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40
closely approaching those of a private house than is possible in the institution.
Towards the end of the year the Council decided to allocate Hollywood Lodge
permanently for use as an annexe to The Manor.
Orthopædic
clinic.
53. The orthopaedic clinic which was established on 1st January, 1928, as an
experiment for the benefit of those patients at The Manor who needed orthopaedic
treatment, has given very satisfactory results. During 1928 the visiting surgeon
examined, diagnosed and recommended treatment for about 100 cases. He performed
7 surgical operations. In other cases, physical exercises, massage, Swedish
remedial exercises, ionization, faradism, or radiant heat-bath treatment were
prescribed and carried out under the direction of a masseuse. An average of about
30 cases attended the clinic daily It has been decided to continue the experiment
until 31st March, 1930.
Examination
of patients.
54. During 1928 a systematic examination of all the patients by means of the
Wassermann reaction was undertaken.
Patients'
recreation.
55. Much headway was made on the recreational side of the institution's
activities. It was only during 1928 that the female patients were induced to take
up outdoor games with any degree of keenness.
Industries.
56. During the year the industrial department of The Manor was developed
further. In the workshops the following industries were pursued:—carpentry,
the making of shopping-nets and baskets, brushmaking, printing, book-binding, the
making of kitchen utensils, shoemaking, tailoring, wood-chopping and bundling,
weaving by hand-looms, knitting, mending, hair-picking, feather sorting, rug and
mat making, the making of blue washing-cubes, needlework, and the making of
tooth-brushes and envelopes. During the year ended 31st December, 1928, the
sales of articles made in the workshops realised £2,932, as compared with £2,487
during 1927. Some idea of the productive capacity of the institution is shown by
the following particulars of articles made and supplied to other institutions during
1928, apart from those made for use at The Manor:—firewood bundles, 17,212;
brooms, 2,074; brushes, 12,952; shirts, 1,312; dresses, 212; vests (tweed), 177;
trousers (tweed), 626; printed memorandum pads, 1,996; grocery bags, 565 lb.;
patients' envelopes, 32,400. A satisfactory trading return, which furnishes an index
to the institution's industrial capacity, is of value as shewing to what extent the
institution is fulfilling its proper function of furnishing useful and contented
occupation for as many as possible of its inmates.
School
department.
57. The school department continued to provide the necessary training for
children of school age preliminary to their proceeding to the institution workshops
upon attaining the age of 16 years. The average attendance of children at the school
during the year ended 31st March, 1929, was 139, a decrease of 4 on the average for
the previous twelve months.
New works.
58. The following new works either were carried out completely or were commenced
during the year, viz., construction of a recreation room for female nurses, of
additional housing accommodation for poultry, and of garage accommodation for
motor cars, motor cycles and bicycles belonging to members of the staff. Four
wards were improved by the provision of additional equipment.
House
steward.
59. Mr. G. L. Brown, clerk and house steward of The Maudsley Hospital was
promoted to be house steward of The Manor, as from 20th August, 1928, in the place
of Mr P.J Deely. transferred to be house steward of Hanwell mental hospital.
Visits.
60. During the year many persons interested in the care of the mentally
defective, from various parts of the world, visited The Manor.
Farmfield.
61. During 1928, good progress was made at Farmfield. The patients, all of
them adult or adolescent male defectives of criminal experience or of intractable
disposition in their ordinary social environment, have for the most part shown marked