The transformation of the Dementia Care Unit

Identifying the need

Ruthven Ward at New Craigs Hospital was originally designed for younger adults with acute mental health needs, not for patients with advanced dementia. The environment was no longer fit for purpose: confusing corridors, poor wayfinding, and a lack of dementia-friendly features heightened the risk of falls and distress.

Staff faced daily challenges in delivering personal care, while families raised concerns about safety and comfort. The ward required extensive redevelopment to meet the complex needs of its 24 residents.

The challenge on the ground

The outdated design created multiple difficulties. Narrow bedroom doors prevented safe evacuation of bed-bound patients. Inadequate showering facilities left staff struggling with basic care tasks. Patients experienced distress from frequent disruptions and a lack of privacy, while visitors worried about safety when wandering patients entered others’ rooms.

Instead of supporting recovery, the environment increased confusion and anxiety. Meanwhile, an improvement notice for patient safety risks had been issued, adding further pressure on NHS Highland.

How we responded

With an investment of £350,000 from the charity, the ward underwent a major refurbishment to create a dedicated dementia-friendly unit. NHS Highland funded essential safety and maintenance works, while charitable funding enabled enhancements that transformed both patient and staff experience.

Key elements included:

• Interior design strategy: calming colour contrasts, wall murals, and reminiscence features to support orientation and comfort.
• Destination seating: rest areas along corridors to reduce anxiety and encourage safe exploration.
• Kwikscreen segregation: flexible screens to create circular movement routes, reducing confusion and dead ends.
• Assisted bathing and showering: a new assisted shower room and Arjo bath to ensure dignified care.
• Improved signage and wayfinding: personalised door signs and clear directional cues to help patients navigate with confidence.

The change we achieved

For staff

Staff work in a safer, more efficient environment that supports compassionate care. The new design reduces physical strain in tasks such as bathing and makes interventions less distressing for patients. Improved working conditions are also intended to boost morale, retention, and job satisfaction.

For patients

Patients benefit from a calmer, safer, and more dignified environment. Falls, confusion, and agitation will reduce through better wayfinding and circular movement routes. Meaningful social spaces and activity areas encourage engagement and recovery. Enhanced bathing facilities support dignity and comfort.

For NHS Highland

The redevelopment created a facility aligned with best practice dementia care. The ward now supports quicker recovery, reduced reliance on medication, and fewer bed days per patient, improving efficiency across services while meeting safety standards.