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.

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.

• 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, Korsakoff’s disease (brain injury due to long term alcohol abuse).

• Huntington’s disease.

• Traumatic brain injury where maximal rehabilitation outcome has been achieved but where needs remain high.

Cedar Unit

28 beds

The third level of care for adults with neurodegenerative neurological conditions, late stage including end of life care. Increased challenging behaviour (verbal and physical aggression, non-concordance with care approaches/medication), complex conditions with mixed health conditions (renal issues, diabetes, COPD etc.). There is significant variability in the presentation of residents and this leads to the need to manage unpredictability on a daily basis. Severe cognitive impairments leading to all risks and needs to be anticipated and managed by staff. Residents on Cedar will mostly lack capacity for making decisions in most or all domains of their life.

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.

• 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 brain injury where maximal rehabilitation outcome has been achieved but where needs remain high.

Fosse Unit

29 beds

Fosse provides complex medical care and neurorehabilitation services for adults. The unit can support residents who require 24/7 monitoring due to poor medical stability, up to and including those who require non-invasive (external tubation), but permanent, ventilation. Residents are supported who remain in a minimally aware state following brain trauma where they are largely bed bound and require all needs meeting. Staff manage catherization and bladder washouts, gastric feeding, tracheostomy care and stoma care on a regular basis. In addition, Fosse provides rehabilitation services after traumatic brain injury, spinal injury, stroke and in cases of relapse in conditions such as Multiple Sclerosis. There is a wide variation in mental capacity of Fosse residents from total capacity in all areas of life, to none.  

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

• Acquired brain injury rehabilitation (stroke, hypoxia from MI, hypoglycemia etc.).

• Traumatic brain injury rehabilitation (falls, assault, car and motorcycle accidents).

• Huntington’s disease in the later stages where medical care is the primary need.

• Residents in a minimally aware state.

• Ventilated residents.

• Residents with Functional Neurological Conditions.

• Multiple Sclerosis.

• Motor Neurone Disease

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