Toward an Integrated Context-Based Design Approach for Dementia Residential Care Homes: A Review of Key Operational Design Problems

Objectives, Purpose, or Aim: This article seeks to develop a context-based management system focusing on assessing key operational and design problems and affecting wayfinding in dementia residential care homes. Background: Dementia is multifaceted neurocognitive impairments largely attributed to cognitive deterioration manifested in memory loss and visuospatial deficit which have wider practical implications to both environmental safety and wayfinding and navigation of dementia user. Two key questions were addressed in this context: (1) How can cognitively facilitating assistive technology (AT) be made more user-focused to mitigate the impacts of cognitive impairments on environmental safety and wayfinding? (2) How can design intervention and changes in design topology, colors and texture, and internal finishing aid wayfinding, navigation, and orientation in dementia residential care homes? Method: A systematic literature review and analysis was undertaken to assess the efficacy of key cognitively-related AT to support activities of daily living and environmental safety of dementia sufferers in a care home and aid wayfinding, navigation, and orientation. Results: Several key design variables to facilitate wayfinding and spatial orientation were identified which include design topology, floor finishing, signposting, and use of color and texture strengthened by meaning, emotional connection to places and cognitively focused intervention via memory cueing and objects-centered recognition. Conclusions: Key operational and design guidelines were proposed to assist built environment, care home developers, clinicians and healthcare professionals, and care services providers. There is a need to move toward a dementia-centered design to address the challenges facing people living with dementia in care homes. This should be based on the interrelated behavioral, cognitive, and communication factors

Better systems for combating MRSA.

Ghasson Shabha, Facilities Management MSc course leader at the School of Property, Construction and Planning at Birmingham City University, examines the effectiveness of current design and management intervention systems in combating MRSA and other hospital-acquired infections in British hospitals

A comparative analysis of transatlantic design interventions for therapeutically enhanced learning environments - Texas vs West Midlands

Purpose: The purpose of this paper is to compare and contrast the findings of the empirical studies that were conducted in both the UK and the USA on the impact of a few sensory environmental stimuli, mainly visual and acoustical stimuli, on individual's behaviour in school buildings. Design/methodology/approach: An analysis of teaching layouts and the sequence of activities in selected school buildings was conducted. Opinions of focus groups including teachers and carers working with individuals with Autistic Spectrum Disorders (ASD), were initially explored to assess the extent of the sensory problems associated with the existing teaching settings and to highlight any operational design limitations and constraints. A questionnaire was formulated based on the feedback gleaned from the focus groups. Relevant perceptual information about behavioural reactions to varying sensory stimuli was compiled. Key sensory triggers were identified. Visual information of selected schools including photos and visual diagrams of ASD workstations were compiled, annotated and analysed for further examination. Findings: Several sensory parameters were observed in the teaching environment including bright colours and light, pattern, glare, echoing, sudden and impact sound, high and low pitch sound and background noise levels. Some variations between the two studies exist regarding particular sensory triggers and their importance as perceived by respondents. These can be directly attributed to differences in school design layout, internal finishing and workstation configuration. Other extraneous factors including the size of the study sample, location of schools and climatic factors are also implicated; however, significantly consistent adverse effects on individuals' behaviour have been identified in both studies. Originality/value: This paper highlights issues for open discussion amongst decision makers and built environment professionals to enhance the quality of life of the affected groups. This is particularly important given the extent of the sensory processing problems of individuals with ASD in both the UK and the USA. The findings will be relevant at strategic, tactical and operational levels including, inter alia, federal government agencies and decision-making bodies. Professionals involved in the process of planning, design and management of school buildings in both the UK and our sister country the US may benefit. The operational efficiency of education facilities may be maximised through control of the design and construction of school buildings. By further reducing the undesirable consequences of sensory triggers in educational facilities, the quality of life of the affected individuals may be improved. © Emerald Group Publishing Limited

Is Uniformity the Key to Flexibility? a Post-Occupancy Evaluation of School Buildings

Flexibility and efficiency are two fundamental concepts in the planning of school buildings. This paper is being set to investigate the theoretical and practical links between the two. It seeks to address a number of questions: What constitutes an efficient and flexible school building? What is the optimal range and size of teaching areas to maximise flexibility? In what way can teaching areas be optimised to enhance their efficiency in use? Attempting to address these questions, an in-depth review of the relevant literature will be undertaken to analyse and refine the size of different teaching areas. Later, some operational measures of uniformity of areas and flexibility will be refined and established. These will be applied on selected school buildings to assess the their adequacy to accommodate change over use. The main outcome of this study is to provide an insight about the general rules of design for flexibility and efficiency. It also provides a framework for architects, surveyors and facilities managers to improve space efficiency in school buildings. This might enhance the process of space planning and management and improve the operational efficiency of other building types

A qualitative assessment of the impact of smart homes and environmentally beneficial technologies on the UK 2050 net-zero carbon emission target

Purpose There are 29 million homes in the UK, accounting for 14% of the UK's energy consumption. This is given that UK has one of the highest water and energy demands in Europe which needs to be addressed according to the Committee on Climate Change (CCC). Smart homes technology holds a current perception that it is principally used by “tech-savvy” users with larger budgets. However, smart home technology can be used to control water, heat and energy in the entire house. This paper investigates how smart home technology could be effectively utilised to aid the UK government in meeting climate change targets and to mitigate the environmental impact of a home in use towards reducing carbon emissions. Design/methodology/approach Both primary and secondary data were sought to gain insight into the research problem. An epistemological approach to this research is to use interpretivism to analyse data gathered via a semi-structured survey. Two groups of participants were approached: (1) professionals who are deemed knowledgeable about smart home development and implementation and (2) users of smart home technology. A variety of open-ended questions were formulated, allowing participants to elaborate by exploring issues and providing detailed qualitative responses based on their experience in this area which were interpreted quantitatively for clearer analysis. Findings With fossil fuel reserves depleting, there is an urgency for renewable, low carbon energy sources to reduce the 5 tonnes annual carbon emissions from a UK household. This requires a multi-faceted and a multimethod approach, relying on the involvement of both the general public and the government in order to be effective. By advancing energy grids to make them more efficient and reliable, concomitant necessitates a drastic change in the way of life and philosophy of homeowners when contemplating a reduction of carbon emissions. If both parties are able to do so, the UK is more likely to reach its 2050 net-zero carbon goal. The presence of a smart meter within the household is equally pivotal. It has a positive effect of reducing the amount of carbon emissions and hence more need to be installed. Research limitations/implications Further research is needed using a larger study sample to achieve more accurate and acceptable generalisations about any future course of action. Further investigation on the specifics of smart technology within the UK household is also needed to reduce the energy consumption in order to meet net-zero carbon 2050 targets due to failures of legislation. Practical implications For smart homes manufacturers and suppliers, more emphasis should be placed to enhance compatibility and interoperability of appliances and devices using different platform and creating more user's friendly manuals supported by step-by-step visual to support homeowners in the light of the wealth of knowledge base generated over the past few years. For homeowners, more emphasis should be placed on creating online knowledge management platform easily accessible which provide virtual support and technical advice to home owners to deal with any operational and technical issues or IT glitches. Developing technical design online platform for built environment professionals on incorporating smart sensors and environmentally beneficial technology during early design and construction stages towards achieving low to zero carbon homes. Originality/value This paper bridges a significant gap in the body of knowledge in term of its scope, theoretical validity and practical applicability, highlighting the impact of using smart home technology on the environment. It provides an insight into how the UK government could utilise smart home technology in order to reduce its carbon emission by identifying the potential link between using smart home technology and environmental sustainability in tackling and mitigating climate change. The findings can be applied to other building types and has the potential to employ aspects of smart home technology in order to manage energy and water usage including but not limited to healthcare, commercial and industrial buildings