The positive feedback features in a Care Quality Commission (CQC) assessment which rated Cygnet Bostall House, on Knee Hill Road, Good across all five key areas; Safe, Effective, Caring, Responsive and Well-led.
Inspectors recognised the work of the Cygnet Health Care team in supporting people with learning disabilities to develop their confidence, skills and independence, while preparing for life beyond hospital.
The CQC inspection took place in September and the regulator praised the way staff work alongside people to develop the practical skills and confidence needed for community living. Inspectors found that rehabilitation planning began from admission, with staff supporting people to identify personal goals and regularly review their progress.
The report stated: “The service supported people to develop and maintain the skills, confidence and independence needed for community living.”
Inspectors said people were supported to develop everyday living skills, including meal preparation, budgeting, shopping, personal care and managing aspects of their own medication.
Inspectors highlighted examples of people achieving their rehabilitation goals, including developing the confidence to use public transport independently, taking part in education or volunteering opportunities and progressing to less restrictive environments.
The report said: “Staff worked collaboratively with people to stabilise their mental health symptoms and develop the practical skills, independence and confidence required for a successful transition back into the community.”
Inspectors recognised the importance of understanding each person as an individual and adapting support to their needs, preferences and communication styles.
Praising the caring quality of staff, the CQC said: “Staff demonstrated empathy, kindness and respect in their interactions with people.
“Staff spoke about people with kindness and respect and demonstrated a strong understanding of their individual needs, preferences and backgrounds.”
One person told inspectors that staff listened to their views and worked with them to adjust their support when their needs changed. The report also highlighted the importance of creating a calm environment, with people able to choose between communal areas and quieter spaces depending on their preferences and needs.
Inspectors were impressed with a dedicated sensory room in a cabin in the front garden. The room had recently been redecorated and included beanbags, speakers, sensory resources and lighting, providing a calming space for people to use as part of their care and recovery and to help people manage periods of anxiety or overwhelm.
One person spoke positively about the difference it made, telling inspectors: “I like using the sensory room when I need some time out. It helps me feel calmer.”
The report said the room provided “a calming and therapeutic environment” and recognised that it could support emotional regulation, reduce distress and offer people a space away from the ward environment.
The assessment also highlighted the opportunities available for people to enjoy activities that reflect their individual interests and develop connections beyond the service. Inspectors found that Cygnet Bostall House had good access to local community facilities and had developed links with community organisations to provide leisure and vocational opportunities.
People were also supported to access physical exercise, community walks, local gyms and sports facilities, as well as activities focused on healthy eating, meal planning and cooking.
Inspectors praised the way staff considered people’s personal, cultural, social and religious needs when planning and delivering care. They said staff supported people to observe religious festivals, access places of worship and receive information in formats that met their communication needs.
Recognising the quality of leadership, the CQC said: “Staff spoke positively about their managers, describing them as visible, approachable and supportive.”
“Staff felt respected and supported, with opportunities to develop their skills and progress their careers through further qualifications.”
The assessment highlighted an “open culture” in which staff felt able to raise concerns, contribute ideas and take part in discussions about the development of the service.
Manager Elizabeth Ughu said: “We are really pleased that Cygnet Bostall House has maintained its Good rating across all five areas. This is a reflection of the hard work and commitment of the whole team, and the importance we place on getting to know each person and understanding what matters to them.
“Our focus is always on helping people make progress in ways that are meaningful to them. Whether that is building confidence, developing everyday living skills, accessing activities in the community or taking steps towards a more independent future, we want people to feel supported to achieve their individual goals.
“We are particularly pleased that the CQC recognised the positive work taking place around rehabilitation and the improvements we have made, including the sensory room. We will continue to listen to the people we support, learn from their feedback and work together to provide high-quality care that helps people move forward with confidence.”