Older adult PNC

An 18-bed unit for older adults with progressive neurological conditions (PNC) resulting in cognitive decline and high dependency needs.

Compton provides cognitive, physical and behavioural management of patients with a progressive neurological condition (including those with a forensic history).

Our team use specialist assessment and psychiatric treatments, in line with Royal College of Psychiatry Old Age recommendations, to help ensure that patient dignity is at the heart of our care and to guide us in our therapies and interventions.

Compton ward

St Andrews Wards 260617 Panorama 0014


St Andrews Wards 260617 Panorama 0015

St Andrews Wards 260617 0414


Admissions criteria

Compton unit supports older adults with:

  • a formal psychiatric or neurological diagnosis
  • a progressive neurological disorder, such as dementia 
  • a stable brain injury resulting in cognitive impairment and dementia, not requiring active rehabilitation
  • co-morbid physical or mental health needs
  • mild cognitive impairment emerging in later life
  • brain damage secondary to vascular disease and events such as stroke, Alzheimer’s disease, Lewy Body and frontal-temporal dementia
  • a forensic or absconding risk requiring a managed locked environment
  • a history of emotional and behavioural difficulties and who are considered a risk to themselves or others
  • difficulties with self-regulation and control
  • problems in interpersonal relationships
  • a history of treatment resistance
  • a history of non-compliance with prescribed medication

We also support adults who have been detained under either civil or criminal provisions of the Mental Health Act 1983 (amended 2007)

Treatment and care

Our comprehensive multi-disciplinary team (MDT) is expert in the management of challenging behaviour, including agitation, overt aggression, sexual dis-inhibition and self-harm, as well as those with a forensic history. 

In addition our extensive MDT also manage co-morbid physical health conditions, supported by GP, podiatry and practice nurses based on our campus.  The therapeutic environment on Compton is designed to create a welcoming and reinforcing experience for patients in our care. In partnership with patients and their family our MDT construct programmes that utilise a full range of psychological and occupational therapy programmes which:

>  are highly structured and tailored to the individual
>  provide constant guidance and support
>  reinforce appropriate behaviour and skills
>  cater for those with intensive, complex acute needs
>  support patients towards the end of their recovery journey
>  are delivered by an extensive full-time team
>  offer individual and group therapy experiences
>  address functional and behavioural issues
>  support communication, movement, self-care, dis-inhibition and aggression

The goals of interventions on Compton are to:

>  ensure the safety of the patient and others
>  provide a MDT assessment strengths and needs
>  provide a formulation plan that will inform risk management and care planning
>  offer the optimal opportunities for positive behaviour and achievement of skills
>  offer individual and group therapies
>  ensure skill development and an enhanced quality of life
>  support a move to a less secure setting / closer to their own home

Next step

Our Discharge Co-ordinators begins discharge planning from the point of admission. Working with our clinical and social work teams they formulate plans and liaise with appropriate case managers to support a smooth transition.

Typically patients will move from Compton unit to a less restrictive environment, or return to their home area.

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