Most of the patients in the hospital are housed in a building dating from 1850. It has changed little since then apart from a bit of paint every now and then. The whole area is not hopeless because some new residential units, and a residential hostel from which some patients are able to leave and work outside the institution, have been built. About 40% of the patients have been there for over five years and there is little hope for some of them of ever leaving it. I loathe using the word moral, but we have a moral obligation to make the lives of these people some way tolerable for the rest of their time in this institution.