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Title: Quality of life and building design in residential and nursing homes for older people
Authors: Parker, Chris
Barnes, Sarah
McKee, Kevin
Morgan, Kevin
Torrington, Judith
Tregenza, Peter
Keywords: Quality of life
Building design
Care home
Issue Date: 2004
Publisher: © Cambridge University Press
Citation: PARKER, C. ... et al, 2004. Quality of life and building design in residential and nursing homes for older people. Ageing & Society, 24, pp. 941–962.
Abstract: Older people living in residential and nursing care homes spend a large proportion of their time within the boundaries of the home, and may depend on the environment to compensate for their physical or cognitive frailties. Regulations and guidelines on the design of care buildings have accumulated over time with little knowledge of their impact on the quality of life of building users. The Design in Caring Environments Study (DICE ) collected cross-sectional data on building design and quality of life in 38 care homes in and near Sheffield, Yorkshire. Quality of life was assessed using methods which included all residents regardless of their frailty, and staff morale was also assessed. The physical environment was measured on 11 user-related domains using a new tool, the Sheffield Care Environment Assessment Matrix (SCEAM). Significant positive associations were found between several aspects of the built environment and the residents’ quality of life. There was evidence that a focus on safety and health requirements could be creating risk-averse environments which act against quality of life, particularly for the least frail residents. Staff morale was associated with attributes of a noninstitutional environment for residents rather than with the facilities provided for the staff. The new tool for assessing building design has potential applications in further research and for care providers.
Description: This article was published in the journal, Ageing & Society [© Cambridge University Press] and is available at: http://journals.cambridge.org/action/displayJournal?jid=ASO.
URI: https://dspace.lboro.ac.uk/2134/2222
ISSN: 1469-1779
Appears in Collections:Published Articles (Communication, Media, Social and Policy Studies)

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