A sheltered retreat the mental health & dementia facilities magazine JUNE 2023 PROJECTS Special report on new eating disorders unit in Dorset OUTDOOR AREAS Creating supportive outdoor spaces for people with dementia WAYFINDING The challenge of creating wayfinding solutions for dementia care settings p5 p10 p15
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mhdf magazine 3 Contents JUNE 2023 Editor’s Note Innovation at its best Earlier this month I attended the annual Design in Mental Health Conference and Exhibition in Coventry. Walking around the exhibition hall it was clear to see that innovation is continuing to happen, despite the challenges of COVID-19 and the mounting pressure on the health and care sectors. In fact, it seems that the manufacturing and service sectors have risen to these challenges, with a number of new products aimed at helping to overcome key drivers such as infection prevention and control, energy efficiency, and, most importantly, patient and staff safety and wellbeing. But it was in the conference hall that I was most impacted. Service users, both past and present, spoke about their lived experience of mental health facilities – the good, the bad, and the ugly – and their words resonated with everybody in the room. And it is through these very-real stories, and listening to those people with experience of working and recovering in mental health settings, that the sector will continue to innovate and all of us will be compelled to work together to drive the necessary improvements that are so sorely needed. As evidence of this much-more-therapeutic approach, in this edition of mhdf you can read about a newly-opened eating disorders unit in Dorset – Kimmeridge Court (p5). And you can find out more about the impact of landscaping and access to nature in our Outdoor Spaces section (p10). There is also information on the latest wayfinding approaches for dementia care facilities (p15), and you can find out what is in store at this year’s mental health & dementia facilities forum, to be held in the Cotswolds in November (p18). In the next edition we will focus on nurse call systems, doors and windows, and lighting. If you can help, email [email protected] Editor Jo Makosinski Sales director Julian Walter Production Nicola Cann Design Mary McCarthy Managing Director Toby Filby Publishers Stable Publishing Limited, SBC House, Restmor Way, Wallington, Surrey SM6 7AH, England. t. 020 8288 1080 f. 020 8288 1099 e. [email protected] In this issue: 5 PROJECTS A special report on Kimmeridge Court, a specialist new eating disorders unit in Dorset 10 OUTDOOR AREAS The importance of outdoor spaces for people with mental health conditions and dementia 13 PREVIEW Join us at this year’s mental health & dementia facilities forum 15 WAYFINDING How to create supportive wayfinding solutions for dementia care environments Kimmeridge Court, Dorset. Richard Chivers/Medical Architecture The publishers do not necessarily agree with views expressed by contributors and cannot accept responsibility for claims made by manufacturers and authors, nor do they accept any responsibility for any errors in the subject matter of this publication.
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mhdf magazine 5 PROJECTS A sheltered retreat Sited in a protected wooded glade in Dorset, Kimmeridge Court has been carefully crafted to preserve the quality of its natural setting and to create a uniquely-private and therapeutic environment for the treatment of patients with eating disorders. Designed by Medical Architecture and built by Kier for Dorset HealthCare University NHS Foundation Trust, the £8m inpatient unit at St Ann’s Hospital in Poole, provides specialist accommodation to meet a growing demand for the service and to prevent vulnerable patients being moved away from their loved ones. Laura Delgado, lead architect, said: “Eating disorders are mental health conditions which require specialist treatment and it was very important that we engaged with the trust and service users from the very beginning of the design process to find out their specific requirements. “Ultimately, we wanted to create a building which was focused on encouraging a positive relationship with food, so all the spaces needed to be very carefully designed.” A FRESH APPROACH The site for the new building was in a wooded area with several large, protected trees and a Grade II-listed building. And the design team carefully worked around these site constraints, creating an environment which is helping to change the way mental health support for people with eating disorders is provided. Built over two storeys, the ground floor houses eight inpatient bedrooms and two high dependency bedrooms, each with its own ensuite, as well as communal spaces, therapy areas, and dining spaces. WE SPEAK TO THE DESIGN TEAM BEHIND KIMMERIDGE COURT, A SPECIALIST NEW FACILITY FOR PATIENTS WITH EATING DISORDERS And it is these dining areas which were central to the design approach. Delgado explains: “The dining spaces are key as they are one of the more-challenging spaces in treatment, and where patients experience the most distress. “We wanted the main dining area to be peaceful, with lots of daylight, but we also wanted patients to feel safe and not like they were being very closely observed. HELP AT HAND “The food preparation and dining spaces have been designed so that patients are able to receive as much help as they need from staff at the beginning, but as they move on in their recovery, they can become more self-sufficient and can prepare food themselves. “There is also a therapeutic kitchen, where occupational therapists work with patients to create a more-positive relationship with food. “This space has been designed to look much more like a typical kitchen you would find in your home and there are therapy and activity areas where patients can talk about their feelings.” Group therapy spaces are immediately accessible from the dining space to enable workshops to take place, in which feelings about eating are shared and explored. And sliding doors allow these key shared spaces to be opened up to promote social connection, or separated for more-private, focused activity. Bedroom spaces, too, have been carefully designed to encourage patients to spend time there and to prevent common interference behaviour which can be used by patients to ‘sabotage’ treatment.
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mhdf magazine 7 PROJECTS Delgado said: “All bedrooms have views out into the gardens and each has its own ensuite. PERSONAL AND PEACEFUL “These are designed to protect the privacy of patients while still allowing staff to passively monitor behaviour. “The clinical team wanted to encourage patients to take rest in their bedrooms as much as possible to avoid overactivity, so we have designed a comfortable space with tree-view window seats to create a feeling that bedrooms are personal, peaceful spaces.” The layout of the bedrooms, and the ward plan with a central staff base, allows observation to be maintained with efficient staffing levels, without patients feeling their privacy has been compromised. Delgado said: “Corridors are not just corridors, there are informal seating spaces built in. “These areas provide opportunities for informal chat with staff, making the corridors a functional space. “The shape of the building, taking in the protected trees, lends itself well to this approach, enabling us to create spaces of refuge outside of the clinical areas, punctuated with good daylight and meaningful views.” A FINE BALANCE Bob Wills, director at Medical Architecture, adds: “This project was about creating a fine balance between necessary observation and privacy and dignity, and that is one of the biggest challenges we face as designers of mental healthcare facilities. “We wanted to create private, relaxing spaces where patients can fully focus on their recovery journey, but also where staff are able to provide effective care. “The ADL kitchen, dining area, living spaces, and courtyard garden are one linear space, so the dining room is not the be all and end all. “Patients may be in the dining room, but visually they can move out and beyond that. You need to create that long view to something beyond themselves and beyond the confines of the physical space. “Working closely with the trust we have designed a place where patients can find sanctuary in an environment conducive to recovery-focused and high-quality care. “And, by integrating the building so closely with its natural setting, we have been able to fully harness the therapeutic quality of this fantastic site.” NATURAL MATERIALS While most of the patient facilities are located on the ground floor, the larger two-storey volume of the building is set back from the site boundary and adjoining road, reducing in scale to single storey as it approaches the street frontage. The first floor houses therapy rooms, office spaces, and staff areas, with views into the tree canopy, including a large multi-purpose room with a spectacular Window seats in patient bedrooms provide a view over the landscape Corridors have seating areas built in to provide places of refuge and reflection
8 mhdf magazine PROJECTS framed view. To ensure safety and security, this upper floor can only be accessed by patients when accompanied by a member of staff. Throughout the building, natural materials and neutral colours have been used to complement the ever-present views to nature, with large areas of glazing and rooflights providing natural light to reinforce circadian rhythms and reduce the requirement for internal lighting. Externally, the design uses traditional materials found on the hospital site, such as brick and clay roof tiles, but details them in a contemporary manner, providing a modern and attractive setting. And the external landscaping around the building is permeable and designed to reduce surface runoff, retaining as much rainwater on the site as possible. This is to irrigate the existing and newly-planted trees and shrubs, while mitigating any local flood risk at times of extremely high rainfall. CLOSER TO HOME The extensive canopies of the retained mature trees also provide shade and shelter from extreme future climate effects. Commenting on the development, which recently opened to patients, Dr Carla Figueiredo, consultant psychiatrist at Dorset HealthCare University NHS Foundation Trust, said: “We’ve been long awaiting a modern, fit-for-purpose building, and now we have it — it’s beautiful. “With the expanded capacity, fewer of our patients will need to receive care away from their support systems, their family, and their community teams, and this will have such a positive impact on recovery. “I’ve looked at other units around the country and what we have created here makes me very proud.” Jess Griffiths, an eating disorders therapist and former service user at St Ann’s Hospital, added: “As soon as I walked into the new building, I actually welled up. I was so emotional because it is so beautiful, and it’s going to help so many people in their treatment. “I think the environment will facilitate so many more therapeutic activities, like supported eating and all the things you need to increase your chances of recovery.” Project Team Client: Dorset HealthCare University NHS Foundation Trust Architect: Medical Architecture Contractor: Kier Services engineer: TNG Consulting Engineers Structure and civil engineer: Godsell Arnold Partnership Arboriculture and landscape design: Hellis Solutions Ecological consultant: Darwin Ecology Quantity surveyor: Gleeds We’ve been long awaiting a modern, fit-for-purpose building, and now we have it — it’s beautiful The unit will mean fewer patients have to travel outside of the area to receive treatment Large areas of glazing and rooflights bring natural light into the building
meet. connect. do business. the mental health & dementia facilities forum www.mhdf-forum.co.uk 9th - 10th November 2023 De Vere Cotswold Water Park call now: 020 8288 1080 Designing for wellbeing and recovery Share best practice and explore the latest in design, build and delivery across mental health & dementia facilities. With a dedicated seminar programme, “Creating the next generation of patient-centred psychiatric facilities”, tailored meetings, drinks receptions, lunches and gala dinner. Our unique formula brings the community together providing the perfect platform to discuss the latest trends and developments whilst also offering endless networking opportunities. Attend as a supplier delegate As a supplier you will have unprecedented access to the key decision-makers working on active projects across mental health & dementia estates. Book your place - [email protected] Attend as a project delegate If you are involved in the design, build or management of mental health & dementia facilities join us as a complimentary delegate. Secure your space - [email protected] Stable events organise sector specific market leading business meetings and networking forums across the built environment. For more information on our events visit: stable-events.co.uk or email: [email protected] Event Partner
OUTDOOR SPACES 10 mhdf magazine Gold-award-winning Chelsea Flower Show designer, Charlie Hawkes, returned to the 2023 competition with a garden supporting people with Posterior Cortical Atrophy (PCA), a rare dementia affecting the way the brain processes sight. A winner in 2022, Hawkes’ latest design – Rare Space – was delivered in partnership with The National Brain Appeal for the annual RHS showcase in May. The design was informed by speaking to patients, doctors, and support workers about how people with PCA have to navigate change in their lives. And contrast and simplicity are essential elements to his creation, with bright blue benches, clear concrete walkways, and strong colours that act as wayfinders, while planting includes dark-stemmed Anthriscus ‘Ravenswing’ Astrantia ‘Burgundy Manor’, Polemonium ‘Bressingham Purple’, Hakonechloa macra, and Rogersia ‘Braunlaub’. SUPPORTING INDEPENDENCE Hawkes said: “This garden allows those living with visual and non-memory-led dementias to easily navigate a custom-designed outdoor space, so it becomes an accessible and stimulating environment for them to enjoy and move around with greater independence. “One in six people in the UK are affected by neurological conditions, so it’s important to support the exceptional work of The GOING FOR GOLD National Brain Appeal in funding world-leading research and supporting people with neurological conditions. “I hope the garden will increase the feeling of wellbeing and connectedness of people living with rare dementias and other neurological conditions.” A BALANCING ACT He added: “The garden has been designed to offer a balance between exploration and calm navigation. “A person who has a visual or non-memory-led dementia will have a greater sense of safety within a calm space they can enjoy with a friend or family member. “A level, simply-textured path with minimal joints turns through the garden, offering along its way brightly-coloured seating areas and sheltered spaces that promote independent wayfinding. “And soothing water features, positioned next to each of the seating areas, also enhance the restful environment.” The garden, which was built by Landscape Associates, will now move to a permanent home close to the new Rare Dementia Support Centre in central London. www.nationalbrainappeal.org www.charliehawkes.co.uk www.landscapeassociates.co.uk
mhdf magazine 11 OUTDOOR SPACES Improving outdoor spaces for people with dementia Access to the outdoors is a vital part of any home design, and care homes are no different. “As human beings, we have a natural drive to spend time outdoors and some scientists believe it is genetic and talk about biophilia or the love of nature”, said a spokesman for dementia support service, Hammond Care. “For people living with dementia, being outside and keeping active can reduce cognitive decline. “Simple exercise increases appetite, muscle, and bone strength and raises mood, and vitamin D from the sun improves our immune system. And this, in turn, leads to a lower risk of falling.” Interacting with nature also has an incredibly-calming effect, which has been shown to reduce anxiety, stress, and feelings of isolation and depression. So, what can be done to maximise these benefits when designing and improving dementia care facilities? Here are Hammond Care’s top five tips. MAKE IT EASY Ideally, your outdoor space will be close to the living area and easy to access. Make sure the door is visible and unlocked and have clear, wide pathways that lead to meaningful places. MAKE IT ATTRACTIVE Choose safe, brightly-coloured, fragrant, low-maintenance plants. Consider features like fountains, ornaments, or sculptures and birdbaths and feeders to attract birds. MAKE IT SAFE Ensure your outdoor space is safe and secure, with even paths that always bring you back home. And provide shelter in the form of wide eaves, awnings, pagodas, conservatories, or covered verandas. BRING PEOPLE OUTSIDE Create opportunities for people to be active, like watering plants, gardening, or walking or having morning tea or lunch outside. Planned activities like Tai Chi or bowls and DIY activities such as painting fences or benches will help to encourage people to go outside and keep them active. WATCHING THE WORLD GO BY Provide spaces where people can observe – a sunny spot for sitting where people can watch wildlife or others engaging in activities. It is important to make a comfortable place for reading or doing puzzles with good daylight to help people whose vision is reduced. www.hammond.com.au ACCESS TO THE OUTDOORS IS A VITAL PART OF ANY HOME DESIGN, AND CARE HOMES ARE NO DIFFERENT
PREVIEW IN PARTNERSHIP WITH What mental health & dementia facilities forum When 9-10 November 2023 Where The De Vere – Cotswold Water Park Web www.mhdf-forum.co.uk Designing for wellbeing and recovery The impact of therapeutic design on the health, wellbeing, and recovery of mental health service users will be the focus of this year’s mental health & dementia facilities forum, to be held in the Cotswolds in November. The annual event offers suppliers of specialist mental health and dementia products and services the opportunity to meet key decision-makers involved in the design and construction of health and care facilities. Creating a productive networking environment through which delegates can create long-lasting business relationships; supplier and project delegate schedules are matched in advance to ensure their time at the event is maximised. There are also three speaker sessions, with experts from the sector offering advice on making the most of what is a challenging marketplace. And this year these sessions will focus on how design interventions can directly impact on recovery, as well as supporting hard-working staff to deliver high-quality services. Speakers will include designers from Medical Architecture, who will talk about the very-specialist Kimmeridge Court development, a new facility in Dorset specifically designed for patients with eating disorders. And we will hear about the UK’s first crisis support café, which recently opened in Ealing. mhdf editor, Jo Makosinski, who will chair the speaker sessions, said: “Over oneand-a-half days, the forum will create the perfect environment for those involved in the mental health and dementia design and construction sector to get together and further innovate in terms of how we approach projects and the creation of products and services which underpin the delivery of modern, effective care. “For the speaker sessions we are putting together a programme that aims to educate and inspire, providing an evidence base from which to create the next generation of mental health and dementia care facilities, both in the UK and further afield. “Unlike many traditional conferences, the speaker sessions are open to all delegates and we encourage lively debate through our Q&As, which follow each set of presentations.” Speaking after last year’s event, a spokesman for supplier delegate, Kingsway, said: “The forum is an excellent event, providing an opportunity to connect with key personnel from NHS trusts and healthcare providers in the private sector, along with associated project architects and consultants – it is definitely a key date in the diary!” A project delegate from Estates Strategy Group added: “This is a unique event, combining input from relevant speakers, specialists, and achievers in the field and offering access to a range of suppliers who bring services and products at the cutting edge of the sector, in structured and focused meetings instead of having to rely on chance.” The event also includes a project delegates drinks/canapes networking reception and a gala dinner with after-dinner entertainment. There is still time to book your place at the event. For more information visit the website at www.mhdf-forum.co.uk or call 020 8288 1080. The impact of therapeutic design on the health, wellbeing, and recovery of mental health service users will be the focus of this year’s mental health & dementia facilities forum, to be held in the Cotswolds in November. mhdf magazine 13
DEMENTIA DESIGN - WAYFINDING mhdf magazine 15 Finding your way around an unfamiliar setting is hard enough, but especially challenging when you are living with dementia as the disease often results in a decline in navigation skills and increased confusion. Research carried out by Bournemouth University’s psychology department, led my Mary O’Malley, was published in 2017 and explored how people with dementia learn to navigate unfamiliar environments and what consequences this could have for dementia care home building and design guidelines. And her five years of research, in conjunction with the university’s Ageing and Dementia Centre, resulted in the creation of ‘dementia friendly’ design recommendations which are widely used by architects, building standards agencies, care commissioning bodies, and healthcare practitioners. CHANGING PERCEPTIONS She said: “By changing people’s perceptions of what dementia is, this will create a more-user-friendly and accessible environment that will not only benefit those with dementia, but will benefit the community as a whole.” Key to dementia-friendly wayfinding strategies, she advises, is clear layouts and interior finishes. The report states: “Repetitive layouts within a care home setting, such as similar pictures along the corridors, a lack of memorable spaces, and limited colour contrast in carpets, can make it hard for people with dementia to learn and memorise new routes. And these can impact on every day, simple tasks such as going to a communal lounge.” Other recommendations include: • Landmarks: One way of breaking up repetitive spaces is to have enough memorable landmarks along the corridors of care home settings • Using colour effectively: Using different colours can act as a distinct way to both break up and connect spaces together. Colour contrast is particularly important as too little colour contrast between furnishings such as carpets, walls, and sofas may cause a resident to walk into these – whereas too much, between flooring and a rug for example, could be perceived as a ‘hole’, causing distress • Reducing background noise: People with dementia can experience changes to their senses, including a sensitivity to noise. The research provides advice on how to absorb noise with more soft furnishings • Good access to toilets and signage: This tackles an issue which was rarely discussed in previous research into the navigation of people with Have you found your way? Art in Site commissioned Alison Moger to create embroidered artwork for the Cefyn Coed Dementia Unit in Swansea WE EXPLORE WHY WAYFINDING IS A CRUCIAL CONSIDERATION WHEN DESIGNING DEMENTIA-FRIENDLY HOSPITAL AND SOCIAL CARE ENVIRONMENTS Pairing familiar icons alongside text will reinforce legibility and wayfinding
DEMENTIA DESIGN - WAYFINDING 16 mhdf magazine dementia – ensuring not only good access to toilets, but also that people are easily able to navigate their ways to and from the bathroom. In addition, signage to and from toilets in public spaces should be minimal, along with the use of colour contrast to differentiate different areas of bathrooms such as soap dispensers, floors, and walls Wayfinding specialist, Creative, has also published a Dementia-Friendly Wayfinding Gameplan. It highlights 11 key steps to good dementia-friendly wayfinding, including locating artwork and large-format graphics at decision points to help people connect to their surroundings. BACK TO NATURE Imagery that references the local community and nature have been found to have the most impact. Large letters and numbers help people to easily identify the level and area, while pairing familiar icons alongside text will reinforce legibility and wayfinding, such as a knife and fork on the sign for the dining area. And it advises using ‘clear, plain language, such as ‘eye clinic’ instead of ‘ophthalmology’. Other tips include using crisp Sans Serif lettering contrasting with the background colour; bright, bold and vivid colours; creating neighbourhoods or zones with distinct names, colours, icons, and imagery; and, most importantly, ensuring wayfinding strategies are consistent across a site. A spokesman for Creative said: “The hospital experience, in particular, can be disorientating for any new visitor, but for someone with dementia, this stress can be magnified tenfold. “Increased agitation and distress are common responses to the struggle of navigating the unfamiliar hospital terrain and the perpetual and visuospatial problems faced by those with dementia, such as difficulty with depth perception, heighten this sense of disorientation and increase the risk of injury. REDUCING CONFUSION “While there may be no cure for dementia, there are notable ways that healthcare architects, designers, and facilities managers can create an environment that better supports the wellbeing and safety of patients and visitors with the disease.” The world-renowned Dementia Services Development Centre (DSDC) at the University of Stirling adds: “People with dementia need to work constantly to make sense of their surroundings, so avoid Trompe-l’oeil effects, two-dimensional scenes that mimic three-dimensional environments, usually rendered in a realistic way and large scale, for example forest scenes or wallpaper bookcases. “False scenes like these can add to confusion and disorientation, thereby increasing anxiety and potentially- distressed behaviour. “Signs should be legible and use recognisable symbols or pictograms and colour and tonal contrast (Light Reflectance Values) should be considered in relation to the context of the sign. “Font sizes should be appropriately sized depending on from what distance the signs will be read, ie; longer distances will require larger font sizes.” Crucially, it also states that all wayfinding signs should be positioned at a height of 1.2m from the floor plane to the base of the sign – the ideal ergonomic height for older people with a slightly-stooped gaze. THE ART OF WAYFINDING As mentioned in many of the research documents, artwork has a key role to play in dementia-friendly wayfinding solutions. And Art in Site is increasingly using textural artwork to enhance wayfinding in health and social care settings – as Alzheimer’s and other forms of dementia can lead to a heightened sensory attraction to texture and colour. At the Cefyn Coed Dementia Unit in Swansea, the Art in Site team commissioned local artist, Alison Moger, to produce a series of embroidered artworks based on her memories of Swansea growing up as a child. She also produced designed by natural leaf shapes which appear in various shapes, colours and textures in windows, doors, and walls throughout the facility. Art in Site director, Louisa Williams, said: “Throughout the space, we placed Alison’s work strategically in order to assist navigation and orientation, for example as totems on doors. “And our use of picture-based wayfinding has proved helpful to the user group, given the loss of written language comprehension in many people with Alzheimer’s.” PLAYING ON MEMORIES She added: “For the wayfinding we reinterpreted the conventional dementia signs of bed, toilet, plate with knife and fork, seat etc in embroidery, using Alison’s vintage fabrics and whimsical style. “This time we printed onto a wood veneer, to provide a different texture and value and we believe these embroidered signposts promote and reflect human dignity, warmth, and gentleness.” And, at Hillingdon Hospital’s Beaconsfield Older Person’s Assessment Unit, Art in Site brought in Angela A’Court to produce large pastel artworks each depicting familiar objects and confined to a specific colour palette to lodge more firmly on the memories of people with dementia. “People with dementia often find it easier to navigate using pictures, and so we placed images of domestic objects in vibrant colours near the bedside, in order to allow people to find their way ‘home’ more easily,” said Williams. www.artinsite.co.uk www.creativesignage.com ...we placed Alison’s work strategically in order to assist navigation and orientation...
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A smart lamp which is helping to reduce falls, an anti-ligature curtain track, a new national forensic unit, and a therapeutic arts programme were among the innovations singled out for praise at the 2023 Design in Mental Health Awards, held earlier this month. Attendees at the ceremony at the Coventry Building Society Arena enjoyed an evening of networking; valuable fundraising for the event charity, Maytree; and a celebration of the best the sector has to offer via the presentation of awards in nine categories. The winners were chosen by an esteemed panel of experts with extensive professional and personal experience within the NHS and private mental health sector. AWARDS SPOTLIGHT ON INNOVATION THE WINNERS ART INSTALLATION OF THE YEAR Winner: Integrated Artworks by Erik. A Frandsen at Goedstrup Regional Hospital, Denmark – Arketima and partners Highly Commended: Therapeutic Art Program at the Centre for Addiction and Mental Health, Toronto CONCEPT PRODUCT INNOVATION OF THE YEAR Winner: Nobi Smart Lamp Highly Commended: Collaboration in Action – Modular bedroom with one key for staff: Darwin Group, Safehinge Primera, Polar NE, and Tough Furniture LOW COST – HIGH IMPACT AWARD (SPONSORED BY P+HS ARCHITECTS) Winner: Blossom Court replanting, St Ann’s Hospital, Tottenham Highly Commended: Moorside minor ward refurbishments, Trafford General Hospital OUTSIDE SPACE OF THE YEAR Winner: National Forensic Mental Health Service Hospital, Dublin Highly Commended: Montpellier therapeutic allotments, Gloucester PROJECT OF THE YEAR – NEW BUILD INTERNATIONAL Winner: National Forensic Mental Health Service Hospital, Dublin PROJECT OF THE YEAR – NEW BUILD UK (SPONSORED BY KINGSWAY GROUP) Winner: Trinity Building for the South West London & St George’s Mental Health NHS Trust PROJECT OF THE YEAR – REFURBISHMENT Winner: Stella’s Place Ambulatory Mental Health Hub, Toronto Highly Commended: CAMHS, Stockport PRODUCT INNOVATION OF THE YEAR Winner: Suregrip Ligature-Safe Handle by Safehinge Primera Highly Commended: Yewdale K2500 Reduced-Ligature Curtain Track SERVICE USER ENGAGEMENT (SPONSORED BY SAFEHINGE PRIMERA) Winner: Building Together at PHC Lincoln Highly Commended: Aspen Wood Low-Secure LD Projects, Mersey Care NHS Foundation Trust and Gilling Dod Architects Blossom Court replanting, St Ann’s Hospital, Tottenham - winner of the Low Cost - High Impact Award 18 mhdf magazine
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