With 25 beds, Bluebirds supports adults with degenerative neurological conditions at all stages in the disease process. Early onset conditions affecting adults in their 30’s-50’s is a core focus, but residents are supported from throughout the spectrum of presentations to later onset and end of life care. Residents have complex neurological conditions with mixed health conditions.

Residents presenting conditions include, but are not limited to, the following:

• Parkinson’s disease/dementia.
• Alzheimer’s disease
• Fronto-temporal dementia/Picks disease
• Lewy Body dementia
• Huntington’s disease

Vascular dementia

Which is more stable with stepwise changes in ability only if further vascular events occur.

Acquired brain injury

Conditions from disease/damage leading to dementia such as Neuroleptic Malignant Syndrome (over-use of neuroleptic medication given for long-term mental health problems), Syphilis, Korsakoffs disease (brain injury due to long term alcohol abuse), Huntington’s disease.

Traumatic and acquired brain injury

Where maximal rehabilitation outcome has been achieved but where needs remain high.

Eagle Wood has four units within one large building, with 105 beds in total. The overall remit of Eagle Wood is to provide specialist neurological care to those residents who cannot be supported in more traditional nursing homes due to the level of challenging behaviour, complexity of their neurological conditions which require a multi-disciplinary team to assess and consult swiftly. Neuropsychiatry and Neuropsychology input is essential to monitor and adjust treatment plans in a coordinated and responsive way, due to the variability and unpredictability of residents’ presentation. In addition, Eagle Wood has a unit dedicated to complex medical care and neurorehabilitation.

Watling Unit

23 beds

The admission unit for residents with early onset neurodegenerative neurological conditions. Adults on Watling can be as young as in their 20-30’s and there is a specialism for supporting people with Huntington’s disease. Watling supports residents who retain higher levels of independence and self-determination. They are more readily able to socialise freely both inside and outside of the unit, more physically active and able and cognitively skilled. Residents on Watling will retain capacity for making decisions in many domains of their life and have insight into their condition and needs and are actively involved in their care planning. Challenging behaviour does occur, but this is more easily managed in general as residents can be engaged in discussion and de-escalation.

Residents presenting conditions include, but are not limited to, the following:

• Huntington’s disease
• Multiple Sclerosis
• Parkinson’s disease
• Vascular dementia (which is more stable with stepwise changes in ability only if further vascular events occur.
• Acquired brain injury, but past the point of requiring active rehabilitation, such as Korsakoff’s disease.

Chestnut Unit

25 beds

The second level of service for adults with neurodegenerative conditions in the moderate-severe stages. Still a vibrant group of adults, who are typically older than residents on Watling and who can socialise and engage in range of activities both on and off the unit. They will have more care needs and mobility issues and require higher level of observations than Watling residents. Challenging behaviour will be an issue for many residents and regularly neuro-behavioural consultation is required. There is significant variability in the presentation of residents and this leads to the need to manage unpredictability on a daily basis. Residents on Chestnut will have mixed capacity for making decisions in some domains of their life with some being able to engage in aspects of their health and wellbeing care plans.

Milton Keynes has three units spread over two buildings, with a total of 78 beds. Mallard House is comprised of two units and there is a separate site which is called Bluebirds. The overall remit of Milton Keynes is to provide specialist neurological care to those residents who cannot be supported in more traditional nursing homes due to the level of challenging behaviour and complexity of their neurological conditions which require a multi-disciplinary team to assess and consult swiftly.

Oakley Unit

29 beds

Oakley supports adults with degenerative neurological conditions in mid-late stage, including end of life care. Residents will present with increased challenging behaviour, complex conditions with mixed health conditions (renal issues, diabetes, COPD etc.). Neuropsychiatry and Neuropsychology input is essential to monitor and adjust treatment plans in a coordinated and responsive way.

Residents presenting conditions include, but are not limited to, the following:

• Alzheimer’s disease
• Fronto-temporal dementia/Picks disease
• Lewy Body dementia
• Vascular dementia (which is more stable with stepwise changes in ability only if further vascular events occur.
• Parkinson’s dementia
• Acquired brain injury conditions from disease/damage leading to dementia such as Neuroleptic Malignant Syndrome (over use of neuroleptic medication given for long-term mental health problems), Syphilis, Korsakoffs disease (brain injury due to long term alcohol abuse).
• Huntington’s disease.
• Traumatic and acquired brain injury where maximal rehabilitation outcome has been achieved but where needs remain high.

Brunel Unit

24 beds

Brunel supports adults with degenerative neurological conditions, early to mid-stage. Residents may have early onset conditions affecting adults in their 30’s-50’s, but older adults also reside on Brunel. Residents have complex neurological conditions with mixed health conditions (renal issues, diabetes, COPD etc). Residents will have mild to moderate cognitive impairments leading to lower awareness of risks and care needs. Staff continually asses and anticipate the level of support required, but a percentage of residents have higher levels of independence and functional ability. Brunel also has two independent living flats to aid the transition back to the community.

Residents presenting conditions include, but are not limited to, the following:

Traumatic Brain Injury