design for dementia in practice 6 th may 2014 damian utton riba partner, pozzoni llp architects
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Design for Dementia in Practice
6th May 2014
Damian Utton RIBAPartner, Pozzoni LLP Architects
www.pozzoni.co.uk
Principles of Dementia Design
Older people, and older people with dementia, can be very sensitive to the built environment
People with dementia may not remember or understand their surroundings. Design can compensate for these impairments
Design can facilitate the efficient delivery of care in a non-institutional way
Other impairments can be compensated in a straightforward way with established guidelines, but dementia affects people in different ways.
Principles of Dementia Design
Consensus that good design -
• should compensate for impairments
• should maximise independence
• should enhance self esteem and confidence
• should demonstrate care for staff
• should be orientating and understandable
• reinforce personal identity
• welcome relatives and the local community
• allow the control of stimuli (Marshall et al 1997)
Principles of Dementia Design
Evidence base
• Published research
• University of Stirling DSDC Publications http://dementia.stir.ac.uk/information/bookshop
• Housing and Dementia Research Consortium http://housingdementiaresearch.wordpress.com/
• Housing LIN www.housinglin.org.uk
• Post-Occupancy Evaluations
• Talk to people!!
How do these principles work in practice?
Whilst these photographs are from new build care home environments, the principles are applicable to all building types
Compensate for impaired memory, reasoning, learning
open plan - high levels of visual access
wc visible from bed
‘event’ at a dead end
Compensate for impaired memory, reasoning, learning
contrast between junctions
hidden service doors
visible cupboard contents
similar floor tone
Maximise independence
access to external space
accessible kitchen
graphic alsignage
shop
Enhance self-esteem and confidence
purposeful activity
lower worktop:kitchen activity
wardrobe
cue for doors
Demonstrate care for staff
dispersedstorage
open plan:discreet monitoring
break-out space
technologystaff base
Orientating and understandable
familiardomestichomely
Reinforce personal identity
Welcome relatives and the local community
cafe well-being hair and beauty
community room gym
Control of stimuli
daylight without glare
naturalventilation
sound absorbing
buffer from noisy areas
Conclusions
Current Practice
• Non-institutional environments
• Manage risks
• Community hubs
• Dementia friendly communities
• Conflict with other regulations (infection control, fire, food, etc)
• Emphasis on home adaptations and domiciliary care to keep people at home
• Government funding for extra care housing and to ‘pepper-pot’ people with dementia around a housing scheme
Conclusion – Key design points
1. Familiar environment, fixtures and fittings
2. High levels of lighting
3. Easy to understand built environment
4. Clarity and simplicity: where things are and where to go
5. Appropriate signage (1200mm above floor)
6. Contrast to increase visibility
7. Similar floor tones
8. External space is as important as internal space
Conclusion - Four Priority Areas
1. Improve lighting
2. Ensure good contrast
3. Similar floor tones
4. Ensure the toilet is easy to find
Design for Dementia in Practice
6th May 2014
Damian Utton RIBAPartner, Pozzoni LLP Architects
www.pozzoni.co.uk
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