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PO17. New housing concepts

Detailed programme, abstracts and presentations

PO17.1. Building design for people living with dementia: An analysis of residential aged care environments


Dementia Services Development Centre, University of Stirling, Stirling, United Kingdom

Internationally, more than half of people living in residential aged care (RAC) have a diagnosis of dementia. Research findings in this field concur that well-designed physical environments can increase independence, enhance quality of life, whilst reducing the behavioural and psychological symptoms of dementia.

The research presented in this paper evaluates the impact of building layout planning on the dementia design quality of 184 RAC units; ninety directly recruited from the Australian state of New South Wales, and ninety-four international best-practice examples from specialist architectural design publications. The evaluations use a new floorplan-based assessment method, derived from Environmental Audit Tool (Fleming, 2011) to identify the strengths and weaknesses of the unit layout types, under nine well established dementia design principles

Secondary analyses evaluate the improvements in dementia design quality over the course of the four decades covered by the construction dates of the RAC units included in the study (1970-2016), whilst further analyses consider the impact of five spatial planning factors on the quality of dementia design in RAC unit layouts:

The findings conclude that international exemplars provide higher quality building layouts; that dementia design quality in RAC unit layouts has improved significantly over four decades. However, the findings also suggest that there is still much room for improvement in the layout planning of RAC units under at least five of Flemings (2011) dementia design principles.

Further findings evidence higher quality RAC units are smaller and have fewer resident bed-spaces, with a partially contradictory finding that higher quality RAC units tend to provide more overall floor area per resident. Finally, that higher quality dementia design tends to occur in ground floor located units and those units purpose-built for accommodating people living with dementia.

PO17.2. CASCADE - Community Areas of Sustainable Care & Dementia Excellence in Europe

ROBINSON Samantha1, QUINN Henry2

1Medway Community Healthcare, Gillingham, United Kingdom, 2East Kent Hospital Foundation Trust, Dover, United Kingdom

The aim or the CASCADE project is to develop a financially sustainable approach for people living with dementia (PLWD) that can be replicated across the UK and Europe.  The model promotes a strengths based approach to holistic person centred care to maximise independence and quality of life in the community. 

In the United Kingdom and as part of the project we are opening 2 purpose built facilities for PLWD in the UK; 10 guesthouse beds in Medway, 6 guesthouse beds in Dover alongside a new model of residential care using existing housing stock.  It is expected that these facilities will enable a step-change in the care provided for PLWD in our communities.  PLWD will be enabled and empowered to continue living the life they wish, integrated into the community and undertaking their everyday ‘normal’ activities.  Regular feedback from PLWD and their families using our facilities will continue to inform the development of the CASCADE model.  A model, which once completed will be freely available to all.

People living with dementia need flexible care to maximise their independence, enabling them to respond to changing needs at different points in time.  At present care is either limited at home or all-encompassing in an establishment.  The CASCADE model will be replicable using private sector housing and state owned buildings and will be internationally transferable.  This new vision of enablement and empowerment will provide the means for PLWD to remain integrated within the community living the life that they wish, with the support they want. 

The use of technology within the establishments will also be evaluated through the lifetime of the project, it is expected that inconspicous telehealth/telecare will provide support to PLWD both in the purpose built accomodation and the individuals own home

PO17.3. Green Care Farms, a new old housing concept?

SCHOLTEN Marjoleine1, DE BRUIN Simone2

1ZonMw, The Hague, Netherlands, 2RIVM, Bilthoven, Netherlands

Over the last years, quality of long-term care services, including those provided to people with dementia, has been criticized. Focus of debate is that care environments, including the services offered, are insufficiently aligned with the preferences and needs of people with dementia. However, a growing body of evidence suggests that the care environment affects outcomes in people with dementia, and should therefore be considered as an active component of care. Consequently, innovations in dementia care have taken place, both for people with dementia using community-based services and those living in nursing homes. An example is the “green care farm (GCF)”, a farm that combines agricultural activities with care services for a variety of client groups, including people with dementia. Over the years, research has been performed in the Netherlands to better understand the value of GCFs for people with dementia. Also in other countries, including Norway, the United States, and Japan, initial evaluations are taking place. This poster presents the lessons learned from GCFs as an alternative to more traditional dementia care environments. We will specifically focus on: (1) The history, including facts and figures, of GCFs in the Netherlands and other European countries; (2) Characterization of different types of GCFs and related care concepts (i.e. GCFs that provide 24-hour nursing home care, GCFs that provide adult day services, nature-based adult day services in urban areas), including care concepts, size, environment, animals, professionals, and types of agricultural activities. (3) Typologies of client groups visiting GCFs and related care concepts; (4) Value of GCFs for people with dementia and their family carers in terms of health and wellbeing and (5) Lessons that can be learned from the GCF concept, including facilitators and barriers for implementing elements of GCFs in other types of dementia care settings.



Last Updated: Thursday 07 November 2019


  • Acknowledgements

    The 29th AE Conference in The Hague received funding under an operating grant from the European Union’s Health Programme (2014-2020). Alzheimer Europe and Alzheimer Nederlands gratefully acknowledge the support of all conference sponsors.
  • European Union
  • Roche