Ageing in the right place

Front cover showing the four steps for ageing in the right place
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The My Home My Choices tool from New Zealand has some good advice about ageing in the right place.

The tool has four steps: individual wants and issues; opportunities for improvement in the home and lifestyle: different options for maximising the use and value of the home; and other choices such as moving, sharing, home modifications and home support. 

This tool is easily adapted from the New Zealand model and you can also read the research behind it.  

Ageing better at home

Bathroom in an old house has been stripped and bare walls and old tiles remainThe majority of our homes are designed as if we are never going to grow old, and most of us will need to modify our home as we age. That’s if you want to stay put, which is what most older people say is their preference.

A report from Centre for Ageing Better in the UK gives an excellent overview of how home modification improves quality of life, mental health and overall independence. Dwellings might be a “product” to property developers but for the rest of us a “home” is the pivot point for living our lives.

A great quote from a study participant to reflect upon, “You don’t get taught, at any point in your life, how to become an older person. It just sort of happens, you know…”. So waiting for consumers to ask for universal design isn’t going to work.

Ageing in Place: A timely book

Front cover of the Ageing in Place Book.Across the globe, older people want to stay put as they age. They do not aspire to residential care and are also moving away from the retirement village model. But are our planners, designers and builders listening? COVID-19 pandemic is also challenging established policy about where older people want to live. “Ageing in Place” is a timely book.

The title of the book isAgeing in Place: Design, Planning and Policy Response in the Western Asia-Pacific. It looks at ageing in place in  Japan, China, Taiwan, Australia and New Zealand. 

From the book review:

Ageing in Place considers diverse cultural, political and environmental contexts and responses to show that regional governments, industries and communities can gain, as well as offer, important insights from their international counterparts. With changes in caring and family dynamics, the chapters demonstrate a clear preference for ageing in place and the need for collaborative efforts.

Australian research

Front cover of the reportThe findings from a 2018 survey gives a good idea of what people think about accessible housing. Four narratives frame the report: the housing industry view; the government view; prospective buyers’ view; and the perspective of people who need mainstream accessible housing.

The Australian Network on Universal Housing Design initiated the research It is a lengthy and detailed report. Essential reading for anyone interested in this topic or the history of this 20 year campaign. 

 

Home Builder goes for universal design

A view from the kitchen to the alfresco showing an adjustable bench top acting as a table.A home builder in Queensland, is building Livable Housing Silver level homes and he wants everyone else to follow his lead. He has persuaded Townsville City Council and industry stakeholders to come together to make this possible.

In a promotional video accessibility is only mentioned once at the end, but the key features are pointed out throughout the video. It’s a slow 11 minutes so recommend viewing at an increased speed setting. Although Silver level is promoted, the size and design of the dwelling makes it closer to Gold level. 

In a 9 minute video (below) various people explain the importance of Silver level to them. The best parts of the video are in the second half where Martin Locke shows how Silver level homes are modern and “normal”. One key point is that it shows there are no design or technical impediments for having Silver (or Gold) level in all new housing.

Wheelchair users are only one part of the story of universal design in housing. The emphasis on wheelchair users perpetuates the idea that this is “disability housing” and this puts it in the “specialised housing” bracket. The Livable Housing Design Guidelines are about everyone, not just wheelchair users.

Locke believes Silver level can be rolled out without additional regulation. However, after ten years of voluntary guidelines, industry has not participated. The industry, particularly  mass market builders, rely on regulation to hold the system together so that all the designers, engineers, and trades know what they are doing and can work in tandem.

It’s great to see at least one community trying to make a difference in this space. Martin Locke and the Townsville City Mayor are to be congratulated for their efforts in bringing people together to show the way for the house-building industry.

Accessible home design

Front cover of the UD for houses guideline.Lifemark and BRANZ, the building research organisation in New Zealand, have produced a guideline titled Universal Design for Houses. The drawings and design ideas are based on accessible home design for wheelchair users. This is useful for understanding circulation space that’s good for wheelchair users and also good for everyone. However, not everything good for wheelchair users is good for everyone – so not exactly universal design.

The guide is concise and has lots of graphs to illustrate design ideas. Topics include what’s legally required, getting in and out of the home, wet areas, kitchens, hardware and lifts in dwellings. 

For more universal application in all homes, see the Livable Housing Design Guidelines

Editor’s comment: Translating the term universal design into designs for wheelchair users is a common error. But if you need to design for a generic wheelchair user, this is a good guide. 

Be safe at home

carpeted stairway in a homeSafety, slips, trips and falls are the topic of a Lifemark article, Better Design, Safer Homes,. It points out how many people fall and injure themselves at home. They also cut and burn themselves badly enough to need hospital treatment. How could such injuries be avoided so that people are sate at home? The article on has tips for stairs, bathrooms, kitchens, and entrances.

The article concludes, “A safer home benefits all occupants (and visitors), not just older people. Children, in particular will benefit from a design that recognises and addresses risk areas and by doing so creates a more liveable space for everyone”. Lifemark is based in New Zealand.

Step this way with no step

A grey tiled porch leads seamlessly into the home without any change in level.There’s lots of myths and worries about universal design features in homes. The no-step entrance is one of them. A covered entrance, which is great in itself, will keep away the rain and it’s also shade in the summer. A slight grade away from the entrance should deal with the rest. In fact, that is also good for all homes. And it’s easy to do when the home is first built. But people ask why have a no-step entrance when you don’t need it?

It’s based on the assumption that only wheelchair users need it. Think again. A new home means furniture deliveries. Perhaps a new baby on the way – yes, that’s the stroller or pram. Coming home with bags of shopping or a shopping trolley. And let’s not forget the teenager with a broken leg, or grandma who uses a wheelie walker. A no-step entry means everyone can visit and take part in family life. So it’s not just about now – it’s also about the future.

When it comes to cost, if it did cost a bit extra, how much would it be worth to you? The value of not going to institutional care sooner than you need to? The value of having a close family member come to your Christmas dinner? And what about the costly modifications you might need down the track. 

The Universal Design Project based in UK has a podcast and transcript that discusses this subject in more detail with a case study. 

Level entry to the alfresco area of a home showing tables and chairs on the tiled alfresco floor.

It’s also good to consider access to the patio or alfresco so that everyone can enjoy the family gathering. 

The 2022 edition of the National Construction Code now has the Livable Housing Design Standard which will be mandatory in October 2023.

 

Co-design with older adults

A creative workshop scene. A woman is holding a pair of scissors, another is holding a pen over paper. Co-design with older adults.Finding out what older adults might want and need in their daily living experiences takes more than just asking them, especially if they have a cognitive impairment. Using creative methods, such as drawing and creating models, older people can express their needs in a tactile format. This also creates rapport with designers who can then devise better mobility, dining and leisure activities. This method is enjoyable for all participants.

The title of the article is, Participatory Design with Older Adults: Exploring the Latent Needs of Young-Old and Middle-Old in Daily Living Using a Universal Design Approach. You will need institutional access for a free read from SpringerLink.

Or ask for a free read through ResearchGate.

From the abstract:

This paper discusses co-design experiences with various stakeholders to explore latent needs of older persons in their daily living using a universal design approach. Through iterative use of creative methods, freehand sketching and physical models, older adults express their needs in a more accurate, tactile format.

Findings reveal that commonality of interest among older persons are important in building rapport among other participants. It also helps designers develop designs related to health care, mobility, dining and leisure activities.

Older adults and co-design

Close up of an older man and woman with their heads together dancing. He is wearing a hat and cravat, and she is wearing a red flower in her hair. They look loving.Older adults want the same designs as anyone else. Too often older people are gathered together under the umbrella of “the elderly”. This term assumes everyone is the same. It’s applied to people as young as 60 or 65 and every age after that. We can debate the terms but in the end, we are talking about people and design.

An article in Design Week challenges assumptions about older people and design. It reports on a study involving older people in design projects. They found older people “want what we want”. The ‘we’ in this context is young designers.

A key point is that people can live independently for longer if things are designed around their needs. In the end, age isn’t relevant. But designing inclusively is. That’s why devices designed specifically for older people are bought but often abandoned. 

The title of the article is, Why age is often the “least relevant thing” when co-designing with the elderly.  It’s an easy read magazine article with good points for designers. 

Maximise inclusion for ageing in place

A row of red brick terraced houses where people will age in place.
An image from the report

What does ‘ageing in place’ actually mean? For some it means staying put in the family home in their later years. For others it means staying in the same community. 

Researchers at the University of Manchester developed a ‘village’ model of support based on those in the US. The residents came together to identify the services that they need and how they could be better managed. Storytelling was an integral part of the data collection. Ideas were generated for supporting ageing in place at a local level. 

Front cover of the report on ageing in place.
Front cover of the report

The report recounts the difficulties recruiting volunteers and participants as well as overcoming distrust of decision-makers. Access to formal and informal meeting places was also an issue.

Recommendations include building social infrastructure and strengthening organisations led by older people. The title of the report is, Community interventions to promote ‘ageing in place‘. This is a large file. 

Co-designing with people living with dementia

A diagnosis of dementia used to mean staying home and being cared for. Those who work in the area of dementia are doing their best to change this view. But is the design community prepared to embrace people living with dementia? Paul Rogers reports in Co-designing with people living with dementia disruptive design interventions to break the cycle of well-formed mindsets. The co-design method has provided ways for people with dementia to continue contributing to society and have fulfilling lives.

The co-design project was to create a new tartan design. Each person with dementia directed the researcher to co-create their digital design one colour at a time.

A tartan from the research paper with orange and green colouring. Co-designing with people with dementia.

The Disrupting Dementia tartan project shows how co-design methods and tools can enable people living with dementia to make a significant contribution to society after diagnosis. Although dementia changes some aspects of a person, it does not affect their sense of self. Projects such as these not only inform designers, they also give a sense of inclusion and belonging to people with dementia.

From the abstract

This paper illustrates methods for co-designing with people living with dementia in developing a mass-produced product. The research was carried out in collaboration with Alzheimer Scotland using a range of disruptive design interventions. The aim was to break the cycle of we-formed opinions, mindsets, and ways-of-doing that remain unchallenged. The research has resulted in co-designed interventions to help change the perception of dementia.

People living with dementia can offer much to UK society after diagnosis. Co-designed activities and interventions help reconnect people recently diagnosed with dementia to help build their self-esteem, identity and dignity. Co-design processes help keep people with dementia connected to their community, thus delaying the need for formal support,

We worked collaboratively with over 130 people with dementia across Scotland in the co-design and development of a new tartan. The paper concludes with recommendations for researchers when co-designing with people living with dementia.

Altering design mindsets

Breaking Well-Formed Opinions and Mindsets by Designing with People Living with Dementia is a similar paper. You will need institutional access for a free read, or access via ResearchGate.

The paper reports on three design interventions using co-design activities with people diagnosed with dementia. The interventions offer innovations for co-designing with this group.

To move or not to move?

We expect to grow old, but because we don’t aspire to grow old, we rarely plan for it. “I’ll worry about it when the time comes” is a usual response. A report from AHURI looks at the housing situation for older Australians and some previous research is confirmed.

Front cover of the AHURI report on older Australians and the housing aspirations gap.

Most respondents felt their current home would suit them as they grow older, but they are not planning ahead. If they are, they lack information on how to go about it, what to look for, and what their options are other than age-segregated housing.

A significant proportion of respondents hadn’t thought about planning ahead for their living arrangements. This is one reason why we need the Livable Housing Design Standard adopted in all states and territories. It is in the 2022 edition of the National Construction Code and there is a handbook for designers

Title of the report is, Older Australians and the housing aspirations gap. There’s a full report and an executive summary.

But do all older people want to stay put?

Apartment block with blue windows and balconies with plants and washing drying.

It is often said that older people want to stay put, but this may not be the case for everyone. A study from Berlin, Germany looked at this issue in depth. While some of the findings might be specific to Berlin, the article raises interesting questions.

The researchers found that social class, gender, age and migrant history were not necessarily measures of movement behaviour. The top three reasons that emerged were: to have a smaller apartment, an obstacle-free apartment, and to have to a cheaper apartment. 

The title of the article is, Why Do(n’t) People Move When They Get Older? Estimating the Willingness to Relocate in Diverse Ageing Cities. This is an open access article in Urban Planning journal. The results indicate decisions to move are multifaceted. Older adults are not an homogeneous group with the same needs. As with other studies, older people want the same things as younger people. 

Remembering to be dementia-friendly

A yellow notepad with the word Remember. Dementia friendly resources. Here are some good resources for considering people with dementia in designs. The topic of dementia can also include people with acquired brain injury and other cognitive conditions at any age. They’ve been collected from this website for ready reference. Too many good publications are soon forgotten after their launch.

Dementia Friendly Assessment Tool – a community assessment tool.

Dementia Friendly Home Design – this one from Centre for Excellence in Universal Design in Ireland – very well researched.

Age and Dementia Streetscapes Toolkit – based on participatory action research.

Dementia friendly hospitals from a universal design approach – another from Centre for Excellence in Universal Design in Ireland.

On being outdoors: How people with dementia experience and deal with vulnerabilities – a participatory research method using ‘go-along-walking’.

Designing Homes with Dementia in Mind – research from Aalborg University.

Age-Friendly Housing Resources

Front cover of the book showing yellow boxes approximating rooms in homes. Age Friendly Housing.RIBA’s book, Age-Friendly Housing: Future design for older people, is about anticipating the needs of older generations. It is available for purchase from UK.

“This book embeds the principles of how we should approach the design of future housing for an ageing population, reminding us that this is not about `other people’, but about each of us.

This book focuses on anticipating the needs and aspirations of the next generation of older people, and touches on what this implies for our communities, our towns and our cities, as well as for our living spaces.It will look at how well-designed buildings can facilitate the provision of care, support independence and wellbeing while providing companionship and stimulation. It will also examine how to ensure that buildings remain flexible over a long life.

Dealing mainly with new-build, but with a section on adaptation and refurbishment, this book sets out the underlying design principles that should be applied and the early decisions that must be taken. Richly illustrated with case studies alongside contributions from a range of experts and examples of best practice, this comprehensive resource will inform and empower architects, designers, planners and clients to be braver and wiser in designing with older people in mind.”

See also lists of design-related resources relating to age friendly and accessible housing: Design Hub – Building homes and communities, 

Latest bathroom trends include universal design

Front cover of Houzz bathroom trends study 2021.Renovations are an important part of the home building industry. In the United States there’s a push for older homeowners to consider designs for staying put as they age. And it appears this is working – but usually well after the renovations are needed. The latest bathroom trends are moving to larger bathrooms and a desire for comfort and function.

The 2021 Houzz Bathroom Trends Study updates their 2018 report. Buried within the 2021 report is a section on renovations for “special needs”. However, homeowners are not planning in advance and then leaving it too long before committing to the renovation. Increasing bathroom size was another important trend. 

“More than half of homeowners (54%) say the bathroom renovation is addressing household members’ special needs.”

“Nearly three-quarters of renovators (71%) report that those special needs had developed one to two years before the renovation.” 

“One in 5 homeowners (21%) increased the size of their bathroom either somewhat or significantly, and 6% changed their bathroom location altogether. Half of all renovating homeowners (50%) increased their shower size.”

Both the 2021 and 2018 studies have information on other aspects of style, such as incorporating plants, soaking tubs and natural light. Bidets are also increasing in popularity along with other premium features.

The 2018 Houzz Bathroom Trends Study is a comprehensive report that has some interesting statistics about the age at which people might start thinking of their future needs and doing something about it. It also shows what they are actually doing in terms of renovation design. An interesting and easy to read study which supports the idea that these features should be designed into the home in the first place. It also features bathroom products and fittings.

Accessible bathroom fittings

hewi dementia bathroomHewi is a company based in Germany has a range of bathroom fixtures and fittings that are accessible and good looking. Their aim is to design for comfort and convenience. They have a range that has a focus on dementia. More accessibility solutions are available on the Hewi website

Reece omvivo essential basinReece, Caroma and Hewi have updated their catalogues to online only and the dementia options are no longer listed in a separate catalogue. 

Bathroom fittings are under regular review and fashions change quickly. Search under keywords such as “care” or “support” for assistive designs.

 

Doors Opening, Doors Closing

A chrome lever door handle with the door ajar. The door is timberRichard Duncan takes a look at doors and entrances to homes to show the various ways in which universal design thinking can make doorways more convenient for everyone. The article covers every aspect of doors in detail and has several pictures that illustrate how thoughtful door design and door handles can make a world of difference for all members of the family and for visitors too. A nice presentation of practical detail for this one home element. There will be some things not everyone will have thought about. Worth a look.  

UD in housing: Better Living Design webinar

A single storey home with a footpath out front. Caption underneath says, " Change how consumers perceive great design".Richard Duncan from the RL Mace Universal Design Institute presents a 50 minute webinar on universal design in housing. The first 20 minutes covers the basics such as demographics. At the 19 minute mark he starts to show the misconceptions about how some people think UD might look in a home and then goes on to show what UD should really be about. It’s a bit long winded, but you can forward the video to the parts you want. One of the key messages in the video is the comparison of wheelchair specific design, which is what some people think UD is, and mainstream family home design with UD features. This is part of their Better Living Design project.

 

The future of kitchens

A kitchen with white cabinetry and a bar extension showing two place settings and chairs. The future of kitchens
The future of kitchens is changing

It is often quoted that the kitchen is the heart of the home, and that probably won’t change in the future. But what people might doing in the kitchen could change significantly. A blog on a product website lists five key design features for the future of kitchens: connectivity, sustainability, ease of use for all, and the rise of professional products. 

Below is a video where researchers and designers from around the world were asked how they thought kitchens will evolve. Their ideas on the future are worth looking at. There are some neat ideas at the end of the video. You can choose English subtitles in the settings.

The techno kitchen

Much has changed with electronics entering this design space. The soft touch openers for drawers and cupboards and height adjustable work benches and sinks are just the start. And they make the “techno” kitchen easy to use for everyone regardless of height and dexterity. Indeed, a universal design approach. As these easy to use fixtures appeal to all it won’t be long before these features are standard. The video below shows some of the latest. However, motorised adjustable benches can be a trap for fingers. You can see the potential for this in the video too.