Design for Dementia in Practice 6 th May 2014 Damian Utton RIBA Partner, Pozzoni LLP Architects .
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Transcript of Design for Dementia in Practice 6 th May 2014 Damian Utton RIBA Partner, Pozzoni LLP Architects .
![Page 1: Design for Dementia in Practice 6 th May 2014 Damian Utton RIBA Partner, Pozzoni LLP Architects .](https://reader038.fdocuments.in/reader038/viewer/2022110322/56649d155503460f949eaa67/html5/thumbnails/1.jpg)
Design for Dementia in Practice
6th May 2014
Damian Utton RIBAPartner, Pozzoni LLP Architects
www.pozzoni.co.uk
![Page 2: Design for Dementia in Practice 6 th May 2014 Damian Utton RIBA Partner, Pozzoni LLP Architects .](https://reader038.fdocuments.in/reader038/viewer/2022110322/56649d155503460f949eaa67/html5/thumbnails/2.jpg)
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.
![Page 3: Design for Dementia in Practice 6 th May 2014 Damian Utton RIBA Partner, Pozzoni LLP Architects .](https://reader038.fdocuments.in/reader038/viewer/2022110322/56649d155503460f949eaa67/html5/thumbnails/3.jpg)
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)
![Page 4: Design for Dementia in Practice 6 th May 2014 Damian Utton RIBA Partner, Pozzoni LLP Architects .](https://reader038.fdocuments.in/reader038/viewer/2022110322/56649d155503460f949eaa67/html5/thumbnails/4.jpg)
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!!
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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
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Compensate for impaired memory, reasoning, learning
open plan - high levels of visual access
wc visible from bed
‘event’ at a dead end
![Page 7: Design for Dementia in Practice 6 th May 2014 Damian Utton RIBA Partner, Pozzoni LLP Architects .](https://reader038.fdocuments.in/reader038/viewer/2022110322/56649d155503460f949eaa67/html5/thumbnails/7.jpg)
Compensate for impaired memory, reasoning, learning
contrast between junctions
hidden service doors
visible cupboard contents
similar floor tone
![Page 8: Design for Dementia in Practice 6 th May 2014 Damian Utton RIBA Partner, Pozzoni LLP Architects .](https://reader038.fdocuments.in/reader038/viewer/2022110322/56649d155503460f949eaa67/html5/thumbnails/8.jpg)
Maximise independence
access to external space
accessible kitchen
graphic alsignage
shop
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Enhance self-esteem and confidence
purposeful activity
lower worktop:kitchen activity
wardrobe
cue for doors
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Demonstrate care for staff
dispersedstorage
open plan:discreet monitoring
break-out space
technologystaff base
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Orientating and understandable
familiardomestichomely
![Page 12: Design for Dementia in Practice 6 th May 2014 Damian Utton RIBA Partner, Pozzoni LLP Architects .](https://reader038.fdocuments.in/reader038/viewer/2022110322/56649d155503460f949eaa67/html5/thumbnails/12.jpg)
Reinforce personal identity
![Page 13: Design for Dementia in Practice 6 th May 2014 Damian Utton RIBA Partner, Pozzoni LLP Architects .](https://reader038.fdocuments.in/reader038/viewer/2022110322/56649d155503460f949eaa67/html5/thumbnails/13.jpg)
Welcome relatives and the local community
cafe well-being hair and beauty
community room gym
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Control of stimuli
daylight without glare
naturalventilation
sound absorbing
buffer from noisy areas
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Conclusions
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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
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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
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Conclusion - Four Priority Areas
1. Improve lighting
2. Ensure good contrast
3. Similar floor tones
4. Ensure the toilet is easy to find
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Design for Dementia in Practice
6th May 2014
Damian Utton RIBAPartner, Pozzoni LLP Architects
www.pozzoni.co.uk