Dementia


Dementia-friendly design beyond the checklist As dementia design becomes an increasingly prominent discussion point across the sector, I believe there is still a danger of providers focusing too heavily on aesthetics or generic ‘dementia-friendly’ features without fully understanding how people actually experience a space. To me, dementia-friendly design is about


creating an environment where people feel calm, safe and able to move freely without frustration or distress. It’s not about ticking boxes - it’s about understanding how somebody experiences the world around them. At The Mill House, that means designing


spaces that support independence rather than restrict it. People are encouraged to walk safely and naturally around the home, without feeling confined or overstimulated. Many people living with dementia like to


walk with purpose. If environments are too restrictive, cluttered or confusing, that can increase distress very quickly. Some of the most effective interventions,


in my experience, are often the simplest. Personalised bedroom doors featuring memory boxes, photographs or meaningful items help residents recognise their own space independently, reducing anxiety and frustration. Clear signage, uncluttered layouts and thoughtful lighting all help people navigate the home more confidently. Lighting, in particular, can have a


significant impact. Natural light and well - lit spaces can really improve mood and orientation, especially later in the day when some residents may become more unsettled. We have invested heavily in outdoor


access and garden environments, including


Creating a home, not an institution One of the greatest challenges in dementia care is balancing safety with independence. Institutional routines can often unintentionally strip people of identity and autonomy. People living in care homes should feel


at home - not somewhere they are simply being looked after. We encourage people to personalise their


rooms with photographs, blankets, furniture and meaningful possessions from home. In my experience, it is often the smallest details that matter most. For example, one lady always had butter


mints at home, so we make sure she always has them in the care environment. Another person living with us had a choc ice every day, so we continue that routine.


26 www.thecarehomeenvironment.com July 2026


Clear signage, uncluttered layouts and thoughtful lighting all help residents navigate the home more confidently


newly developed dementia-friendly garden rooms with private patio access. People living with dementia should not


feel locked in. Access to outdoor space gives individuals freedom, sensory stimulation and a sense of normality. We often see residents become noticeably calmer after spending time outside. Importantly, these environments are


not viewed as luxuries, but as part of the therapeutic care environment itself. The right environment can completely


change how somebody feels day to day. We’ve seen residents become more independent and more settled simply because they can recognise their surroundings, move around confidently and spend time outdoors safely.


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