Monash Psychiatry Inpatient Unit Refurbishment

Staged upgrade of existing inpatient facility within an operational hospital environment, requiring a highly controlled and risk-managed approach to construction.

The works included the reconfiguration of clinical spaces, upgrades to patient rooms, bathrooms, consult areas, and the introduction of new support facilities, all delivered within a sensitive mental health setting.

A key driver of the project was the requirement to maintain continuous operation of the facility while ensuring the safety, security, and wellbeing of patients, staff, and visitors. Construction methodology was therefore tailored specifically to the operational and behavioural characteristics of a mental health environment.

Works were carefully staged and isolated using secure hoarding and controlled access points to fully segregate construction zones from occupied areas. Clear delineation of workfaces ensured that patients and staff were protected from construction activities at all times, while maintaining required emergency egress and staff circulation paths. Access to site for materials and equipment was tightly managed, with deliveries planned in advance and restricted to designated time windows to minimise disruption and maintain security control.

A structured communication protocol was implemented, including regular liaison meetings with hospital stakeholders, allowing upcoming works, high-risk activities, and potential disruptions to be planned collaboratively. Particular emphasis was placed on advance notification and approval of any works impacting services, access, or patient environments, ensuring alignment with clinical operations.

Given the sensitive nature of the facility, behavioural management and workforce protocols were enforced rigorously. All personnel underwent site-specific induction processes addressing mental health considerations, patient interaction restrictions, and strict codes of conduct. Construction staff movement was limited to designated paths, and supervision levels were increased to ensure compliance with all operational requirements.

Noise, vibration, and environmental impacts were tightly controlled, with disruptive works scheduled outside of peak operational periods or after hours where required. Activities such as demolition and service interruptions were planned in consultation with hospital staff and executed under permit conditions, with contingency measures implemented to maintain essential services at all times.

Service continuity was a critical component of the methodology. Detailed planning and sequencing ensured that electrical, mechanical, hydraulic, and life-safety systems remained operational, with temporary services and backup provisions implemented where necessary. All changeovers were carefully coordinated to avoid any impact on patient care or facility safety.

Enhanced safety and security measures were embedded throughout the project. This included strict site access control, prevention of unauthorised entry, and management of tools, materials, and hazardous elements to eliminate potential risks within a mental health setting. Particular attention was given to eliminating ligature risks, securing materials, and ensuring that partially completed works did not introduce hazards to occupants.

The project also adopted a “defect-free handover” approach, recognising that post-completion rectification within occupied mental health areas would be highly disruptive. As such, stringent quality assurance processes, progressive inspections, and early prototype rooms were used to validate design intent and workmanship prior to full roll-out.

Through detailed planning, disciplined site management, and close collaboration with hospital stakeholders, the project successfully delivered upgraded facilities while maintaining uninterrupted operation of the mental health ward. The outcome provided a safer, more functional, and contemporary clinical environment, enhancing both patient care and staff efficiency.

Client

Year

2019