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Learning Disability Services High Dependency Complex Care Residential Services with Nursing Residential Services Supported Living Services Specialist Day Services 1 | www.cygnethealth.co.uk Welcome Cygnet Health Care was established in 1988. across 150 services to consistently make a Since then we have developed a wide range positive difference to their lives, through service of services for individuals with mental health user focused care and rehabilitation. needs, autism and learning disabilities within the UK. We have built a reputation for delivering We maintain a good relationship with our pioneering services and outstanding outcomes quality regulators and undergo regular for the individuals in our care. inspections, with 82% of our services rated ‘Good’ or ‘Outstanding’. We also operate an Our expert and highly dedicated care team of internal system of quality care, treatment and 10,000 employees empower 2,864 individuals positive outcomes. Contents Introduction 3 Dove Valley Mews, South Yorkshire 37 Global Assessment of Progress (GAP) Outcomes 5 Ducks Halt, Essex 38 High Dependency Complex Care Eleni House, Essex 39 Cygnet Bostall House, London 6 Fairways, Suffolk 40 Cygnet Cedars, Birmingham 7 Gables, Essex 41 Cygnet Elms, Birmingham 8 Gledholt, West Yorkshire 42 Cygnet Hospital Beckton, London 9 Hansa Lodge, Essex 43 Cygnet Hospital Colchester, Essex 10 Hawkstone, West Yorkshire 44 Cygnet Hospital Taunton, Somerset 11 Kirkside House, West Yorkshire 45 Cygnet Manor, Nottinghamshire 12 Kirkside Lodge, West Yorkshire 46 Cygnet Sherwood Lodge, Nottinghamshire 13 Langdale House, West Yorkshire 47 Cygnet Views, Derbyshire 14 Longfield, West Yorkshire 48 Cygnet Wallace Hospital, Tayside 15 Lowry House, Lancashire 49 Norcott House, West Yorkshire 50 Residential Services with Nursing Norcott Lodge, West Yorkshire 51 Ellen Mhor, Tayside 17 Outwood, West Yorkshire 52 Hollyhurst, County Durham 18 Oxley Woodhouse, West Yorkshire 53 Hope House, Cleveland 19 Redlands, County Durham 54 Lindsay House, Tayside 20 River View, County Durham 55 Oaklands, Northumberland 21 Shear Meadow, Hertfordshire 56 Old Leigh House, Essex 22 The Fields, South Yorkshire 24 Ranaich House, Stirling 23 The Orchards, Essex 57 The Fields, South Yorkshire 24 Thornfield House, West Yorkshire 58 Thistle House, Tayside 25 Walkern Lodge, Hertfordshire 59 Toller Road, Leicestershire 26 Woodrow House, Cheshire 60 Trinity House, Lockerbie 27 Willow House, Birmingham 28 Supported Living Services North West Supported Living, North West 61-62 Residential Services Staffordshire Supported Living, West Midlands 61-62 4, 5, 7 The Sycamores, Derbyshire 29 Yorkshire Supported Living, West Yorkshire 61-62 Adele Cottage, Nottinghamshire 30 Specialist Day Services Beacon House, West Yorkshire 31 Long Eaton Day Services, Nottinghamshire 63 Beckly, West Yorkshire 32 Sheffield Day Services, South Yorkshire 64 Chaseways, Hertfordshire 33 Cherry Tree House, Nottinghamshire 34 Case Study 66 Conifers, Derbyshire 35 Map 67 - 68 Dene Brook, South Yorkshire 36 How to Make a Referral 69 2 | www.cygnethealth.co.uk Introduction ur priority is to ensure that individuals with The services we offer are High Dependency O learning disabilities enjoy the same right to Complex Care, Residential (with and without a happy and fulfilled life as others. We ensure nursing), Supported Living and Specialist that individuals in our care feel safe in their Day Services. environment, are understood and are able to communicate to the best of their ability. Most We accept emergency, planned and importantly with the right support and help pre-assessed admissions and provide a we empower each individual in our care to multi-disciplinary approach. successfully progress to a community-based service that is suitable for their needs. We are able to take referrals 24 hours a day, 7 days a week and offer a same day response Our services have considerable experience time to emergency referrals. Decisions on a and expertise in supporting individuals with a placement will be made within 24 hours after learning disability to develop independent skills we receive adequate clinical information. and to live an active and happy life. Our service user / resident profile: > Primary diagnosis of learning disability and Age Range: mental health complex needs > May have autism or Asperger’s Syndrome requiring highly 16/18+ structured and / or modified stimuli environments > May have a forensic history Gender: > May present with co-morbid presentations: • Challenging behaviour M/F/ • Personality disorder • Schizophrenia, depression, bi-polar disorder Mixed • Dual diagnosis • Complex needs and / or multiple diagnoses > May have a history of repeated hospital admissions Mental Health > Individuals using our day services may present with: Act Status: • Physical disabilities • Tracheostomy needs Detained • Complex body postures Informal • Epilepsy • Mobility needs DoLS • Will be living at home or within the community 3 | www.cygnethealth.co.uk Our services at a glance: > High staffing ratios > Anger management & positive > 24/7 x 365 days (excludes Day Services) behaviour support > Specialist treatments such as: > Daily living skills • Self-harm treatment > Community participation • Addictions treatment > Meaningful activities • Dialectical Behaviour Therapy (DBT) Our multi-disciplinary teams: > Psychiatry > Speech and language therapy > Psychology > Nursing > Occupational therapy > Specialist trained support workers Our outcome measurement tools: Hospital Services: Residential Services: Respite & Day Services: > START > GAP (Global Assessment > GAP (Global Assessment of Progress) of Progress) > HCR20 Daily risk assessment Respiratory conditions > HoNOS > > Eating & drinking skills Eating & drinking skills > GAP (Global Assessment > > of Progress) > Communication & social > Daily risk assessments understanding > BPRS, LUNSERS > Communication abilities MOHOST > Social inclusion & Mobility & positioning > interaction > > FcSP > Activity engagement > Self-harm risk assessment toll & immediate revision > Personal care of START > Domestic care > Community presence & participation 4 | www.cygnethealth.co.uk 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 care for individuals with learning disabilities. myPath is an overarching care model that serves to monitor service user engagement levels, manage their records, assess their progress and formulate a personalised and dynamic care plan with measurable targets. The model embraces a wide range of evidence-based tools such as pharmaceutical inputs, daily living skills, progressive community-based outcomes and risk management plans. myPath ensures the delivery of high quality and inclusive care that is continually evaluated through robust operational and clinical governance frameworks. myPath is tried and trusted and delivers industry-leading results. Global Assessment of Progress (GAP) Outcomes The Global Assessment of Progress (GAP) is our specialist outcome tool used within our learning disability 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=73 15.5 59.5 40 or 37.5% average increase 44 in score p<0.001 20 0 on admission on discharge Individuals in our care had an average GAP score increase of 37.5% on discharge *Data and graphs relate to Sept 2019-Sept 2020. 5 | www.cygnethealth.co.uk Cygnet Bostall House, London Bostall Heath, Knee Hill Road, Abbey Wood, London SE2 0AT High Dependency Complex Care 18+ Male 6 beds ygnet Bostall House provides assessment Our goal is to enable individuals to structure their C and treatment for men living with a time; build relationships and establish a balance learning disability and associated complex between therapy, self-care, work and leisure as needs. The team can also support those who appropriate to their individual needs. have mental health needs and behaviours that may challenge. Individuals are admitted to Cygnet Bostall House from a variety of different settings. This could be Cygnet Bostall House is a spacious detached from a home environment, supported living or property, surrounded by beautiful parks and residential service. They may also come following gardens. Service users have a choice of a stay at an NHS or other specialist service, lounges and communal areas to relax in, as including a secure service. well as the benefit of a private garden to the rear of the house. Community links: > Danson Park When an individual comes to Cygnet Bostall House, we find out how they would like to > Royal Museums Greenwich personalise their room and we support them to > Bowling make it their own. We also like to find out what > Gym they like to do and what interests them. Service Cinema users are supported to plan menus, shop and > prepare food to increase their daily living skills in > Shopping centres readiness for moving on. There is a large and varied choice of local community activities, including bowling, the local gym, cafés and shops. For more variety in activities, central London is only half an hour away by train. Individuals are also supported to access education at local colleges and have paid or voluntary work placements to increase their independence. Rated ‘Good’ overall and ‘Outstanding’ in caring