Cygnet Manor

Updated 3 December 2025

Cygnet Manor is a high dependency rehabilitation hospital that provides a service for up to 20 men with learning disabilities and/or autism, people who are expressing emotional distress and mental health needs. Some people at the hospital are detained under the Mental Health Act. The provider is Cygnet Learning Disabilities Midlands Limited.

At the time of our assessment the service was supporting 11 people.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and/or autistic people had respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

The service was last rated as Good (published May 2022). This was an unannounced assessment, which means the provider was not told an assessment was going to be taking place beforehand. During this assessment, we looked at all quality statements across all 5 key questions. As we assessed all quality statements at this visit, the current rating reflects the findings from this assessment. We rated this service as Good.

Updated 15 September 2025

Date of Assessment: 14, 15 and 16 October 2025

Cygnet Manor is a high dependency rehabilitation hospital that provides a service for up to 20 men with learning disabilities and/or autism, people who are expressing emotional distress and mental health needs. Some people at the hospital are detained under the Mental Health Act. The provider is Cygnet Learning Disabilities Midlands Limited.

At the time of our assessment the service was supporting 11 people.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and/or autistic people had respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

The service was last rated as Good (published May 2022). This was an unannounced assessment, which means the provider was not told an assessment was going to be taking place beforehand. During this assessment, we looked at all quality statements across all 5 key questions. As we assessed all quality statements at this visit, the current rating reflects the findings from this assessment. We rated this service as Good.

Mental Health Act and Mental Capacity Act Compliance

Mental Health Act

Ninety seven percent of staff had received training and had a good understanding of the Mental Health Act, the Code of Practice and the guiding principles. Overall staff demonstrated a good understanding of these. Staff had easy access to administrative support and legal advice on implementation of the Mental Health Act and its Code of Practice. Staff knew who their Mental Health Act administrators were.

Staff had easy access to local Mental Health Act policies and procedures and to the Code of Practice. People had easy access to information about independent mental health advocacy.

Staff explained to people their rights under the Mental Health Act in a way that they understood, repeated it as required and recorded that they had done so. Staff were able to ensure that people were always able to take Section 17 leave (permission for people to leave hospital) when this had been agreed.

Staff requested an opinion from a second opinion appointed doctor when necessary. Staff stored copies of people’s detention papers and associated records (for example, Section 17 leave forms) correctly and so they were available to all staff that needed access to them.

Staff did regular audits to ensure the Mental Health Act was being applied correctly and there was evidence of learning from those audits.

Mental Capacity Act

Ninety five percent of staff of staff had received training in the Mental Capacity Act. Staff had a good understanding of the Mental Capacity Act, in particular the 5 statutory principles

The provider had a policy on the Mental Capacity Act, including deprivation of liberty safeguards. Staff were aware of the policy and had access to it. Staff knew where to get advice from within the service regarding the Mental Capacity Act, including deprivation of liberty safeguards.

Staff took all practical steps to enable people to make their own decisions. For people who might have impaired mental capacity, staff had assessed and recorded capacity to consent appropriately. They did this on a decision-specific basis with regard to significant decisions.

When people lacked capacity, relatives and staff made decisions in their best interests, recognising the importance of the person’s wishes, feelings, culture and history. The service had arrangements to monitor adherence to the Mental Capacity Act.