The future of care and dementia facilities

1. The future of care and dementia facilities April Dobson, Sam Tabiner and Glen Ingleson

2. Content • The Facts • Focus and review of memorabilia through the decades • Abbeyfield’s current projects • Discussion • “What will future care and dementia facilities look like in the future”

3. Europe 10.5 million Predicted to double by 2050 Global picture World 47.5 million (more than population of Spain) Predicted to treble by 2050 USA 5.3 million Predicted to treble by 2050 UK 850,000 Over 1 million by 2025

4. Reasons for Spatial Disorientation in people with dementia Memory deficits Visual difficulties Dementia-specific changes in orientation strategies Loss of planning abilities

5. Our healthy brains..... • Know where we are • Know where we’re going • Can plan and follow the best route to the destination • Are able to recognise the destination when we get there • Know how to find our way back

6. In order to do this we need • 1. Cognitive ability to process spatial information • 2. Cognitive ability to process sensory information • 3. Physical ability to move around the environment • 4. Physical ability to perceive sensory information

7. Memories

8. Why memorabilia works

9. Why memorabilia works • Long-term memories are generally stored safely. Damage to the hippocampus renders the formation of new memories virtually impossible • The stronger the emotions connected to an experience, the stronger the subsequent memory – it’s personal but we can take a best guess. • “Damage to the hippocampus on both sides of the brain deprives the person of the ability to learn new things and thus suspends them in a time warp composed of the distant past” Restak. 1995 • Brainscapes: An Introduction to What Neuroscience Has Learned about the Structure, Function, and Abilities of the Brain (1995), Richard M. Restak

10. How ‘vision’ works • Information from the eye processed in occipital lobes • Signals are sent to the parietal lobes, to work out the object's location • Also sent to the temporal lobes, to match up with memories of previous experiences (for example of someone's face or an object) • Dementia can cause disruption of these signals

11. What can we do to help? Orientation Cues & Clues Objects to support orientation are helpful Personal objects on door support successful locating of resident‘s room Familiar objects Pictures of resident at younger age on door more supportive than recent photography Information clutter to be avoided

12. Even better than that.... • Multiple cuing - Environmental cues to be combined and to address different senses, e.g, use of pictures, sound, smell, texture • What part can technology play ? -Test the Decades

13. 2010

14. 1950’s

15. 1980’s

16. 1940’s

17. 2000’s

18. 1970’s

19. 1990’s

20. Abbeyfield the latest thinking in Design and Construction

21. Winnersh – Care Home

22. Winnersh –In construction by Castleoak Care Partnerships • No dead ends • Spa bathroom experience • Light • Interior design • Garden space for people with dementia

25. Winnersh

26. Winnersh

27. Millbay Plymouth Extra Care

28. Millbay – Plymouth – Architects AWW

29. 2nd Floor

30. 5th Floor

31. Flat Layouts

32. Discussion What will future care and facilities look like?

33. Anchor recently published

34. Thoughts within Abbeyfield • The role of the care worker will have become more professionalised • The facilities should look like typical homes, why stereotype people into a category?  • Dementia villages where everything possible is dementia friendly • Why they have to be separated after all most people marry in sickness and in health • It is  not a  Mental Health disorder but an  organic disease • The idea of dementia villages (Netherlands model) but I like the idea of shared houses with staff living in • People will be able to live in ‘enabled communities’

35. Thank you