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[music plays]

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(man) That little thing. You probably saw it as you came in. (woman) That's the talking tile.

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(man) And I never knew really what it was. And I can do it.

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You press it and then you go away, and it talks, and it tells you what to do on the door.

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(tile) "Lift the door handle all the way up."

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(tile) "Turn the key to the left."

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(tile) "Put on the chain."

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The problem was with locking it, wasn't it? Especially at night time, because you used to always lock up.

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And then when we changed the front door, it had a different system.

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And I was using all sorts of ways of trying to explain to you

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that this system had a double lock, and that you had to lift the handle and turn the key at the same time.

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And I think I was just giving you far too much information and you just weren't getting it.

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In a real way, it does it for itself.

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It doesn't do it for me, because if I were left with it, I couldn't do it.

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But it's doing it itself - it works very well.

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And as far as we're concerned, the whole thing out there is lovely.

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We were so pleased with that, and just the idea that you could learn to do something else from it,

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wasn't it? that now we're saying, well, with the situation the other day

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when you were going to the shop, and we said, "We could have used that red tile for that."

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And so we're beginning to think, now we know how to do that very short sequencing,

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not too much information, with that tile,

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we're beginning to think we could use it for other things.

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[music plays]

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So the day/night orientation clock, we've got it in two of the bays,

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in a ladies bay with six beds, and in a male bed with -

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a male bay rather, sorry, with six beds.

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And it displays the time, it displays whether it's morning or afternoon, AM or PM.

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It displays the face clock, and it also displays the time in digital time.

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So the clocks also have the facility of being able to show the seasons,

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as a form of slide show, and that's also very helpful to orientate the patients.

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So we have nice spring pictures, lovely autumnal pictures,

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and winter pictures, and summer pictures.

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So that's really good, because you know, it's a conversation point.

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And the patients can relate, it gives them a focus.

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They can relate to what's going on on the screen.

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So the clocks have been fantastic, really, in that we've been able to use them as a tool,

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almost, really, being able to orientate the patients to the time and day and season.

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They can then talk with their relatives about the time -

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the time, and day, and what's being shown on the clock.

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They've been extremely useful for orientating the patients to time.

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For the staff, too, they're very useful in that it helps to orientate the staff as to...

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'Cause often when you're signing for lots of medication, you can forget what the date is,

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the time, and you can just look at the clock.

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And it helps - it helps with signing for your medications.

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Um, so yes, they really are an excellent tool to have in a general hospital ward.

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[music plays]

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This project is really about preventing agitation with residents who've got dementia,

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and really supporting them, and enhancing their memories. It's a reminiscence tool.

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It will enable care staff to sit down with a resident when they're feeling upset,

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sad, angry, cross, and help take their mind back to a different place and time -

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where they were having lovely memories.

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(resident) And then that's my husband, and that's my daughter-in-law,

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(young woman) Helen. Is that Philip? Your son? Is your son called Philip?

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(resident) Yes.

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This is the front cover of the book, and it's got a photograph of the lady whose book it is.

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This is her getting married.

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The book's really simple to use, which is why it's a great tool.

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It's just an on/off button here, on the side, that you press.

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And inside the book there's the memory card, so everything that you record

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is stored on the memory card.

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Each page has a play button, so there's a recorded message

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on each page, that you can press.

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(book) "Audrey and Wilfred Buttram got married at --- Church

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where she was a Sunday school teacher."

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And what happens is you press "Play" on the page and this little statement

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will bring back a flood of stories and memories.

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So it's not just about - simply getting married.

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It could be about the things that she did for the church, you know.

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Getting married, how she met Wilf.

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So, there's so much potential within each photograph.

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(book) "Having mai-tai cocktails in Orlando, in America.

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At the revolving restaurant, on International Drive."

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(young woman) Wow, revolving. (resident) Yeah, we had some lovely times.

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(young woman) So it was actually going round, the restaurant, as you were eating your meal?

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(resident, laughing) We're doing all sorts of things.

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They used to say, "Come on, Audrey, we can't eat it going round."

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"Go on, it will be all right."

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I know you love living here with ---, but do you think this book

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to have made your time here, or could make your time here more enjoyable?

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Well, yes, I think so. You've got so much different things to see.

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And once you've gone round and seen them, then you know that you've seen them.

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(young woman) Does it bring back memories, then?

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(resident) Yeah, I wouldn't mind going again, actually.

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(young woman) Yeah, 'cause that idea makes you think...

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(resident) One day I should go again.

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(young woman) Be nice, wouldn't it. Can you take me?

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(resident) Yeah, we'll take you as well.

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(young woman) We'll go on a little adventure.

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[music plays]

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Now, this is one of our designs, it's the Day Clock.

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And it's a time orientation item for people who have trouble

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with short-term memory and time orientation.

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The reason it's needed is, some people - as you know, if you have some forms of dementia,

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you can struggle to know whether it's day or night. Even if it's dark or light outside.

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That's not enough of a cue for some people. And it can be the reason some people go out at night.

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It's not because they've made some mysterious decision to go shopping

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in the middle of the night. It's simply they don't realize it't the wrong time, and

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they're trying to go shopping in the day.

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So the only piece of information they're missing,

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is what day of the week it is, and what part of the day it is.

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The information that we display on the clock is the 4 different parts of the day,

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so: morning, afternoon, evening, and night.

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And we do that for all of the days of the week.

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The changeover between night and morning happens at 7 AM.

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And that's very deliberate in the design.

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If we changed over to morning at midnight, which technically it does do,

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we'd have people getting out of bed at 2 AM being taught it's morning.

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We actually want to enable people to make sensible decisions,

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appropriate decisions about how to go about their day, as normal.

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Things happen on a Tuesday morning, or on a Friday evening -

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that's how people plan their lives.

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And what we're doing is trying to encourage people to be able to make

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their own decisions about how to use their day -

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and make appropriate decisions that makes them be able to do things

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in the same way that other people can.

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So it's enabling them to do what they would do before,

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even though they've lost this particular skill.

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And because this can have a huge impact in the confidence of the person

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about what time of day it is, it can actually have a big impact on carers as well.

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Because carers may find, and certainly some of our customers have found,

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that they're no longer receiving lots of phone calls overnight saying,

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"Why aren't you here?" "What day is it?"

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"Why haven't you come to visit me?" when it's 4 o'clock in the morning.

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Now, when you buy one of these, it will come out of the box,

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it's already programmed with the timing, and you can plug it straight into the mains,

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and it will be working - it will be set to the right time and date for you already.

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Most button presses at random, or any one along here, are going to have

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no effect at all on the display. And any that do have a small effect,

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it will just default back to just being an ordinary day clock.

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So it's very, very unlikely that someone, even if they do press all of these buttons,

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is going to mess up the display.

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Which is a fantastically useful feature, because people like to press buttons, and that's fine.

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Um, the other thing that we can do, using these buttons, is switch the blue lighting on or off,

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if people either choose to have or not have the blue lighting effect.

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Now if someone chooses to have this in their home...

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A person with memory problems and time orientation problems can really

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benefit from this because it provides clear, unambiguous information.

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It's only got the information that's needed.

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People learn to trust the information on this, which is really exciting.

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We didn't know that before we designed it, and we found that people

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actually trust the information and it does make a difference to them

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even when darkness and light aren't a strong enough cue to help them

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with day and night. They do believe in this.

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[music plays]

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When I first got the opportunity for Mum to go into some respite care,

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I was very worried that, really, that she wouldn't remember me

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when I came and picked her up again in a few days' time and, you know,

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that she wouldn't be happy, and that she was going to be frightened.

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So we were sort of going through her room and trying to get

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some ornaments, pictures and things that she could, you know,

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that would make that room feel more like home.

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Just got looking on the internet, I think, and I sort of stumbled across the cards.

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I guess I was vaguely aware of them maybe, you know maybe we had one

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as a birthday or a Christmas thing at some point and I thought it'd be quite nice,

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more than just a picture, if it had something, you know, that reminded Mum of me,

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in all honesty.

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So the card came like completely blank, and initially I just got

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a couple of pictures and sort of stuck them on, and I started to think

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it would be nice if it was bright and colorful to sort of attract attention and then -

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a bit tactile as well so that... just to make it more likely that

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Mum would get it herself. Everybody knows how a card works, it's not...

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even now I think Mum could probably pick it up and open it.

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(card) "Hi, Mum, it's your son, Alex. I love you and I'll see you on Friday."

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My sister lives quite a long way away, she lives in Hong Kong

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and we're obviously in the UK, so I sent a blank one over for her

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and she could record a message on it, and a current picture.

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Yeah, I think she felt the same, you know that...

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It's just a way to make Mum smile. Hopefully it helps her remember you.

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I know it's not a cure, but I think it's comforting,

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and it just... it's in good... Yeah, I think for...

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They're very easy to use, and for a cheap, simple bit of technology...

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Anything like that that helps, helps a carer, puts a smile on the sufferer's face,

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is just nice, I think. It's good.

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[music plays]