Secure Services

Medium Secure Mental Health Medium Secure Personality Disorder Medium Secure Deafness and Mental Health Low Secure Mental Health Low Secure Personality Disorder Low Secure Autism Spectrum Disorder and Mental Health Low Secure Deafness and Mental Health

www.cygnethealth.co.uk | 1 Welcome

Cygnet Health Care was established in 1988. We maintain a good relationship with our Since then we have developed a wide range quality regulators and undergo regular of services for individuals with mental health inspections, with 82% of our services rated needs, autism and learning disabilities within ‘Good’ or ‘Outstanding’. We also operate an the UK. We have built a reputation for delivering internal system of quality care, treatment and pioneering services and outstanding outcomes positive outcomes. for the individuals in our care.

Our expert and highly dedicated care team of 10,000 employees empower 2,864 individuals across 150 services to consistently make a positive difference to their lives, through service user focused care and rehabilitation.

Contents Introduction 3 Cygnet Hospital Maidstone, South East 17 Our myPath Care Model 4 Cygnet Hospital Sheffield, Yorkshire and Humber 18 Service User Engagement and Co-production 6 Cygnet Hospital Stevenage, East 10 Recovery College 8 Cygnet Hospital Woking, South East 19 Medium Secure Mental Health Cygnet Hospital Bury, North West 9 Low Secure Personality Disorder Cygnet Hospital Stevenage, East 10 Cygnet Hospital Clifton, East Midlands 20 Cygnet Hospital Derby, East Midlands 15 Medium Secure Personality Disorder Cygnet Hospital Bury, North West 9 Low Secure ASD and Mental Health Cygnet Hospital Harrow, London 21 Medium Secure Deafness and Mental Health Cygnet Hospital Bury, North West 9 Low Secure Deafness and Mental Health Cygnet Hospital Bury, North West 9 Low Secure Mental Health Cygnet Hospital Bierley, Yorkshire and Humber 13 Outcomes 22 Cygnet Hospital Blackheath, London 14 Map 24 Cygnet Hospital Bury, North West 8 How to Make a Referral 27 Cygnet Hospital Derby, East Midlands 15 Cygnet Hospital Kewstoke, South West 16

2 | www.cygnethealth.co.uk Introduction

ygnet Health Care offers a nationwide Cygnet Health Care’s comprehensive network C network of secure mental health services, of integrated care pathways means we can providing over 358 beds across medium and support individuals to move through their low secure wards. This includes a range of recovery journey from medium to low secure, highly specialist services for Deaf service users and onto specialist step-down rehabilitation and individuals with a personality disorder or services as required. This approach helps to autism spectrum disorder. shorten the length of time an individual stays within services, improving the experience for Our secure services are therapy and recovery the service user and enhancing value with NHS focused, providing assessment, treatment commissioners. and rehabilitation for both men and women. The aim is to effectively progress service users We are able to provide a comprehensive though the secure care pathway, into the least prison transfer assessment service for prisoners, restrictive environment possible while working including those who have yet to be sentenced to reduce the possibility of readmission back and who need an assessment and clinical into secure care. recommendation for the courts.

Our service user profile:

Age Range: > Detained under the Mental Health Act, including those under Ministry of Justice restrictions 18+ > Requiring assessment and treatment in a secure environment > Presenting active or potential risk to others Gender: > Have a diagnosis of: o Severe and enduring mental health problems Male/ o Psychotic disorder Female o Schizoaffective disorder o Schizophrenia o Personality disorder > May be exhibiting dangerous and challenging behaviour Mental Health > May have dual diagnosis with substance misuse Act Status: > May require a specialist service for treatment or Detained management of personality disorder, autism spectrum disorder or communication needs relating to deafness

www.cygnethealth.co.uk | 3 Our services at a glance: Medium to Low Secure pathway Specialist inputs as appropriate including DBT, Communication and Translation specialist, Extensive multi-disciplinary team input Speech and Language Therapy Sex Offender Treatment Programmes Substance misuse treatment programmes (SOTP) 100% CQUIN compliant Other offender related programmes including fire setting Recovery colleges Substance misuse treatment Quality Network for Forensic Mental Health programmes Services accredited

Our multi-disciplinary teams: Consultant psychiatrists and specialty Occupational Therapy doctors Social work Clinical and forensic psychology Substance misuse practitioners Nursing Service User Engagement and Recovery College Leads

Our myPath Care Model

To ensure we cater for each person’s journey and achieve long-term results, we have created a unique approach to secure care for our service users. Our aim is to balance recovery with security and ensure that each service user is able to participate safely and as fully as possible in their care to achieve a successful discharge from hospital. To help achieve this we apply our care model, myPath.

myPath is our overarching care model that serves to monitor service user engagement levels, manage their records, assess individual progress and formulate a personalised and dynamic care plan with measurable targets. Within our secure services, myPath is structured to support individuals with a range of complex care needs including personality disorder, mental illness, ASD and communication needs relating to Deafness, working with them to develop truly individualised programmes that support them through their pathway.

For each individual, a daily risk assessment is completed, which enables dynamic responses to individual presentation within any 24 hour period and ensures immediate support is provided. Each individual is offered a minimum of 25 hours meaningful activity each week, which is evidenced and documented within an individualised activity timetable based around understanding mental health needs and developing daily living skills. All individual care pathways are reviewed in full by the multi-disciplinary team on a weekly basis and guided by a dynamic care plan that is closely linked to our specialist outcome tool, the Global Assessment

4 | www.cygnethealth.co.uk of Progress (GAP). In our secure services, the GAP allows us to measure an individual’s progress during their admission, plot the positive developments and changes in well being, whilst formulating plans over potential future risks for longer term management.

In applying myPath, our team is able to be responsive in their approach, determine length of stay, and ensure that people can move as quickly as possible to the most appropriate and least restrictive environment.

Our approach All of Cygnet’s secure services are recovery and outcome-focused and are underpinned by My Shared Pathway. The aim of My Shared Pathway is to support the planning of a person’s time in hospital, encouraging the individual to work collaboratively with clinical and therapy teams to identify outcomes that will help reduce their time spent in secure care.

Collaborative risk assessment is key to engaging people and empowering them to take ownership of their recovery journeys.

Our hospitals have extensive multi-disciplinary teams offering a wide range of therapies. We offer a “working week” of therapeutic input to enable people to engage in a minimum of 25 hours of structured therapy and meaningful activity per week. We develop tailor-made rehabilitation programmes, which aim to:

> Provide rehabilitation tailored to individual needs > Identify recovery goals in collaboration with the individuals > Help people regain independence by maximising skills potential > Work with local services to aid reintegration into the community > Effectively balance therapy and security

www.cygnethealth.co.uk | 5 Service User Engagement and Co-production

Service user engagement is at the heart of what we do and we believe we are one of the industry’s leading providers in this regard.

Locally at each of our hospitals, service users are placed firmly at the centre of their own care and treatment:

Care planning and Morning Ward risk assessment planning rounds with MDT meetings

20 CPA Community standards meetings

Representation at Participation in ward governance Service user and staff and service and hospital carer satisfaction development departmental surveys meetings

In addition to the engagement and co-production evidenced daily on a local level at our units, some examples of initiatives our service users have been involved with co-producing across the organisation include:

> The National Service User Awards > Reducing Restrictive Practice initiatives > The People’s Council > Recovery Colleges > Experts by Experience > The Dragon’s Den

6 | www.cygnethealth.co.uk Our outcome tools > HCR-20 > HoNOS Secure / Clustering > STAR / START risk assessment > My Shared Pathway > EssenCES > Global Assessment of Progress (GAP) > Recovery Star > MOHOST > MoPPs (Move on Plans Protocol) > BPRS, LUNSERS > Assessment of Communication and Interaction Skills (ACIS)

Measures 1 Improved quality of life 2 Greater autonomy and independence 3 Reduction in risk behaviour and improved mental, physical and social wellbeing 4 Reduction in length of stay in secure hospitals

www.cygnethealth.co.uk | 7 Recovery College

Cygnet Health Care recognises that each person The Recovery Colleges are based upon is an expert in their own care and through our college principles in all aspects of their culture Recovery Colleges we work together with each and operation, taking an educational approach student on their own personal recovery journey, to recovery. whatever that may be. Working in co-production, the Recovery Our Recovery Colleges offer educational courses Colleges are places where the expertise of designed to provide increased understanding those with lived experience is blended with of mental health and support people through that of professional health care practitioners, their recovery, promoting hope, opportunity reframing the nature of the relationship between and aspirations for the future. Service users are professionals and people who use services to empowered to become experts in their own one of shared learning and co-production. wellbeing and recovery. Although accredited courses are on offer, the Each of our Recovery Colleges are unique and Recovery College is not a substitute for general have been developed in co-production with the education and opportunities offered by local service users at our secure care services. With educational establishments. It can, however, a wide range of courses on offer from mental provide a route on to mainstream education health awareness, mindfulness, healthy living, via, for example, ‘return to study’ courses or maths, English, music, film production and more, provide people with an opportunity to build self- there is something for everyone. Courses are run confidence to progress if they choose. on site by service users or staff members for their peers and are designed to suit all skill levels and abilities.

“As a student and an expert by experience I find the Recovery College interesting and enables me to learn something new whilst I am in hospital. I enjoy the time I spend in the Recovery College and it is giving me the confidence to go and do other things.” Student and expert by experience Cygnet Hospital Bierley

“I have found it useful to be more actively engaged in the co-production side and it has helped to build up my confidence making me feel that I can do the same in the future” Student and expert by experience Cygnet Hospital Beckton

8 | www.cygnethealth.co.uk Cygnet Hospital Bury, North West Buller Street, off Bolton Road, Bury, North West BL8 2BS Medium Secure MH Medium Secure PD Medium Secure Deafness & MH Low Secure Mental Health Low Secure Deafness & Mental Health

18+ Male and Female 126 beds in 9 wards

ygnet Hospital Bury provides a wide range Treatment is based on the principles of C of inpatient mental health services for men recovery including psychological therapies, and women, including medium and low secure occupational therapy, social therapy, physical and specialist Deaf and personality healthcare and medication. Risk assessment disorder services. tools are used and a clinical formulation is developed to inform the management plans Medium Secure for each patient. Lower East Is our medium secure service for men with mental Therapy and Activity Programmes: illness and complex needs who present with a high Programmes are tailored to individual needs level of risk, and where other services may have and our MDT work with service users to identify struggled to diagnose. We work with individuals treatment options. Our full range of programmes to develop truly individualised programmes that includes: support them through their care pathways. We are able to admit service users with a dual diagnosis > DBT of mental illness and personality disorder, autism > ASSIST (PD intervention) spectrum disorder or learning disability. > EMDR > Fire setting Upper West > Life Minus Violence Is our medium secure service for both hearing > CBT for psychosis and Deaf women, supporting those with a range > Schema Therapy of complex needs including personality disorder, > Sex Offender Treatment Programme (SOTP) mental illness and detachment disorders. > Substance misuse > Adapted therapy programmes for We also provide two medium secure services Deaf patients that specialise in treating men with a diagnosis of personality disorder at Cygnet Hospital Bury; Service users are also supported by our Madison and Columbus Wards. psychology and occupational therapy departments in anger management, social Low Secure skills development, daily living skills, healthy East Hampton and Upper East living, IT skills training, education and Are our low secure services for men with mental vocational development. illness, and both support men experiencing complex mental illness and/or personality disorder.

Lower West Our Facilities: Is our female low secure service, which is able to > En-suite bedrooms support both hearing and Deaf women. > Range of communal spaces We also provide Deafness and mental health > Gym low secure services on Bridge Hampton and > Laundry West Hampton Wards. > Occupational therapy kitchen Across all of our medium and low secure > Therapy garden services, service users are supported by a > External sports pitch dedicated multi-disciplinary team who work with people to assess their needs and create > Woodland walkways down to the a discharge pathway to the community. Elton Reservoir

www.cygnethealth.co.uk | 9 Cygnet Hospital Stevenage, East Graveley Road, Stevenage, Hertfordshire, East SG1 4YS Medium Secure Mental Health Low Secure Mental Health

18+ Male and Female 44 beds in 3 wards

ygnet Hospital Stevenage provides Therapy Programme C a range of secure services for men and women in medium and low secure Dialectical Behaviour Therapy (DBT) is our environments. We provide assessment, core therapy programme, and in 2017 we treatment and specialist therapies for were delighted to be awarded an Association individuals with a range of mental illness. of Psychological Therapies (APT) Award for Excellence in DBT in recognition of the Peplau Ward is our medium secure service innovative ways we have overcome the for men. The service can support individuals challenges of delivering this complex therapy who may experience behaviours that are in a secure setting. challenging, including self-harm or aggression. This can include individuals who might be Group Therapy considered a risk to others or who have been involved in the criminal justice system. Many > Dialectical Behaviour Therapy (DBT) service users in our medium secure services > Fire setting Intervention Programme for have experienced difficulties with substance Mentally Disordered Offenders (FIP-MO) misuse, legal highs and alcohol. > Substance Misuse Programme (SMU) Saunders Ward is our male low secure service, > Sex Offender Treatment Programme for and Tiffany Ward is our female low secure Mentally Disordered Offenders (SOTP-MO) service. Our low secure services provide intensive rehabilitation designed to support Individual Therapy people to move safely along their care > Cognitive Analytic Therapy (CAT) pathway in a safe environment. There is a > Cognitive Behavioural Therapy (CBT) dynamic programme of therapy and activity, designed to support the transition between > Schema Focused Therapy inpatient services and the community. > Acceptance and Commitment Therapy (ACT) The aim of our secure services is to help people learn how to manage their mental health and There are also drop-in clinics and weekly groups reinforce their daily living skills, to prepare them including fire setting, mental health awareness for life in a community setting, or in the least groups, a cognitive behavioural therapy for restrictive environment possible. psychosis programme, substance misuse support and offence related rehabilitation All wards at Cygnet Hospital Stevenage groups such as Reasoning and Rehabilitation. work closely together to provide a seamless secure care pathway for men and women. Working closely with NHS case managers and commissioners, we are able to provide solutions for service users requiring step-down service options both on-site at Cygnet Hospital Stevenage and across our national network of rehabilitation and specialist services.

10 | www.cygnethealth.co.uk Graveley Road, Stevenage, Hertfordshire, East SG1 4YS Psychological Assessment and Treatment Pathway We provide a comprehensive psychological assessment and therapy programme across our four secure wards at Cygnet Hospital Stevenage. Our psychologists are trained in a variety of psychological assessment and therapeutic models, allowing them to offer a personalised package of assessment and therapies to service users.

BPRS/MCMI-III Motivational Work

Joint Formulation Assessment Stage HCR-20 Assessment Specialist Diagnostic Assessment Neuropsychological Assessment (ADOS/IPDE/PCL-R) (WAIS/R-BANS etc)

Behavioural Management Plans Stage One - Treatment Mental Health Awareness (RAID) Stabilisation Dialectical Behavioural Therapy CBT (Psychosis/ (Full programme & Skills Anxiety Depression) Group only)

Acceptance and Stage Two - Treatment DBT Stage 2 (Trauma) Committment Therapy CBT (Trauma) Exploration & Change Narrative Therapy

Cognitive Analytical Therapy Schema Therapy

HP-MO (Fire setting) Stage Three - Treatment Anger Management

SOTP-MO (Sex offending) Offence Related Work Substance Misuse

1:1 Relapse Prevention Stage Four - Treatment DBT Stage 3 (Quality of Life)

Relapse Prevention

Our Facilities: > Outdoor space > Social areas > ADL kitchen > Activity rooms > Vocational café > Large indoor gym hall > Multi-gym and outdoor football pitch

www.cygnethealth.co.uk | 11 12 | www.cygnethealth.co.uk Cygnet Hospital Bierley, Yorkshire & Humber Bierley Lane, Bradford, Yorkshire and Humber BD4 6AD Low Secure Mental Health

18+ Male and Female 28 beds in 2 wards

ygnet Hospital Bierley provides male Therapy Programme and female low secure services in West C The therapy programme aims to: Yorkshire, on Bronte and Shelley wards. The aim Provide psychological assessment and of our secure services is to support individuals > treatment including individual and to transition towards independent living, or group therapies the least restrictive environment. The teams on our secure wards monitor, manage and > Provide rehabilitation tailored to individual needs reduce risk, whilst balancing therapy and > Identify recovery goals in collaboration security and preparing service users to lead with individuals full and independent lives. Care planning is in alignment with My Shared Pathway and is > Help service users regain independence by designed to promote recovery. maximising skills potential > Work with local services to aid reintegration Bronte Ward is our 12 bed female low secure into the community service, offering assessment, recovery based > Balance security and therapy treatment and rehabilitation for women who have on-going and challenging mental health problems and may have a dual diagnosis. Women admitted to Bronte Ward may have Our Facilities: a history of involvement in the criminal justice > En-suite bedrooms system, and may experience behaviours that challenge, such as aggression, self-harm and > Secure courtyards, including outdoor vulnerability. We are able to support women therapy space and gym equipment with a secondary diagnosis of personality > Polytunnel disorder. > ADL kitchen Shelley Ward is our 16 bed male low secure > Therapy and activity spaces including service, providing recovery based treatment group room, art room and IT classroom for men whose mental health needs result > Sensory room in continuing and ongoing disturbed or > Gym challenging behaviour and who may have a dual diagnosis. Many of our service users have a significant forensic history and we work closely with external agencies including the Ministry of Justice and MAPPA. Individual sex offending treatment is offered on Shelley Ward and RSVP (the Risk of Sexual Violence Protocol) is used on the ward to evaluate risk.

Bronte and Shelley Ward benefit from our regional network of step-down mental health rehabilitation and specialist services, enabling local care pathways for service users to remain close to home and in the least restrictive environment.

The hospital is conveniently located just off the M62, in a quiet suburb of Bradford, with strong links to the local community.

www.cygnethealth.co.uk | 13 Cygnet Hospital Blackheath, London 80-82 Blackheath Hill, London SE10 8AD Low Secure Mental Health

18+ Male 16 beds

eridian Ward is a low secure service The Psychological therapies team at Cygnet M that can support up to 16 men. It aims Hospital Blackheath provide a comprehensive to balance the needs of therapy and security range of assessments and interventions whilst helping prepare service users to lead full that simultaneously address mental health and independent lives in the community. issues and facilitate management of risk. Our pathway has three components: Discharge is discussed from the very beginning; 1 Assessment and Stabilisation service users are asked what they want to achieve from being at Meridian and everyone 2 Exploration and Change works together to develop a plan that can help achieve these key goals. 3 Recovery and Maintenance

Our pathway is enhanced by access to our Interventions focused on the individual’s mental nearby community-focused mental health health and on risk / offence are offered, rehabilitation facility, Cygnet Lodge Lewisham, including: which enables us to provide an integrated > Cognitive Behavioural Therapy (CBT) care pathway to reduce lengths of stay and > Solution Focused Brief Therapy (SFBT) enhance the outcome for service users. > Dialectical Behaviour Therapy (DBT) Based Coping Skills Service users can be supported in attending > Offence Chain Analysis educational courses, and work in local > Good Lives Model voluntary employment. In this respect the > Substance Use Treatment location of the hospital is ideal, being in Programme (SUTP) urban London’s Zone 2, near Greenwich and Deptford. It is also close to local parks and > Life Minus Violence - Enhanced (LMV-E) colleges. > Life Minus Violence - Harmful Sexual Behaviour (LMV-HSB)

“You care about me a lot it feels Our Facilities: nice, everybody is nice, I feel like I am at home.” En-suite bedrooms Gym Service user, Meridian Unit > > On-ward computer access > ADL kitchen Occupational Therapy Pathway > Multi-faith room The occupational therapy pathway can be > Therapy room aligned to My Shared Pathway to evidence occupational change:

14 | www.cygnethealth.co.uk Cygnet Hospital Derby, East Midlands 80-82 Blackheath Hill, London SE10 8AD 100 City Gate, London Road, Derby, East Midlands DE24 8WZ Low Secure Mental Health Low Secure Personality Disorder

18+ Male and Female 31 beds in 2 wards

ygnet Hospital Derby provides low Alvaston Ward has achieved the C secure and mental health rehabilitation Enabling Environments Award from services for men and women in a modern, the Royal College of Psychiatrists’ purpose-built hospital. Centre for Quality Improvement.

Litchurch Ward is our male low secure service that can support up to 15 men who have mental health or dual/multiple diagnosis needs. The ward is suitable for people who are Cygnet Hospital Derby are proud to hold moving on from medium security placements the Investors in People Gold Award. and who have engaged in dangerous and/or chronic challenging behaviour and who may Psychological Therapy pose a continuing and ongoing risk to others or themselves. We can also support people Our team of forensic, clinical and assistant who represent a persistent risk of absconding psychologists offer a variety of therapeutic to avoid treatment, those who find it difficult to interventions and personalised packages of engage and those who have a dual or multiple therapy to our service users. diagnosis, which could include substance misuse and/or personality disorder. The team provide a range of therapies delivered in group and individual Together with our Wyvern Unit and Wyvern Court, settings, including DBT, Schema Therapy, Litchurch Ward forms part of our integrated psychodynamic psychotherapy, CBT, trauma male care pathway at Cygnet Hospital Derby, work, substance misuse and offending enabling men who are admitted into a low behaviour interventions. secure setting to progress towards more community focused rehabilitation. Our Facilities: Alvaston Ward is a 16 bed specialist low secure En suite bedrooms service for women with a primary diagnosis of > emotionally unstable personality disorder. The > External secure courtyard ward can support women with highly complex > Fully equipped gym needs and those who have experienced Art room previously unsuccessful placements. > > IT classroom The primary pre-cursor to an admission to > Therapy kitchen Alvaston Ward is that the person is ready to engage in a therapeutic programme. Service users may have a history of involvement in the “When I came to Cygnet criminal justice system or may present with Hospital the staff were so friendly significantly challenging behaviour, severe self- neglect and vulnerability. and supported me when I was low…I had a say on my Care The multi-disciplinary team proactively use Plans and I was happy with Dialectical Behavioural Therapy (DBT) and Schema Therapy. The DBT programme is them…Cygnet Hospital Derby is a adapted to the needs of the service users friendly environment and caring. and is tailored for individuals who may have I treat it as my home because it educational or learning difficulty issues, such as dyslexia, which may act as barriers to the is homely and a safe place.” standard DBT programme. Service User

www.cygnethealth.co.uk | 15 Cygnet Hospital Kewstoke, South West Beach Road, Kewstoke, Weston-super-Mare, South West BS22 9UZ Low Secure Mental Health

18+ Female 16 beds

ilton Ward is our female low secure NHS New Care Model Partner M mental health service at Cygnet Hospital Kewstoke, which can support up to 16 women. Cygnet Hospital Kewstoke is a core and active We provide a recovery focused care pathway provider partner in the South West New Care for women with complex needs, many of Model for Adult Secure Services, led by Devon whom will have a forensic background. Partnership NHS Trust. The primary focus of the partnership is to be able to offer secure care Our service helps service users develop their within the South West region when a service users independence and coping skills and gain requires it. Also to keep lengths of stay within insight into their illness. The aim is to support secure services as appropriately short as possible, the women to move on to a less secure while achieving the treatment goals set out. environment with a step towards community integration.

Milton Ward benefits from having on-site care pathways into Cygnet Lodge Kewstoke, our female mental health rehabilitation service and also our specialist female personality disorder service, Knightstone Ward.

Cygnet Hospital Kewstoke has more than 16 acres of landscaped grounds and overlooks the Bristol Channel. This beachside location, just outside Weston-super- Mare, helps us provide a quiet, peaceful and therapeutic environment.

Therapy and Activity Programme Our multi-disciplinary team works across the hospital and makes use of a broad range of therapies that are tailored to individual needs: > Cognitive Analytic Therapy (CAT) > Cognitive Behavioural Therapy (CBT) > Schema Therapy Our Facilities: > EMDR > Dialectical Behaviour Therapy (DBT) > En-suite bedrooms > Hearing Voices Group > Spacious social and recreational spaces > Family Therapy > Gym > Active Life Programme > Kitchen facilities > Substance misuse programme > IT suite > Complementary Therapies > Games room > Activities including dance, art and music therapy, swimming, fishing and horse riding > Secure garden and outdoor gym equipment > Kewstoke Community Farm within hospital grounds (in partnership with Active Arts)

16 | www.cygnethealth.co.uk Cygnet Hospital Maidstone, South East Beach Road, Kewstoke, Weston-super-Mare, South West BS22 9UZ Gidd Pond Way, Off Newnham Court Way, Weavering, Maidstone, Kent ME14 5FY Low Secure Mental Health

18+ Male 16 beds

altwood Ward provides a 16 bed low Ssecure service for men with enduring mental illness, including those with a personality disorder at our new purpose built facility in Kent, Cygnet Hospital Maidstone.

The service is provided in a joint working arrangement with Kent and Medway Partnership NHS Foundation Trust, and promotes shared understanding and practice. The NHS Trust undertakes case management and employs social workers who work at the hospital, while Cygnet Health Care provide psychiatry, nursing, therapy, and ancillary staff, and operate the service. This allows for opportunities of shared learning and shared excellence. Service users on Saltwood Ward also have The multi-disciplinary team is integrated and access to qualified teachers and can work as one, sharing expertise. The Trust also undertake on-site evening classes. We are also has extensive community links, which can be a registered exam centre, which allows service particularly helpful for service users moving users to sit exams on site. towards discharge, thus helping to keep lengths of stay to a minimum. NHS New Care Model Partner Our new male high dependency inpatient Cygnet Hospital Maidstone is a core and active rehabilitation service, Kingswood Ward at provider partner in the South East (KSS) New Cygnet Hospital Maidstone, provides a Care Model for Adult Secure Services, led by pathway for men from Saltwood Ward the three NHS Provider Trusts within the region. requiring a step-down to a lower level The primary focus of the partnership is to be of security. able to offer secure care within the South East region when a service users requires it. Also to On Saltwood Ward we provide a full keep lengths of stay within secure services as therapeutic induction incorporating a appropriately short as possible, while achieving structured daily activity programme, the treatment goals set out. which includes: > Social Group > Self-Harm Management Our Facilities: > Anger Management > En-suite double bedrooms Dietetic Assessment and Advice > > Extensive social and recreational space > Life Skills > Education > Activities of Daily Living (ADL) kitchen > Recovery Groups > Safe outdoor space > Ward Based Activities > Provision of on-site evening classes > Daily Planning Meeting > Current Affairs Group > Recreational Activities > Relaxation > Gardening > Art Group

www.cygnethealth.co.uk | 17 Cygnet Hospital Sheffield, Yorkshire & Humber 83 East Bank Road, Sheffield, Yorkshire and Humber S2 3PX Low Secure Mental Health

18+ Female 15 beds

pencer Ward at Cygnet Hospital Sheffield Key elements of our service provision Sis a 15 bed in patient service providing assessment and treatment for women with > Effective MDT working mental disorders. Treatment is aimed at > Effective implementation of the CPA identification and management of needs approach rather than just a particular diagnosis. We are > Individual care planning with service user dedicated to providing gender sensitive care involvement and treatment for women detained under the Mental Health Act. Spencer Ward is the only > Collaborative risk assessment and risk female low secure unit in South Yorkshire. management with service user involvement > Close working with local NHS England On Spencer Ward, our service users are at the Specialist Commissioning Team heart of everything we do. We believe that every > Family and carer involvement woman has the potential for recovery, personal growth and an improved quality of life. Through the above we aim to promote Our service is underpinned by the following adjustment, prevent relapse and enhance guiding principles: the likelihood of successful reintegration into the community. 1 Empowerment 2 Involvement 3 Patient centred care Our Facilities: 4 Evidence based practice > En-suite bedrooms 5 Team work > Large communal lounge Cygnet Hospital Sheffield is located close > Separate dining area to Sheffield city centre, and a wealth of > ADL kitchen community and transport facilities. > Activities room > Quiet room / library > De-stimulus room > Dedicated child and family visiting area available

18 | www.cygnethealth.co.uk Cygnet Hospital Woking, South East 83 East Bank Road, Sheffield, Yorkshire and Humber S2 3PX Redding Way, Knaphill, Woking, Wessex GU21 2QS Low Secure Mental Health

18+ Male and Female 29 beds in 2 wards

ygnet Hospital Woking provides male Treatment: and female care pathways, from C Our services provide three core treatment secure services through to mental health phases: rehabilitation. > Assessment in safe and supportive Oaktree Ward is our female low secure service, environment where women can receive assessment and > Treatment and engagement treatment for mental illness; we can also > Recovery and rehabilitation work with women who need more intensive rehabilitation. We provide care for women The final pre-discharge stage focuses on who may have complex needs, co-morbidity recovery and rehabilitation work and includes and those who may experience behaviours daily living skills, offence related work and that challenge. further psychological interventions. In this phase service users make significant use of community Greenacre Ward is our male low secure service. placements and services. Men on Greenacre may experience behaviours that are challenging, including self-harm or We use a model of treatment based on aggression and may be considered a risk to the principles of the recovery model of care including psychological therapies, others or have been involved in the criminal occupational therapy, social therapy, physical justice system. healthcare and medication. Risk assessment tools are used and a clinical formulation is Our teams across our secure services support developed to inform the management plans a focus on recovery, reducing the time people for each patient. have to spend on the ward. Minimising length of stay is a key focus and our secure wards Our Psychology Department undertakes benefit from being part of our integrated specialist psychological assessments, including pathways of care, which aim to smooth personality, risk and neuropsychological transitions and shorten lengths of stay. These assessments. They also provide individual, group pathways include our on-site female PICU, and family interventions. A range of evidence- based therapeutic approaches are offered, Acorn Ward and female mental health including Cognitive Behavioural Therapy rehabilitation service, Picasso Ward, and our (CBT), Dialectical Behavioural Therapy (DBT), neighbouring male mental health rehabilitation acceptance and commitment, motivational service, Cygnet Lodge Woking. interviewing, solution focused approaches and family work.

Our Facilities: > En-suite bedrooms > Outdoor space > Social areas > ADL kitchen > Activity rooms > Gym

www.cygnethealth.co.uk | 19 Cygnet Hospital Clifton, East Midlands Clifton Lane, Clifton, Nottingham, East Midlands NG11 8NB Low Secure Personality Disorder

18+ Male 24 beds in 2 wards

ygnet Hospital Clifton is a 24 bed Prison Transfer Programme specialist low-secure service for men C We also offer a specialised three month with a personality disorder, who also present prison transfer programme, for stabilisation with complex mental health needs and and assessment of prisoners whose mental challenging behaviours. health needs cannot be met in the prison environment. The treatment model we provide at Clifton Hospital is delivered in the context of a Referrals and assessment: We provide a cohesive multi-disciplinary, psychologically > rapid response to referrals, assessment informed team approach, with the patient within the prison environment, quick at its centre. We aim to create opportunities decision on suitability for transfer within five for sustained positive behavioural change, working days and liaison with MoJ over by applying a consistent approach where transfer warrants the men in our care feel encouraged to develop positive interpersonal skills to reduce Comprehensive inpatient assessment: maladaptive or pathological behaviours. > Twelve week assessment programme including full diagnostic and risk formulations, The hospital is set out across two wards; IQ and neurological assessments, stabilisation and treatment plan Ancaria Ward is the admissions/initial treatment ward, which focuses on rehabilitation, in preparation for moving on into the community or supported living. Our Facilities: > En-suite bedrooms Acorn Ward focusses on rehabilitation, > Extensive secure gardens to prepare for a move into the community or supported accomodation. > Gym > ADL kitchen At Cygnet Hospital Clifton we aim to sequence > Woodwork shop interventions according to Professor Livesley’s integrated treatment model. The therapeutic > IT classroom milieu aims to ensure consistency and optimal > Recovery College conditions for growth and change in a positive and effective environment.

At Cygnet Hospital Clifton we aim to sequence interventions according to Professor Livesley’s integrated treatment model. The therapeutic milieu aims to ensure consistency and optimal conditions for growth and change in a positive and effective environment.

“Cygnet Hospital Clifton has helped me with my recovery by challenging my behavioural problems and changing my thoughts to move to a more positive way, giving me more confidence to deal with different disappointments, changing my ways of thinking and giving me responsibility with (a course on) the Recovery College.” Service user

20 | www.cygnethealth.co.uk Cygnet Hospital Harrow, London Clifton Lane, Clifton, Nottingham, East Midlands NG11 8NB London Road, Harrow-on-the-Hill, London HA1 3JL Low Secure Autistic Spectrum Disorder and Mental Health

18+ Male 16 beds

ygnet Hospital Harrow provides diagnostic, Care involves family and significant others to Cassessment and inpatient services for men help with re-integration into the community. All with a diagnosis of autism spectrum disorder, staff, not just clinically focused roles, are trained Asperger’s syndrome or High Functioning Autism, in understanding autism, helping create an often with co-morbid mental health needs. understanding and supportive environment for all service users no matter who they are The Springs Unit provides low secure engaging with. accommodation for up to 16 men. We provide a person-centred approach in a centre A full daily programme is important for service of excellence, providing a rehabilitative users at the Springs Unit, and personal choice environment to facilitate the safe and effective and options are at the fore of each person’s care of service users with behaviours which may own individual timetable. challenge. The Springs Unit works closely with the other on-site ASD services, The Springs Centre Space is paramount for this service user group (Crisis ASD, Highly specialised ASD/MH Service) and the Springs Unit is laid out with this in mind. and The Springs Wing (Highly specialised ASD/ MH Service), that form part of a step-down pathway for the men in our care. Our Facilities: The aim of the service is to help service Calm, relaxing and secure environments users better understand their condition and > to support them in ways that will help them > Spacious communal areas prepare for more time in the community, > En-suite bedrooms and a move to the least possible restrictive Activity spaces environment for them. > > Gardens with outdoor seating Model of Care > Fully equipped occupation The Springs Unit uses an extended behavioural therapy service modification model of care. As the first step in > Rehabilitation kitchen developing a treatment programme, the Multi- > IT café disciplinary Team (MDT) work with individuals to comprehensively assess their strengths > Gym and difficulties. This involves a full diagnostic assessment alongside assessing symptoms, risks and needs.

The team use functional analysis to assess any behavioural challenges including looking at when these occur and under which circumstances. The team can then work with the service user to generate theories about what function the behaviour has for the individual and identify the maintaining factors. Specific interventions for the individual can then be designed and tested including pharmacological, psychological, rehabilitative, or social. On-going testing and monitoring can help establish whether the intervention is helping and adjustments can be made as necessary.

www.cygnethealth.co.uk | 21 Outcomes

Low secure 73% services average of service length of stay users = 24.6 months1 stepped down along the care Medium secure pathway services average length of stay = 28.8 months1

NHS England CQUIN scheme compliance 100% for “6 years” to “7 Years”

We offer secure Core partner services in in ten Adult 7 out of 10 NHS Secure Provider England regions Collaboratives

1 Completed episodes 01/04/2019 to 31/03/2020

22 | www.cygnethealth.co.uk www.cygnethealth.co.uk | 23 Map

Our specialist services by region

Medium Secure Mental Health 7 Cygnet Hospital Maidstone Gidd Pond Way, Off Newnham Court Way, 1 Cygnet Hospital Bury Weavering, Maidstone, Kent, East ME14 5FY Buller Street, off Bolton Road, Bury, T: 01622 580 330 North West BL8 2BS T: 0161 762 7200 8 Cygnet Hospital Sheffield 83 East Bank Road, Sheffield, 2 Cygnet Hospital Stevenage Yorkshire and Humber S2 3PX Graveley Road, Stevenage, T: 0114 279 3350 Hertfordshire, East SG1 4YS T: 01438 342 942 2 Cygnet Hospital Stevenage Graveley Road, Stevenage, Medium Secure Personality Disorder Hertfordshire, East SG1 4YS T: 01438 342 942

1 Cygnet Hospital Bury 9 Cygnet Hospital Woking Buller Street, off Bolton Road, Bury, Redding Way, Knaphill, North West BL8 2BS Woking, South East GU21 2QS T: 0161 762 7200 T: 01483 795 100

Medium Secure Deafness and Mental Health Low Secure Personality Disorder

1 Cygnet Hospital Bury 10 Cygnet Hospital Clifton Buller Street, off Bolton Road, Bury, Clifton Lane, Clifton, Nottingham, North West BL8 2BS East Midlands NG11 8NB T: 0161 762 7200 T: 0115 945 7070

5 Cygnet Hospital Derby Low Secure Mental Health 100 City Gate, London Road, Derby, East Midlands DE24 8WZ 3 Cygnet Hospital Bierley T: 01332 365 434 Bierley Lane, Bradford, Yorkshire and Humber BD4 6AD T: 01274 686 767 Low Secure ASD and Mental Health

4 Cygnet Hospital Blackheath 11 Cygnet Hospital Harrow 80-82 Blackheath Hill, London Road, Harrow-on-the-Hill, London SE10 8AD London HA1 3JL T: 020 8694 2111 T: 020 8966 7000

1 Cygnet Hospital Bury Buller Street, off Bolton Road, Bury, Low Secure Deafness and Mental Health North West BL8 2BS T: 0161 762 7200 1 Cygnet Hospital Bury Buller Street, off Bolton Road, Bury, 5 Cygnet Hospital Derby North West BL8 2BS 100 City Gate, London Road, Derby, T: 0161 762 7200 East Midlands DE24 8WZ T: 01332 365 434

6 Cygnet Hospital Kewstoke Beach Road, Kewstoke, Weston-super-Mare, South West BS22 9UZ T: 01934 428 989

24 | www.cygnethealth.co.uk NORTH EAST

YORKSHIRE & HUMBER

NORTH 3 WEST LEEDS 1

MANCHESTER 8

5 EAST MIDLANDS 10

WEST MIDLANDS

WALES EAST 2

11

LONDON 4 9 BRISTOL WESSEX 6 7 SOUTH WEST SOUTH EAST

BRIGHTON SOUTHAMPTON

www.cygnethealth.co.uk | 25 26 | www.cygnethealth.co.uk How to Make a Referral

Please call 0808 164 4450 or email [email protected]

5 Admission agreed and plans for transition arranged 4 with referring team following Assessment pack confirmation of formulated acceptance including care of placement 3 plans and funding information Feedback provided on whether our service can meet 2 the service user’s needs Assessment arranged and undertaken 1 via our assessment team Referral made to Cygnet referrals team via 0808 164 4450 / [email protected]

www.cygnethealth.co.uk | 27 Cygnet Health Care 4 Millbank, 3rd Floor, Westminster, London, SW1P 3JA

0207 123 5706

@cygnethealth /cygnethealthcare /company/cygnet-health-care

www.cygnethealth.co.uk

28 |CYG065 www. | Datecygnet of Preparation:health.co.uk 31/03/21