
NHS Tayside Charitable Foundation funded a project to improve the garden area within the Intensive Psychiatric Care Unit (IPCU) at Carseview, with the aim of enhancing patient experience while supporting safe, effective care.
IPCUs care for people experiencing an acute phase of mental illness, often involving high levels of distress and risk. These units provide short-term, highly supported care focused on assessment, treatment and stabilisation. Creating an environment that supports recovery, reduces risk and promotes wellbeing is a vital part of this care.
The project focused on redesigning the IPCU garden to make it a safer, more accessible and therapeutic space where patients could benefit from time outdoors, physical activity and meaningful engagement.
The IPCU garden previously consisted of two separate areas divided by a wall, which limited visibility for staff and reduced how safely the space could be used. As a result:
Staff required higher levels of supervision to support patients outdoors
Activities were restricted due to safety concerns
Opportunities for therapeutic outdoor engagement were limited
This presented a challenge at a time when IPCU NHS Tayside was actively participating in the Scottish Patient Safety Programme for Mental Health, with a specific focus on:
Reducing restraint
Improving the safety of care
Promoting preventative, therapeutic interventions
Improving access to safe outdoor space was identified as a key change idea to support these aims.
Thanks to funding from NHS Tayside Charitable Foundation:
The dividing wall in the garden was removed by estates staff, significantly improving visibility and safety
The garden was fully redesigned and refreshed, led by the IPCU Activity Support Worker alongside patients
New equipment was purchased to support therapeutic outdoor activities
These improvements transformed the garden into a welcoming, usable space that could safely support a range of activities, including:
Football, basketball, badminton and tennis
Pickleball and large-scale outdoor games such as Connect Four and Jenga
Opportunities for social interaction, focus, motivation and physical activity
The improvements have had a clear and positive impact on both patients and staff.
Patient Feedback
“There’s so much to do here now. I’ve been in this ward before and it’s so different.”
“I actually enjoy spending time in the garden now.”
“Love the basketball net.”
Staff Feedback
“It’s a huge accomplishment — it’s wonderful to see patients enjoying the garden so much.”
“We know how beneficial green space is for mental health, and we’re seeing patients actively choosing to spend time outside.”
Staff report that patients are more engaged, calmer and motivated to participate in activities, supporting both mental and physical wellbeing.
Long-Term Benefits
The changes made to the IPCU garden are sustainable and long-lasting, creating ongoing benefits for patient care. By improving the environment:Patients can safely access outdoor space as part of their recoveryStaff can maintain appropriate supervision with clearer sightlinesThe unit is better supported in its aim to reduce restraint and promote preventative careThis project demonstrates how targeted charitable funding can make a lasting difference — improving safety, dignity and quality of care for people at some of the most challenging moments in their lives.






