Learning to design spaces for living and wellbeing in care homes

This research is part of the ‘Como en Casa’ (‘Home from Home’) project, operating within the framework of the State Strategy for Deinstitutionalization by the Spanish Ministry of Social Rights and Agenda 2030. This initiative delves into multiple aspects of the deinstitutionalization process, imperative for the progressive integration of the Person-Centred Care model within nursing homes across Spain, where one of the key aspects to be transformed is the environment, aiming to create home-like atmospheres.

The research commenced with a detailed evaluation of each of the 17 selected case studies, encompassing various buildings and indoor spaces. This phase utilised an environmental assessment tool designed for dementia-friendly environments tailored to the Spanish context, identifying common design elements. Primarily, this evaluation revealed obstacles in the design of spaces intended to enhance the well-being of older residents while also highlighting innovative practices that serve as valuable exemplars for knowledge transfer to other care facilities. The second phase involved developing specific training modules for the driving group within each participating facility as they embarked on their own ‘Home from Home’ journey.

This training included essential principles of interior design and recommendations to improve spatial organisation and decorative features within nursing homes. Finally, the research documented the adaptations made following this training and assessed the outcomes achieved in each of the centres. Overall, the research highlights a pronounced interest in environmental suitability among care professionals, families, and residents.

However, it also identified a general lack of design and decoration culture and a confusion between decoration and handicrafts. The best results were not directly linked to a larger budget or having a designer on the team but were found in teams with individuals who have a particular interest in decoration. The results are presented in a magazine format to be shared as a friendly and practical resource in care homes.