Tag: ageing in place

Ageing in Place: Not there yet

A suburban house in UK showing before and after the ramp. The ramp makes several zig-zags up the front of the house. It looks ugly.What home modifications are needed most and how much are they needed? Mary Ann Jackson analysed 50 home modification reports in Victoria to get an answer. She found that when it comes to ageing in place we are not there yet. 

The homes visited all had a doorsill or step at the front door and tight spaces. A screen door complicated matters, and meter boxes also intruded on entry space. Many of the fittings, such as taps and handles were poorly designed to suit ageing in place. 

Jackson advises that accessibility issues are endemic to Australia’s existing housing stock. This is a big problem when 39.5% of households include a person with disability. 

Architect and Planner Jackson says, “Cooperation, collaboration, and a clear recognition of the emotional, physical, and economic cost-benefit of ageing in place will be needed to rebuild Australia’s housing stock to better accommodate all inhabitants throughout life.” The title of the newsletter article is Ageing in place – are we there yet?  

The picture above is famous for its technical compliance, but not usability, and definitely not aesthetics.

Older people and perception of home

Within the findings of an AHURI report is a section on the qualitative research on older people and the perceptions of their homes in terms of ageing in place. The report is titled, “The role of home maintenance and modification services in achieving health community care and housing outcomes in later life”, and is by Andrew Jones, Desleigh de Jonge and Rhonda Phillips for the Australian Housing and Urban Research Institute, 2008. 

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.Phillippa Carnemolla’s conference paper expands on some of these ideas for ageing well at home. She found that home modifications address both social and individual needs. The title of the paper is,  The potential of a home modification strategy – a universal design approach to existing housing. 

 

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. 

 

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.

Staying put and walking more

An older man and woman are walking away from the camera down a street. They are wearing backpacks and holding hands.A new Australian study found that older people who live in separate houses walk more than those in retirement villages. The Curtin University study accounted for several factors before coming to this conclusion. It adds to the literature that for most people, staying put in your own home is the best way to age. Of course, we need homes and neighbourhoods designed to support this. While the study has some limitations, it is another angle on staying put versus age segregated living arrangements.

The title of the article in Sage Publications is The Potential Importance of Housing Type for Older People’s Physical Activity Levels. You will need institutional access for a free read. 

From the abstract

The aim of this study was to assess whether housing type is associated with objectively measured physical activity among community-dwelling older people. In total, 430 Australians aged 60 years and older completed a survey and wore an accelerometer for a week.

Participants living in separate houses were found to engage in higher levels of activity compared with those living in retirement villages. In addition, those living in separate houses and apartments were significantly more likely to meet the physical activity guideline of 150+ min/week compared with those living in retirement villages.

Understanding inclusion – how can we make it happen?

Shows the street of a new housing development with driveways for cars but no footpath for people. Shows little understanding of accessibility at neighbourhood scale.Architect Mary Ann Jackson has written a thoughtful article about built environment practitioners and their continued lack of understanding of our human diversity. She points out that little is known about the extent of inaccessibility and that legislation is all very well, but it doesn’t reflect the real lives of people. So how can we make inclusion happen?

Her article explores the question of how might an understanding of models of disability and human rights inform the improvement of access at a neighbourhood scale? She argues that built environment practitioners must engage with users, with people with disability to inform their understanding of what makes (unintended) barriers to access and inclusion. There are links to related articles on the page.

The title of the paper is, Models of Disability and Human Rights: Informing the Improvement of Built Environment Accessibility for People with Disability at Neighborhood Scale?  It’s an open access article. You can download the full text.  

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,