Category: Housing research

Joining the dots for ageing in place

A chart shows the four main features of Lifelong homes: Safety, Walkable community, Visitability, and Affordability.A research paper from Colorado State University brings together all the elements for successful ageing in place – universal design in housing, walkable and wheelable communities and a discussion on home and place, and what it means for residents. It shows how simply providing infrastructure is insufficient to support population ageing.

While the situation is a little different in the US, the research supports Australian studies and the advocacy for universal design in housing. However, the recommendation for market incentives in terms of certification has not worked in Australia, save for the specialised homes specifically for people with disability. It is a similar situation in New Zealand. It has not produced mainstream uptake of accessible housing.

The tile of the report is, Colorado Lifelong Homes: A review of barriers and solutions for aging in place. 

Abstract:

Colorado’s aging population is growing, yet our housing options are not evolving to support this population. The need for housing that accommodates older adults as they age is crucial to balancing demands on other services, such as assisted living facilities, and to support successful and healthy aging.

Most homes in our state are not built using principles of universal design that support successful aging in place. The outcomes of community and industry engagement activities show that advocating for lifelong housing is a critical step to help advance age-friendly housing in the state of Colorado.

This paper summarizes key research and industry trends related to lifelong homes, the barriers in the marketplace, and the key qualities of lifelong homes. Based on this research, we present a path forward for advancing affordable, healthy, and safe home options for our growing population of older adults in Colorado and beyond.

 

The 100 year life

A graphic showing facades of different styles of free standing homes in lots of colours. They look like toy houses.People expect to grow old, but they don’t plan to grow old. Public policy has to do more than just capture people when they can no longer care for themselves. Even if people plan for their older age, there are policy and built barriers preventing the continuation of a “decent life”. And housing is a key barrier.

The report, The 100-year life: the role of housing, planning and design, highlights the issues and provides recommendations. The report recommends an integrated approach to housing, planning and design to support people in later life. It stresses the importance of taking a universal design approach and co-production. Developers, planners and local authorities also have an important role to play. And of course, focusing on older people means that people of all ages are included. While this is a UK project, there are many aspects that apply to other countries including Australia.

The research was conducted jointly by Design Council, Centre for Ageing Better and Social Care Institute for Excellence. The report in PDF was published in June 2018. The report includes references and resources.  

See also the Colorado Lifelong Homes White Paper for a similar take on the issues of successful ageing in place.

“A decent life” as described by Amartya Sen. 

Raising the bar on housing standards

Front cover of the report which calls for improved housing standards for accessibility. Advocates in several countries have been lobbying for mandatory accessible housing standards for many years. At last Habinteg in the UK has succeeded in getting the topic on the government’s agenda. 

A forecast for accessible homes, is an important report covering all the key issues, ending with three key actions. The Habinteg report reveals a “huge postcode lottery in the planned supply of new accessible homes…”.  Therefore it is crucial to “set a national policy that will create a level playing field and more certainty for developers”.

The report found that existing basic minimum standards as set out in Part M1 of the building code are insufficient. The planned development of accessible housing is set to fall short of previous official predictions. The report also has personal case studies to highlight the impact the lack of availability has on their lives. Mandatory standards within building regulations are needed because Part M1 is too basic. The shortage of housing with liveable access features, which are suitable for everyone, is now at a critical level.

Is there a market for accessible homes?

Front cover of Habinteg report showing coins and Monopoly houses. Hidden market for accessible homes.The Habinteg site has articles that discuss the market appeal of Lifetime Homes in the UK context. There are some interesting research reports by the London School of Economics, Ipsos MORI, and Habinteg Housing and Papworth Trust. UK homes are traditionally two storey with the bathroom and toilet upstairs. They are generally smaller than Australian homes too, which makes it more difficult in terms of circulation spaces.

It was thought that Part M of the building code would create greater accessibility in homes, but it hasn’t helped much at all. The best part is that it requires a downstairs toilet, which is handy for everyone. Aitken explains his own research project on this topic looking at homebuyers and estate agents. The blog site has attracted several good comments and are worth reading too. By the way, it seems stair lifts are not that popular with purchasers. 

Apartment design audit without UD

Three shiny blue apartment towers rise into the sky.Health and wellbeing is the focus of an audit report of Australian state and territory apartment design guidelines. There is a passing mention about universal design and residential mobility at the end. These are considered indirect factors for wellbeing that might be worth researching at another time. There is a comparison chart of the similarities and differences between state and territory policies and guidelines. Many of these include universal design and accessibility, but these factors were not picked up in the comparison chart. The nationally recognised Livable Housing Design Guidelines were not referenced even though they also support health and wellbeing. This is an open access report and should be of interest to anyone in the residential housing sector. It is good to see there is a focus on quality of design.

The title of the paper is, The high life: A policy audit of apartment design guidelines and their potential to promote residents’ health and wellbeing. 

From the conclusions: “Finally, this audit focused on specific design themes known to impact health, however other design features also contribute to the experience of apartment living (e.g., storage, car/bike parking, lighting, universal design). While these features might not directly impact on health and wellbeing, they nonetheless contribute to the ease of long-term apartment living, and many policies include standards for such features. Given the evidence that apartment and neighbourhood satisfaction can reduce residential mobility and enhance mental health (Giles-Corti et al., 2012), these indirect factors may be worthy of investigation in future studies.”

Editor’s Comment: Given we have population ageing and housing demands by people who are NOT on the NDIS, I should have thought universal design and accessibility are essential to health and wellbeing. There is nothing healthy about not being able to get out of your home or being able to visit your family. The building code requires disability access into apartment buildings and public space, but not inside the dwellings – which is where universal design comes into play.

Economic arguments for universal design in housing

A line of complex manufacturing machinery used to show the complex process and number of stakeholders involved in mass market housing.The 2022 National Construction Code has at last included the Livable Housing Design Standard. Citizen advocacy and political will made this happen. But there were strong economic arguments. Research papers have produced solid economic arguments for universal design in housing over many years. However, these arguments failed in their quest. So the issues are beyond those of economics. For those who want the research, here is a list of papers, including the cost effectiveness of home modifications (or not needing them in the first place). 

Selected articles on economic arguments

The cost of NOT including accessibility in new homes This landmark article by Smith, Rayer and Smith (2008) uses complex economic methodologies to show that a new home built today has a 60% likelihood of having an occupant with a permanent disability. People with disability live in families – not alone – which is often forgotten. They followed up this work in 2011 with similar results.

Universal design in housing: is cost the real issue?  The Dalton-Carter economic evaluation disputes the Australian Building Codes Boards economic study. 

A cost benefit analysis of adaptable homes by urban economist Martin Hill of Hill PDA. This 1999 conference paper shows how long these arguments have been running. The context is adaptable housing – the forerunner of universal design concepts in housing. 

Home adaptations: Costs? or Savings? A survey of local authorities and Home Improvement Agencies: Identifying the hidden cost of providing a home adaptations service. 

Accessible housing: costs and gains This article evaluates the costs and gains of modifying homes

Using Building Information Modeling with Universal Design Strategies. This article develops a technical framework to evaluate the costs and benefits of building projects. 

Universal design in housing from a planning perspective. A comprehensive look at the housing landscape, an ageing population, and the need for universal design in housing.

Universal design in housing – does it really have to cost more? In a down to earth fashion Kay Saville-Smith discusses the “size fraud”

Three stacks of coins sit alongside a wooden cut-out of a house shape.

Requirements and opinions of three groups of people (aged under 35, between 35 and 50, and over 50 years) to create a living space suitable for different life situations.

Barriers to Universal Design in Australian Housing is a short paper based on a thesis. It gives an indication of why economic arguments alone are insufficient to bring about change.  

Housing, older people and resilience

An old weatherboard farm building sits in front of a tall dark brooding mountain.People want to stay put as they age. That means housing design is critical in supporting this desire, as well as ageing-in-place policies. A new study from New Zealand looked at issues of appropriate housing for older people, and how people and communities can develop resilience to adverse natural events. The findings relate to ageing societies across the globe and within the context of changing environmental conditions. The decision tools that researchers devised from this participatory research are useful for older people and for architects and other designers. 

The title of the article by Bev James and Kay Saville-Smith is “Designing housing decision-support tools for resilient older people“. There are several useful references at the end of this excellent study. 

ABSTRACT: Our ageing populations make it critical that older people continue to live and participate in their communities. ‘Ageing in place’, rather than in residential care, is desired by older people themselves and promoted as policy in many countries. Its success, both as policy and practice, depends on housing. House performance, resilience, functionality and adaptability are all essential to maintaining independence. Three New Zealand research programmes have worked with older people to investigate issues around housing, ‘ageing in place’ and how older people and communities can become resilient to adverse natural events. Using participatory research techniques, those programmes have generated evidence-based decision-support tools to help older people maintain independence. These tools have been co-designed and widely tested with older people and others. Designed to help older people identify priorities and information requirements, assess diverse factors determining thermal performance and dwelling resilience as well as repairs and maintenance needs, the tools help improve decisions around: repairs and maintenance assessment and solutions; dwelling and location choices and housing options. Various organizations have adopted the tools. This work demonstrates how research outputs can be used to facilitate older people’s housing choices while also giving architects and designers guides for meeting older people’s housing needs.

Image by David Mark.

Flexible housing offsets risk

Picture of a tall long skinny house with white lattice covering. It fits into a driveway.The current standard design ideas for homes goes back more than a century. It’s time for a rethink on home design to suit the way we live our lives now is the claim in an article by Kirsty Voltz in The Conversation.

Home designs are not keeping up with societal changes that include affordability, size of homes, accessibility across the lifespan, and designing so that as lives change, the interior of the home can adapt to suit.

The risks are in not recognising the need to change and adapt to current circumstances, lifestyles, societal changes and personal aspirations. The article contains links to other references and concludes, “Existing housing stock is designed around the numbers of bedrooms and bathrooms that appeal to the market and so fails to be responsive to what people need from housing in the 21st century.”

The picture is of the 3 bedroom home that Kirsty Voltz designed to fit in the space of an obsolete driveway.

UD Conference Housing Presentations

Three housing presentations focused on universally designed and accessible housing and discuss the need for regulation in the building code. 

Title slide of the housing presentation from Margaret Ward.Margaret Ward tells the story from the perspective of Australian Network for Universal Housing Design (ANUHD) and their advocacy and lobbying for regulation. Universal design in all new housing: Keeping COAG to account (PDF 13MB).  Transcript of the presentation in Word. 

Title slide of the housing presentation.Courtney Wright reports on a survey about accessible housing and attitudes to regulation, costs and benefits to Australian society. Building all new homes to an agreed universal design standard: Understanding the perceived costs and benefits to Australian society. (PDF 500kb).  Transcript of the presentation in Word.

Title slide of the housing presentation from Penny Galbraith.Penny Galbraith gives a policy perspective and links it to Population, Participation and Productivity. She provides some interesting facts and figures including how costs can be designed out. Home Coming? A story of reassurance, opportunity and hope. (PDF 1MB).  Transcript of the presentation in Word.

All presentations were converted to PDF before being provided to CUDA. If you are unable to access the content of the documents please email udaustralia@gmail.com.

Housing quality improves health

A man in a bright yellow T shirt is painting and archway in a wall inside a home. The wall is grey and there are tools on the floor. Housing quality improves health.Ever wondered what the long term effects of a home modification are? A longitudinal study shows that household improvements in social housing can reduce risk of hospital stays.

The study picked up major improvements in chest and heart health as well as a reduction in falls and burns.

Over ten years, researchers found that modified and upgraded homes correlated with reduced hospital events. That means savings in the health budget or beds freed up for other patients. Obviously it is better for occupants too.

The title of the study is, “Emergency hospital admissions associated with a non-randomised housing intervention meeting national housing quality standards: a longitudinal data linkage study”. Sarah Rodgers et al. Journal of Epidemiology and Community Health.

Universal Design drives Housing Quality

Big houses are still being built without accessibility in mind. Universal design for housing quality.Fundamental changes in the building code and regulations have occurred in Norway. However, it seems that none of this has guaranteed improvements in quality on the usability of homes. Perhaps there are some lessons for Australia in implementing the Livable Housing Design Standard. 

Architects, more than any other group in the construction industry are trained to break conventional frameworks. The way regulations are applied is the key to success. This is where the education of architects and building designers comes in.

The title of the article is, Universal Design as a Booster for Housing Quality and Architectural Practice. It seems we could learn from this experience – regulations are one thing, but applying them appropriately and for maximum effect is another. The abstract gives a good overview of the project. 

From the abstract

Changes to the Norwegian building code in 2010 gave a clear framework for the implementation of accessibility and universal design. However, neither increased awareness of accessibility requirements and universal design, nor compliance with the building code guarantees improvement of housing quality and usability.

The Norwegian regulations have gone further in the direction of performance requirements than most other countries. This applies to all types of requirements, including requirements for usability, functionality and accessibility. Hardly any specifications are to be found in the regulations.

Ideally, this lack of specifications should give designers the opportunity to develop innovative answers and to respond to different contexts. Still, many architects and builders ask for clear specifications, to speed up design processes. Many architects understand guidelines as minimum requirements. Consequently, they are reproducing the identical solutions without considering users.

They see accessibility as another regulatory pressure and requirements as restrictions rather than positive incentives. However, there are examples of designers who have internalised the regulatory framework. These designers are able to create and integrate inclusive design in their daily work.

This paper presents examples of practice where dwellings have been developed within a framework of universal design. Focus is on the approach of the design team and their understanding and use of the regulatory framework to create better homes.

Relationship between housing and health

A yellow brick house with yellow steps to the front door set back under a red brick archway.A systematic review of the literature found there is a strong association between housing and health. However, it is not clear that there is a causal link. Findings showed that provision of adequate heating, improvements to ventilation and water supply were associated with improved respiratory outcomes, quality of life and mental health. The title of the article is, The relationship between buildings and health: a systematic review.

From the abstract

The built environment exerts one of the strongest directly measurable effects on physical and mental health. This study provides a systematic review of quantitative studies assessing the impact of buildings on health. In total, 39 studies were included in this review.

Findings showed consistently that housing refurbishment and modifications improved health. Adequate heating, improved ventilation and water supply were associated with improved respiratory outcomes, quality of life and mental health. Prioritization of housing for vulnerable groups led to improved wellbeing. 

This review found a strong association between certain housing features and wellbeing such as adequate heating and ventilation. 

Preferences of older people in residential design

Aerial view of high rise buildings in Hong KongGuy Luscombe did a great report on his findings from a study tour of residential settings for older people. He found aspects such as natural light were of important to residents. A similar study was undertaken in Hong Kong looking at age, gender, marital status, etc., to see the preferences of older people in residential design

The importance of living in a space you like has ongoing health benefits (or detriments if not). This is a thorough study using qualitative techniques which looks at residents preferences. Differences emerged about windows, but there seemed to be some general agreement about bedroom size. The title of the paper is, Comparison of facilities management in private domestic buildings among different elderly groups in Hong Kong.  Here is the last part of the abstract:

“The result shows that satisfaction with natural daylight was significantly different among elderly people of different genders, while the one-way between-groups ANOVA indicates that satisfaction with the size of bedrooms, turning spaces at doors, temperature in bathrooms and/or toilets, colour, accessibility and ease of closing or opening the doors were significantly different among elderly people belonging to different age groups and of different marital status and education level.

Designers and private developers are therefore recommended to increase the sizes of bedrooms, install windows on opposite sides of walls in the flats and ensure there is an adequate light reflection ratio for wall and floor colours, in order to accommodate elderly people’s special characteristics.”