INTEGRATING DESIGN for DEMENTIA into NEW HOUSING PROJECT COMMISSIONS DOING DEMENTIA DESIGN 14th SEPTEMBER 2017 DAMIAN UTTON, RIBA DIRECTOR, POZZONI ARCHITECTURE LTD.

MANCHESTER LONDON www.pozzoni.co.uk Woodville House Woodville Road Altrincham Manchester WA14 2FH Current and complete care & extra care projects LONDON 115 Golden Lane Clerkenwell London EC1Y 0TJ www.pozzoni.co.uk

Much existing housing is poorly suited to the needs of older people and people with dementia in particular Where people with dementia have moved into specialist housing they identify benefits Housing with care can plays an important role in supporting people with dementia and fill a gap between mainstream homes and care homes Home truths: Housing services and support for people with Dementia (2012) There is only enough specialist housing to accommodate 5% of the over-65 population Survey of English Housing (Annual) DCLG HOUSING and DEMENTIA

People, Places, Process Places “The creation and maintenance of suitable housing which incorporates space and design and can support people living with dementia. This includes both the interior and exterior of buildings, areas around buildings and the location in which they are built. Physical spaces should be easy to navigate and be accessible for people living with dementia to enjoy a meaningful and inclusive life.” HOUSING and DEMENTIA

Design should create an environment that gives people independence, choice, maintain their lifestyle and contact with the wider community Design should compensate for the impairments of old age: Impaired mobility Impaired vision Impaired hearing Dementia Sensitivity to changes in temperature Design should facilitate efficient delivery of care Balance commercial issues of cost and operations with creating a familiar, domestic lifestyle ROLE OF DESIGN

DSDC University of Stirling Research, publications, audits The Kings Fund Environmental Assessment Tools Housing & Dementia Research Consortium University of Worcester Housing LIN www.housinglin.org.uk RESOURCES

Sensory Impairments A safe environment Optimum levels of stimulation Optimum lighting and contrast Cognitive Impairments Non-institutional scale and environment Support orientation Support way-finding Access to nature and outdoors Promote engagement with friends, relatives and staff Physical Impairments Good visibility and visual access Promote privacy, dignity and independence Promote physical and meaningful activities Support diet, nutrition, hydration REFERENCES

Home, not an institution RIBA Plan of Work Home, not an institution Familiar, easy to understand, domestic built environment Scale and proportion Future proofing – building is adaptable Compensate for impairments of old age Ageing in place Good dementia design is a combination of elements BRIEFING – KEY PRINCIPLES

Floor area 62-65sq.m PERSONAL LIVING SPACE

PERSONAL LIVING SPACE

CIRCULATION SPACES

COMMUNITY SPACES

EXTERNAL SPACES

EXTERNAL SPACES

Public Private Public Private BUILDING LAYOUT

Private Public BUILDING LAYOUT

Public Private BUILDING LAYOUT

NEIGHBOURHOODS / LOCATION

NEIGHBOURHOODS / LOCATION Duisberg Rotterdam Malmo Rotterdam NEIGHBOURHOODS / LOCATION

FUTURE TRENDS Extra Care ‘Lite’ Intergenerational Housing Care Villages Town/City Centre Living FUTURE TRENDS

Fundamental considerations Apartment / House layout View of wc Future-proof walls, ceilings and technology Light: large windows Mix of 1Bed and 2Bed apartments Circulation spaces - mobility, orientation, opportunities Communal spaces and ease of access Building layout: private and public spaces External space is as important as internal space Easy to understand built environment Scale and proportion Quick win future adaptations Similar floor tones Decoration - contrast Orientation – objects, memory boxes Home – not an institution! CONCLUSION

INTEGRATING DESIGN for DEMENTIA into NEW HOUSING PROJECT COMMISSIONS DOING DEMENTIA DESIGN 14th SEPTEMBER 2017 DAMIAN UTTON, RIBA DIRECTOR, POZZONI ARCHITECTURE LTD.