Urban Retirement Village, Stockton.
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Transcript of Urban Retirement Village, Stockton.
February 2015
HCA Housing Design Seminar
Urban Retirement Village, Stockton
Revision Date Revision Notes Prepared by Authorised by* 2 Feb 2015 Re-formatted from previous ‘Design Workshop’ Presentation RA MM
A 3 Feb 2015 Re-formatted and corrected RA MM
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Stockton Borough Council have embarked on a project to deliver an exemplar retirement village within the historic town centre. Creating a ‘state of the art’ extra-care facility in ‘Core and Cluster’ format will deliver a centre of excellence in retirement housing for the elderly in the heart of the town. It will benefit from easy access to amenities and services, whilst creating a safe and welcoming home environment for residents.
Developing the Aspiration
The Story So Far: Sketch Design
The Becker Model
Evolving the Design
Courtyards and Landscaping
Reconnecting with the Town Centre
IT and Telecare
The Next Stage
ContentsContents
Developing the Developing the Aspirational VisionAspirational Vision
• Deliver an exemplar Retirement Village of circa 300 homes in a Town Centre location
• Deliver a resident centred ethos utilising ‘Becker’ principles
• To develop a sustainable community in the Town Centre that is attractive to retirement and elderly residents, whilst open and inviting to family, friends and neighbours
• To deliver Extra Care and Assisted Living in a seamless and effective way
• To ensure that residents concentrate on living fruitful lives and enjoying their retirement rather than focusing on age and infirmity
• Encouraging interaction with the general community
• Finding activities and pastimes that deliver fulfilment
• Meeting new friends and forming sustainable, long term relationships
• Encouraging the elderly to continue participating in society
• Creating opportunities for the
elderly to pass on their knowledge and learning
• Creating an environment that is ‘hotel-like’, welcoming and pleasant for visiting family members and the general public
• Providing good quality food and drink at the centre of the hospitality and care offer
Developing the Developing the Aspirational VisionAspirational Vision
Developing the Developing the Aspirational VisionAspirational Vision
• Providing facilities for the elderly community within the Borough as a whole
• Providing better linkage to the Town Centre
• Increasing customer footfall to the Town Centre
• Providing enhanced passive surveillance to the Town Centre
• Ensuring that ‘Living Over The Shop’ (LOTS) becomes a viable retirement opportunity in Stockton Town Centre
• Ensuring that the Stockton Town Centre is ‘age friendly’
• Delivering a cutting edge, tele-care system throughout the Village which enhances care and minimises loneliness
• Demonstrating through the exemplar that Extra Care and enhanced Tele-Care create happier lives and reduces the costs of elderly on the NHS
• Develop a ‘Stockton Model’ for the delivery of public / private sector accommodation for the elderly
• Prepare a flexible and accessible ‘pathway’ to retirement housing and Extra Care
Reviewing Movers Reviewing Movers and Shakers for the and Shakers for the New ParadigmNew ParadigmResearch into European ‘Best Practice’Research into European ‘Best Practice’Plan B, with David Birkbeck of Design for Homes, researched the leading ‘movers and shakers’ in the provision of care for the elderly on a European wide basis
David BirkbeckDavid BirkbeckDavid Birkbeck was a major contributor to the ‘HAPPI Report’
Professor Dr Hans Marcel BackerProfessor Dr Hans Marcel BackerForemost in this field is Professor Dr Hans Marcel Becker - Head of the Humanitas Organisation in Holland
Plan BPlan BPlan B and Design for Homes, with David Waterhouse of CABE and the support of John Mather of the Design Council, have visited Dr Becker at his headquarters in Rotterdam to visit some of the latest Humanitas Care Villages
The Story So Far: The Story So Far: Sketch DesignSketch Design
SWOT Analysis and SWOT Analysis and Capacity StudyCapacity Study
A Care Village in A Care Village in Victoria EstateVictoria Estate
Capacity Capacity Study Study Massing Massing ModelModel
12:00
3:00
6:00
9:00
Mrs Elderberry goes out into the courtyard with her grand daughter to pot some plants.
In the dementia wing Mary sings with her husband John the songs he remembers from his youth.
Mary speaks to her daughter on the phone“I am so looking forward to our dance class tonight” she says, “I hope I get to dance with Roger again,”
Nigel turns to his carer after dinner and recounts a story from his working days on the Tyne. “I’ll have to go to work tomorrow” he insists” she smiles and nods as they continue their conversation.
Pupils from the local school choir come to entertain the residents in the hall. Mr Peters gets a photo outside with some of the boys to remember their visit.
Its nearly lights out but Rosemary stares out into the courtyard with a smile as she thinks upon what tomorrow will bring.
Mrs Murdock loves having the latest novel read to her.
A Typical DayA Typical Day
Precedent: Denham Precedent: Denham Garden VillageGarden Village
Precedent: Mere View Precedent: Mere View Garden Village, SuffolkGarden Village, Suffolk
Precedent: Hartfields Extra Precedent: Hartfields Extra Care Village, HartlepoolCare Village, Hartlepool
Current Model: Current Model: Not Fit For PurposeNot Fit For Purpose
The Becker ModelThe Becker Model
Evolving the ‘Becker Model’Evolving the ‘Becker Model’
Becker leading Dutch elderly Becker leading Dutch elderly care for over 20 yearscare for over 20 yearsDr Becker has revolutionised care for the elderly in Holland over the last twenty one years and is recognised as a leader on caring philosophies within Europe
32 Elderly care communities32 Elderly care communitiesDr Becker’s communities incorporate three thousand or so dwellings and it is this large critical mass that enables him to deliver the range and quality of services that has made his Humanitas Organisation a European leader
Chairman of HumanitasChairman of HumanitasHe is Chairman of the Board of Directors at the Humanitas Foundation
Ageing NOT a diseaseAgeing NOT a diseaseBecker has reacted against the 1970’s tendency to treat old age as a ‘disease’
Rejects 1970’s misery islandsRejects 1970’s misery islandsBecker considers the nursing homes of those days to be ‘misery islands’ or ‘towers of despair’
Wellbeing Wellbeing Overcomes Overcomes Chronic Chronic ConditionsConditions
Focus on enjoying the projectFocus on enjoying the projectBecker believes that once someone has Parkinsons or Alzheimers; helping them to enjoy their remaining life is the key driver
Don’t fixate on the medical Don’t fixate on the medical conditionconditionBecker believes constant amplification of medical issues will cause what left of a person’s positive image to disappear
Happiness as self determinationHappiness as self determinationBecker defines human happiness as “a state in which the individual is able to exercise control and live communally”
Concentrate on well beingConcentrate on well beingBecker’s Model concentrates on the ‘well-being’ which causes handicaps to be forgotten, enabling the client to live with often, what is a chronic condition
The Becker ‘Credo’. Dr Becker believes:The Becker ‘Credo’. Dr Becker believes:
By making life much more fun for clients:
Complaints and expenses are reduced• Residents become more active• The family and other volunteer workers like to come to • visitEverything becomes less expensive• Most importantly, a pleasant an inspiring environment • works wonders for residents and staff alikeIndividual care paths are enhanced• Sick leave is reduced• A happiness-focused organisation has reduced • personnel turnoverMedical Care is available when necessary, but is • deliberately relegated to the background
Maximise the Positive, Maximise the Positive, Minimise the NegativeMinimise the Negative
Residents Taking ControlResidents Taking Control
Self determinationSelf determinationBecker aims to encourage residents to control their own lives
ParticipationParticipationResidents actively participate with others
The extended familyThe extended familyResidents encouraged to engage in an extended family dynamic
The ‘yes culture’The ‘yes culture’Humanitas staff utilise a prevailing ‘yes culture’, designed to empower rather than marginalise
Apartments Apartments for Lifefor Life
‘Age-proof’‘Age-proof’Apartments are ‘age proof’
Hence Becker developments can Hence Becker developments can be occupied by be occupied by people of any age
Multi-generational communityMulti-generational communityBecker Homes are a mixed, multi-generational community
For sale or rentFor sale or rentApartments are For Sale or Rent with a variety of sizes and costs.
Public/Private partnershipPublic/Private partnershipCan be run by Housing Corporations and Care Providers other than Humanitas
Kitchen overlooks atrium
Balcony & Veranda
‘The Home is ‘The Home is the Castle’the Castle’
Fully AccessibleFully AccessibleAll Apartments are fully wheelchair and stretcher accessible
Spacious & FlexibleSpacious & FlexibleThey contain a minimum of three rooms, and a typical overall floor area of 72 m2
Self containedSelf containedEach Apartment has its own lockable front door
The home is the castleThe home is the castleCare Workers can only be admitted by ‘express invitation’. This enables the inhabitant to be a ‘true resident’ – and not an inmate of an institution
The Village SquareThe Village Square
Resident not inmateResident not inmateCommunal areas reflect this methodology
Participate if you want toParticipate if you want toEach complex contains an indoor Village Square on the ground floor, where all social and leisure amenities are concentrated
A Comprehensive A Comprehensive Range of AmenitiesRange of AmenitiesExcellent facilities open Excellent facilities open to the publicto the publicThe Square and many of its facilities such as the Restaurant, are open to residents and members of the public
A typical range of A typical range of amenitiesamenitiesA typical Becker development also contains the following:
Reminiscence Museum• Supermarket• Health and Fitness • StudioPhysiotherapy Suite• Music Room• Billiard Hall• Bar• Restaurant• Library• Hairdresser• Beautician• Diverse other • community services
Use It or Lose ItUse It or Lose It
Physiotherapy Keep Fit
A Typical DayA Typical Day
09:00 Shopping 10:30 A meeting with children at the museum
11:45 Hair appointment
Familiar everyday objectsFamiliar everyday objectsAn ingenious concept involving a room filled with familiar household and consumer objects
Spanning the last 60 yearsSpanning the last 60 yearsSpanning from the early 20th Century to the present day
Furnished by residentsThe rooms are furnished by resident’s objects donated to the Museum when they join the community
Expertly curatedExpertly curatedHousing interiors from the 1920s, 1930s, 1940s and 1950s, through to the present day, are well laid out and expertly curated
Trigger memoriesTrigger memoriesThey trigger the memory of Dementia or Alzheimer sufferers who often find it easier to recollect events from their youth, rather than the more recent past
A valuable local community A valuable local community resourceresourceThe Reminiscence Museum is also a valuable local resource, utilised by local schools and community groups
Drawing in public at largeDrawing in public at largeThis once again draws members of the public into the development
Reminiscence Reminiscence MuseumMuseum
The Becker The Becker RulesRulesNot an institutionNot an institutionBecker ‘Rules’; there are none, apart from the fact that it should not be institutional
The yes cultureThe yes cultureResidents being in control – The ‘Yes Culture’
Use it or lose itUse it or lose itActive participation – ‘Use it or Lose it’
Conversation piecesConversation piecesThe extended family – involving the family ‘conversation pieces’
No white coatsNo white coatsNo walking around in a ‘white coat’ for staff
Welcoming the New Welcoming the New Dawn of Elderly CareDawn of Elderly CareWell designedWell designed
SpaciousSpacious
Fit for PurposeFit for Purpose
Benefiting from economies of scaleBenefiting from economies of scale
FlexibleFlexible
EngagingEngaging
Community CentredCommunity Centred
LiberatingLiberating
Offering widest range of amenities Offering widest range of amenities and activitiesand activities
Individual homes within a functional Individual homes within a functional and supportive communityand supportive community
Best Practice Best Practice GuidanceGuidanceService ModelService ModelHumanitas’ Apartments for Life Business Mode has a four-point philosophy for how staff relate to residents. These are:
1. Boss your own Life1. Boss your own LifeIf you have the mental capacity, you are entitled to make your own choices. This means Humanitas sets the minimum of rules, with no one telling you what you should and should not do, unless you have asked for their advice.
2. Use it or Lose it2. Use it or Lose itResidents, their families and the staff are encouraged to focus on people’s strengths, what they can do rather than what they cannot do, and get them to keep doing it. Residents are also given
opportunities to try new experiences and learn new skills.
3. The Family3. The FamilyEveryone has something useful to offer other residents and staff, whether it is professional skills, years of experience living with a particular condition, or simply spare time. Staff are treated as part of the same social network as residents. No walking around in a ‘white coat’ for staff.
4. A ‘yes’ culture’4. A ‘yes’ culture’If residents want something, staff should ‘start with yes’ and then try to work out a solution, within reason. The ‘yes culture’ means that everyone should have a positive attitude towards resident preferences.
Evolving the DesignEvolving the Design
Central Extra Care Building, with additional 4 storey apartment blocks, including single aspect apartments backing onto Maritime Road
Total Units: Total Units:
Option 3Option 3
Option 3 Accommodation Option 3 Accommodation ScheduleSchedule
Artist’s Impression PlanArtist’s Impression Plan
1. Core building providing extra care
2. Main entrance through atrium
3. Show village demonstrating full range of retirement homes; bungalows, flats and houses
4. South facing community garden
5. Village green
6. Village park
7. South facing courts, courtyards and cloister
Massing Model Massing Model (of Option 2)(of Option 2)
66
77
77
55
11
22
4477
77
77
33
77
Artist’s Impression ViewArtist’s Impression View
SectionsSections
SectionsSections
Artist’s ImpressionsArtist’s Impressions
Indicative Visualisation
Artist’s ImpressionsArtist’s Impressions
Indicative Evening Visualisation
Artist’s ImpressionsArtist’s Impressions
Indicative Courtyard Visualisation
Indicative Interior Visualisation
Artist’s ImpressionsArtist’s Impressions
Indicative Interior Visualisation
Artist’s ImpressionsArtist’s Impressions
Interior Precedent StudiesInterior Precedent Studies
The following images show interiors of other extra care facilities Halton Court, Kidbrooke Village by Viridian Housing
Interior Precedent StudiesInterior Precedent Studies
Self determination Self determination creates specific design creates specific design standardsstandardsThis philosophy is reflected in the physical design of Becker’s homes
The apartment for lifeThe apartment for lifeHe has developed the ‘Apartment for Life’
Coping with the ups Coping with the ups and downs of ageingand downs of ageingThis enables residents to cope with the ‘ups and downs’ of the ageing process in harmony and confidence
Balcony & Veranda
Line of sight from bedroom
Sliding door promotes ‘line of sight’
Hallway
Study or second bedroom
External seating looking down into the atrium - village square or buggy park
Bay window
Access to balcony & veranda
Living room
Dining area
Wheelchair accessible bathroom
Kitchen
Kitchen window overlooks street
Landscaped external street overlooks atrium
Design That Supports Design That Supports IndependenceIndependence
The following floor plans illustrate that the apartments all achieve lifetime homes and Wheelchair Housing Design Guidance. The apartment layouts are flexible and in addition the kitchen can be designed to achieve Wheelchair House Design Guide Accessibility.
The apartments are ‘Care Ready’ to make them suitable for numerous care needs and disabilities, whilst maintaining a domestic appearance and hotel style amenities. The building is ‘future proof’ in terms of technology, infrastructure and has a layout which protects the building from future changes in housing and care trends.
The apartments themselves are open and generous in space terms
with at least one area for storage and a partially screened kitchen area. The apartments themselves have an indent and scalloped carpeting treatment to give a sense of ownership and arrival.
The resident’s personal experience in their own home is designed to be empowering and with a high level of personal control. All of the apartments are fully self-contained and have generous window proportions to let in light and air. They are also designed to allow for adaption to be either a more ‘open’ or more ‘closed’ layout depending on the personal requirements. The area around the door in particular has received attention. It is set back with a scalloped floor treatment to give ownership to this area.
For many a move to extra care represents a loss of independence and identity. This development will shatter that perception and represents an aspirational and positive choice with high-quality and responsive facilities.
The Design Team feel it is important to minimise corridors and unnecessary doors in the layout which can restrict free movement. The units also have an area for wheelchair turning at the door as well.
Floor PlansFloor Plans
1 Bed Apartment - 55.56sqm / 598sqft Birds eye view
Floor Plans: Floor Plans: 1 Bed Apartment1 Bed Apartment
Charge Charge PointPoint
Birds eye view
Floor Plans: Floor Plans: 2 Bed Apartment2 Bed Apartment
2 Bed Apartment - 65.36sqm / 704sqft
Although the ITT Brief suggests an area of 70 sqm for the 2 bed apartment, the relevant space standards are all met within a 65 m2 unit.
Charge Charge PointPoint
Flexible Kitchen Layout SpaceFlexible Kitchen Layout Space
1 Bed Apartment - Potential wheelchair accessible layout
2 Bed Apartment - Potential wheelchair accessible layout
Potential access flexible layout
Relocated sink to provide accessible sink and drainer
Relocated hob to provide drop down accessible unit
Relocated hob to provide drop down
accessible unit
Relocated sink to provide accessible
sink and drainer
Sliding door between bedroom and lounge
Evolving the Flat PlansEvolving the Flat PlansMaximising, Functionality, Flow of space and Connectivity
Courtyards and Courtyards and LandscapingLandscaping
Precedent: Staiths South BankPrecedent: Staiths South Bank
Landscape PrecedentsLandscape Precedents
Within the main garden it is envisaged there will be landscape ‘incidents’ that together makeup a sensory garden experience that will be beneficial to all residents but particularly those with dementia.
It is envisaged that residents are able to participate in the garden with areas ranging from pots, to planters to larger plots grow their own selection of plants, vegetables and flowers in a structured setting and on a sunny aspect.
Landscape: Sensory Landscape: Sensory ExperienceExperience• Human-scale and allows for neighbourly
socialising as well as personalisation and ownership.
• Developing a varied milieu of landscape elements and character will give identity and a sense of place.
• A wave of activity passing around the site.
• Drawing people outside and into a sequence of routine daily events.
• Residents would have a strong sense of identity for their own block.
• Meet and get to know friends across the estate.
• Come together around mutual interests - the bowling team, the gardening club.
• The dog walkers, the birdwatchers and the painting group.
• A magnet and a microphone - As a magnet, the residents will host and develop groups, spaces and events, including multicultural and inter-generational ones. The community is a microphone to the town, reaching out and drawing in people who are interested.
• Pride of place, growing your own, eyes on the street or making art.
• Parks, gardens, paths and active areas must beckon from when the first arrival moves in, so there is no perch upon which complacency (and subsequent disability) can roost.
• Spaces will be engaging and enjoyable - People will gain pleasure from taking charge and using them.
• Spaces will be enabling and vital for health - mental, physical and spiritual. Landscapes help us maintain our personal identity and sense of self by reflecting our effort back to us. They respond to love and attention, just like us.
• Landscapes also promote a lifestyle that preserves cognitive function and physical ability. For instance, being outside, getting fresh air, exercise and vitamin D helps to delay the onset of dementia.
• Staying physically active lowers the risk for falls and fractures.
• Sharing a common interest in the outdoors stimulates and improves communication. Each of these trends reduces the need and cost of services, support and intervention.
Reminiscence Museum
Supermarket
Health and Fitness Studio
Physiotherapy Suite
Music Room
Billiard Hall
Bar
Restaurant
Library
Hairdresser
Beautician
Gardening Clubs
Greenhouses
Sheds
Allotments
Drama
Music
Art
Dance
Poetry
Theatre
Pottery
Sewing and Needlework
IT
Bird Watching
Yoga
Pilates
Chess
Bowling green
Woodworking shop
Amphitheatre
Bistro
Fish pond
Zoo
Pets Corner
Hobby Rooms
Activities and Activities and Conversation PiecesConversation Pieces
Reconnecting with the Reconnecting with the Town CentreTown Centre
The scheme will:The scheme will:
Reinvigorate the Town Centre• Provide a safer environment for • village residents as well as elderly residents of the town itselfProvide retirement • accommodation close to the town centre and all its amenitiesProvide an increased footfall • within the town, making business more viableMake town centre living more • attractive once again
Reconnecting with the Reconnecting with the Town CentreTown Centre
Heritage Enhancements
Markets
Business and Enterprise Support
Cultural Venues
IT & TelecareIT & Telecare
IT & TelecareIT & TelecareHolistic approach to a total health service delivery. Digital Technology, which can be extended out to the wider community in Stockton Centre
IT & TelecareIT & Telecare
Providing appropriate and specific care packages with the assistance of digital technology
Further ResearchFurther Research
with economies of scale
Care and cost benefits of the care village by working closely with the local health authority to develop the model
Establishing a public/ private sector model for rent/share or out right sale of properties together with a sliding scale of care costs overheads.
The Next StageThe Next Stage
• Finalise the Brief
• Confirming the Operating Model
• Agreeing an Appropriate Scale
• Prepare Costings
• Prepare Viability
• Prepare Outline Planning Submission
The Next StageThe Next Stage