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Cygnet Bury Hudson

Type Independent Healthcare Org Region North West Last inspected 9 Mar 2023

Overall rating: Requires Improvement  View full CQC report

Domain ratings

Five CQC key questions
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Good
Well-led
Requires Improvement

Earlier inspection findings

pre-2024 framework · 5 must-do 4 should-do

Must-do actions (5)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 5
Must do
Well-led
The service must ensure that care records are contemporaneous and complete. Patient risk assessments must be updated following incidents and without delay.
Regulation: Regulation17(2)(c)
⚠ The service did not ensure that carerecordswere contemporaneousandcomplete.Patientriskassessmentswerenotupdatedfollowingincidentsandwithoutdelay.
Must-do action 2 of 5
Must do
Well-led
The service must ensure that there are systems and processes that effectively identify and address service quality issues. This includes, contemporaneous care records, medicine management, ward and seclusion environments, staff training oversight, risk assessments and MHA and MCA documentation.
Regulation: Regulation17(2)(a)
⚠ The service did not ensure that there were systems and processes that effectively identified and addressed service quality issues. This included, contemporaneous care records, medicine management, ward and seclusion environments, risk assessments and MHA and MCA documentation.
Must-do action 3 of 5
Must do
Safe
The service must ensure that medicines are managed safely. All medicines must have an expiry date clearly displayed.
Regulation: Regulation12(2)(g)
⚠ The service did not ensure that medicines were managed safely. There were medicines that did not have an expiry date clearly displayed.
Must-do action 4 of 5
Must do
Safe
The service must ensure that ward environments are properly maintained and that redecoration is planned and completed promptly.
Regulation: Regulation15(1)(e)
⚠ The service did not ensure that ward environments were properly maintained and that redecoration was completed promptly.
Must-do action 5 of 5
Must do
Caring
The service must ensure that privacy and dignity of patients is maintained at all times. Seclusion suites must have easy access to bathroom facilities and outside space.
Regulation: Regulation10(2)(a)
⚠ The service did not ensure that privacy and dignity of patients was maintained at all times. Seclusion suites did not have easy access to bathroom facilities and outside space.

Should-do actions (4)

Recommended improvements to enhance service quality.

Should-do action 1 of 4
Should do
Well-led
The service should ensure that it continues to improve the electronic care records system to include Mental Health Act and Mental Capacity Act paperwork to avoid confusion and duplication.
Should-do action 2 of 4
Should do
Well-led
The service should consider including Mental Health Act and Mental Capacity Act training figures within its mandatory training compliance set to ensure better oversight of this data.
Should-do action 3 of 4
Should do
Safe
The service should ensure that epilepsy care plans are detailed for staff to follow.
Should-do action 4 of 4
Should do
Responsive
The service should consider ways to improve the quality of the food given considering the poor feedback from patients directly and within surveys.

Previous inspection

9 September 2022
RatingInadequate
TypeComprehensive inspection
Actions 6 must-do 13 should-do
10 resolved 7 repeated 2 partial

Location details

CQC ID: 1-10758543410
Local authority: Bury
Region: North West

Inspection report

Type: Comprehensive inspection
Date: 9 March 2023
Rating: Requires Improvement
Actions: 5 must-do 4 should-do
AI-extracted 17 Feb 2026