Care home design
Dementia patients need special care The cognitive impairment experienced by those with dementia, make it difficult for them to ‘follow the rules’ and the sensitive management of their individual needs requires a different approach and detailed consideration. One-way systems will not work, the
need to wander needs to be fulfilled in a safe way and the need for routines and rhythms in familiar surroundings must be respected. The difficulty of mask-wearing around those with dementia has been recently addressed by the introduction of clear models that allow the face to be seen. Lockdown’s prohibition of physical
contact between family members has been one of the cruellest aspects of the Covid-19 outbreak and has been especially hurtful for those living with dementia. The ‘cuddle curtain’, which allowed residents and family members to hug one another in a strictly controlled environment was one innovation that helped, though rigorous sanitisation procedures were needed after each visit. ‘Bubbling’ dementia patients together
in small groups in a secure area or dedicated floor with a ‘wandering path’ is another way of managing them to avoid future upset and isolation.
Outdoor spaces Gardens, terraces, courtyards, gazebos and conservatories all came into their own in the summer as an opportunity for communal gathering and should become the norm for the future wherever possible. Indeed, conservatories can offer a quick bolt-on solution for a controlled visitor environment that benefits from regular changes of air flow
Dave Callin
David is a RIBA chartered architect with a focus on inclusive design and residential care, as well as having broader experience in residential and conservation/heritage. Working closely with charities such as The Royal Hospital for Neuro-disability, MCCH, and Queen Elizabeth’s Foundation for disabled people, David has also designed specialist residential accommodation, and supporting therapy spaces for people with cognitive, behavioural and mental health needs and physical disabilities. He has been responsible for the design and delivery of nursing and residential care for elderly residents,
in a comfortable, aesthetic weather resistant setting.
Conclusion In adversity, care home managers came up with their own innovative ways of trying to keep the status quo but this was after the world had changed. We now need to harness what we know and leap ahead of the next crisis.
TCHE
including EMI (elderly mentally infirm) and dementia accommodation, with projects spanning the private, public and charity sectors.
December 2020 •
www.thecarehomeenvironment.com
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