Ageing and Society



Quality of life and building design in residential and nursing homes for older people


CHRIS PARKER a1c1, SARAH BARNES a1, KEVIN MCKEE a1, KEVIN MORGAN a2, JUDITH TORRINGTON a3 and PETER TREGENZA a3
a1 Sheffield Institute for Studies on Ageing, University of Sheffield.
a2 Department of Human Sciences, Loughborough University.
a3 School of Architecture, University of Sheffield.

Article author query
parker c   [PubMed][Google Scholar] 
barnes s   [PubMed][Google Scholar] 
mckee k   [PubMed][Google Scholar] 
morgan k   [PubMed][Google Scholar] 
torrington j   [PubMed][Google Scholar] 
tregenza p   [PubMed][Google Scholar] 

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 non-institutional 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.

(Accepted April 1 2004)


Key Words: quality of life; environment; building design; care home.

Correspondence:
c1 Chris Parker, Sheffield Institute for Studies on Ageing, University of Sheffield, Community Sciences Centre, Northern General Hospital, Sheffield S5 7AU, UK. e-mail: c.parker@sheffield.ac.uk