Hospital Focus Mental Health
Patients Served 120+
Facility Size 25,000 sq ft
Staff Members 200+
Care Programs 15
Years of Service 20+
Beds Available 75
Success Rate 92%
Nightingale Hospital: modern responsibility, heritage care
Nightingale Hospital has provided specialist mental health care in central London for more than 170 years. Set within a historic early-1900s building, the hospital is known for its discreet, high-quality therapeutic environment and its commitment to patient dignity.
When the decision was made to refurbish one of its inpatient wards, the leadership team saw a chance to strengthen safety, empower service users, and support staff.
This refurbishment aims to uphold the calm, residential atmosphere that defines the Nightingale experience.
The Challenge: Premium Care vs. Robust Safety
Designing a modern mental health space within a historic, high-end facility required a unique balancing act. Key challenges included:
Safety without institutional feel: Reducing risks without making the space feel clinical or restrictive, while maintaining a warm, therapeutic ambiance.
Personal autonomy vs. safety: Empowering patients with control while ensuring staff can intervene quickly.
Fitting modern solutions into historic fabric: Upgrading doors within old structures while meeting strict regulations and heritage preservation.
Uncompromising quality and detail: Marrying custom design ideas with proven safety functionality for a truly bespoke solution.
Expert insights on patient safety
Our doorsets are designed to enhance patient well-being, provide reassurance to staff, and withstand the demanding conditions of clinical environments. With extensive experience in mental health nursing and hospital leadership, we understand the critical factors that contribute to effective and safe care.
We prioritize clear communication and practical solutions, ensuring our products are both effective and user-friendly for everyone involved in patient care.
The Solution: Co-production and door safety
Every aspect of the refurbishment was developed through close collaboration. From the initial concept, the project embraced co-production – ensuring the end users’ vision and feedback shaped the outcome. The result was a blend of advanced safety features and tailor-made design touches that met high standards.
What was delivered:
- Bespoke Anti-Barricade doorsets (Swiftstop):Each patient bedroom was equipped with our Swiftstop anti-barricade doorset – a robust timber doorset featuring a unique collapsible doorstop that allows staff to gain emergency access within just 2 seconds. This solution lets staff quickly open a barricaded door with a single discreet release, all while remaining safely to the side. Crucially, the mechanism is built-in and invisible during normal use, preserving a homely look. In day-to-day operation, the doors feel and function like standard high-quality room doors, but in a crisis, staff have immediate entry.
- Co-Designed flush vision panels: Nightingale’s team and Safehinge Primera co-created a completely new vision panel design for these doors. The hospital wanted it refined to fit their aesthetic. Together, we developed a mounted soft closing vision panel with no visible screws, a clean, elegant look that had never been done before on our doors. Each vision panel was then customised with therapeutic graphics chosen by the hospital (such as calming sunflower fields and sunsets) to give each room a unique identity. This personal touch provides a comforting focal point for patients and echoes Nightingale’s holistic approach to healing. The vision panels still offer staff a clear, safe and quiet way to observe inside the room when needed, but they now do so in a way that complements the interior design rather than detracting from it.
- Electronic locksets with Paxton integration: To support patient autonomy and modernise safety, we installed electronic locksets on every bedroom door, integrated seamlessly with Nightingale’s new Paxton access control system. This means each service user can lock and unlock their own room using an electronic fob or card – enjoying a sense of privacy and control over their space – while staff retain master access via the same system. All doors are connected to one network, so staff can use a single credential to access any room in emergencies or for routine checks. The system is unobtrusive and easy to use, avoiding the need for clunky key management and ensuring that safety never impedes care. For the patients, it’s empowering: their room truly feels like their personal safe haven, not just a hospital room.
“CQC were really supportive of the new doorset, not only for patient wellbeing and recovery, but for how practical the anti-barricade design and electronic locking are in everyday care.”
— Mark Sycamore, Hospital Director at Nightingale Hospital
- Premium finish and build quality:The doorsets were finished in a rich dark woodgrain, echoing the door that first caught the hospital’s eye at the Design in Mental Health exhibition. This premium finish aligns with Nightingale’s hospitality-like environment. Despite incorporating heavy-duty safety hardware, the craftsmanship and finish make the doors visually blend into the historic decor. All components (hinges, handles, closers) were specified to be anti-ligature where needed, yet maintain an everyday look and smooth operation. The end product not only performs under pressure but looks warm and normal, reinforcing the therapeutic milieu.
- Collaborative Installation & Training:
Recognising the complexities uncovered during an initial trial installation, we took extra steps to ensure the main project ran smoothly. We coordinated closely with Nightingale’s preferred contractor throughout. Before the full installation, Safehinge Primera conducted on-site training sessions with the installers, sharing best practices on fitting the Swiftstop door frames, electronic locks, and aligning the doors in the old masonry. Lessons learned from the trial door (such as navigating tight delivery access in London’s West End – it’s a squeeze for sure) were applied to our planning. Improved communication between our team, the contractor, and the hospital meant that when the time came for the full rollout, everything was delivered and installed in one go without a hitch
Our Journey to Excellence
Discover the milestones that have defined our path.
The Impact: A safe therapeutic environment
Though recently completed, the refurbishment of Nightingale’s ward has already made a positive impact on patient experience and operational safety.
Safer outcomes, discreetly achieved: The new doors have enhanced safety on the ward without any detrimental effect on its atmosphere. Patients remain unaware of the hidden emergency features, so they simply experience a beautiful, normal door.
Empowered patients, greater dignity: Giving patients control over locking their rooms has been a game-changer for autonomy. Service users report feeling more at ease knowing they can secure their personal space when they need privacy or quiet time. This level of respect and trust in their independence is especially valued in a private setting. At the same time, staff appreciate that the unified Paxton system simplifies their workflow – no more fumbling for the right key; their badge gives instant access if they need to check on a patient, enabling quicker response with less fuss.
Positive feedback from staff and management:Early feedback from clinicians and the estates team has been very encouraging. Nurses have noted that the new silent shut vision panels make routine checks less intrusive – they can discreetly observe if a patient appears calm or needs anything, all without having to knock or open the door unnecessarily. The hospital management was also pleased with how smoothly the main installation went. By addressing the trial run issues, we built a strong trust – the facilities team remarked on our “professional response and willingness to learn,” which ultimately delivered a snag-free result.
Foundation for future-upgrades: The success of this ward refurbishment has already spurred further improvements at Nightingale. The hospital is looking at a second phaseto extend the same safety and experience benefits to the entire hospital. This continuity not only ensures consistency across the hospital but it also demonstrates the confidence Nightingale has in these solutions. By creating a template of what “good” looks like (in terms of product and process), the project has cemented the way for faster, smoother implementations going forward.
“Working with Safehinge Primera was refreshing. They really listened to our ideas and turned them into reality. We wanted doors that felt high-quality and homely for our patients, while keeping everyone safe. The result is exactly what we hoped for.”
— Mark Sycamore, Hospital Director at Nightingale Hospital
Conclusion: Tradition and innovation, hand in hand
Nightingale Hospital’s latest renovation project shows how an institution with a rich tradition embraces innovation to enhance care. By focusing on people-first design and genuine collaboration, the hospital transformed a venerable ward into a space that is both safer and more uplifting. The environment does not feel like a hospital at all – but families and staff have peace of mind knowing that advanced safety measures are in place, ready to act in the background.
Our lesson: the best outcomes happen when providers and clients work together, blending expertise with experience. Nightingale’s team brought a clear vision of what “good” looked like for their patients, and Safehinge Primera brought the technical solutions to match. We weren’t afraid to adapt and improve along the way.
“We know our role is to be there, to be responsive, and to get it right first time. When you do that properly, it shapes people’s working lives every day, and by extension, it influences the wider mental health ecosystem. Being seamless in the background, always ready, always reliable, that’s fundamentally what we’re about.”Philip Ross, Co-Founder, Safehinge Primera
As Nightingale Hospital continues to welcome patients into its new ward, it stands as a shining example of what’s possible: a place where heritage architecture, humane design, and modern safety technology coexist to support people going through a vulnerable time.
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