Evidence Based Matrix Environmental Design Principles Fixtures & Fittings Comfort Door & Handle Specification Personal Space & Privacy Therapeutic Environment Openness & Sight Lines Location of the bedroom Anti-ligature Measures Residential Character Window Specification Personal Storage Artifical Lighting Personalisation Temperature Day Lighting Ventilation Acoustics Unit Size Outlook Artwork � �� � � � Reduce Violence & Aggression � � � � � � � Reduce Stress & Agitation � � Experience � � �� � � � � Increase Patient Safety � � � � � Increase Patient Satisfaction Patient � � �� �� � � � � Increase Patient Control � Increase Social Support Experience � Increase Staff Observation � � � Increase Staff Satisfaction Staff
Mental Health Survey
Patient Workshop: Mental Fight Club • February 2014 • Personalisation and identity • Bright with a connection to outdoors • Open and spacious • Storage
M H functional single bedroom en-suite – key drivers compliant design features:- • 15.0 sqm combined bedroom and en-suite • Sight-line from door • daylight and views out entry entry • en-suite HBN00-02 and 03 compliant • Rooms paired to share services • Anti-ligature En-suite En-suite • 1800mm corridor width storage storage sh/ wc sh/ wc recommendations:- • Bed relative to window • Personalisation Work/ Sleep/ Sleep/ • Acoustic consideration rest rest play • Furniture detail • Ceiling height min 2700mm (‘break the box’) support recovery • Recognise function of corridor + threshold • Carpet in part of the room
M H functional single bedroom – layout parameters
M H Functional bedroom assessments Ne t ro o m are a (sqm) Cle arwidth Bedroom design inc l staff / ther Cle arde pth Be d po sitio n Sig ht-line fro m do o r Wo rk spac e Sto rag e pro visio n Pe rso nalisatio n / artwo rk apeutic featur T e c hno lo g y Ce iling he ig ht Windo w size + o pe ratio n e s Do o rtype Do o r size + o pe ratio n Ne t ro o m are a (sqm) E n-suite design featur Duc t are a (sqm) L o c atio n re lative to be dro o m Co nstruc tio n in-situ/ po d Do o rtype es do o rsize , o pe ratio n + lo c k- bac k
M H functional bedroom en-suite – 2 arrangements In-board with sight-line splay Parallel/ nested
M H functional bedroom in-board en-suite – room testing • En-suite comfortable, not over or under sized • Sight-line, move into room, impact of f,f+e • Bed position impact on the ‘sense of space’
M H functional bedroom en-suite – model test featur es:- 100% sig ht-line , mo r e be d po sitio ns, e ffic ie nt fo o tprint, te ste d o bse rvatio n re c e ss de pth
T echnical Workshop • Broader principles: • Detailed design: – Support for work on – Standard brief storage • What is an acceptable – En-suite arrangement: level of risk? • Solid stub wall • Definition of anti-ligature • Pocket door and testing • Expectations – infection control – Flexibility: baseline for forensic bedroom?
M H functional bedroom en-suite – 2 arrangements In-board with sight-line splay Parallel/ nested enhanc ed design featur es:- We ig ht se nsitive do o r , sliding o r po c ke t do o rs to e n-suite , hig he r c e iling , windo w se at, fitte d furniture , artwo rk, o ppo rtunity fo r pe rso nalisatio n
M H functional bedroom en-suite – in-board bedroom, 11.8sqm en-suite, 3.1 sqm duct, 0.4sqm entry entry En- En- suite suite storage storage sh/ wc sh/ wc Work/ Sleep/ Sleep/ play rest rest support recovery featur es:- 100% sig ht-line , 2 be d po sitio ns, e ffic ie nt fo o tprint, re duc e d c o rrido r le ng th
M H functional bedroom mock up@ Thorlux show room, 30:10:14
M H functional bedroom mock up@ Thorlux show room, 30:10:14
M H functional bedroom mock up@ Thorlux show room, 30:10:14
10. C-Sheets
10. Federated BIM M odel
Furniture Arrangements www.procure21plus.nhs.uk
MH bedroom storage test - triangular • Padded waistcoat • Waterproof top • shoes • trainers • boots • 4 pairs of trousers • 2 tracksuit bottoms • shorts • 7 t-shirts • 3 rugby tops • 3 jumpers • 7 boxers • 7 socks • Baseball cap • (2 bath towels) • (2 hooded tops)
MH bedroom storage test – rectangular high level • Padded waistcoat • 2 Waterproof tops • shoes • trainers • boots • 8 pairs of trousers • 2 tracksuit bottoms • shorts • 10 t-shirts • 6 rugby tops • 6 jumpers • 7 boxers • 7 socks • Baseball cap • 2 bath towels • 4 hooded tops
MH bedroom storage test – rectangular low level • Padded waistcoat • Waterproof top • shoes • trainers • boots • 4 pairs of trousers • 2 tracksuit bottoms • shorts • 7 t-shirts • 3 rugby tops • 3 jumpers • 7 boxers • 7 socks • Baseball cap • 2 bath towels • 2 hooded tops
Patient Workshop: Mental Fight Club • September 2014 • What does this space say to me? • What does this space expect of me? – Bed position – Furniture – Storage – Colour
M H functional bedroom – modularised fitted furniture featur es:- Mo dular o ptio ns, sing le fixe d ro o m de sig n, 4 be d po sitio ns
MH functional bedroom - Aerial view Rectangular furniture option with peninsula bed
MH functional bedroom - perspective view from window Rectangular furniture option peninsula bed
Break, Exhibition and Video Return 11:30 www.procure21plus.nhs.uk
Organic Mental Health Bedroom Pat Pemberton/ Rosemary Jenssen www.procure21plus.nhs.uk
HBN compliance- HBN 35 Size: Bedrooms with en-suites- but no showers 17m2 5.46 Single rooms, with en-suite WC and washing facilities are required. The wash basin will need to be at a height suitable for a person sitting on a chair. The en-suite facilities will need to have wheelchair access. 5.47 The bedroom may be furnished with a variable height bed and general type bed head services but piped oxygen and suction are not required. An emergency call system is required. The room will also require a bedside locker, a chair of appropriate height and storage for clothes.
What are the needs? • Nursing care – continuation of care that has been provided at home • Interventions to encourage activities of daily living • Safety – falls prevention and harm relating to falls • Rest and relaxation • Security and observation
Literature Review and Workshops • Literature Review • Mental Health Survey • The Kings Fund • South Essex Carers Group • Innovate Dementia
M H organic single bedroom en-suite – key drivers compliant design features:- • 17.0 sqm -19.0sqm combined bedroom and en-suite • Sight-line from door • daylight and views out entry entry • en-suite HBN00-02 and 03 compliant • Rooms paired to share services • Anti-ligature En-suite En-suite recommendations:- storage storage sh/ wc sh/ wc • Familiarity ‘v’ ligature • Accommodate more interventions • Memory box Work/ Sleep/ Sleep/ • Sight-line to wc rest rest play • Fitted furniture detail • Ceiling height min 2700mm support recovery • Recognise function of corridor + threshold • Seamless floor finish
M H Older Adult/ Organic bedroom assessments Ne t ro o m are a (sqm) Bedroom design inc l therapeutic / nursing featur Cle arwidth Cle arde pth Be d po sitio n Sig ht-line fro m do o r Wo rk spac e Sto rag e pro visio n Pe rso nalisatio n / me mo ry bo x artwo rk Ce iling he ig ht Windo w size + o pe ratio n Do o rtype es Do o r size + o pe ratio n Ne t ro o m are a (sqm) E n-suite design featur Duc t are a (sqm) L o c atio n re lative to be dro o m Sig ht-line be d to wc Co nstruc tio n in-situ/ po d, g rabrails Door type es do o rsize , o pe ratio n + lo c k- bac k
M H organic bedroom in-board en-suite – room testing • En-suite comfortable, not over or under sized • Bed type and size • Option peninsula or against the wall
T echnical Workshop • Broader principles: • Detailed design: – Standard brief – Size of the en-suite in relation to assistance • What is an acceptable level of risk? – Single leaf entrance door • What level of assistance are we designing for? – Flexibility: baseline for forensic bedroom?
Organic in-board en-suite 2. 3. 1. assistance on and off wc, with two staff whb shower chair layout pre and post workshop Increased depth by 200mm Increased length by 275mm 1010mm s.o. doorset adjustments made to organic en-suite post technical workshop
M H organic bedroom in-board en-suite bedroom, 14.3sqm en-suite, 3.8 sqm duct, 0.4sqm bay, 0.6 sqm entry entry En- En- suite suite storage storage sh/ wc sh/ wc Work/ Sleep/ Sleep/ play rest rest support recovery featur es:- 100% sig ht-line , e ffic ie nt fo o tpr int, fo ur be d po sitio ns, sig ht-line to wc
10. C-Sheets
Organic nested en-suite 2. 1. assistance on and off wc, with two staff shower chair whb 1010mm s.o. doorset New layout nested en-suite post technical workshop
M H organic bedroom nested en-suite bedroom, 13.8sqm en-suite, 3.8 sqm duct, 1.3 sqm bay, 0.6 sqm entry entry En- En- suite suite storage storage sh/ wc sh/ wc Work/ Sleep/ Sleep/ play rest rest support recovery featur es:- Shallo we r plan de pth, two be d po sitio ns, se ating are a within c o rrido r
10. C-Sheets
Furniture Arrangements www.procure21plus.nhs.uk
M H organic bedroom – modularised furniture featur es:- 100% sig ht-line , e ffic ie nt fo o tprint, fo ur be d po sitio ns, sig ht-line to wc
MH organic inboard en-suite bedroom - Aerial view T allboyfurniture option with peninsula bed
MH organic inboard en-suite bedroom – perspective view T allboy furniture option with peninsula bed
M H organic bedroom – modularised furniture featur es:- 100% sig ht-line , shallo we r plan de pth, lo ng e r c o rrido r, two be d po sitio ns, sig ht-line to wc
MH organic nested en-suite bedroom - Aerial view T allboy furniture option with peninsula bed
MH organic nested en-suite bedroom - perspective view T allboy furniture option with peninsula bed
Standard Components David Kershaw PSCP Programme Director www.procure21plus.nhs.uk
“StandardShare” • P21+ Club website – Hard Flooring – Suspended Ceilings – Doors – Lighting – Sanitary Ware – Fire Dampers – Partitions – AHUs – Pipework – Chillers – Bedhead Services – Radiant Panels – Ceiling Hoists – Paint
Benefits – Potential Savings This image cannot currently be displayed. • T otal potential saving: £30.24m, or c5.04% (against typical market rates, and based on £600m total spend pa) • Flooring: £4.20m • Doors: £3.84m • Lighting: £2.52m • Ceilings: £2.46m • Bedhead Services: £1.98m • Ceiling Hoists: £1.20m • Sanitary Ware: £0.54m • Radiant Panels: £0.48m • Paint: £0.18m • Partitions: £4.5m • Pipework: £3.54m • Chillers: £2.64m • AHUs: £2.16m
9 Month Savings Airedale • T otal: £1,114k Buckland and Dover Croydon Darlington Memorial Hillingdon • Lighting: £511K (20%) Leighton • Sanitary Ware: £319k ( 59%) New Cross Nottingham University • Ceilings: £180k (7%) Rotherham Royal Stoke University • Flooring: £92k (2%) Scarborough Southampton General • Doors: £9k St Bernards Stepping Hill • Fire Dampers: £2k The Walton Centre Worcester Royal Queen Elizabeth, Gateshead
MH Components Journey • PSCP Component Survey • Trust wide specifications • Feedback Analysis – Multiple Suppliers – Varying specifications • Specification or Supplier led proposals
Mental Health Components • Extension of Primary/ Community/Acute Components • Available now: – Fire/ Smoke Dampers; Hard and Soft Flooring; Sanitary Ware; Radiant Panels; Lighting Doors and Ironmongery; Windows; and Paint • Being concluded: – Furniture
Hard Flooring • Tarkett Flooring • Vinyl and Linoleum products • Capex and Opex focused options • Fixed price to end 2015 • Up to 37% savings
Soft Flooring • Tarkett Flooring • Tandus Carpet • 25 year warranty • Fixed price to end 2015 • Up to 22% savings
Doors – Mental Health • Specification led component • 6 standard door sets • 6 Suppliers – Arnold Laver; David Smith; Datim; Leaderflush; Lloyd Worrall; and Safe Hinge • Fixed prices to end 2015 • Up to 32% savings
Lighting – Mental Health • Whitecroft Lighting • Product Selector • CF or LED options • Tuneable LEDs • 5 year warranty • Fixed price to end 2016 • Up to 27% savings
Sanitary Ware – Mental Health • Armitage Shanks and Pipe Centre • Product Selector; Room Packs • Contour and Sentry 21 • L/ M/ H secure unit options • Fixed price to end 2016 • Up to 20% savings
Radiant Panels • Pipe Centre and Sabiana • Pulsar Ceiling Panels • Fixed price to end 2016 • Up to 28% savings
Paint • Akzo Nobel Paints and PPG Industries • National technical specification teams • Free next day delivery • Free can recycling • Fixed price to end 2016 • Up to 30% savings
Windows • Britplas • Safevent system for natural ventilation • Option for Window Seat/ Bay Window • 2 year warranty and 12 month inspection/service • Fixed price to October 2016 • Up to 19% savings
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