Those who are more acutely unwell can be supported in Shakespeare Ward including those who may need escorted leave or enhanced observations. The service is more nurse intensive until individuals become more settled and progress. This service offers rehabilitation, assessment and recovery. The emphasis is on treatment optimization, developing insight, exploring impediments to engagement, anxiety, assessment of needs and putting things in place to address those needs.
There are distinct areas within the Lodge dependent on a person’s level of need and can offer, for the more acutely unwell, a robust and therapeutic alternative to low secure. As people progress they can move to Marlowe Ward, a recovery focused service which supports more community access as people prepare for a move through towards the least restrictive care option or the community.
Milligan House is an annexe to Cygnet Lodge Woking and contains six pre-discharge beds with an additional two self-contained flatlets. Milligan House allows the Lodge to provide a three-tier care pathway for service users as they reach a level of increased stability.
Milligan House gives service users opportunity to build their individual skills prior to discharge while still having the full support of the Lodge’s multi-disciplinary team. The service may be particularly successful for people who have experienced failed placements in the past as Milligan House will offer an opportunity for slower-stream rehabilitation.
Support and Outcomes
The three services together offer a cohesive care pathway within one building, with people able to move through from acutely unwell to preparing for community living. The Annexe is particularly suited to those who would benefit from a slower stream progression back into the community and who may need a little extra support, including those who have been in services for a long time.
All services at Cygnet Lodge Woking are supported by a social worker, responsible clinician, ward doctor, psychologist, assistant psychologist, independent advocate, chaplain, practice nurse and assistant, occupational therapist and occupational therapy assistant. All service users are registered with the local GP. We are able to complete a range of assessments, such as personality disorder or IQ, as well as offer interventions targeting the following:
- Substance misuse
- Violent offending
- Sexual offending
- Understanding mental illness and relapse
- Understanding mood disorders
- Psychoeducation for personality disorder
- DBT skills training
- Goal setting
- Confidence and self-esteem building
The Lodge has close links with Guildford College, Woking College and organisations and businesses throughout the local area which support educational and vocational opportunities for service users.
Across the services there is the promotion of independence and gaining the skills required to succeed.
Facilities and activities
Cygnet Lodge Woking is a purpose built environment which is therapeutic, yet vibrant. Each person has a private bedroom with en-suite facilities, a range of recreational spaces including a gym, occupational therapy kitchen, laundry, cyber lounge and educational activity areas. There is also outdoor space with various therapeutic activities including horticulture and woodwork areas.