Daniel Rambaut

Ward security level: 
Beds available

This image shows a room in Daniel RambautDaniel Rambaut is a locked service for men aged over 40 with acquired, static or progressive neurological conditions resulting in additional mental health needs..



Our specialist multidisciplinary team (MDT) 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 or Huntington’s disease;
  • a long history of mental illness
  • underlying learning difficulties
  • mild cognitive impairment emerging in later life
  • a stable brain injury resulting in cognitive impairment and dementia
  • brain damage secondary to vascular disease and vascular events such as stroke
  • Alzheimer’s disease, Lewy Body and frontal-temporal dementias
  • challenging behaviour which compromises safety of self or others
  • forensic or absconding risk requiring a managed locked environment
  • physical impairments or medical conditions that require significant levels of management


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

Daniel Rambaut has 13 bedrooms and is designed around a ‘dementia-friendly’ environment, including for example signage that aids memory and prompts behaviour and recall. The ward’s facilities include:

  • non-smoking lounges with TV
  • a dining room
  • an activity room for staff to conduct ward based activities
  • a visitor’s room
  • a servery for staff to prepare hot and cold drinks
  • access to an enclosed garden
  • access to a therapy kitchen
  • a clinic
  • adapted bathrooms to cater for mobility difficulties.


Planning the discharge

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.


CQC and Quality Network feedback



  • Harper
  • O’Connell
  • Compton
  • Daniel Rambau
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
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