Compton is a mixed 19-bed locked unit specialising in services for older men and women aged over 55 with acquired, static or progressive neurological conditions who may have enduring mental health needs.
A specialist team
The comprehensive multidisciplinary team is expert in the management of challenging behaviour, including agitation, overt aggression, sexual disinhibition and self-harm, as well as forensic risk. Patients typically present with cognitive impairment as a result of:
- the onset of a progressive neurological disorder, such as dementia and Huntington’s disease
- a long history of mental illness such as is seen with life-long psychotic illnesses
- underlying learning difficulties
- mild cognitive impairment emerging in later life
- a stable brain injury resulting in cognitive impairment and dementia
- brain damage which is secondary to vascular disease, vascular events (small vessel disease, stroke)
- Alzheimer’s disease, Lewy Body and frontal-temporal dementias
- challenging behaviour which compromises safety of themselves or others
- forensic risk requiring a managed locked environment or risk of absconding
- physical impairments or medical conditions that require significant levels of monitoring.
Person-centred assessment guides our treatment
Our team use specialist assessment and psychiatric treatments in line with the 2013 Royal College of Psychiatry Old Age recommendation on use of common outcome measures.They help ensure that patient dignity is at the heart of our care and guide us in our therapies and interventions. We routinely use:
- Dementia Care Mapping (DCM)
- RAID® (Reinforce Appropriate: Implode Disruptive)
- Overt-Aggression Scale – modified for neurorehabilitation (OAS-MNR)
- Gerriatric Depression Scale (GDS)
- HoNOS secure
- neuropsychiatry inventory.
A tailored environment
Compton is designed around a ‘dementia-friendly’ environment, including for example signage that aids memory and prompts behaviour and recall. Its facilities include:
- two lounges with a TV in each
- a dining room
- a multi-function therapy room
- a servery for staff to prepare hot and cold drinks
- an enclosed garden
- a therapy kitchen
- a clinic
- adapted bathrooms to cater for mobility difficulties.
Our social work team ensures that discharge planning is actively considered throughout the patient’s stay, and that the process itself is smooth. They liaise extensively with community teams and consider all opportunities for leave to a new placement where and when it is appropriate, providing a full handover to make sure each patient is settled.
|Treating people with respect and involving them in their care||
|Providing care, treatment and support that meeting people’s needs||
|Caring for people safely and protecting them from harm||
|Quality and suitability of management||