This new extension to the hospice was opened in March 2015 and officially opened by Norman Lamb MP, then Minister of State at the Department of Heath responsible for Care Services. He was joined by long standing St Raphael’s Hospice supporter, Miss June Whitfield, and Chief Executive Mike Roycroft in “cutting the ribbon”.
Our overarching aim was to create a welcoming, comfortable and accessible environment.
Open to all
9am to 4pm
Monday to Friday
For drinks, sandwiches and snacks
We have an an open courtyard garden. Herbs, trees, plants, water feature and rock garden allow exposure to a range of sensory elements and opportunities to interact with the natural environment.
The Orangery - café with dining, lounge, children’s area, information station
All courtyard paths lead towards The Orangery, where a series of bi-fold doors open onto a terrace for sitting, eating and giving views of the garden and ventilation and to those inside.
The Orangery houses our café with lounge and dining areas and where imaginative use of mobile screens and/or glazed panels give flexibility to form different zones and meet the changing needs of users. The lounge has a mixture of dining tables and chairs with large sofas and easy chairs for more casual eating and relaxing. This large open plan space also accommodates a safe children’s play area with toys, games and books as well as an information station for books, newspapers, magazines etc with internet Wi-Fi access.
Volunteers needed for Orangery Cafe
Many of the facilities are provided with the help of volunteers in Orangery Café .
Please contact volunteer services if you are able to do a regular 3-4 hour shift once or twice a week.
Ginny Toubal: 020 8099 7777
We have also extended the toilet facilities with sufficient disabled and baby changing facilities. Two large cloakrooms have been added in a corridor off the lounge area, with one large enough to accommodate a shower cubicle.
Beyond the lounge area and away from the main thrust of hospice activity, a room is furnished with sofa beds and easy chairs large enough to cater for four people (adults or children) either as a chill-out zone during the day or overnight sleeping for relatives of patients. The larger of the two cloakrooms with a shower is positioned next door.
Rather than spending time in their bedroom for their entire stay inpatients are now able to either move around independently or ask to move to an entirely different spaces to spend time alone or engage with others. We know this opportunity to leave their bedroom for a less institutional environment is comforting and gives confidence. Although inpatient bedrooms are on the ground floor with a door leading onto a small patio, this outside space isn’t an option when it is raining or cold and has the same outlook as sitting in bed! Studies recognise the importance and benefits of experiencing all the seasons and feeling the heat, cold, wind and rain as essential to general feelings of emotional wellbeing and normality.
Day Care Patients
Day patients will gain from a “break out” area in times of stress and the flexibility of being able to choose their arrival and pick up times from sessions. In creating facilities where patients and families can eat, sit or wait for transport they too will benefit from opportunities to socialise and to form informal networks of support.
Our former outpatient waiting area was small, cramped and often shared with inpatient visitors with nowhere else to sit. The Orangery now gives much needed additional waiting and seating areas in a safe and supportive environment where people can gather thoughts and emotions.
Families and Carers
Families and visitors also gain from access to a quiet room - see inpatients above. This accommodation is secured at night to ensure safety and privacy but will enable visitors to be independent and stop them from disrupting loved ones or staff. This room is also intended to be used by staff for confidential meetings with families both during their stay or when returning to pick up papers and personal effects after death.
We wanted to involve more volunteers in the life of the hospice and have recruited them to prepare and serve a range of snacks, cakes and beverages in our café. We have trained volunteers in aspects of food hygiene and given them suitable training to help them support patients and visitors in times of crisis.
Many patients’ fear of pain, losing control and loneliness robs them of a good quality of life and the ability for living until the end. This project sought to address some of fundamental social and emotional issues faced by patients and their families when receiving hospice care.
Improving Quality of Life
- Giving patient and family access to a relaxing environment outside of the patient’s room, which will allow normal interaction within a non-medical setting
- Providing an area where relatives can relax whilst at the same time being within easy access to the patient’s roo
- Offering a safe area for visiting children away from the main ward corridor will allow full family engagement
- Providing autonomy for patients and relatives in being able to access refreshments at a time of their choosing
- Providing a communal space for patients who are able to share a meal with other patients if they so choose
- Providing ease of access to the surrounding natural environment (garden area) which will allow patients and/or their families to experience the benefits of nature
- A separate dual purpose Quiet/Family Room where sensitive and confidential conversations to take place and will also allow overnight accommodation
- Our Project delivers improved patient and visitor facilities to increase feelings of self-esteem and promotes respect for the individual
Enabling Improved Privacy
- The Orangery and garden provides patients with spaces to spend precious quiet time alone or share with relatives and friends in creating new areas for intimacy
- Inpatient rooms will gain greater privacy by taking away visitors who congregate in our busy corridor where they are often seen and heard
- The children’s area gives dignity and privacy back to patients who otherwise witness young people playing in and around their rooms
- The Orangery and garden will allow inpatients access to an area outside their bedrooms and encourage independence, control and choice
- The Orangery will encourage all users (patients and relatives) to access the facilities available and be part of the social aspect of the hospice
- Families will feel secure and safe in bringing young children to an area with a dedicated safe children’s play area to allow patients to enjoy visits from the whole family (young and old)
Increased Therapeutic Value of the Garden Areas
- All patients will benefit from the area, especially relatives and friends, who are often anxious, exhausted and frightened as they face imminent bereavement. This open and relaxing area would provide a space for them to relax or engage with other families facing the same losses and thereby reducing the sense of isolation
- Patients/families attending Out Patients and Day Care will also have a pleasant environment in which to wait in order to aid relaxation and to normalise the attendance at the hospice
- It would provide an area for volunteers attached to the hospice to meet and support each other
Enhancing the Physical Environment to Allow Better Nutrition
Our hospice is situated in an urban yet residential area where we are surrounded by fast food outlets which provide the only easily accessible nourishment for visitors who are reluctant to leave the building. Our new café now provides nutritional snacks, sandwiches and drinks supplemented with vending machines in the evenings and overnight. Our patients will also be able to access drinks and snacks when they chose and without having to ask staff and at a time which suits them and their preferences.
Enabling People to be cared for at the End of Life in a Comfortable and Safe Environment of their Choosing
In providing patients with flexible and less clinical spaces we aim to maximise their ability to cope and actively engage with their families. Patients gain private spaces of their choice where they can talk privately with families freely express their emotions rather than over a hospice bed - but all within the safety of knowing expertise and support is on hand if needed.