Option 1 – Locate the specialist dementia hospital services at Charter House, Trowbridge
Charter House is located on Seymour Road in Trowbridge. The building was constructed and opened in 1994 as part of AWP’s estate portfolio. It was closed temporarily in 2013 by AWP as the layout of the wards meant that, despite ongoing investment, it was unable to meet current national guidance.
We have the option to:
- Close the 10 temporary dementia beds previously transferred from Charter House
and 10 permanent beds, which already existed at Amblescroft South, Fountain Way,
- Refurbish Charterhouse
- Reopen the specialist dementia ward following the refurbishment
Charter House, in its current form, contains a number of operational, layout and quality issues for a specialist dementia ward. An overview of these issues is:
- Bedrooms and en-suite bathrooms do not comply with current Health Building Notes.
- En-suite provisions are limited to a hand basin and toilet.
- The ‘sprawling’ building design makes it difficult for staff to observe patients within the bedroom areas and corridors at the frequency required to ensure that they are well and safe.
- Some patient accessible areas are remote and are difficult for staff to ensure on a
constant basis that patients are well and safe.
- Communal space is fragmented throughout the building, which again raises the issue of staff not being able to ensure that patients are well and safe on a constant basis.
- The Ward Garden contains a number of trip hazards and hard edges increasing the risk of falls and injuries to patients.
- The existing fixtures, fittings and services do not meet current standards in relation to Health and Safety and Patient-led Assessments of the Care Environment (PLACE).
- The raised timber flooring is sagging in areas and is difficult to walk on within certain rooms.
- A drainage survey identified fine root ingress within sections of the pipes from surrounding trees, which has led to major drainage issues.
- Some services are sub-standard and the lighting, sanitary ware, pressurisation plant and heating systems insulation all need to be replaced.
- The existing signage is poor.
- The existing colour schemes are not compliant with dementia care best practice, making it difficult for people with dementia to navigate the environment and remain independent.
- A lack of ‘meaningful wandering space’ means that people with dementia can become increasingly anxious, distressed and confused.
- There are inadequate quiet spaces for therapies.