Health Rehabilitation
                         Pleasington Close, Blackburn, Lancashire, North West BB2 1TU
                                                                                                                                               and Recovery Services
                          High Dependency Inpatient Rehabilitation
                                                                                                                                            Introduction
                              18+ years             Male                 27 beds + 5 self contained flats                                   Our Model of Care
                                                                                                                                            Our myPath Care Model
                                                                                                                                            Global Assessment of Progress

C     ygnet Fountains is a high dependency inpatient rehabilitation
      service for men who have severe and enduring mental
illness and who may have been detained under the Mental Health
                                                                            Our facilities:
                                                                                                                                            (GAP) Outcomes
                                                                                                                                            Our Service User Pathways
Act. The individuals we support come to us following multiple                   >   En-suite bedrooms          >   Therapy kitchens         Our Discharge to Assess Programme
placement breakdowns, failed treatment programmes or stepping                   >   Private visitors room      >   IT café                  High Dependency
down from secure settings.                                                                                                                  Inpatient Rehabilitation
                                                                                >   Two large communal         >   Three garden areas and
                                                                                                                                            Cygnet Aspen House, South Yorkshire
Located in the heart of the community in Blackburn, Cygnet                          living rooms                   an allotment
Fountains we have a number of different options to help support                                                                             Cygnet Churchill, London
individuals to move on. We have 5 self-contained flats within                   >   Activities room                                         Cygnet Delfryn House, North Wales
the service to enable service users to build their individual                                                                               Cygnet Delfryn Lodge, North Wales
skills before discharge while still having the full support of the                                                                          Cygnet Fountains, Lancashire
multi-disciplinary team. We also provide a service just 2 miles
                                                                          Our community links:
                                                                                                                                            Cygnet Hospital Colchester, Essex
away from Cygnet Fountains called Vincent Court. This five bed             > Learndirect/                      >   Samlesbury Hall          Cygnet Hospital Derby, Derbyshire
community rehabilitation service is for the men who have been                   Blackburn College              >   Local cinemas &          Cygnet Hospital Maidstone, Kent
able to progress through the hospital pathway who are working               >   Waves Community Gym                10-pin bowling
towards independent living.                                                                                                                 Cygnet Lodge Brighouse, West Yorkshire
                                                                            >   Witton Park for cycling        >   Blackpool Zoo            Cygnet Lodge Kenton, London
Our psychology and occupational therapy led interventions                                                                                   Cygnet Lodge Kewstoke, Somerset
effectively tackle the challenges of mental health and alongside
                                                                                                                                            Cygnet Lodge Lewisham, London
our clinical interventions we help men enhance their personal skills            “The words ‘Thank You’ don’t begin to cover the
to rebuild their lives.                                                                                                                     Cygnet Lodge Salford, Greater Manchester
                                                                                gratitude our family feels towards you and every
                                                                                                                                            Cygnet Lodge Woking, Surrey
Our care embraces a balanced approach to risk management                        member of your amazing staff for the way you
                                                                                                                                            Cygnet Oaks, South Yorkshire
and therapeutic optimism. Service users have access to a range of               help and support our loved one. I would like to go
                                                                                                                                            Cygnet Raglan House, West Midlands
therapies and opportunities and care plans                                      on record and say you are all amazing and very
                                                                                                                                            Cygnet Sedgley House &
are individualised.                                                             special people to want to help the most
                                                                                                                                            Cygnet Sedgley Lodge, West Midlands
When the time is right, access to the local community is an                     vulnerable of society.” Family member
                                                                                                                                            Cygnet Sherwood House, Nottinghamshire
essential step along the pathway to independence, for both                                                                                  Cygnet St Augustine’s, Staffordshire
leisure pursuits and social training such as shopping and using                                                                             Cygnet St Teilo House, South Wales
public transport. External activities are tailored to individual needs          Overall ‘Outstanding’ rating
                                                                                                                                            Cygnet Storthfield House, Derbyshire
and wishes.                                                                     with the CQC, including
                                                                                                                                            Community Rehabilitation
External activities are tailored to individual needs and wishes.                Outstanding in safe,
                                                                                caring and well-led                                         Case Study
Vocational support is provided to help service users prepare
for employment and other vocational activities. The men are                                                                                 Map
supported to create CVs, apply for jobs, practice for and attend                                                                            How to Make a Referral
                                                                            5 self-contained flats to enable individuals
interviews, as well as develop other skills necessary in a
work environment.
                                                                            to build on their living skills before discharge
                                                                            into the community

16 | www.cygnethealth.co.uk                                                                                                                                        Back       Next
Cygnet Hospital Colchester, Essex                                                                                      Click the buttons to find out more
                                                                                                                                                  about our Mental Health Rehabilitation
                           Boxted Road, Mile End, Colchester, Essex, East CO4 5HF
                                                                                                                                                  and Recovery Services
                             High Dependency Inpatient Rehabilitation
                                                                                                                                               Introduction
                                  18+ years               Male          21 beds                                                                Our Model of Care
                                                                                                                                               Our myPath Care Model
                                                                                                                                               Global Assessment of Progress

R   amsey Unit is our high dependency inpatient rehabilitation
    service for men based at Cygnet Hospital Colchester. The
service is delivered in a purpose-built therapeutic environment,
                                                                           Our specialist interventions and approach:
                                                                                                                                               (GAP) Outcomes
                                                                                                                                               Our Service User Pathways
where the focus is on maximising positive outcomes and recovery.           In addition to our psychiatry and nursing interventions we offer:   Our Discharge to Assess Programme
                                                                           Occupational therapy-led interventions:                             High Dependency
By combining a collaborative, multi-disciplinary approach, we                                                                                  Inpatient Rehabilitation
deliver high-quality care within a community atmosphere, while               >    Daily living skills
                                                                                                                                               Cygnet Aspen House, South Yorkshire
focusing on discharge planning from the moment service users                 >    Targeted occupational therapy sessions according to
                                                                                                                                               Cygnet Churchill, London
arrive. Within the service there are four complex care beds for                   service user needs
                                                                                                                                               Cygnet Delfryn House, North Wales
individuals who also have additional complex needs such                      >    Financial management training
as autism.                                                                                                                                     Cygnet Delfryn Lodge, North Wales
                                                                             >    Education and vocational programmes
                                                                                                                                               Cygnet Fountains, Lancashire
Our in-house multi-disciplinary teams include psychiatry,                    >    Therapeutic earnings focusing on career and job
psychology, occupational therapy, nursing, support workers,                       skill development                                            Cygnet Hospital Colchester, Essex
and sessional therapists.                                                    >    Development of social skills and interests                   Cygnet Hospital Derby, Derbyshire
                                                                             >    Activities to improve self-esteem including self-image       Cygnet Hospital Maidstone, Kent
Our recovery programme is delivered in a culture that balances
risk management with therapeutic optimism, where the men we                  >    Creative activities                                          Cygnet Lodge Brighouse, West Yorkshire
support have the opportunity to learn and practice the skills they           >    Cultural and spiritual needs                                 Cygnet Lodge Kenton, London
will need in a safe environment. Alongside our clinical                      >    Social family integration (where appropriate)                Cygnet Lodge Kewstoke, Somerset
interventions, our aim is to help the men in our care to regain              >    Community activities                                         Cygnet Lodge Lewisham, London
their place in the community and to rebuild relationships.                                                                                     Cygnet Lodge Salford, Greater Manchester
                                                                           Psychology-led interventions:                                       Cygnet Lodge Woking, Surrey
                                                                             >    Cognitive Behavioural Therapy (CBT)                          Cygnet Oaks, South Yorkshire
   100% of service users feel that the                                       >    Dialectical Behaviour Therapy (DBT) informed approaches      Cygnet Raglan House, West Midlands
   care and treatment they are receiving                                     >    The Wellness Recovery Action Plan (WRAP®)                    Cygnet Sedgley House &
   is helping them progress towards discharge                                >    Mindfulness                                                  Cygnet Sedgley Lodge, West Midlands
                                                                             >    Coping and emotional regulation skills                       Cygnet Sherwood House, Nottinghamshire

   83% of of individuals discharged                                          >    Functional assessment of behaviour                           Cygnet St Augustine’s, Staffordshire

   from Ramsey Unit in 2020 were able to                                     >    Problem solving approaches                                   Cygnet St Teilo House, South Wales

   move closer to home, or step down along                                   >    Psychometric assessments                                     Cygnet Storthfield House, Derbyshire

   their care pathway into the community                                     >    Cognitive functioning assessments                            Community Rehabilitation
                                                                             >    Psychoeducation                                              Case Study
                                                                             >    Substance misuse awareness and relapse prevention            Map
   “Thank you very much for all you are doing. It is very                    >    Offence-focused interventions                                How to Make a Referral
   much appreciated. Sounds like you have a good                             >    Interventions to increase motivation
   measure of him and he enjoys working with staff.”
   Family member
                                                                             >    Interventions to increase self-esteem
                                                                             >    Individual risk assessments including
                                                                                  HCR-20, SVR-20, PCL-R and SARA
17 | Mental Health Rehabilitation and Recovery Services                                                                                                               Back       Next
Cygnet Hospital Derby, Derbyshire                                                                                         Click the buttons to find out more
                                                                                                                                                    about our Mental Health Rehabilitation
                          100 City Gate, London Road, Derby, Derbyshire, East Midlands DE24 8WZ
                                                                                                                                                    and Recovery Services
                          High Dependency Inpatient Rehabilitation
                                                                                                                                                 Introduction
                                 18+ years             Male             19 beds in 2 wards                                                       Our Model of Care
                                                                                                                                                 Our myPath Care Model
                                                                                                                                                 Global Assessment of Progress

W     yvern Ward is part of Cygnet Hospital Derby and supports
      men in a high dependency inpatient rehabilitation
environment who have severe and enduring mental illness and
                                                                         Wyvern Court is a 3-bed apartment extension to the Wyvern
                                                                         Ward. This supports the care pathway at Cygnet Hospital Derby
                                                                         by enabling service users to experience a form of supported
                                                                                                                                                 (GAP) Outcomes
                                                                                                                                                 Our Service User Pathways
who may have been detained under the Mental Health Act. Men              accommodation before they are discharged, which can help                Our Discharge to Assess Programme
often come to us following multiple placement breakdowns, failed         reduce re-admission rates. Wyvern Court helps to encourage              High Dependency
treatment programmes or stepping down from secure settings.              independence prior to discharge to allow consolidation of the           Inpatient Rehabilitation
                                                                         treatment programme. The service we provide in Wyvern Court             Cygnet Aspen House, South Yorkshire
Wyvern Ward can support up to 16 men, including those with a
                                                                         can be a motivating factor for others within Wyvern Ward itself,        Cygnet Churchill, London
history of absconding. This is due to the enhanced levels of security
                                                                         as there is more independence and it is a step closer to the            Cygnet Delfryn House, North Wales
we can put in place, both physically and relational, and can be
                                                                         community. It is also suitable for those with physical disabilities.
seen as an alternative to low secure provision.                                                                                                  Cygnet Delfryn Lodge, North Wales
                                                                         Activities are not just available during the week on Wyvern, we         Cygnet Fountains, Lancashire
The focus on Wyvern Ward is increasing individual’s life skills to
                                                                         have weekend therapists who organise recreational activities.           Cygnet Hospital Colchester, Essex
prepare them effectively for life outside a hospital environment.
                                                                         These can include walking, going to the cinema, going out for           Cygnet Hospital Derby, Derbyshire
It provides a supportive environment and can be effective for
                                                                         meals and playing football – real life activities that are meaningful
those who may need a longer period of rehabilitation.                                                                                            Cygnet Hospital Maidstone, Kent
                                                                         and enjoyable.
                                                                                                                                                 Cygnet Lodge Brighouse, West Yorkshire
                                                                                                                                                 Cygnet Lodge Kenton, London

  Our facilities:                                                              100%               of individuals discharged in 2020
                                                                                                  were stepping down along their
                                                                                                                                                 Cygnet Lodge Kewstoke, Somerset
                                                                                                                                                 Cygnet Lodge Lewisham, London
    >   En-suite bedrooms              >     Living / games room
                                                                                                  care pathway to the community                  Cygnet Lodge Salford, Greater Manchester
                                                                                                                                                 Cygnet Lodge Woking, Surrey
    >   Therapy kitchen                >     Gym                                                                                                 Cygnet Oaks, South Yorkshire
                                                                           Thank you everyone on Wyvern Ward, a challenging service
    >   Variety of activity rooms      >     IT café                       user was turned around and successfully discharged back to            Cygnet Raglan House, West Midlands
                                                                           his home town where is doing well. Thank you.                         Cygnet Sedgley House &
    >   Courtyard with                 >     Multi-faith room
                                                                                                                                                 Cygnet Sedgley Lodge, West Midlands
        outdoor seating                                                    NHS Commissioner
                                       >     Recovery Academy                                                                                    Cygnet Sherwood House, Nottinghamshire
    >   Dining room                                                                                                                              Cygnet St Augustine’s, Staffordshire
                                                                                                                    Educational                  Cygnet St Teilo House, South Wales
                                                                                                                    Coordinator providing        Cygnet Storthfield House, Derbyshire
 Range of psychology treatments available including:                                                                regular learning and         Community Rehabilitation
   >    Schema therapy                 >   Compassion Focused             Substance misuse workshops               vocational support
                                                                                                                                                 Case Study
   >    Dialectical Behaviour              Therapy (CFT)                                                           including, reading &
                                                                                                                                                 Map
         Therapy (DBT)                 >   Trauma Therapy                 Individuals are supported with            writing, GCSE’s
                                                                                                                    and diplomas                 How to Make a Referral
   >    Cognitive Behavioural         >   Eye Movement                  menu planning, budgeting,
         Therapy (CBT)                      Desensitization and           shopping and cooking
                                            Reprocessing (EMDR)           for themselves

18 | www.cygnethealth.co.uk                                                                                                                                             Back       Next
Cygnet Hospital Maidstone, Kent                                                                                           Click the buttons to find out more
                                                                                                                                                     about our Mental Health Rehabilitation
                           Gidds Pond Way, off Newnham Court Way, Weavering, Maidstone ME14 5FY
                                                                                                                                                     and Recovery Services
                             High Dependency Inpatient Rehabilitation
                                                                                                                                                  Introduction
                                  18+ years               Male           16 beds                                                                  Our Model of Care
                                                                                                                                                  Our myPath Care Model
                                                                                                                                                  Global Assessment of Progress

K    ingswood Ward is our 16 bed high dependency inpatient
     rehabilitation service at Cygnet Hospital Maidstone,
situated in the Kent Medical Campus. The service is delivered in
                                                                          Treatment is offered in a safe, calm and therapeutic environment
                                                                          where service users develop skills for maximising their independence,
                                                                          self-confidence and knowledge of how to manage their mental
                                                                                                                                                  (GAP) Outcomes
                                                                                                                                                  Our Service User Pathways
a purpose-built therapeutic environment, where the focus is on            wellbeing. We work compassionately and collaboratively with the         Our Discharge to Assess Programme
maximising positive outcomes, recovery and reintegration into             service users and their families (where appropriate), using recovery    High Dependency
the community.                                                            based and person-centred approaches. The average expected               Inpatient Rehabilitation
                                                                          length of stay in Kingswood Ward is between 9 and 18 months.            Cygnet Aspen House, South Yorkshire
By combining a collaborative, multi-disciplinary approach and
state-of-the-art facilities, we deliver high-quality care within a        Our facilities:                                                         Cygnet Churchill, London
community atmosphere, while focusing on discharge planning from                                                                                   Cygnet Delfryn House, North Wales
the moment individuals arrive.                                             > En-suite bedrooms                 >   On-ward IT /
                                                                                                                                                  Cygnet Delfryn Lodge, North Wales
                                                                           > Outdoor areas including               computer room
                                                                                                                                                  Cygnet Fountains, Lancashire
Our recovery programme is delivered in a culture that balances                 ward garden and                 >   Games room
                                                                                                                                                  Cygnet Hospital Colchester, Essex
risk management with therapeutic optimism, where men have
the opportunity to learn and practice the skills they will need in a
                                                                               communal roof terrace           >   Separate laundry room          Cygnet Hospital Derby, Derbyshire
completely safe environment.                                               >   On-ward therapy kitchen         >   Extensive therapy space        Cygnet Hospital Maidstone, Kent
                                                                           >   Dining room                         including Recovery             Cygnet Lodge Brighouse, West Yorkshire
Kingswood Ward provides a high level of therapeutic care and
support that is underpinned by knowledge and practice of                   >   Quiet room                          College classrooms
                                                                                                                                                  Cygnet Lodge Kenton, London
evidence-based interventions, delivered by a highly experienced            >   Gym and outdoor                 >   Service user café              Cygnet Lodge Kewstoke, Somerset
multi-disciplinary team. Our individualised and group treatment                exercise area                                                      Cygnet Lodge Lewisham, London
programmes have clearly defined goals and outcomes for our                                                                                        Cygnet Lodge Salford, Greater Manchester
service users. Our recovery principles are built around hope,               Our therapies and treatments:                                         Cygnet Lodge Woking, Surrey
empowerment, wellness, personal responsibility, community focus
and connectedness.
                                                                               >   Recovery focused care       >   Anger and anxiety              Cygnet Oaks, South Yorkshire
                                                                                   planning                        management                     Cygnet Raglan House, West Midlands
We aim to integrate the hospital into local and regional care                                                                                     Cygnet Sedgley House &
pathways and community services, with the focus on care close to
                                                                               >   Cognitive Behavioural       >   Offence related work
                                                                                                                                                  Cygnet Sedgley Lodge, West Midlands
                                                                                   Therapy (CBT)                   (where applicable)
families and friends, lowest length of hospital stay, and reducing the                                                                            Cygnet Sherwood House, Nottinghamshire
chances of re-admission.                                                       >   Mindfulness                 >   Physical health care           Cygnet St Augustine’s, Staffordshire
                                                                                                                   management
                                                                               >   Emotional regulation                                           Cygnet St Teilo House, South Wales

                                                                               >   Self-harming reduction
                                                                                                               >   Behaviour analysis and         Cygnet Storthfield House, Derbyshire
                                                                                                                   problem-solving                Community Rehabilitation
                                                                                   and management
                                                                               >   Substance misuse and
                                                                                                               >   Life and social skills         Case Study
                                                                                                                   training                       Map
                                                                                   relapse prevention work
                                                                               >   Trauma, grief and loss
                                                                                                               >   Educational Support /          How to Make a Referral
                                                                                                                   Recovery College
                                                                               >   Psychoeducation
                                                                                                               >   Creative activities

19 | Mental Health Rehabilitation and Recovery Services                                                                                                                  Back       Next
Cygnet Lodge Brighouse, West Yorkshire                                                                           Click the buttons to find out more
                                                                                                                                          about our Mental Health Rehabilitation
                         60 Rastrick Common, Brighouse, West Yorkshire HD6 3EL
                                                                                                                                          and Recovery Services
                          High Dependency Inpatient Rehabilitation
                                                                                                                                       Introduction
                              18+ years            Male                  21 beds including a 3 bed step-down apartment                 Our Model of Care
                                                                                                                                       Our myPath Care Model
                                                                                                                                       Global Assessment of Progress

C     ygnet Lodge Brighouse is a high dependency inpatient
      rehabilitation service for men. The emphasis within the service
is on preparing individuals for discharge or to support
                                                                            Our facilities:
                                                                                                                                       (GAP) Outcomes
                                                                                                                                       Our Service User Pathways
with longer term optimal functioning.
                                                                             > En-suite bedrooms                                       Our Discharge to Assess Programme

Cygnet Lodge Brighouse can support up to 21 men in a relaxed,
                                                                             > Three bedroom apartment                                 High Dependency
                                                                                                                                       Inpatient Rehabilitation
calm and friendly environment. The focus is on helping individuals           > Variety of activity rooms and an IT café                Cygnet Aspen House, South Yorkshire
increase their independence wherever possible through work and
education, as well as social and leisure facilities, offering a slower       > Multi-faith room                                        Cygnet Churchill, London
stream rehabilitation service where needed.                                  > Family visiting room                                    Cygnet Delfryn House, North Wales
                                                                                                                                       Cygnet Delfryn Lodge, North Wales
As part of the service, we also provide a three-bed apartment,               > Spacious enclosed garden with allotment area            Cygnet Fountains, Lancashire
Rastrick View. This helps support service users to prepare effectively
for discharge by further encouraging independence, while                                                                               Cygnet Hospital Colchester, Essex
maintaining the inputs of the service and staff support where                                              Our nursing team            Cygnet Hospital Derby, Derbyshire
needed. It also provides the chance to evaluate what support a                                             have a combined             Cygnet Hospital Maidstone, Kent
person may need on leaving the service, which can help prevent
                                                                            We are a SMART                 166 years’ service          Cygnet Lodge Brighouse, West Yorkshire
readmissions and support positive discharges.
                                                                            Recovery Partner               with the organisation       Cygnet Lodge Kenton, London
We encourage service users to set their own recovery goals                  which enables progress to                                  Cygnet Lodge Kewstoke, Somerset
and work collaboratively to achieve success. We provide a                   continue into onward                                       Cygnet Lodge Lewisham, London
variety of structured activities, which are led by a wide range             community placements                                       Cygnet Lodge Salford, Greater Manchester
of experienced, multi-disciplinary professionals. These include                                                                        Cygnet Lodge Woking, Surrey
psychiatrists, associate specialists, mental health nurses,                                                                            Cygnet Oaks, South Yorkshire
psychologists, occupational therapists, an activities co-ordinator          Provide a variety of structured activities,                Cygnet Raglan House, West Midlands
and an art therapist.
                                                                            which are led by a wide range of                           Cygnet Sedgley House &
At Cygnet Lodge Brighouse, we understand that having a history                                                                         Cygnet Sedgley Lodge, West Midlands
of substance misuse is common and requires assessment and
                                                                            experienced multi-disciplinary professionals
                                                                                                                                       Cygnet Sherwood House, Nottinghamshire
intervention. To support this we have a fully integrated substance                                                                     Cygnet St Augustine’s, Staffordshire
misuse service, facilitating 1:1 and group sessions and encouraging                                                                    Cygnet St Teilo House, South Wales
the men we support to attend SMART Recovery Meetings. We are                We encourage the men we support
                                                                            to set their own goals and work                            Cygnet Storthfield House, Derbyshire
also a SMART Recovery partner.
                                                                            collaboratively to achieve success.                        Community Rehabilitation
We employ our own in-house substance misuse practitioner who
                                                                                                                                       Case Study
provides individual and group support to service users with needs
associated with substance misuse.                                           The substance misuse team are so down to earth and         Map
                                                                            support me without judging me. All of the staff care and   How to Make a Referral
                                                                            everyone have been really nice to me since I arrived.
                                                                            Service user

20 | www.cygnethealth.co.uk                                                                                                                                   Back       Next
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