Specialities
	Where people matter The Dementia and Challenging Behaviour service is for adults primarily over the age of 60, suffering from dementia with complex needs, including   Early Onset Dementia   Acquired, static and progressive dementias Those younger than 60 years of age with early onset dementia may also be considered suitable for admission following individual assessment. The knowledge and experience of the comprehensive multi-disciplinary team means that the needs of individuals with challenging behaviour who require a low secure environment can be met. The Care Programme Approach/Single Assessment Process enables co-ordinated and effective management of symptoms as part of the team’s collective aim to maintain the best possible quality of life for the service user. Environment and Facilities Rambaut Ward, a mixed gender unit on the ground floor, provides bright, spacious and attractive accommodation fitted with appropriate furniture and equipment. There is direct access to a safe garden and beyond that there are the impressive grounds of St Andrew’s and other leisure and recreational facilities including a swimming pool and jacuzzi. Care Pathway An individually determined pathway of care is offered that includes regular comprehensive assessments detailing physical and neuropsychiatric problems. The aim is to maximise an individual’s quality of life by helping to maintain functional abilities and optimising physical health within the constraints of the disease. There is no pre-determined limit on the length of stay within the service. This could range through all stages of the illness but the multi-disciplinary team works in partnership with NHS and Social Services organisations to return individuals to local healthcare teams once challenging behaviour has reduced. Respite care is also available subject to bed availability. In addition treatment advice for other providers can be provided upon request. Treatment Approach The ethos of the service is person-centred aiming to provide an environment that is safe, structured, respectful and caring of the individuals within it. Individualised treatment and care plans are created that aim to reduce the impact of cognitive deficits and associated behavioural disturbances. A comprehensive and holistic assessment of each individual’s mental and physical health is undertaken. This includes a thorough assessment of risk comprising behavioural risks, mental health risks as well as those risks that are particularly relevant to those with dementia, such as nutritional problems associated with swallowing difficulties, falls, exploitation and abuse. Individual service user progress and outcome is assessed and monitored by a range of validated measures. Dementia care mapping is used both to ensure positive interactions between staff and service users and to provide feedback to staff. There is an active research and training programme and professional contacts with other workers in the field are maintained. Active involvement of families is encouraged to help the team to maintain awareness of the history and personal identity of each individual as well as to develop a supportive relationship for the family and carers. Enquiries For general information please contact us by telephone or email. Freephone enquiries on 0800 434 6690 or email enquiries@standrew.co.uk For more specific information about this service and referrals, please contact the Operational Manager on 01604 616095 or email townsend@standrew.co.uk Art work is courtesy of St Andrew's Healthcare service users