Home for Good

A vase of purple and white flowers sits on a small table with a cup of tea, an open book and a pair of glasses.What is a home? It’s so much more than a shelter from the elements. The concept of home gives us a place in the world. It underpins our identity, our relationships and our understanding of who we are and where we fit in the scheme of things. It is intrinsic to the human condition. Yet it is overlooked in the development of policies to support housing provision.

Home for Good is a policy brief “intended to restore the idea of home as both a psychological and social asset to our discourse on housing, rather than just a financial asset. It is specifically concerned with the role of the home as we age, positing that successful ageing is dependent on a person’s access to a home that provides security, community, safety and autonomy”. The policy brief poses a policy framework for a national approach to providing older Australians with homes that meet their social, emotional, environmental, and psychological needs.

The policy brief says nothing about the design of homes, but it does tap into the real meaning of home for many older people – the social equity. Hence the reticence to move to age segregated living. The article can be downloaded from the Analysis & Policy Observatory. It’s by Emma Dawson and Myfan Jordan of Per Capita. Easy to read.

Also see 2013 qualitative Australian research about housing design and older people, Chasing ‘The Great Australian Dream’: Definition of and “Ideal Home’ among Baby Boomers. It’s interesting to not that in less than ten years our terminology has changed from “the elderly” and “the aged” to “older Australians”.

Extract from Abstract: “The study reveals that ‘ageing in place’, is a preferred option for the aged. This raises questions as to how well the housing system and neighbourhood environments are able to support ageing in place, and what aging factors should be taken into consideration when designing Baby boomer’s home to facilitate health and wellbeing. Therefore, this research designed a qualitative approach to investigate Australian Baby Boomers homes around Queensland, predominantly in the Brisbane area, using semi-structured interviews and observations.”

Interior design for brain trauma

A set of technical drawings with a set square and pens sit on a table top. Dementia and autism have received a lot of attention in the design world, but what about people with brain injury? No doubt some of the design solutions are similar. Using a human centred approach an exploratory study looked at developing a prototype home that could address common symptoms of people traumatic brain injury.

The idea is to minimise negative feelings and behaviours in the design. For example, designing something difficult to use can cause frustration leading to aggression. The article goes through the common behaviours and how to design for them.

Artist view of an exercise room with a big picture of a forest.
Image from the article depicting an exercise room.

The article draws together relevant health information with interior design ideas using person-centred design principles. The researchers developed three residential spaces to address common symptoms. These were and exercise room, a re-regulation room, and a quiet meditative space. The strength of the designs is they do not call attention to differing ability. That’s what universal design is all about. 

The title of the article is, Chronic Traumatic Encephalopathy and the Built Environment. It lists design measures for different symptoms. The article is technical in parts, but the background, findings and conclusions provide some interesting reading. Also good for those involved in Specialist Disability Accommodation.  

From the abstract

This formative exploratory study looked at person-centred design techniques for a person with brain injury. The person-centred design method used for this study was based on a two-tiered reductionist approach. The first tier was to identify
common symptoms and concerns from the literature. This information provided specific symptoms that were addressed through brainstorming ideations.

This method of understanding a health condition through its symptoms, and then
designing for those symptoms can extend the practice of interior design by providing probable solutions to specific health symptoms, thereby including designers into the healthcare team.

The health condition symptoms became the variables of design, and each symptom was assessed through additional data obtained from the literature for environmental causality, mitigation, or accommodation. Once the outcomes were determined, each design implication was assessed for its relationship to specific design actions.

Ageing and the Australian dream

An older man stands by a post with his arms folded looking a little puzzled.. He is wearing a shirt and has his pullover tied around his waistLooking at housing through a typology lens, Matthew Hutchinson discusses the issue of suitable housing for an ageing population. He claims that segregated and congregated living is unlikely to serve the upcoming older cohorts. Instead he poses the idea of “salt and peppering” suitable housing for older people in developments. There is a mention of accessible features in the research, but ideas such as having stairs to stay fit are questionable. A useful text giving an Australian context, but lacking is the concept that all new homes can be designed for ageing in place, at any age, and also provide a safe workplace for care staff and family carers. However, there is much more useful discussion in this chapter.

Hutchinson’s book chapter is titled, The Australian dream or a roof over my head. An ecological view of housing for an ageing Australian population. 

The chapter is a result of a PhD research project and can be found in, Designing for Health & Wellbeing, Home, City, Society.  You might be able to freely access some of the text via Google Books

Editor’s note: Ideas such as salt and peppering in communities takes us back to the proportion argument. Without a register of accessible homes that means they will disappear into the general milieu of the marketplace. Having stairs to stay fit sounds good, but we can’t put off ageing for ever. Besides, accidents and chronic illness can happen at any age to render a person immobile either temporarily or permanently. That’s not the optimum time to think about moving. 

 

A Place to Age Right

A fireside, a hot drink in a mug and slippered feet up on the recliner.An Australian perspective on living in the right place in later life is the subject of a  report from the Global Centre for Modern Ageing. Their research is aimed at the business community, but the findings support other social research. They use a “House-Home-Haven” framework to present their findings. They found that older Australians are not planning their enablement to remain at home:

    • “Despite wanting to stay at home, only 17% of respondents thought their home would require repairs or modifications to enable them to do so.”
    • “Even amongst those who are experiencing difficulties at home, only 40% acknowledge the need for home modifications.”
These findings repeat that of the larger scale AHURI research that found  most want to stay put and think their current home will enable them to do so. Similarly, the My Home My Choices Tool is a response to this issue.
The report identified seven distinct needs that make the right place: Choice; Safety; Comfort; Access, Independence; Connection; and Happiness. But they weren’t planning get all this in a facility where help would be available. There’s much more in this easy to read report, Ageing in the Right Place
Related research by Caroline Holland looks at how older people’s loneliness isn’t just about where and who they live with. She also has a book chapter on a similar topic

Attachment by design

A row of villa units with palm trees around.Attachment to home is a complex concept. For older people it is often interpreted as a place holding memories and providing security and peace of mind. Consequently, attachment to home is usually cited as the reason older people are not keen to move. However, it could be because there aren’t any better places to move to, and that includes retirement villages. The design of the dwelling might be more important than the “resort-style” features in the glossy sales brochures. And that comes down to the details of the design.

Retirement village residents were asked what would encourage them to feel attached to the place they might move to or live in. That is, what design features would make them feel happy. Functionality of the space turned out to be key – not the latest fashions. This excerpt from the abstract shows that:

“…having an open/semi-open layout of internal space, large windows and plenty of sunlight, accessible large closet and storage space, shared/public green space and accessible and age-friendly design of entry, bathroom and kitchen area are features most participants found to be important in raising their sense of attachment to where they live”.

Although this is not a broadscale study, it indicates that these features aren’t just needed in retirement villages. They are attractive to any age. If we had mainstream homes with these features there would be more choice for “rightsizing”.

The title of the thesis from New Zealand is, The Role of Architectural Design in Enhancing Place Attachment for Older Adults in Retirement Communities.

 

Are we achieving inclusive design?

Front cover of inclusive designer book. The Royal Institute of British Architects (RIBA) asked Julie Fleck to write a book about achieving inclusive design, which was published recently. Fleck was asked by Tourism for All whether she thought we are doing a good job with inclusive design. She said the UK has made huge progress since the 1980s when access became a town planning matter. Improved building regulation, including housing, have had a significant impact on the accessibility of the built environment.

The book also provided an opportunity for Fleck to look at what still needs to be done. She discusses the need to challenge perceptions, attitudes and behaviours. These are the factors that exclude and discriminate – often unintentionally. The book also looks at the London “Square Mile” and the 2012 Olympic and Paralympic Games. It has case studies and lots of pictures. The title of the book is, Are you an inclusive designer?  

Overview:

Despite improvements in the last 20 years we still have a way to go before all our buildings, places and spaces are easy and comfortable for everyone to use. This book puts forward a powerful case for a totally new attitude towards inclusivity and accessibility.

This book will empower architects to have more enlightened discussions with their clients about striving for better than the bare minimum. It also challenges the notion that inclusive design is a list of “special features” to be added to a final design. Inclusive design should be business as usual rather than something added on at the end of the development process.

The book is an invaluable resource for students as well as practicing architects. It is richly illustrated with case studies showing both good and bad examples of inclusive design. A thought-provoking text arguing for a step change in attitude. It’s also a guide for practitioners on how to have constructive conversations with clients, and a learning resource for students. 

 

Downsizing: Is anyone interested?

A For Sale sign with a red roof over the lettering.Downsizing is not happening even if policy makers think it’s a good idea for older generations. This is the bottom line of the latest brief from AHURI. So, what is downsizing? First, this concept is mostly about home owners not renters. There is financial downsizing to release equity by buying a cheaper home. But only 20 per cent of owner-occupiers aged 55 to 64 years in 2001 moved to another home of lesser value by 2016 (this age cohort was the most likely to have ‘financially downsized’ during this 15 year period).

Physical downsizing is often seen as reducing the number of bedrooms, but this is a crude measure. This is because the number of bedrooms isn’t the issue. The size of all the rooms could be smaller, but it’s the size of the yard and maintenance that really matters to older people. Fewer than 15 per cent of older home-owners moved to another home with fewer bedrooms between 2001 and 2016. This latest research serves to confirm the key study by Bruce Judd and team where they found all bedrooms were in use. Also, older people spend more time at home, so it’s their space for recreation and activities

The title of the brief is, Understanding downsizing: What are the different types of downsizing and how common is it? There are references to other related AHURI research in this brief.

Editor’s comment: Government and the property industry might be keen to see older home owners move. However, the evidence is showing that the property industry might have to re-think their strategy of trying to entice people into their retirement villages by continuing to design and build homes so that people can’t age in place.  

 

Ageing in the right place

Front cover showing the four steps for ageing in the right place
.

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. 

 

Good Design: How do you measure it?

Logo of the Urban Design Conference.Good design means different things to different people, so how can you measure or evaluate it? As Trivess Moore says, “Poor design – an absence of ‘good’ design – locks in owners, the local community and cities to substandard urban environments, often for considerable time periods.” Moore believes that arguments for the value of good design are too easily dismissed because we lack a rigorous evidence base. Maybe this is one of the reasons the principles of universal design and notions of public good are ignored. An interesting argument in this paper to which the principles of universal design could be added. While written in 2014, it has relevance to the upcoming RIS on Accessible Housing.

The paper was published in 7th International Urban Design Conference 2014 and is titled, Valuing form and function: Perspectives from practitioners about the costs and benefits of good apartment design. It’s on page 73.

Abstract: Methods for placing values on good design are under-researched in Australia. Without a rigorous evidence base, costs are anticipated and benefits unrecognised. This paper presents an overview of the current state of the value of good design research for the built environment, and reports upon a series of interviews with experienced building industry stakeholders in Australia and the UK. The research finds that while the benefits of good design are recognised by building practitioners, these are not being consistently translated into exchange value and are therefore not being picked up in mainstreaming best practice. In order to raise the quality of design there is a need to develop ways to measure and articulate these benefits to housing producers and consumers.

Better home design reduces care hours

A bathroom has been stripped out and a few builders tools lay about on the floor. The bath is laying on its side. So why don’t we design homes for longevity in the first place? These findings are from a study by Phillippa Carnemolla, and there is more to this story. People felt more independent and enjoyed improved quality of life. This had a positive impact on their general health as well. There is more to discover in Carnemolla’s paper and it supports the need for all new homes to have basic access features included.

The title of the paper is, How Home Modifications Impact Ageing Well at Home: Supporting a Lasting Housing Legacy. It was published in Proceedings of the 5th International Conference for Universal Design in Fukushima & Tokyo 2014. Hence the reference in the Abstract to the upcoming 2020 Tokyo Games.

The International Journal of Environmental Research and Public Health published an update in 2019. The Title is, Housing Design and Community Care: How Home Modifications Reduce Care Needs of Older People and People with Disability

Here is Phillippa’s Three Minute Thesis video giving the bottom line.

Abstract

A lasting legacy of all Olympic and Commonwealth games is their athletes villages. This paper discusses the potential for home modifications to support the process of ageing well that builds on this housing legacy and as such points to the benefits to be gained from both wider uptake of universal design in housing plus attention to special adaptations as needed.

In the context of Australia’s ageing population, ageing well can encompass a number of different housing and care models, however common to all of these is a drive to maintain quality of life levels.

There is evidence to suggest that home modifications impact recipients in a number of overlapping ways, by increasing independence within the home, increasing social participation and enabling people to remain in their own homes for longer as they age.

This paper refers to completed stage one findings (Levels 1, 2 and 3) of an ongoing research project investigating the value of home modifications. It uses a mixed method approach and thematic analysis of survey responses from home modification recipients (n=157). This research design enables the measurement of the impact of home modifications to housing and resulting changes to care giving needs.

The survey results reveal a decrease in reported care hours needed following home modifications, a trend which is further supported by the thematic analysis. In conclusion, the research contributes to developing evidence that home modifications can have a measurable impact on the care needs of recipients and support the changing social needs of ageing populations in ageing well.

Dr Phillippa Carnemolla is a Director of CUDA.