1 Introduction David Hughes In English

1
2nd IAHSA Design for Ageing Programme

IAHSA 8th International Conference July 20th,
2009
2
Design Review Committees
David J. Hughes, Chair Managing Partner, Pozzoni
LLP, England, UK Jeffrey W. Anderzhon Principal,
Crepidoma Consulting Fairfax, VA, USA Stephen
Judd Chief Executive, Hammond Care Sydney,
Australia Emi Kiyota Consultant, Advisor
International Design for Aging program at
IAHSA Germantown, MD USA, and Japan Monique
Wijnties Consultant, Aedes-Actiz Utrecht,
Netherlands

3
Design Trends

• Delighting in the Detail
• 2. Lifetime Home/Community and Belonging
• 4. Living with Dementia
• 5. Repositioning and Renovations
• 6. External Spaces
• 7. Size and Price
• 8. Affordability

4
Delighting in the Detail

• God is in the details.
• Ludwig Mies van der Rohe

5
Stratford at WestClay Carmel, Indiana, USA The
Lawrence Group
Buckshaw Retirement Village Buckshaw Village,
Chorley Lancashire, UK DLA Freeman White
6
Lutheran Home at Concord Reserve-Westlake, Ohio,
USA-Arthur Shuster, Inc.
7
Lutheran Home at Concord Reserve Westlake, Ohio,
USA Arthur Shuster, Inc.
8
The Royal Star Garter Solihull, UK Scurr
Architects
9
Nightingale Care Home-Wandsworth, London,
UK-Scurr Architects
10
Nightingale Care Home-Wandsworth, London,
UK-Scurr Architects
11
The Trees Highgate, London, UK PRP Architects,
Ltd.
12
Gravesham Community Dartford, UK Steffian Bradley
Architects
13
Gravesham Community-Dartford, UK-Steffian Bradley
Architects
14
Plans Sections - Phase 1 66 Bed Care Home
Belong Wigan Wigan, Lancashire, UK Pozzoni, LLP
15
Belong Wigan-Wigan, Lancashire, UK-Pozzoni, LLP
16
The Royal Star Garter Solihull, UK Scurr
Architects
17
Denham Garden Village Denham, Buckingham, UK PRP
Architects, Ltd.
18
Hammond Care Horsley Horsley, NSW,
Australia Allen Jack Cottier Architects, Pty Ltd
Residential Aged Care Facility Sandgate,
Queensland, AU Bickerton Masters Architecture
19
Childers Place Amarillo, TX, USA Perkins Eastman
Architects
20
Eskaton National Demonstration Home-Roseville,
CA, USA-Eskaton
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Lifetime Home Community/Belonging
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Aging in place/community

• Ageing in place is
• the ability to live in one's own home for
• as long as confidently and comfortably
• possible.

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Connection to the community
AU - New Residential Age Care_Bickerton Masters
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Connection to the community
USA - South Franklin Circle
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Back to the community
USA St. Johns Home
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Belong to existing community and normalized
lifestyle
Japan Akasaki Day Services
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USA - The Legacy at Willow Bend
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"we need a center, a gathering place, the heart
of our community."
USA - Bethany Village
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?
?
Home
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Netherland, Trynwalden
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Netherland, Trynwalden
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Netherlands, ANTONIEGAARDE
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(No Transcript)
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Design for Dementia
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Best Practice Design Principles for People with
Dementia

• Small
• Familiar
• Domestic
• Legible see or sense where you are
• Unrestricted access to safe outdoor areas
• Controlled stimuli
• Safe
• Promote self-esteem and independence
• John Zeisel et al, Environmental Correlates to
  Behavioural Health Outcomes in Alzheimers
  Special Care Units The Gerontologist, v. 43, 5,
  697-711

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Design Principle Small
Sandford Station Care Village, UK
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Design Principle Small
St Johns Community Green Houses, Rochester, NY
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Design Principle Small
HammondCare Horsley, NSW Australia
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Design Principle Small
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Akasaki-cho Day Centre in Ofunato-shi, Japan
Design Principle Familiar and Domestic
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Design Principle Familiar and Domestic
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Design Principle Familiar and Domestic
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Nightingale, London UK
Design Principle LegibleCan I read my
environment?
44
Design Principle Legible
45
Design Principle Controlled Stimuli
46
Design Principle Controlled Stimuli
47
Akasaki-cho Day Centre in Ofunato-shi, Japan
Design Principle Controlled Stimuli
create an inviting atmosphere so that people in
the local community can drop in anytime. We
widened the open space between the front gate
posts so that passers-by can hear laughter or
commotion from inside the buildingWe did not
build a barrier such as a fence around the house,
making the place open and coming and going easy.
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Design Principle Controlled Stimuli
49
Design Principle Safe
50
Belong
Outdoor Spaces Dementia Gardens
Dementia friendly gardens, Nightingale
Dementia garden, Exning Court
Dementia Courtyard, Forest Side
51
Outdoor Spaces Dementia Gardens
Memory Support Courtyard, Bethany, Ohio
Dementia courtyard, Sandgate, Qld Australia
52
Promoting Independence and Self Esteem
53
Design for Dementia is, Simply, Good Design
Orchard View, New Brunswick, Canada
54
Repositioning/Reinvention
55
St. Monica Trust-Sanford Station, UK-KWL
Architects, Ltd.
56
St. Monica Trust-Sanford Station, UK-KWL
Architects, Ltd.
57
St. Monica Trust-Sanford Station, UK-KWL
Architects, Ltd.
58
Forest Side ALF for Dementia Washington, DC JSA,
Inc. Architects
59
Forest Side ALF for Dementia Washington, DC JSA,
Inc. Architects
60
Forest Side ALF for Dementia Washington, DC JSA,
Inc. Architects
61
Forest Side ALF for Dementia Washington, DC JSA,
Inc. Architects
62
Akasaki-cho Day Service Center-Ofunato-shi,
Iwate, Japan
63
BEFORE
Virgil Skilled Nursing Los Angeles, CA HWKN, LLC
Architects
64
BEFORE
Virgil Skilled Nursing Los Angeles, CA HWKN, LLC
Architects
65
BEFORE
Virgil Skilled Nursing Los Angeles, CA HWKN, LLC
Architects
66
Virgil Skilled Nursing Los Angeles, CA HWKN, LLC
Architects
67
Lakeshore Drive
Lake Michigan
East 55th
Aerial View
View from East 55th Street
Montgomery Place Chicago, Illinois, USA Dorsky
Hodgson Parrish Yue Architects
68
Montgomery Place Chicago, Illinois, USA Dorsky
Hodgson Parrish Yue Architects
Site Plan
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First Floor Plan
Pre-Renovation
Montgomery Place Chicago, Illinois, USA Dorsky
Hodgson Parrish Yue Architects
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Pre-Renovation
Second Floor Plan
Montgomery Place Chicago, Illinois, USA Dorsky
Hodgson Parrish Yue Architects
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Site Plan
Bethany Lutheran Village Dayton, Ohio USA Dorsky
Hodgson Parrish Yue Architects
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Original Campus Entry
New Village Center
Bethany Lutheran Village Dayton, Ohio USA Dorsky
Hodgson Parrish Yue Architects
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Bethany Lutheran Village Dayton, Ohio USA Dorsky
Hodgson Parrish Yue Architects
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External Space
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FUNCTION Growing Plants
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FUNCTION Exercise/Entertainment
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FUNCTION Strolling/Walking
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FUNCTION Sitting
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FUNCTION Childrens play area
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FUNCTION Nature Scene
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POSITIVE IMPACT Enjoy fresh air and sunlight
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POSITIVE IMPACTSensory stimulation
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POSITIVE IMPACTMeaningful engagement
84
POSITIVE IMPACTBeing outside within the secured
garden
85
Future Improvement
Fence
86
Future Improvement Furniture placement
87
Future Improvement
Furniture selection
88
Future Improvement
Familiar objects in the unfamiliar contexts
89
Future Improvement
More than visual stimulation
90
Future Improvement collaboration with
organization
91
Cost Size - Level Playing Field
92

• Principles for Aged Care
• Approximate US dollar costs per M2
• Calculated at Quarter One / 2009
• Cost per M2
• Area per Resident
• Cost per Resident

93
Residential Aged Care 2 (with Day Centre)
Residential Aged Care 1

• Belong, Wigan
• Elmworth, Brighton
• St Johns Home
• The Royal Star Garter Home
• Lutheran Home
• Leonard Florence Centre
• Horsley
• New Brunswick
• Wohl Building
• Sunrise of Knowle

• Apex Harmony Lodge
• Childers Place
• Sandgate, Queensland

94
UK Extra Care / Retirement Villages
Retirement Villages

• South Franklin Circle
• Summerset by the Park
• Buckshaw Retirement Village
• Edgemere
• The Legacy
• The Cedars
• Sandford Station
• Lenbrook Square Foundation
• Harbours Edge

• Denham Garden Village
• Exning Court
• Trees

95
Residential - Aged Care 1
Per M2
M2 Per Resident
Per Resident
Belong Wigan, UK 2,137 56m2 119,343 CLS
Care Services
Elmworth Brighton, UK 1,983
45.85m2 90,405 BUPA Care Services
St Johns Home, Rochester New York, USA 2,561
78m2 200,000 Not for Profit
The Royal Star Garter, Solihull, UK 2,683
74.37m2 199,530 The Royal Star Garter
The Wohl Building Wandsworth, UK 3,336
66m2 220,170 Nightingale
96
Residential - Aged Care 1
Per M2
M2 Per Resident
Per Resident
Lutheran Home Ohio, USA 2,226 73.8m2 164,383
Lutheran Home
Leonard Florence Centre Massachusetts,
USA 2,626 87.7m2 230,000 Chelsea Jewish
Nursing Home
Horsley NSW, Australia 2,091
67.84m2 140,977 Hammond Care
New Brunswick, Canada 1,823
57.8m2 86,474 Orchard View
Sunrise of Knowle, West Midlands, UK 3,012
71.39m2 215,162 Sunrise Senior Living
97
Belong Wigan UK Belong
St. Johns Home Rochester, NY, USA
Elmworth Brighton, UK BUPA Care Services
1,983 per m2 45.85 m2 per Resident 90,405 per
Resident
2,561 per m2 78 m2 per Resident 200,000 per
Resident
2,137 per m2 56 m2 per Resident 119,343 per
Resident
98
The Royal Star Garter Solihull, UK The Royal
Star Garter
Lutheran Home Ohio, USA Lutheran Home
2,683 per m2 74.37 m2 per Resident 199,530
per Resident
2,226 per m2 73.8 m2 per Resident 164,383 per
Resident
99
Leonard Florence Centre Massachusetts,
USA Chelsea Jewish Care Home
Horsley NSW, Australia Hammond Care
New Brunswick Canada Orchard View
2,626 per m2 87.7 m2 per Resident 230,000 per
Resident
1,823 per m2 57.8 m2 per Resident 86,474 per
Resident
2,091 per m2 67.84 m2 per Resident 140,977
per Resident
100
The Wohl Building Wandsworth, UK Nightingales
Sunrise of Knowle West Midlands, UK Sunrise
Senior Living
3,012 per m2 71.39 m2 per Resident 215,162
per Resident
3,336 per m2 66 m2 per Resident 220,170 per
Resident
101
Residential - Aged Care 2 (with Day Centre)
Per M2
M2 Per Resident
Per Resident
Apex Harmony Lodge Singapore (1999 Costing)
1,865 30.63m2 57,142 3,031 _at_ 5
per annum uplift 88,571
Childers Place, Amarillo Texas, USA 1,907
162m2 310,120 The Bivins Foundation
Sandgate, Queensland 2,350 66.93m2
157,300 Board of Benevolence Aged Masons
102
Sandgate, Queensland Board of Benevolance Aged
Masons
Apex Harmony Lodge Singapore
Childers Place Amarillo, Texas, USA The Bivins
Foundation
1,865 per m2 3,031 30.63 m2 per
Resident 57,142 per Resident 88,571
1,907 per m2 162 m2 per Resident 310,120 per
Resident
2,350 per m2 66.93 m2 per Resident 157,300
per Resident
103
Retirement Villages
Per M2
South Franklin Circle Ohio, USA 2,045 South
Franklin Circle
Summerset by the Park Manukau, New Zealand 940
villas Summerset Retirement Villages 1763 main
bldg. 1465 apartments
Buckshaw Retirement Village Lancashire,
UK 2,161 Oakbridge Retirement Villages
Edgemere Phase 11 Dallas, Texas,
UK 2,472 Northwest Senior Housing Corp
104
Retirement Villages
Per M2
The Legacy at Willow Bend Plano,
USA 1,463 The Legacy Senior Communities
The Cedars Portland, Maine, USA 1,829 Jewish
Home for Aged
Sandforth Station Care Village Bristol, UK
2,501 St Monica Trust
Lenbrook Atlanta, Georgia, USA 2,260 /
2,475 Lenbrook Square Foundation
Harbors Edge Norfolk, Virginia, USA 1,803
Greystone Communities
105
Summerset by the Park Manukau, New
Zealand Summerset Retirement Villages
Buckshaw Retirement Village Lancashire,
UK Oakbridge Retirement Villages
South Franklin Circle Ohio, USA South Franklin
Circle
940 per m2 villas 1763 per m2 main
bldg. 1465 per m2 apartments
2,045 per m2
2,161 per m2
106
Edgemere Phase 11 Dallas, Texas, USA Northwest
Senior Housing
The Legacy at Willow Bend Plano, USA The Legacy
Senior Communities
The Cedars Portland, Maine, USA Jewish Home for
the Aged
Edgemere
1,463 per m2
1,829 per m2
2,472 per m2
107
Sandford Care Village Bristol, UK
Lenbrook Square Foundation Atlanta , Georgia,
USA Lenbrook Square Foundation
Harbors Edge Norfolk, Virginia, USA Greystone
Communities
2,260 / 2,475 per m2
2,501 per m2
1,803 per m2
108
UK Extra Care / Retirement Village
Per M2
M2 Per Resident
Per Resident
Denham Garden Village Buckinghamshire, UK
2,829 109.9m2 310,948 Anchor Trust
Trees, Highgate London, UK 2,768
105.13m2 291,100 Hill Homes One Housing Group
Exning Court New Market, UK 1,845
104.5m2 192,941 Sanctuary Hereward
109
Trees, Highgate London, UK Hill Homes /One
Housing Group
Exning Court New Market, UK Sanctuary Hereward
Denham Garden Village Buckinghamshire, UK Anchor
Trust
2,829 per m2 109.9 m2 per Resident 310,948
per Resident
2,768 per m2 105.13 m2 per Resident 291,100
per Resident
1,845 per m2 104.5 m2 per Resident 192,941
per Resident
110
Affordability
111
JP Sun City Yokohama, Japan Half Century More
Cost Size - Level Playing Field
112
The Stratford at WestClay Indiana, USA The
Stratford at WestClay LLC
113
Apex Harmony Lodge Singapore
114
Gravesham Community PFI Dartford, UK Dartford,
Gravesham Swanley NHS PCT
115
Elmworth Brighton, UK BUPA Care Services
116

• Questions?