Improving the patient experience Sharing success in mental health and learning disabilities The King’s Fund’s Enhancing the Healing Environment programme The passion, energy, drive and “commitment of the teams who have led these projects have been inspirational. They have set an example and shown what can be done to improve care environments in both mental health and learning disabilities services. Their achievements show what is possible and should encourage many more to follow in their footsteps.” Niall Dickson Chief Executive, The King’s Fund Improving the patient experience Sharing success in mental health and learning disabilities The King’s Fund’s Enhancing the Healing Environment programme 2004–2008 ‘Improving the Patient Experience’ is a series of publications designed to stimulate and inspire all those involved in designing, procuring, developing and maintaining healthcare buildings to look for new and inventive ways to improve the environments for patients and staff alike. They contain best practice case studies, advice and guidance on how best to implement and manage programmes for change in both new buildings and areas for refurbishment. Other titles in the series include: • Celebrating Achievement – Enhancing the Healing Environment • Evaluation of The King’s Fund Enhancing the Healing Environment Programme • A Matron’s Charter: An action plan for cleaner hospitals • A place to die with dignity – Creating a supportive environment • Contracting for cleaning • Exploring the patient environment • Friendly healthcare environments for children and young people • The art of good health – A practical handbook • The art of good health – Using visual arts in healthcare • Welcoming entrances and reception areas This publication celebrates the completion of 47 Enhancing the Healing Environment projects in mental health and learning disabilities trusts outside London. This phase of the national extension of the King’s Fund’s Enhancing the Healing Environment programme was funded by the Department of Health. Improving the patient experience Sharing success in mental health and learning disabilities The King’s Fund’s Enhancing the Healing Environment programme 2004–2008 Isle of Wight NHS Primary Care Trust: Halberry Unit entrance Sharing success in mental health and learning disabilities © Crown copyright 2008 Published with the permission of the Estates and Facilities Division of the Department of Health, on behalf of the Controller of Her Majesty’s Stationery Published by TSO (The Stationery Office. Office) and available from: This document/publication is not Online covered by the HMSO Click-Use www.tsoshop.co.uk Licences for core or added-value Mail, Telephone, Fax & E-mail material. TSO If you wish to re-use this material, PO Box 29, Norwich NR3 1GN please send your application to: Telephone orders/General enquiries 0870 600 5522 Copyright applications Fax orders 0870 600 5533 The Copyright Unit E-mail [email protected] Office of Public Sector Information Textphone 0870 240 3701 Information Policy Team Kew TSO Shops Richmond 16 Arthur Street, Belfast BT1 4GD Surrey 028 9023 8451 Fax 028 9023 5401 TW9 4DU 71 Lothian Road, Edinburgh EH3 9AZ e-mail: [email protected] 0870 606 5566 Fax 0870 606 5588 ISBN 978-0-11-322827-0 TSO@Blackwell and other Accredited Agents First published 2008 Printed in the United Kingdom for The Stationery Office Gateway Reference No: 10841 Cover photographs: Front: Statuary in Fant Oast’s garden, Maidstone, Kent and (inset) a corridor installation at Park House, Manchester. Back: The Enhancing the Healing Environment Programme team at Calderstones, Lancashire. The paper used in the printing of this document (Greencoat Velvet) is produced in a mill that has obtained both ISO 9001 and ISO 14001 accreditations, which means that all responsibilities to the local environment and manufacturing processes are strictly monitored. Greencoat Velvet boasts the following environmental credentials: • 80% recycled post-consumer fibre • 10% TCF (Totally Chlorine Free) virgin fibre • 10% ECF (Elemental Chlorine Free) fibre • FSC certification • NAPM recycled certification iv Foreword I am delighted to have the opportunity of providing a foreword to ‘Sharing Success’, which marks the completion of 47 projects to improve the environment of care in mental health and learning disabilities as part of The King’s Fund’s Enhancing the Healing Environment (EHE) programme in England. Service users and carers have been an integral part of the trust teams that have created the extraordinary range of schemes described in this publication. I have visited a number of the project sites and I know that their views have not only helped shape the schemes but have also led staff to implement improvements in care delivery. Safety and risk management have rightly been key determinants of the schemes but, working together, the multidisciplinary teams have managed to be both imaginative and innovative in their designs. One of the most striking outcomes of the programme, illustrated so well by many of the projects, is the potential for improved therapeutic environments to have a major impact on safety by, for example, reducing challenging behaviours or slips, trips and falls. This not only improves service users’ wellbeing but does much to improve staff morale, recruitment and retention. It is probably no surprise that many of the projects have focused on improving or creating outside spaces as the therapeutic nature of gardens is well known. I have been delighted to see the range of designs chosen for secure environments, acute wards, elderly care and adolescent units which reflect the particular needs of each group. Many of the spaces have been designed to encourage outdoor activities and are already being well used and much enjoyed. The EHE programme highlights how, with new partnership approaches to consultation and capital planning, and relatively small amounts of money, mental health and learning disabilities environments can be radically improved. I am delighted that so many trusts have embraced this ethos and are now using the principles of the programme to inform the design of future environments. I hope that ‘Sharing Success’ will inspire you to think about what you can do to develop a shared vision and commitment to continue to improve the care environment. Professor Louis Appleby, CBE National Director for Mental Health November 2008 Professor Louis Appleby, National Director for Mental Health, at the opening of “The Elements”, Manchester Mental Health and Social Care Trust v Acknowledgements Our President, HRH The Prince of Wales, played a key role in the launch of the Enhancing the Healing Environment (EHE) programme in 2000. Since then his continued support and interest has been greatly appreciated by all those involved in the programme. We are also indebted to our partners at the Department of Health who funded this phase of the programme, and made this publication possible. Professor Louis Appleby, National Director for Mental Health and Dame Christine Beasley, Chief Nursing Officer, have both championed the programme and their ongoing support has been invaluable. We are grateful too, to all those who by their support have ensured its success. In particular we would like to thank those who have contributed to the development work including colleagues at ICI paints (now part of AkzoNobel), Nightingale Associates, Philips Lighting and Tate Modern; and to the EHE team at The King’s Fund who continue to guide and support with a deft touch. My thanks also go to Sarah Waller and Hedley Finn who have provided the material for this publication. This publication marks the completion of one of the most far-reaching programmes to improve the environment of care in mental health and learning disabilities settings in England. Our role at The King’s Fund is to equip teams with the knowledge and skills both to understand the importance of the care environment and to bring about improvements that will make a difference to both patients and staff. The passion and enthusiasm of EHE teams is infectious but behind this lies a great deal of hard work and effort. The programme would not have been such a great success were it not for the commitment and dedication of the people who use these services, nurses, estates staff, and arts coordinators, as well as managers, administrative staff and carers, all of whom have contributed so much. Many trust boards, Leagues of Friends, and local organisations have also made the projects possible. Finally, thanks go to everybody who has supported their local scheme, from those who have made cakes, supplied cuttings for gardens, purchased special furniture or collected pennies, to those who have been up half the night fixing pictures for opening events! This programme changes lives. Thank you all for playing your part in enhancing the healing environment. Niall Dickson Chief Executive, The King’s Fund November 2008 Niall Dickson, Chief Executive, The King’s Fund, presents a plaque to the trust team to commemorate the opening of the EHE scheme at Cornwall Partnership NHS Trust vi Contents Foreword v Acknowledgements vi About ‘Enhancing the Healing Environment’ 1 The mental health and learning disabilities projects 7 The Projects 11 Project Directory 104 Annexes 117 List of participating organisations 117 References 121 Useful addresses 122 Barnsley Primary Care Trust: The Haven window Milton Keynes Primary Care Trust: Campbell Centre Garden About “Enhancing the Healing Environment” About “Enhancing