East Highgate opens the mental health & dementia facilities magazine MAY 2024 EAST HIGHGATE What this centre’s cutting-edge design means for mental health care PROJECT The household care approach; Langtree Care Home nears completion LIGHT YEARS AHEAD Using circadian lighting for mental health environments p10 p6 p13
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mhdf magazine 3 Contents MAY 2024 Editor’s Note FOSTERING COMPASSIONATE AND THERAPEUTIC ENVIRONMENTS In the realm of mental health and dementia care, the design and operation of facilities play a pivotal role in shaping the wellbeing and quality of life of patients. As we strive to create spaces that promote healing, dignity and autonomy, it is essential to recognise the importance of fostering compassionate and therapeutic environments. As the new editor of MHDF magazine, I have been struck with how an interdisciplinary approach can create outstanding environments for mental health care, and how a collaborative approach that brings together architects, healthcare professionals, caregivers, patients and communities has the ability to create places that are safe, supportive, healing and respectful. Design elements such as natural light, soothing colours and access to nature can have a profound impact on patients’ mood, behaviour and overall sense of wellbeing. Additionally, incorporating spaces for relaxation, socialisation and recreational activities can provide patients with opportunities for engagement, stimulation and enjoyment. In this issue, we look at one such facility in North London, where the cutting-edge design of East Highgate mental health facility has replaced the inpatient wards at St Pancras Hospital. The new building offers green outdoor spaces, therapy spaces, a sports hall and a café open to the public, promoting inclusivity with the local community and destigmatising mental health. This has happened as a result of input from service users, carers, staff and the wider community. East Highgate is an inspiring example of what can be done with extensive input. As we look to the future of mental health and dementia care, it is imperative to prioritise the creation of these progressive environments that promote the dignity, wellbeing and autonomy of patients. We value your feedback. Contact [email protected] Editor Helen Adkins 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: 6 PROJECT Millennium Care Group’s Langtree Care Home, which will employ the household care approach, nears completion 10 EAST HIGHGATE MENTAL HEALTH FACILITY A look at this cutting-edge, purpose-built centre, launched in March 13 LIGHTING Promoting circadian rhythms with lighting and Melagen technology 17 FIRE SAFETY Briton’s Accufit templates receive a makeover 18 TAPS We look at Methven’s Avoca range for care environments 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 NEWS Specialist business property adviser, Christie & Co, has released its Wales Healthcare Market Insight 2024 report, shedding light on the elderly care home market in Wales and underlining the pressing demand for new 'future-proof' care homes across the region. According to the report, between 2020 and 2023, 40 elderly care homes in Wales shut down, while only four new ones opened. Currently, there are 594 elderly care homes in Wales, accommodating an average of 37 residents each, with a total capacity of 21,820 care beds. However, only 60% of these beds have ensuite facilities, 25% have wet room provision and only 22% are dedicated to dementia care. These homes are predominantly situated in urban areas like Cardiff, Swansea and Wrexham, with rural regions facing a significant shortage due to logistical and staffing challenges. Meanwhile, occupancy rates in Welsh care homes have risen to 92%, surpassing England's 89% and a slight increase from 90% in 2022/23. In terms of Effective Market Capacity (EMC) beds, there has been a modest 5% increase in supply between 2020 and 2024, compared to a 20% rise in demand. As of 2024, there are only approximately 12,501 EMC beds available in Wales, meeting just 59% of the required demand. Furthermore, while 74% of local authorities necessitate EMC beds, only 26% have adequate supply levels. Looking ahead, Christie & Co projects a significant undersupply of 1,672 EMC beds in North Wales and 7,423 EMC beds in South Wales by 2034. Rob Kinsman, regional director of Care, and Will Edwards, Healthcare Development & Investment at Christie & Co, said: ‘The figures in our report speak for themselves. There is a severe need for EMC beds in Wales and this demand is growing rapidly as people live longer and we see a rise in the closure of homes that are no longer fit for purpose.’ REPORT FINDS UNDERSUPPLY OF EMC BEDS IN WALES Scan for the Wales Healthcare Market Insight report. People supported by Shelton Care Group in Stoke-on-Trent have played a vital role in shaping the look and feel of their newly refurbished homes. The million-pound investment into Shelton Care Group sites, operated by the National Care Group, includes substantial improvements such as new kitchens, bathrooms, sensory gardens and a cinema room. Supported individuals had the opportunity to contribute to the redecoration of their bedrooms and shared spaces, choosing themes, colours and flooring options tailored to their needs. Lizzie, one of the supported individuals, expressed her happiness with the outcome: ‘I used a paint colour chart to help me choose the colours that I would like to have in my flat and shower room. I chose green and cream because I love nature.’ Katie Fallows, regional operations manager at National Care Group, emphasised the importance of involving supported individuals in the design process: ‘We’re passionate and dedicated to supporting our people to lead rich and fulfilling lives. Having them involved in the design process really made them feel at home in their environment, which, ultimately, alongside the support we provide, is our top priority as adult social care providers.’ Mark Mason, head of estates and procurement at National Care Group, said: ‘Investing in our sites is part of our continual improvement programme to enable the people we support to reach their full potential. The services provided by our Shelton colleagues are a testament to this philosophy, and it has been a pleasure to help them in not just the essentials of refurbishment but a range of sensory and homely improvements that help both the people we support and their team to feel empowered in their surroundings.’ www.nationalcaregroup.com SUPPORTED INDIVIDUALS HAVE THEIR SAY IN MILLION-POUND REFURB
6 mhdf magazine PROJECT Millennium Care Group UK is nearing the completion of Langtree Care Home, part of Standish Care Village in Wigan. Purposely designed by sector-leading ACA architects, the facility will provide 52 beds and offer various levels of support, including respite, residential, nursing, dementia and EMI care. Langtree Care Home prioritises resident wellbeing, incorporating nature-inspired elements and dementia-friendly features. Inspired by the local landscape, the Lake District and Beatrix Potter's legacy, it aims to create a non-institutionalised environment. Each bedroom will have outdoor access, promoting nature connection and providing therapeutic benefits. The facility will also feature bird-watching observation huts, ample natural light and private access to a nearby lake. HOUSEHOLD CARE MODEL Following the successful model at the company’s Worthington Lake Care Home, Langtree will adopt a household care approach, focusing on personalised support within a nurturing setting. This model aims to create a homelike and person-centred environment, enhancing the lives of residents by providing a sense of familiarity, comfort and belonging, with an emphasis on choice and independence. At the same time, more intimate settings create improved relationships. The key principles involve resident autonomy, smaller-scale living, person-centred care, staff empowerment, daily routine and meaningful activities all within a homelike setting. The model also recognises the role staff play, going against standard hierarchy which helps create a supportive and empowering environment that motivates and engages employees. While the success rate of the household model of care can vary, research and studies have shown the model can lead to better health outcomes and reduced hospitalisations. Langtree Care Home is scheduled to open in September 2024. millennium-care.co.uk aca-i.com The design is inspired by the local landscape, the Lake District and Beatrix Potter’s legacy Langtree Care Home aims to adopt a household care approach
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PROJECT 10 mhdf magazine Highgate East mental health facility opens Those with complex or severe mental health needs, and who are residing in the London Boroughs of Camden and Islington, are now being treated in the brand-new, purpose-built NHS facility in Highgate East, constructed by BAM. The handover ceremony took place in March of this year, marking a significant milestone in the project. London Mental Health Partnerships’ (NLMHP) have relocated its mental health inpatient wards from St Pancras Hospital to the Highgate Campus, which will incorporate the new Highgate East building and the existing Highgate Mental Health Centre (Highgate West), which is located on the opposite side of the Dartmouth Park Hill. High acuity mental health services will be accommodated at Highgate West, co-locating them with the NHS’s Health Based Place of Safety service and Mental Health Crisis Assessment Service. Five wards, including rehabilitation and single-sex, as requested by service users, will be accommodated on the Highgate East site, closer to physical health services at the Whittington Hospital Working closely with NLMHP, BAM ensured the new facility met the needs of mental health service users and staff, following input from a number of stakeholders, including service users, carers, staff and the wider community. This has been instrumental in shaping the design and features of the facility. Highgate East is also situated near a primary school and residential areas. Throughout the construction period, BAM worked collaboratively with its neighbours to minimise disruption and ensure a smooth process. Modern methods of construction, particularly on the pre-cast facade, were employed to prioritise safety and sustainability. The project has not been without it’s challenges, however, after delays to the opening of the new building meant vulnerable NHS patients had to be transferred from St Pancras to a privately run centre in Harrow, a facility which was criticised by care inspectors in a damning report last summer. Yet, unlike the most recent new-build extensions to hospitals serving Islington Camden and Islington NHS Foundation Trust is the largest provider of mental health and substance misuse services in the London boroughs of Camden and Islington, as well as delivering services to residents in Kingston. The Trust is dedicated to providing high-quality mental health care that meets the needs and expectations of service users in the 21st century. SERVING THOSE WITH COMPLEX OR SEVERE MENTAL HEALTH NEEDS, HIGHGATE EAST IS THE NORTH LONDON MENTAL HEALTH PARTNERSHIPS’ (NLMHP) BRAND-NEW MENTAL HEALTH INPATIENT BUILDING ON THE CAMDEN, HARINGEY & ISLINGTON BORDER
mhdf magazine 11 PROJECT patients, including the Whittington, the NHS has not had to rely on the Private Finance Initiative-style schemes, and so will not be saddled with decades of debt. THE DESIGN The cutting-edge, purpose-built environment has been designed to support the recovery of service users and improve the working lives of staff. Constructed to replace the ageing facilities at St Pancras Hospital, Highgate East offers 78 single ensuite rooms and green outdoor spaces for each ward, as well as therapy spaces, a sports hall, and a café open to the public, promoting inclusivity with the local community and destigmatising mental health. BAM construction director Gavin Pantlin was delighted by the handing over the state-of-the-art facility, highlighting the collaborative effort and focus on wellbeing incorporated into the design. He commended everyone involved for their contributions during the design and construction phases. Meanwhile, chief executive Jinjer Kandola MBE, NLMHP chief executive, emphasised the importance of modern, therapeutic environments for mental health care, and reflected the input of service users, staff and the wider community in the building's design: ‘Highgate East will not only provide care for service users but also serve as a valuable community asset with a public café, promoting inclusivity and respect for all.’ She continued in stressing that the old St Pancras Hospital buildings were ‘never designed to provide modern-day mental health care’, adding: ‘Highgate East’s cutting-edge design has been co-produced with our service users, carers, staff and the wider community.’ There are 78 single ensuite rooms, in addition to quiet spaces The design is a result of input from service users, staff and the community Green outdoor spaces are attached to each ward Highgate East will not only provide care for service users but also serve as a valuable community asset JINJER KANDOLA MBE WELLBEING AND COMMUNITY Gavin Pantlin, BAM construction director, said: ‘This has not been a typical build; the design has been influenced by a wide-ranging team, with a huge focus on wellbeing incorporated in the design, this includes access to outdoor space, quiet areas, access to sports and recreation, and a family visiting area. ‘Everyone involved can be hugely proud of what they have achieved during the design and construction phase, and we look forward to the facility leaving a legacy for the NHS, the users of the hospital and the wider local community.’ Akin Durowoju, trust project director spoke of BAM’s selection as the contractor: ‘In appointing BAM, we considered not only their experience in mental health facility design and construction but also how key responsibilities, such as those to the environment and local communities, were met.’ www.bam.co.uk www.northlondonmentalhealth.nhs.uk
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UTILITIES: LIGHTING mhdf magazine 13 IN MENTAL HEALTHCARE, THE DAILY ENVIRONMENT IS OF CRITICAL IMPORTANCE TO THE SUPPORT AND REHABILITATION OF PATIENTS, AND THE LIGHTING OF A ROOM CAN HAVE A PROFOUND EFFECT ON THIS. BY USING MELAGEN TECHNOLOGY, THE WELLBEING OF ALL OCCUPANTS, INCLUDING STAFF, CAN BE IMPROVED Light Years Ahead work in partnership with Versalux; an Australian lighting company who have developed cutting-edge Melagen technology, which influences human circadian rhythms by controlling specific frequencies of light. This innovative solution can bring benefits to all users of a facility, creating a better environment for all, whether individuals are in recovery or working to assist patients. The term ‘circadian rhythm’ is derived from the Latin ‘circa’, meaning ‘roughly’, and ‘dies’, meaning day. So, a typical human circadian rhythm is roughly 24 hour or one sleep-wake cycle. The Lucca luminaire fitted with Melagen taps into this natural biological clock to increase wakefulness during the day, while contributing to deeper, higher-quality sleep at night. Available in anti-ligature, anti-vandal and standard configurations, the Lucca fitting will cater for varying degrees of vulnerability in all mental healthcare and secure healthcare facility areas – all enclosed in an attractive luminaire. The Lucca light has three standard modes, with direct and indirect optics created from two separate LED arrays. When only the indirect backlight is illuminated, it creates a subtle nightlight or dimmed ambience. With both LED arrays illuminated, maximum output is achieved. With just the direct array, a more standard lighting output is reached. It can also be installed in direct-only mode to create a more standard output style. Multi-mode lighting is nothing new. However, where the Lucca fitting goes well beyond conventional lighting is with the optional addition of scientifically-backed Melagen technology. At the heart of the Lucca lies this groundbreaking technology that synchronises indoor light output with the natural daily patterns of the sun, human circadian rhythms and melatonin production. Melatonin is a hormone created in the brain in response to darkness. It plays a vital role in governing circadian rhythms, our body's internal 24-hour clock, and regulates our wake-sleep cycle. Illusttation: Lutfi Gani Al Achmad from Noun Project LEE McCARTHY director of lighting LIGHT YEARS AHEAD
UTILITIES: LIGHTING 14 mhdf magazine Exposure to light during night hours can inhibit the production of melatonin, so Melagen systems assist with restful sleep while also helping suppress melatonin during the day for a feeling of wakefulness. Melagen differs from conventional human-centric lighting – which typically uses a tuneable white LED array and relies solely on visual colour temperature to influence mood. In Melagen, particular wavelengths (predominantly 480-490nm) of blue light are enriched during daylight hours and then suppressed into the evening on a gradual cycle, staying this way through the night, before gradually reintroducing blue light as daytime approaches. While light exposure in general hinders the release of melatonin, blue light in particular has a stronger influence on suppressing the release of the hormone. This 480-490nm frequency has been found to have the greatest influence on melatonin production. A study conducted by researchers from Harvard University and their counterparts compared the effects of 6.5 hours of exposure to blue light with exposure to green light of similar intensity. Findings revealed that blue light suppressed melatonin production for approximately twice the duration of green light and caused a shift in circadian rhythms that was twice as significant (3 hours compared to 1.5 hours). The blue-enriched output from Melagen systems yields approximately 30% more blue light when compared to a typical light source, and the blue-depleted setting outputs approximately 60% less blue light than standard LED luminaires. This promotes alertness and enhanced concentration during daytime, while into the early evening delivering blue-depleted illumination, providing a warm appearance and a low blue light ratio, ideal for preparation to rest and encouraging improved length and quality of restorative sleep. Using Melagen technology we can gradually adjust the blue light output of LED fittings as dusk approaches and inversely reintroduce it come morning, thus mimicking natural daylight transitions. This can result in a calming effect on patients and families, reducing stress and promoting a sense of tranquillity, wellbeing and alertness. The Lucca light fitting is a low-profile, modern circular luminaire for surface mounting. It is available in various diameters, with Melagen technology being available in all sizes 350mm diameter and larger. One of the key reasons that make the Lucca an ideal option for the mental healthcare sector is its mindfully designed appearance, even in the anti-ligature specification. It is also available in an anti-vandal and a standard configuration, meaning you can create a consistent appearance across the facility, while the shared internal components mean that fewer spare parts need storing onsite, saving money and space while maximising uptime. The Lucca light fitting with Melagen technology presents a stride forward in mental healthcare lighting by combining advanced functionality with innovative technology. When facility managers and owners strive to create nurturing environments for patients, Melagen technology will assist in creating a space that adapts to the outside world, bringing calm and tranquillity from the naturally occurring patterns of outdoor sunlight. www.lightyearsahead.co.uk/melagen [email protected] A MINDFULLY DESIGNED APPEARANCE
UTILITIES: FIRE SAFETY Briton, one of the leading specialists in door controls and exit hardware, has launched a newly enhanced version of its long-standing and popular self- adhesive Accufit template, designed to aid accurate installation of Briton’s door closers. For 25 years, Briton’s unique ‘peel and stick’ Accufit system has provided installers with the means to fit door closers quickly and accurately at the first attempt, improving efficiency and helping to drive better installation standards across the built environment. Accufit self-adhesive templates are designed to be stuck to the door and its frame, allowing all fixing points to be accurately pre-drilled and helping ensure the closer is correctly positioned, in all applications. Briton’s newly updated Accufit templates include the fixing dimensions of the door closer alongside user-friendly images of the fixing application to provide additional illustrative guidance. Fixing instructions have also been simplified to assist installers when positioning the template, with the edge, face and inside edge frame of the door clearly marked, helping to further reduce installation time, improve the accuracy of fittings and enhance the life of the installed product. In updating its Accufit templates, Briton aims to save installers time whilst eliminating the uncertainties associated with door closer installation, helping to ensure closers function effectively and maintain fire safety integrity as a result. Pete Hancox, country manager at Allegion UK, commented: ‘An appropriately specified, installed and maintained door closer is a prerequisite when it comes to fire door safety. With that in mind, and upon identifying that problems associated with the operation of door closers were often the result of incorrect installation, Briton’s door control experts developed a reliable system in the form of Accufit. ‘Briton Accufit templates are designed to facilitate the correct installation of door closers, and for 25 years they have remained a proven support tool for installers. With changes to fire safety legislation, and a renewed focus on competency, ensuring accurate installation is now more significant than ever and, as such, it’s an opportune time to launch our enhanced Accufit system.’ Updated versions of the Accufit template are now available with Briton 2003 and 2003V door closers, with the launch expanding across the Briton door closer range in the coming months. www.briton.co.uk www.allegion.co.uk FIT FOR FIRE SAFETY mhdf magazine 17 BomSymbols from Noun Project PETE HANCOX COUNTRY MANAGER ALLEGION UK Briton’s door closer Briton’s Accufit template BRITON HAS LAUNCHED AN UPDATED TEMPLATE, WITH EASY INSTALLATION IN MIND
UTILITIES: BATHROOM FIXTURES 18 mhdf magazine Designed to meet the evolving needs of care homes, the Avoca range offers convenience, safety and efficiency. Created with the ease of installation in mind, the range includes a cold-start basin mixer, a thermostatic bath filler, a thermostatic bath shower mixer, and a cool touch bar valve featuring Satinjet showering technology. The range’s lever handles mean it is suitable for all domestic settings, including care homes, and for ultimate safety, the mixer valves are TMV2 approved. In line with Methven’s wider commitment to water saving across its products, the Avoca range also utilises the water saving technology, with showerheads that provide an immersive shower experience, yet use 60% less water than traditional shower heads. The cold start function utilised in the basin mixer offers users water, safety and energy saving benefits by having a starting position of running cold water, meaning that boilers aren’t engaged until purposefully instructed to do so. The range has also been created with the ease of installation in mind, including fast fix valve and rail connections, making this a straightforward process and cost effective. SAFETY AND WATER CONSERVATION Emma Foster, head of marketing and product at Methven, highlighted the Avoca range's emphasis on performance, efficiency and design, particularly essential for care environments where safety and water conservation are paramount. She said: ‘The safety and water saving features will be particularly important to care environment operators.’ She also emphasised Methven's focus on installer-friendly designs, which ensure easy installation and maintenance and highlighted the Avoca range's compatibility with standard installations, eliminating the need for specialised plumbers and hard-to-find replacement parts. She said: ‘We engineer with the installer in mind, so all of our products are easy to fit and maintain with regular checks. When considering the need for any potential parts for replacements down the line, we also maintain strong stock levels and are always on hand to support.’ www.uk.methven.com/collections/avoca METHVEN LAUNCHES AVOCA RANGE FOR CARE ENVIRONMENTS Methven has introduced its latest innovation, the Avoca range, tailored specifically for care environments. We look at what’s on offer
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