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Paul Warner & David Maher - A guide for Assisted Living
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Paul Warner & David Maher - A guide for Assisted Living


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Paul Warner & David Maher presentation at Future Homes: Building better lifestyles for an ageing population, 30 July 2011

Paul Warner & David Maher presentation at Future Homes: Building better lifestyles for an ageing population, 30 July 2011

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  • Addition consideration should also be given to the kind of surroundings suited to the needs of the elderly. And it also means that opportunities for social interaction can take place at a café, supermarket, doctor’s surgery, post office and banks in the area. Public transport connections should be located nearby and/or private means of transport conveniently accessible. Services for the elderly, day hospitals, day care or rehabilitation centres should be in the vicinity.
  • A significant number of new bourns are nursed and cared for in a protected incubated environment. All of the child's vital signs are monitored on a 24 hour basis
  • David Bodanis – one of the world’s leading futurists predicts that in 30 years from 50% of our world will be virtual. The stuff of science fiction where we are moving virtual pieces of paper on the desk.
  • Professor Kevin Warwick The cybernetic pioneer is upgrading the human body - starting with himself. He’s the world's leading expert in Cybernetics and on the 18 th January 2007 he unveiled the story of how he became the worlds first Cyborg in a ground breaking set of scientific experiments. He invited a group of experts from around the world via the internet to log onto his website and take control of his arm. The research is ongoing in its study of the relationship and use of technology for the disabled.
  • We have an emotional attachment to our personal gadgets such as phone, iPod and laptop. At what point do we upgrade ourselves? Cambridge University Institute of Bio Technology. Sensors implanted into the body allowing doctors access to the bodies information on levels of protein, blood sugars and molecules, information in real time with Sensors located in leg or midriff.
  • Today, many people are charged with the task of keeping their older parents and grandparents safe from harm. One of their many worries may be this person’s safety at night. What if they get out of bed? What if they fall? Although there could be some concern regarding the levels of surveillance. This could be developed on an individual basis.
  • The role of the toilet has long been limited to flushing away waste but that is changing with intelligent systems. • analyse the colour and consistency of your waste to give you dietary advice. It can send the results directly to your doctor . • measure blood pressure, weight, body fat, and urine sugar level, the results are wirelessly sent to your PC, where you can plot all your personal stats on graphs and charts.
  • The life expectancy is rising; residents will spend even longer periods of their life in the home. This development will generate new needs and thus place demands on both the existing dwellings of such residents and on any newly constructed housing that is purchased or traded. Judging from current developments around Europe, the expectation is that tomorrow’s care increasingly will take place in the domestic environment.   It is not enough to merely fulfill construction specification norms such as wider doors, sufficient space to manoeuvre a wheelchair, zimmer frame or crutches, and accessibility for the wheelchair bound and disabled. Increasingly, additional demands must be addressed and fulfilled relating to the psychology of dwelling and social integration.
  • The Guide is looking to pull together current thinking, technologies and standards to create guidance as to how the built environment can be made both accessible and meet the needs of an aging population and those with ‘disabilities’. There is a particular emphasis on reviewing emerging technologies and the use of IT systems as a way of ensuring that individuals remain connected with a wider world and that these systems can support them further in maintaining their health and lifestyle. The project partners involved within the overall ALIP project range from the world wide organisations such Microsoft and Cisco developing IT systems. Herewood College providing support, education and living facilities for pupils with disabilities and learning requirements. And Sasie who are currently developing a single plot in Nottingham as a Code 6 Home with assisted technologies.  
  • The (physical) built environment, and the way in which it is designed and adapted to meet the needs of people with different levels of mobility and capability, and throughout their life is clearly a key factor if people are to be supported and remain in their homes for as long as possible. It’s not just a passive element when it comes to assistive living; it is a key part of the delivery both socially, digitally and physically. However, it is also important that people do not become prisoners in their own homes; mobile devices and services that support users in the home should also be developed to support users in the community. These will need to operate seamlessly with home-based solutions.
  • Within this chapter we have identified a plethora of common standards and guidance for housing grouping them into a Matrix of standards divided into Legal, Conditional and Voluntary issues surrounding residential developments. Legal: National Planning Policies / Supplementary Planning Documents / Local Planning Policies Conditional: Lifetime Homes / Code for Sustainable Homes / Secure by Design Voluntary: Manual for Streets / BRE / Robust Details Given the array of standards and guidance its hoped the matrix will identify
  • In addition to the electronic future proofing issues we also need to take into account the physical adaption's to the home: Functional connections between bedrooms, sanitary areas and storage space must be considered to make barrier free care possible in the home. It should be possible to combine rooms after the children have moved out of the home. Could this set up a rental opportunity to supplement a pension? Or provide accommodation for a care worker?
  • There are accessible kitchens but the electrical systems used to adjust them drives up their cost. This raises the question as to whether such devices need to be controlled mechanically at all. Consideration is to be given when planning kitchen layouts for the specific needs of the end user.
  • Storage spaces, be they bedroom, bathroom cabinets or furniture in the hallways can generally still be built up to 2.3m high with the consequence that things are located at a height where they can only be accessed via a foot stool or step ladder, which leads to a potential fall risk.   Disabilities due to age are not diseases. When sight, hearing, memory and mobility become reduced this need not mean that an independent, safe and comfortable life in the home is no longer possible.   A consciousness for building in accordance with the needs of the elderly requires collaboration among architects, interior and product designers.   These are all questions designers needs to ask if the answers are to become more than mere scenarios for the future.
  • This document provides structured guidance to those who may have to take decisions on the appropriate design, specification, construction and adaptation of ‘assisted living’ buildings. In summary the guide aims to provide support and direction for residential assisted living and the points outlined on the slide. However the main focus of the guide and ongoing research is on the development of data and technology being used to support assisted living. The physical built element is a small but important component within the wider scope of the guide.
  • In addition to the research document we visited some built examples where specific developments had incorporated assisted living features and technologies.
  • WANLANPAN Is an acronym for (wireless) area networks ranging from Wide to Metropolitan to Local and Personal. Appropriating the right level of wiring and wireless systems for existing and new developments needs to work hand in hand with the site as a whole and the detailed construction of the buildings. HUBUGHALL Is an acronym for the improved space standards for entrance halls to accommodate working dimensions for buggies and wheelchairs. It is also the suggested location for the information hub from which transmission to the rest of the home is either wireless or wired depending on critical health conditions of the occupants. The idea of a hall as not just a vestibule is important in architectural terms . HOMEOFFICE Working from home is technically possible for most of workers in the UK. Less able and older people will benefit from workspace provision in homes. However according to research undertaken on behalf of the BCO (British Council for Offices) only 48% of UK employees are offered flexi-time compared with 90% in mainland Europe. GRANATIC The Mayor of London’s new space standards require that roof space is to be easily convertible to accommodation for the elderly (and others). The Trussed Rafter Association TRA produce guidance on Room in Roof RiR trusses. This guidance may encourage the use of pitched roofs of 40 degrees and over for short span roofs (7 m and under). FLUPPER Flupper is a new form of vertical transportation system to be used within the home. It takes the form and dimensions of a very small lift but is propelled by the user and is a serious alternative to staircases. Currently being developed by a mad Dutch guy and the Royal College of Art.
  • Transcript

    • 1. Paul Warner & David Maher 3DReid Research
    • 2. Joan Bakewell - Panorama BBC1 July 2010 ‘ one in four babies born this year will live to be a hundred’
    • 3. AL I P Assisted Living Innovation Platform 3DReid and many others
    • 4. Innovation………… Intelligent home ……….how intelligent ? AND what sort of intelligent (assisted) human being INTELLIGENT HOME OR INTELLIGENT PERSON
    • 5. Location of Existing and New Residential Developments
    • 6. UK – Transformed by 19c Rail 20c Road 21c Information Systems
    • 7. Connected-Protected System for the new
    • 8. Starting Off – Shutting Down ALIP
    • 9. The requirements from the Code Cork Board or Intelligent Wall In 30 years from now: 50% of our world will be virtual This will not be on hand held computers or desk top screens but will be all around us and indistinguishable from what we now consider as real. David Bodanis – one of the world’s leading futurists.(World Economic Forum Davos) BCO Conference Edinburgh May 2009
    • 10. …………… .. about Kevin - 18th January 2007 Can we use technology to upgrade humans? With technology at our fingertips, when will technology be in our fingertips?
    • 11. The requirements from the Code Kevin Warwick Cybernetics We only perceive about 5% of the world around us Our vision sensory input is between infrared to ultraviolet Normally we understand 3 dimensions Would more dimensions help us? This image is by courtesy of the Processing and Analysis Center at CalTech
    • 12. The Future is Digital but is it beautiful…   Cochlear implants for the deaf.   Chips attached to the retina to restore sight.    Can we measure the state of mind – what is the chemical measure and scale? INTELLIGENT HOME OR INTELLIGENT PERSON
    • 13. Wi-Fi a non profit alliance formed in1999 to enforce standards of interoperability IEEE Institute of Electrical and Electronics Engineers “ a little catchier than IEEE 802.11b Direct Sequence” Interbrand Corporation In 2009 the Wi Fi Alliance consisted of more than 300 companies worldwide.
    • 14. Emerging Home Technologies that are User Friendly • floor sensor alarm to you when movement is detected. When a person or gets out of bed, or has fallen. • automatic light at night
    • 15. Intelligent Toilet - helping you keep a record of your health
    • 16. The requirements from the Code Assisted Living The Hall Graham Court Seventh Ave NY 1901 Plan by Clinton and Russell The Belnord Apartment Building 1907 Hobart Weekes an early example of ‘the whole block’ Average apartment size circa 180m2 Hall 18m2 or larger Building width approx 14m
    • 17. What is wanted from the Code……..what sort of guidance? New Build Retro-fit Design as ‘building’ or as a ‘temporary arrangement’ or as ‘furniture’ Product Choice Owners, occupiers, designers, engineers, developers, social landlords, contractors, technology providers, installers, planners, regulators, financiers and insurers, social services and healthcare professionals. All of these groups need to understand the implications of assisted living concepts .
    • 18. The Guide is being developed by 3DReid, BRE & RIBA In association with: Microsoft Cisco Centri Health Telemedic Herewood College Bournemouth Council Willmott Dixon F.A.S.T HOIP The Technology Strategy Board Sasie The Guide
    • 19. Contents of the Guide Housing standards matrix Ergonomics Access Space Standards Case Study Digital Connectivity Internal Connections Future Research
    • 20. Housing Standards Matrix
    • 21. Ergonomics
    • 22. Access External Internal
    • 23. Space Standards
    • 24. Case Study 1 Designated disabled car parking 2 Level thresholds 3 Main entrance lighting 4 Door ironmongery and door entry system 5 Appropriate lobby arrangement 6 Physical adaption to accommodate wheelchair access to hallway and all doors 1 Door entry system 2 Electronic Cork Board 3 Home audio equipment linked to PDAs, health hub, kitchen and monitors 4 PIR sensors to detect and develop users daily living patterns around the home 5 Height-adjustable kitchen units. Intelligent work surface.Kitchen white goods and cookers connected into home electronic system 6 Household lighting linked to PDA 7 ‘Flupper’ vertical walking 8 Central location for home hub technology 9 Bath linked to PDA 10 WC linked to health hub 11 Ambient light levels linked to PIR sensors to aid nightime movement through the home. 7 Ground floor WC 8 Kitchen adapted to suit needs of home user 9 Window controls for wheelchair users 10 Through floor vertical movement systems 11 Switches and sockets 12 Bathroom adaptable for hoist access to suit user and future needs Staircase adapted to accommodate stair lift Physical Technical
    • 25. Digital & Internal Connectivity Terminal Box Equipment cabinet Duct leading from terminal box to equipment cabinet. Not connected to the terminal box Height above finished floor level as per building regulations or standards. 150mm radius Min. Terminal duct Ducting to loft for sockets and possible aerial feeds Main vertical duct Main vertical duct Duct from terminal chamber Equipment cabinet Dado, skirting or in-wall duct Floor duct with surface or in-wall riser Main horizontal duct Loft duct with surface or in-wall drops
    • 26. Existing Housing Stock
      • Adapting existing housing to meet the needs economically.
      • - Planning and building new dwellings with particular regard for the later years of life.
      • -Considering residential forms in which young people can live with seniors, or seniors with each other.
    • 27. Existing Housing Stock. Considerations KITCHENS Is the standard height 850-940mm acceptable? Can the resident use the worktop whilst seated? Is an adjustable worktop suitable?
    • 28. Existing Housing Stock. Considerations STORAGE 600mm deep wardrobes layout and design can be (cumbersome). Location of items stuck behind the shirts or right at the back of the wardrobe. Opening doors continuously getting in the way. Raised foot plate making it impossible for walk in wheelchair access in to the wardrobe
    • 29.
      • In Summary
      • A ‘Home for Life’ as far as possible.
      • Instant connection to the outside world.
      • Create an enabling environment.
      • Domestic in style, Not a home hospital.
      • Enable staff to run & manage the building efficiently / effectively.
      • Allow individuals to find privacy, comfort, support and companionship.
      • Facilitate way finding and orientation.
      What is wanted from the Code……..what sort of guidance?
    • 30. Current North West Developments Whitebeck Court. Manchester Birtle Brook. Bury, Gtr. Manchester
    • 32. FLUPPER RCA Rombout Frieling
    • 33. FLUPPER RCA Rombout Frieling
    • 34. Thank You Paul Warner [email_address] David Maher [email_address] 3DReid