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Cygnet Health Care

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Cygnet Health Care is an independent[1] provider of health and social care services for young people and adults with mental health needs, acquired brain injuries, eating disorders, autism and learning disabilities within the UK.

Cygnet Health Care
IndustryMental health care
HeadquartersSevenoaks, Kent, England
Number of locations
150 centres
15 rehabilitation sites
SubsidiariesAdult services business of Cambian Group PLC
Websitewww.cygnethealth.co.uk

It is a subsidiary of Universal Health Services, which acquired it for £205 million in 2014.[2]

It has 150 services, operating across 14 different service lines and has a workforce of nearly 11,000 people.[3] Following a consultation with its staff and stakeholders, in May 2023 the company announced it had developed its brand into health care and social care divisions, with an overarching Cygnet as its umbrella.[4]

In December 2016 it bought the adult services business of Cambian Group PLC in a deal worth £377 million.[5] The deal was referred for investigation by the Competition and Markets Authority in May 2017,[6] which ordered the merged company to sell one of its hospitals in the East Midlands, to counter the loss of competition.[7]

Stephen Firn, former chief executive of Oxleas NHS Foundation Trust and a non-executive director of the company, was appointed to lead the healthcare division in 2022.[8]

Performance

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In 2020 it established an independent advisory board. Clare Gerada joined it in March 2021.[9]

Adolescent care

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In 2017 the CQC raised concerns about the safety and quality of the firm's hospitals in Sheffield and Woking.[10] It ordered admissions to be suspended at Knole Ward at the Cygnet Hospital at Godden Green, near Sevenoaks, which operates a tier 4 child and adolescent mental health service because of concerns about the use of seclusion and segregation.[11] The company announced in November 2017 that it would no longer provide children and adolescents' mental health services in its regional psychiatric intensive care unit at Cygnet Hospital Woking.[12] In December 2017, Cygnet Health Care was accused of failing vulnerable young patients[13] Three warning notices and fixed penalty notices for failing to make "required notifications" of patient safety incidents were issued by the CQC after an "urgent" inspection in November 2017. The Cygnet Hospital Godden Green was restricted to eight admissions. It was said that staff were "often reliant on police intervention" to manage incidents in the hospital, and were not always competent and skilled.[14] It was rated good after an inspection in February 2018.[15] Plans to open 12 CAMHS eating disorder beds at Godden Green in 2019 were paused after three incidents at the hospital. The CQC issued two warning notices around safe care and treatment, and good governance.[16] In July 2019 the CQC imposed two requirement notices – relating to safe medicines management and having a permanent registered manager - in place on the Godden Green hospital but lifted the restriction on the number of admissions.[17] In October 2020 the child and adolescent mental health unit at Godden Green was closed down by the Care Quality Commission.[18]

Services for people with learning difficulties and/or autism

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Cygnet Woodrow House, a care home for people with learning disabilities and autism, was rated outstanding by the CQC in March 2020. Inspectors said there was "an excellent understanding of seeing each person as an individual, with their own social and cultural diversity, values and beliefs". Cygnet Sherwood House, a learning disability hospital, and Sherwood Lodge, a specialist rehabilitation mental health hospital, were rated outstanding by the CQC in May 2019, with inspectors noting that staff followed best practice and people using the service were treated with compassion and kindness.

In September 2020, Peter Gibson, MP for Darlington, visited Cygnet St Williams, a neuropsychiatric hospital, after it was awarded a Good rating on its first CQC inspection.[19]

Newbus Grange

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A patient was found with "unexplained injuries", patients had chances to kill themselves and staff were asleep on duty, men with autism, learning disabilities and complex needs were restrained by staff through "inappropriate techniques" at Cygnet Newbus Grange hospital, in Darlington. That was the sixth time in 2019 that the CQC found a mental health unit that Cygnet runs inadequate. Sean McNulty, who worked at Newbus Grange, was imprisoned for abuse and ill-treatment of residents. Judge Peter Armstrong described McNulty as a, "sadistic bully", McNulty was found in CCTV footage punching, kicking or slapping one patient 15 times. This was one of four inpatient units which were previously operated by the Danshell Group and acquired by the company in 2018. All four were condemned by the CQC.

Yew Trees hospital

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In July 2020 the company reported staff at Yew Trees hospital in Kirby-le-Soken, which had eight women with learning disabilities, to the Care Quality Commission. They closed the hospital and reported the mistreatment to Essex Police. This included people who they believed witnessed the alleged incidents and failed to report them.[20] This was also one of four inpatient units which were previously operated by the Danshell Group and acquired by the company in 2018. All four were condemned by the CQC.

CQC concerns

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In 2011 the company was warned by the Care Quality Commission (CQC) about staffing levels at Cygnet Wing Blackheath.[21] Improvements were still required at the CQC inspection in April 2014.[22]

In 2013 the CQC issued a warning in respect of Cygnet Hospital Bierley because the service was failing to ensure that appropriate records were kept.[23]

Cygnet was the subject of a BBC investigation that found that staff within an inpatient unit previously operated by the Danshell Group, had been taunting, provoking and scaring vulnerable people.[24]

Cygnet Acer Clinic in Chesterfield was placed in special measures in September 2019 and admissions to Cygnet Acer Clinic were suspended. At that point Newbus Grange hospital in Darlington (see below), Cygnet Hospital Ealing, Cygnet Hospital Wyke in Bradford, Cygnet Hospital Coventry and Cygnet Hospital Colchester were also in special measures.[25]

After its eighth site, Cygnet Acer Clinic in Derbyshire, was rated "inadequate" in just over a year the company accused the CQC of publishing an "inaccurate picture". The CQC found three-quarters of nursing staff at the Clinic, which provides treatment for 28 female patients with personality disorders and who self-harm, were unqualified, and suspended admissions.[26]

After an assessment of its leadership CQC inspectors said they could not find a "clear line of accountability" across the provider's 140 locations. They said most of the company's services were rated as "good" and some as "outstanding". They found that checks to make sure the directors and board members were 'fit and proper' "had not been carried out" and there was no evidence of references having been taken up during recruitment or that insolvency and bankruptcy searches were done. Cygnet commissioned a corporate governance review by an independent person and took action to make improvements. In response to the CQC review, Cygnet said in a letter published by the BMJ that, following checks verified by lawyers, it was satisfied it was fully compliant and there were no issues around directors' capability, experience, or qualifications.[27]

In April 2021 the company was warned by NHS England that it would not tolerate its repeated service failures in the dozen sites which are directly commissioned by NHSE.[28] In August 2021 it was warned to make rapid improvement actions, which "includes halting further growth plans, while they focus on rapidly delivering patient safety improvements".[29]

See also

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References

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  1. ^ "Quality Account" (PDF). Cygnet Health Care. Archived from the original (PDF) on 31 October 2020.
  2. ^ "UHS bolts Alpha Hospitals onto Cygnet". Health Investor. 19 August 2015. Archived from the original on 23 September 2015. Retrieved 27 August 2015.
  3. ^ https://www.cygnetgroup.com/wp-content/uploads/2023/10/CYG-01-ServiceDirectory-V90_Web.pdf [bare URL PDF]
  4. ^ "Cygnet establishes two divisions as part of rebrand". 16 May 2023.
  5. ^ "Cambian Agrees £377M Disposal". Insider media. 5 December 2016. Retrieved 15 December 2016.
  6. ^ "Cambian Adult Services Unit Sale To Face In-Depth UK Competition Probe". London South East. 3 May 2017. Retrieved 30 May 2017.
  7. ^ "Competition regulator orders hospital sale". Health Service Journal. 16 October 2017. Retrieved 23 December 2017.
  8. ^ "Trust boss joins 'service failures' private provider". Health Service Journal. 13 July 2022. Retrieved 26 August 2022.
  9. ^ "Daily Insight: Don't lose the lessons". Health Service Journal. 23 March 2021. Retrieved 23 March 2021.
  10. ^ "Second private hospital stops taking new patients after CQC concerns". Health Service Journal. 18 October 2017. Retrieved 23 December 2017.
  11. ^ "Third Cygnet hospital criticised by CQC". Health Service Journal. 31 October 2017. Retrieved 24 December 2017.
  12. ^ "Private provider shuts children's unit after regulators intervene". Health Service Journal. 2 November 2017. Retrieved 25 December 2017.
  13. ^ Smith, Patrick (16 December 2017). "A Chain Of Private Psychiatric Hospitals Has Been Accused Of Failing Vulnerable Young Patients". Buzzfeed. Retrieved 6 January 2018.
  14. ^ "Private provider suspected of criminal offence by CQC". Health Service Journal. 2 February 2018. Retrieved 31 March 2018.
  15. ^ "Cygnet mental health hospital makes 'significant improvements'". Health Service Journal. 9 May 2018. Retrieved 13 August 2018.
  16. ^ "Specialist beds delayed after child welfare concerns". Health Service Journal. 4 April 2019. Retrieved 13 May 2019.
  17. ^ "Private mental health hospital told to improve safety". Health Service Journal. 17 July 2019. Retrieved 26 August 2019.
  18. ^ "Private children's unit shut down after CQC safety concerns". Health Service Journal. 28 October 2020. Retrieved 13 December 2020.
  19. ^ "Peter Gibson, MP for Darlington, visits Cygnet St William's". Cygnet Health Care. 1 September 2020. Retrieved 17 November 2020.
  20. ^ "Staff at private hospital caught on CCTV kicking and slapping vulnerable patients". Independent. 23 September 2020. Retrieved 25 September 2020.
  21. ^ "CQC warns Cygnet Health Care Limited that it is failing to protect the safety and welfare of people". Care Quality Commission. Archived from the original on 5 May 2014. Retrieved 4 May 2014.
  22. ^ "Cygnet Wing Blackheath". Care Quality Commission. Retrieved 4 May 2014.
  23. ^ "CQC warns Cygnet Health Care Limited that they must make improvements". Care Quality Commission. Archived from the original on 5 May 2014. Retrieved 4 May 2014.
  24. ^ "Secret filming reveals abuse of disabled and autistic patients. Earlier this month Sean McNulty, a member of staff at Newbus Grange, was jailed for abusing and ill-treating residents. Sentencing him to two years and eight months in prison Judge Peter Armstrong said he was a "sadistic bully". CCTV footage had shown McNulty punching, kicking or slapping one patient 15 times". 23 May 2019. Retrieved 23 May 2019.
  25. ^ "Sixth Cygnet-run facility placed in 'special measures' by CQC". Nursing Times. 13 November 2019. Retrieved 20 November 2019.
  26. ^ "Private provider sees eighth site rated 'inadequate'". Health Service Journal. 15 November 2019. Retrieved 8 January 2020.
  27. ^ "Cygnet committed to working openly and transparently to deliver safe, effective and quality care". 15 November 2020.
  28. ^ "NHS England warns provider it 'will not tolerate' further service failures". Health Service Journal. 30 April 2021. Retrieved 18 May 2021.
  29. ^ "Mental Health Matters: Serious intervention or empty threat?". Health Service Journal. 31 August 2021. Retrieved 16 October 2021.
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