Inclusive Design Magazine Sept/Oct 2024

BACK TO SCHOOL

HOW ARCHITECTURE AND DESIGN CAN MAKE EDUCATION MORE INCLUSIVE AND ACCESSIBLE

Alveo: Inspiration for Baths and Adaptations

AKW Alveo PVC Wall Panels provide a highly durable, lightweight and practical bathroom solution. They are easier to install and maintain than tiling and available in a range of contemporary finishes.

SET THE STAGE

Sight Scotland launch their report that urges better accessibility in UK venues, both existing and new.

CASE STUDY

LEISURE & ENTERTAINMENT

Sight Scotland launch their new report ‘Enhancing Accessibility: Venues and Visual Impairment’

BUSINESS

Paul Smith of Foundations tells us about the new Home Adaptations Installer Network

Fara Muneer of the CAE explains how Built Environment Access Panels (BEAPs) work

COMPETITION

WIN a copy of Are You An Inclusive Designer? by Julie Fleck, published by RIBA Publishing

INTERIORS

BATHROOMS Pressalit explain the role of adjustable washbasins in enhancing mobility and independence

“I’m passionate about nurturing the next generation of OTs and ensuring they are wellequipped to meet the demands of the profession”

STUART BARROW, DIRECTOR, PROMOTING INDEPENDENCE (P06) ON RUNNING A BUSINESS THAT ENCOMPASSES MANY FACETS

REGULARS

In the office, on the road, in the sea, with Stuart Barrow, Director, Promoting Independence & OTAC

Our experts discuss the impact that interior design can have on people living with dementia

Jacquel Runnalls, the author of Habinteg’s forthcoming Inclusive Housing Design Guide, introduces this essential handbook

FLOORS & WALLS Stuart Reynolds of AKW says that it is possible to create stylish accessible bathrooms and kitchens

BATHROOMS Karen Wise of Triton Showers discusses multi-generational living

DESIGN FOR NEURODIVERSITY

FLOORS & WALLS Altro explain the science of colour

EDUCATION

SEN SCHOOLS Claire Mantle tells us how architecture and design can make schools more accessible

THE CARE SHOW Speakers and exhibitors help you plan your visit to the NEC Birmingham this October

CONTACTS

EDITOR

Juliet Davies juliet@inclusive-design.co.uk • SALES

sales@inclusive-design.co.uk

DESIGN/PRODUCTION

Stuart Moody h3opublishing@gmail.com

SUBSCRIPTIONS

To receive your copy visit: inclusive-design.co.uk/subscribe.html or email juliet@inclusive-design.co.uk

Please send any comments to the editor by email to the address above

Published by Blue Beetle Media Ltd www.bluebeetlemedia.co.uk

Terms and conditions: Please note that points of view expressed in articles by contributing writers and in advertisements included in this journal do not necessarily represent those of the publishers. Whilst every effort is made to ensure the accuracy of the information contained in the journal, no legal responsibility will be accepted by the publishers for loss arising from use of information published. All rights reserved. No part of this publication may be reproduced or stored in a retrieval system or transmitted in any form or by any means without prior written consent of the publishers.

Printed in the UK using only paper from FSC/PEFC suppliers

ISSN 2976-8888

Copyright © Blue Beetle Media 2024

FROM THE EDITOR

“Accessibility in the built environment is an under-represented area in the print media”

You may have noticed that this is issue six, which completes our first year of publications, so it’s sort of our first birthday! What a fantastic twelve months it has been, I have met so many brilliant people, and learned so much about this sector. The feedback has been great, so many people agreeing with us (fortunately) that accessibility in the built environment is an under-represented area in the print media, so it’ll be onward and upward in our second year… September also means a return to the classroom, so we speak to Claire Mantle, School Sector Director with ADP Architecture, who explains the role that architecture and design can play in making schools more inclusive and accessible. As usual, this issue is packed with a variety of features; Sight Scotland explain their new report ‘Enhancing Accessibility: Venues and Visual Impairment,’ Stuart Barrow shares his ‘Week in the Life,’ and in our Forum a panel of experts discuss the impact that interior design can have on people living with dementia, it’s an

illuminating read! Our preview of the Care Show features comments from some of the exhibitors and speakers, and this year we have a stand there too! If you’re visiting please come and say hello, we’re on C45 and really looking forward to meeting some of our readers.

What are your thoughts on accessibility in the built environment in your sector? Let me know, get in touch!

CONTRIBUTORS

JACQUI SMITH

MD of HomeSmiths, a family run interior design practice specialising in interior design for care and retirement living.

GADGET: My Fitbit. Very late to the party with this but I find the sleep tracker extremely helpful.

PASTIME: Gardening. Tending to my roses is incredibly relaxing and the fragrance is heavenly.

PS I’m doing Aspire’s 2024 Swim Challenge, it’s raising money for a great charity, please check out my progress on our LinkedIn page, or scan the QR code!

C inclusive-design-magazine

DR EMMA WILLIAMS

Director and Consultant Behaviour Analyst with Positive Ageing Consultancy & Training, and Chair of the UK SBA Behavioural Gerontology Special Interest Group.

GADGET: My Apple Watch is amazing because I can monitor the blood glucose levels of my son, who has Type 1 Diabetes!

PASTIME: I love to ride my Suzuki Gladius 650cc motorbike through the stunning mountain roads in Snowdonia.

Juliet

Juliet Davies, Editor

Cover image: courtesy ADP Architecture

A TEAM PLAYER

Stuart Barrow, MD, Promoting Independence Ltd.

For many, the title of Managing Director conjures images of boardroom meetings, financial reports, and perhaps the occasional golf outing - but not for Stuart Barrow, Managing Director of Promoting Independence Ltd.!

Each of Stuart’s days is a dynamic blend of strategic decision-making, hands-on involvement, and a relentless focus on enhancing lives through occupational therapy. Through his leadership, he not only ensures the smooth operation of the company but also contributes to the advancement of the occupational therapy profession as a whole.

His work is a reminder that being a Managing Director is not just about managing a business - it’s about making a positive impact on people’s lives every day.

Above: Stuart (left) is partnering with John Callas of Athena Handling on the new Moving and Handling Show 2025

MONDAY

The first day of the week is a strategic planning and OT consultancy day; my week typically begins with a focus on one of the core services offered by Promoting Independence Ltd., an Occupational Therapy Consultancy. The day starts early with a team briefing where I review the current caseload with my team of occupational therapists (OTs).

Promoting Independence Ltd. specialises in enabling individuals, particularly the elderly and those with disabilities, to live more independently. My expertise in this area is invaluable as I provide guidance on complex cases and ensures that each client receives personalised and effective solutions.

This is followed by a series of client consultations. Whether it’s assessing a home for accessibility improvements or advising on assistive technology, my mornings are spent in the field, directly engaging with clients. My hands-on approach not only keeps me grounded in the practical side of the business, but also allows me to stay connected with the realworld impact of my company’s work.

The afternoon is dedicated to strategic planning. I believe in the importance of continuously evolving the company’s offerings to meet the changing needs of the market. This involves reviewing current projects, discussing new opportunities, and setting long-term goals with my senior management team.

I’d say my leadership style is collaborative, encouraging input from all team members to foster a sense of ownership and innovation.

TUESDAY

Today’s a networking and business development day. Networking is a crucial aspect of my role, and Tuesdays are often reserved for expanding Promoting Independence Ltd.’s professional network. I attend various industry events, ranging from local business breakfasts to national conferences. These events provide me with the opportunity to meet potential clients, partners, and other industry leaders.

One of the highlights of my networking activities is my involvement in the Occupational Therapy Adaptations Conference (OTAC), an event I founded to bring together professionals in the field of occupational therapy and home adaptations. Planning for OTAC is an ongoing task, and I often use networking events to promote the conference and secure speakers, sponsors, and attendees.

After a morning of networking, the afternoon is spent in meetings with potential clients and partners. My approach to business development is consultative; I listen carefully to the needs of prospective clients

and identify how Promoting Independence Ltd. can provide value.

“ONE OF THE HIGHLIGHTS OF MY NETWORKING ACTIVITIES IS MY INVOLVEMENT IN THE OCCUPATIONAL THERAPY ADAPTATIONS CONFERENCE (OTAC), AN EVENT I FOUNDED TO BRING TOGETHER PROFESSIONALS IN THE FIELD OF OCCUPATIONAL THERAPY AND HOME ADAPTATIONS”

STUART BARROW

This often involves tailoring services to meet specific requirements, whether that’s developing bespoke training programmes for care staff or offering consultancy services for new housing developments aimed at the elderly with the housing associations we work with.

I also work closely with external suppliers and often spend time meeting with them or talking on the telephone to discuss how things are going.

WEDNESDAY

Training and professional development are pillars of my management philosophy. On Wednesdays, I focus on the continuous learning and growth of my team. I’m a strong advocate for equipping my staff with the latest knowledge and skills in occupational therapy, ensuring they are at the forefront of industry developments.

The day usually begins with an internal training session, where I often take the lead. I enjoy sharing my expertise with the team, discussing new research findings, and demonstrating the latest assistive technologies. These sessions are interactive, encouraging team members to discuss challenges and share experiences.

I also dedicate time to my own professional development; I believe in the importance of lifelong learning. This may involve attending a webinar on the latest trends in occupational therapy, reading up on new legislation affecting the sector,

Above: The Pressalit stand features their Matrix height and sideways adjustable washbasin

or engaging in discussions with industry experts.

Currently, I’m working in partnership with John Callas, Occupational Therapist at Athena Handling, to see how incorporating Moving and Handling training by skilled OTs for OTs into OTAC and the new Moving and Handling Show in Wales 2025 can improve outcomes not only for clients but for the therapists carrying out the assessments.

“AS THE MANAGING DIRECTOR, I AM DEEPLY INVOLVED

IN THE HR ASPECT OF THE BUSINESS.

THURSDAYS ARE OFTEN DEDICATED TO ENSURING THE WELLBEING OF MY TEAM AND HANDLING ANY HR MATTERS THAT ARISE” STUART BARROW

The afternoon is often spent working on training programmes for external clients. Promoting Independence Ltd. offers a range of training services, from courses for care home staff on mobility aids to workshops for builders and architects on designing accessible spaces. I oversee the development of these programmes, ensuring they are comprehensive, up-to-date, and tailored to the needs of each client.

THURSDAY

As the Managing Director, I am deeply involved in the HR aspect of the business. Thursdays are often dedicated to ensuring the wellbeing of my team and handling any HR matters that arise. I believe that a happy and motivated team is the key to the company’s success, and take a proactive approach to staff welfare.

The day begins with one-on-one meetings with team members. These meetings are an opportunity to check in on my staff, discuss their career development, and address any concerns they may have. I take pride in fostering a supportive work environment where everyone feels valued and heard.

I also spend time reviewing HR policies and procedures, and work closely with the company’s HR manager from Peninsula, our outsourced HR company, to ensure that our policies reflect best practices and comply with all relevant legislation. This includes everything from health and safety regulations to diversity and inclusion initiatives.

In the afternoon, my focus shifts to recruitment. Promoting Independence Ltd.

is a growing company, and attracting the right talent is crucial. I’m involved in the recruitment process from start to finish, from reviewing CVs to conducting interviews. I look for individuals who not only have the right skills but also share the company’s values and passion for improving lives through occupational therapy.

FRIDAY

Fridays are dedicated to two key areas: planning for OTAC and collaborating with universities. As the founder of OTAC, I’m deeply involved in every aspect of the event’s organisation. This includes liaising with speakers, coordinating with the venue, and ensuring the marketing strategy is on track. OTAC is not just a conference; it’s a platform for sharing knowledge, fostering innovation, and building a community of professionals committed to improving lives through home adaptations.

Above: Homelift company Stiltz are a regular exhibitor at OTAC

Main pic: The OTAC team greet delegates at the recent Wolverhampton event

Far Left: Exhibitor Freedom by Symphony show visitors their range of accessible kitchens

Left: The packed seminar schedule offer a wide variety of talks and demonstrations

My collaboration with universities is another important aspect of my role. Promoting Independence Ltd. has partnerships with several universities, where I contribute to curriculum development, guest lectures, and research projects. I’m passionate about nurturing the next generation of OTs and ensuring they are well-equipped to meet the demands of the profession.

The day often ends with a meeting with university representatives, discussing ongoing projects and exploring new opportunities for collaboration. My involvement with academia not only enhances the company’s reputation but also ensures that Promoting Independence Ltd. remains at the cutting edge of occupational therapy research and practice.

We are taking two students on a leadership placement for the final quarter of 2024 and into 2025 from the University of Salford.

THE WEEKEND

While my weekdays are packed with activities, I understand the importance of work-life balance! The weekend is a time for rest and reflection, where I can recharge and spend time with my family. However, my passion for my work means that I often spend some time over the weekend thinking about

“THE WEEKEND IS A TIME FOR REST AND REFLECTION, WHERE I CAN RECHARGE AND SPEND TIME WITH MY FAMILY.”

STUART BARROW

Above: AKW demonstrate their accessible kitchen and bathroom ranges

Below: There’s a range of excellent publications to pick up!

new ideas, reading industry publications, or preparing for the week ahead…

I also use this time to reflect on the company’s achievements and challenges. As a firm believer in continuous improvement, this downtime allows me to think strategically about how Promoting Independence Ltd. can continue to grow and evolve.

And as an active triathlete I also ensure my Sunday sea swim happens, as this facilitates great wellbeing and fitness and thinking time away from a working environment.

Find out more about the events and organisations mentioned above and how they can help with your next project:

www.promoting-independence.co.uk www.otac.org.uk www.movingandhandlingshow.co.uk www.athenahandling.co.uk

OTAC® 2024

Visit an OTAC® near you for expert seminars and exhibitors specialising in home adaptations and equipment.

OTAC® Chester

OTAC® Kent

The Spa Hotel, Tunbridge Wells Thursday 14th November

OTAC® Cardiff

OTAC® Reading

Hilton

Thursday 7th November 2024

OTAC® Southampton Hilton

SPEAK YOUR MIND

The first wave of conference sessions and confirmed speakers has been announced for Care Show Birmingham, taking place 9th & 10th October 2024 at the NEC, Birmingham. Don’t miss it!

The Care Show Birmingham’s conference programme places a significant emphasis on advocating for a deserved recognition of the adult social care sector and making sure visitors leave with positive, actionable insights. This year’s content has been meticulously curated with the full support and guidance of an esteemed advisory board representing all walks of social care.

"THE PROGRAMME OFFERS A RANGE OF DIVERSE SESSIONS, FROM PRESENTATION TO PANEL DISCUSSION"

Care Show Birmingham aims to unite the entire care community in its mission to improve care quality and expand learning opportunities within the sector. The programme offers a range of diverse sessions, from presentation to panel discussion, incorporating multiple perspectives to foster a comprehensive approach to social care. Across seven dedicated theatres, each session will aim to provide up-to-date information, guidance, and best practice with top tips and takeaways for all delegates.

Key topics for this year’s programme include stabilising the future workforce through development opportunities, improving wellbeing support, and new recruitment approaches, funding and what

"WE WILL BE SHOWCASING ON THE STAND HOW TO CREATE SAFE, PRACTICAL AND STYLISH BATHROOM ADAPTATION SOLUTIONS.”

STUART REYNOLDS, AKW

the future landscape will look like for all areas of the sector, and how the CQC’s single assessment framework has been integrated across the country.

FUNDING

With the UK still feeling the effects of the cost-of-living crisis, access to adequate funding and provision continues to present the social care sector with stretched budgets. Sessions will cover accessing funding for homecare businesses, the future of local authority commissioning, effective sales and marketing tactics for new care businesses, franchising guidance, designing cost-effective interiors, and sourcing affordable new technology for care settings. Learn how best to utilise tighter budgets, gain access to private and public funding, and what the future might look like for the care economy.

CQC & THE NEW FRAMEWORK

With the new single assessment framework now live for all care providers across the country, and an incoming change in senior management, there will be a key focus on the Care Quality Commission. The programme will bring together providers, consultants, directors and registered managers to reflect on the progress of the new framework and how your organisation can best navigate the continued integration. Hear live podcasts, panel discussions reviewing progress, compliant technology advice, and even sessions from the CQC themselves to stay up to date and hear the latest news and guidance.

FUTURE WORKFORCE & WELLBEING

With still over 150,000 vacancies in the adult social care sector, stabilising the future workforce remains a frontline priority. Whilst we have seen an increased advocacy for the appearance of adult social care in general election manifestos, many issues remain uncertain.

This year’s programme looks to tackle updates on international recruitment and integration of overseas workers, tackling multicultural challenges within an increasingly diverse workforce, the benefits of valuesbased recruitment, retention advice from a care worker perspective, and a focus on learning and career progression opportunities within the sector. There is

Exhibitors

"WE’RE THRILLED TO SHOWCASE OUR COMPREHENSIVE RANGE OF ELDERLY CARE PRODUCTS AND SOLUTIONS FOR CHALLENGING ENVIRONMENTS” RANDAL SOUTHALL, FURNCARE

Randal Southall, Sales & Marketing Director, Furncare

The Care Show is always an exciting event, and this year I'm particularly eager to reconnect with our customers and network with fellow professionals who are as passionate about the care sector as we are. It’s a prime opportunity to share ideas and discuss how we can continue to improve care environments together.

We’re thrilled to showcase our comprehensive range of elderly care products, solutions for challenging environments, and our expertise in interior design. A highlight will be our GoldStandard accredited Remini Dementia Collection, which reflects our commitment to supporting those with dementia through thoughtful design. Additionally, our Project Design Manager, Jade Eaglen, will be offering complimentary 15-minute design inspiration sessions, providing attendees with fresh ideas for transforming challenging care spaces.

Stuart

Reynolds,

Head of Product and Marketing, AKW

AKW is looking forward to The Care Show, as it provides a great opportunity for showcasing our retirement and care home range to visitors. It is such a great show for meeting care home decision makers and listening to their new build and refurbishment accessible solutions needs. And as a specialist dementia care bathroom provider we will also be looking to talk to care home specifiers about their specific requirements.

We will be showcasing on the stand how to create safe, practical and stylish bathroom adaptation solutions. From retirement and care bathrooms to dementia friendly bathroom products, there is something for everyone involved in their specification and installation. As well as previewing AKW’s new grab rail range for the care home market, AKW’s wet room formers, Onyx 2 grab rails, Marlbrook and Alveo wall panels and Arka TMV 3 electric shower will be on the stand.

Speakers' corner

Catherine Helliker, Marketing Manager, Danfloor UK

The Care Show is an excellent opportunity for us to showcase our new and existing collections to both clients and newcomers to the Danfloor range. Our carpets are designed with innovative features, including an antimicrobial yarn coating and impervious layer, making them perfect for the healthcare sector by aiding in cleaning, maintenance, and infection control. The Care Show also provides us with a chance to meet face to face with many of you, connect with likeminded professionals and build valuable relationships.

This year, we are excited to participate in a panel discussion, "The Ultimate Interiors Finish Checklist." The session will highlight the importance of selecting the right finishes for care environments, such as flooring, wall finishes, signage, and textiles. I'll be joined by award-winning interior designers and architects who have extensive experience in refurbishing and designing care homes and retirement living villages.

Kerry Southern-Reason, CEO, Care Interiors Group

I'm excited about the energy and buzz of the Care Show and can’t wait to share our latest developments and products with everyone.

I'm especially excited to announce that I’ll be speaking on two panels on the 9th October. One is from 10:15 to 10:45am called "The Ultimate Interior Finishes Checklist." This panel will delve into the critical finishes that can make or break the comfort and functionality of a care home. I'll be guiding attendees through a checklist of must-haves, offering actionable insights they can apply right away.

Later, from 12:15 to 1:00pm, I’ll be back for a second panel discussion called "Dementia Design: Comfort or Practicality?". This panel will explore the balance between creating a comforting and practical space for those living with dementia, addressing key design considerations that can impact the wellbeing of residents.

Melissa

Magee,

Managing Director + Architect, Carless + Adams

Carless + Adams is thrilled to have been asked to join panel sessions, and run a session on the

Retirement Living Stage where I will also be chairing the same stage on day two.

The content of the panel sessions on day one covers dementia design and also a debate on refurbishment versus new build. We are very fortunate that we will be speaking alongside some big names in the care industry. They promise to be a great debates!

On day two Carless + Adams is running a session talking about designing for ourselves: longevity, retirement and embracing the future. With an ageing UK population and pressures being placed upon our nation with declining birth rates this is an area we feel passionate about. I will also be chairing this stage on day two and feel fortunate to be able to be part of some great sessions.

Carless + Adams has exhibited at The Care Show for many years and appreciate the opportunities it gives us to discuss architectural designs and the importance of holistically viewing land, properties to be retro fitted, and considering residents and care givers and their needs. We design the best to enable people to live the best.

We’re also looking forward to The Care Show 30 under 30 Awards (George Morris is a judge!) and we cannot wait to see the calibre of the next generation of leaders and influencers. The positivity around these awards show how important fostering such talent is for the future of the care industry.

Russell Pillar, Founding Director & Interiors Consultant, Interiors by Amara Hammond

Having been involved in some of the pre-show planning this year, it has been particularly eye-opening for me to see the huge amount of effort that goes on behind the scenes to make this event of so much value to the Care Sector as a whole.

This year we’ve partnered with Apetito to provide a luxury networking space in the VIP/Speaker Lounge and I’m looking forward to seeing how this new and inviting space will be used and the prospect of many conversations taking place for the benefit of the care sector!

I will also be taking part in a number of panel discussions on the Design, Build & Environments stage, and I am especially interested in the topic around Lifestyle & Activities and how the interiors of a care home can support this. Taking place on day one at 11:35am, this promises to be an interesting and thought-provoking discussion!

Top to bottom: Catherine Helliker; Kerry SouthernReason; Melissa Magee; Russell Pillar

also a focus on improving the wellbeing of the sector, with discussion around communication in the workplace and designing interiors to support the staff as well as residents.

POLICY & GOVERNMENT

Following a general election, and with a new government in office, the time to advocate for the national importance and valued recognition of adult social care in the UK is now. The Care Keynote Theatre will feature some of the biggest names in the sector discussing what the future might look like for the sector as we move into a new era of governance. From the future of commissioning to a white paper report on the state of the sector, don’t miss out on the most up to date information from sector experts.

"WITH OVER 150K VACANCIES IN THE ADULT SOCIAL CARE SECTOR, STABILISING THE FUTURE WORKFORCE REMAINS A PRIORITY”

TECHNOLOGY & INNOVATION

As we hurtle into a future of technological innovation, we are determined the social care sector will not be left behind. This dedicated theatre will focus on using data and AI to improve efficiency, whilst also remaining compliant, digitisation of systems such as the Mental Health Act, and ensuring the technology we do integrate is accessible to everyone. Come along to find out how to stay current and connected this autumn.

Free-to-attend for care and healthcare professionals, Care Show Birmingham is the largest gathering of the care community, bringing together professionals from all over the country looking to collaborate and find innovative solutions to improve social care.

This year’s speaker line-up brings the most innovative and influential people in social care, including some of the ThirtyUnder30 Class of 2023 and many recognised speakers such as Nadra Ahmed, Executive Chairman of the National Care Association, Professor Mary Larkin, Professor of Care, Carers, and Caring at The Open University, and Tim Dallinger, Director at Social Care Consultant Ltd.

The second edition of ThirtyUnder30, taking place on Thursday 10th October, will recognise the future leaders shaping the sector and provide them with a support network of like-minded individuals. Nominations will open soon. Care Show Birmingham will again be co-located with the Retirement Living Show, an event for professionals working to create independence for senior living, from raising finance, construction, business model, understanding legalities, and architecture to affordable living.

In addition to the seven dedicated theatres is the partner theatre, The Outstanding Society’s Learning Lounge. With up to date, educational sessions delivered by esteemed members of the society, don’t miss out on a whole host of extra content! Care Show Birmingham is free to attend for care and healthcare professionals, those working for a social care provider, allied healthcare, NHS, public sector professionals, architects and interior designers. Attendees will be able to meet with 250+ leading suppliers, source the latest products and services, and further their education to provide better care and progress in their careers.

FREE tickets for those who work for a social care provider (including but not exclusive to care homes, nursing homes and domiciliary care), in addition to healthcare, allied healthcare, NHS, public sector professionals, architects and interior designers are available at www. careshow.co.uk/indes

the full conference programme at www.careshow.co.uk/indes-programme

SPACE RACE

Creating space in accessible bathrooms: Pressalit explain the role of adjustable washbasins in enhancing mobility and independence.

In the realm of inclusive design, creating accessible bathroom spaces that cater to individuals with reduced mobility is a challenge that requires thoughtful consideration and innovative solutions.

For anyone who plays a critical role in ensuring that environments are safe and supportive for all users, the bathroom often presents one of the most complex spaces to design effectively. With limited square footage, the need for careful planning is paramount to accommodate the needs of those who use wheelchairs, mobility aids, or require assistance from caregivers.

One innovative solution that has emerged to address these challenges is the use of adjustable bathroom fixtures, particularly a height and sideways adjustable washbasin. This solution offers the flexibility needed to create a more functional and accessible bathroom environment.

“A SIDE TRANSFER FROM A WHEELCHAIR TO THE TOILET TYPICALLY REQUIRES A CLEARANCE OF ABOUT 950MM ON ONE OR BOTH SIDES OF THE TOILET. THIS CAN BE A SIGNIFICANT DESIGN CHALLENGE”

Below and inset opposite: The Pressalit Matrix adjustable washbasin also serves as a support tool

UNDERSTANDING THE SPATIAL NEEDS IN ACCESSIBLE BATHROOMS

To create a bathroom that truly meets the needs of all users, it’s essential to start with an understanding of the spatial requirements involved. A standard ambulant adult typically requires around 600x600mm of floor space, and for wheelchair users, the dimensions increase significantly. Manual wheelchair users need at least 1200x750mm, while powered wheelchair users may require up to 1300x700mm.

These figures are just the baseline; additional space is needed for manoeuvring and for performing essential tasks such as side transfers onto the toilet.

The British Standard BS8300:2018, which provides guidance on the design of accessible and inclusive environments, recommends a minimum turning circle

of 1500x1500mm for wheelchair users, with 2100x2100mm being ideal for those using larger powered wheelchairs. These dimensions must be kept in mind when planning bathroom layouts to ensure that users have sufficient space to move freely without obstruction.

In addition to space for the wheelchair itself, there must be adequate room for the user to access the toilet and washbasin comfortably. For example, a side transfer from a wheelchair to the toilet typically requires a clearance of about 950mm on one or both sides of the toilet. This can be a significant design challenge, particularly in smaller bathrooms where space is at a premium.

THE ROLE OF AN ADJUSTABLE WASHBASIN IN SPACE OPTIMISATION

In response to these spatial challenges, the concept of adjustable bathroom fixtures has gained traction. The Pressalit Matrix and Plus range of height and sideways adjustable washbasins is an exemplary solution that offers the flexibility needed to create a more adaptable and inclusive bathroom environment.

The Matrix small washbasin for the Plus system is designed with a 600mm width and a 600mm projection, dimensions

Above: The Pressalit Matrix height and sideways adjustable washbasin helps create spaces that are adaptable, user-friendly, and accommodating for all

that have been found to be optimal for seated users. The Matrix medium gives 780mm width for more support and 550mm projection for seated users. What sets these washbasins apart are the ability to move both vertically and horizontally, allowing them be positioned exactly where it is needed, depending on the user's requirements at any given time.

For instance, when space is needed near the toilet for a side transfer, the washbasin can be pushed towards the shower area, creating the necessary clearance. Alternatively, the washbasin can be moved closer to the toilet, enabling users to wash their hands while still seated before transferring back to their wheelchair.

This level of flexibility ensures that the bathroom space can be used efficiently without compromising on the usability of the fixtures.

Furthermore, the adjustable washbasin serves as a support tool for independent users in wheelchairs or people with a need for support when standing. The basin's ability to be positioned at the optimal height and proximity allows users to lean on it for stability, or to pull themselves closer to the basin, facilitating easier access. This additional support can significantly enhance user confidence and

independence, allowing for safer and more comfortable self-care routines.

ENHANCING SUPPORT AND USER INDEPENDENCE

In settings such as care homes and school hygiene rooms, where individuals may require assistance with daily tasks, the spatial dynamics become even more complex. Carers need sufficient space to move around and assist the person they are supporting. A typical carer might require at least 700mm of space to perform tasks such as bending over to help a seated user.

The adjustable nature of the Matrix washbasin is particularly beneficial in these scenarios. By moving the washbasin sideways, carers can create more room for themselves to operate comfortably, without encroaching on the user’s space.

This can make the process of providing assistance more efficient and less physically

“IN SETTINGS SUCH AS CARE HOMES AND SCHOOL HYGIENE ROOMS, WHERE INDIVIDUALS MAY REQUIRE ASSISTANCE WITH DAILY TASKS, THE SPATIAL DYNAMICS BECOME EVEN MORE COMPLEX”

demanding for both parties, ultimately contributing to a safer and more dignified care experience.

Moreover, the ability to easily adjust the position of the washbasin means that the bathroom can be quickly adapted to suit the needs of different users. This is particularly valuable in shared or multiuser environments, where individuals with varying levels of mobility may require different setups.

FLEXIBILITY FOR FUTURE-PROOFING BATHROOM DESIGN

One of the most significant advantages of incorporating adjustable fixtures like the Pressalit Matrix washbasin into bathroom design is the potential for futureproofing.

As the needs of individuals change over time - due to aging, progression of disability, or changes in living arrangements - the bathroom can be easily reconfigured without the need for extensive renovations. This adaptability not only extends the usability of the bathroom but also represents a cost-effective solution in the long term. For occupational therapists, this means being able to recommend a solution that not only meets the immediate needs of their clients but also provides flexibility for the future, ensuring that the space remains functional and accessible for years to come.

EXCELLENCE IN ACCESSIBLE BATHROOM DESIGN

At the heart of inclusive bathroom design is the principle of creating spaces that are adaptable, user-friendly, and accommodating for all. The Pressalit Matrix height and sideways adjustable washbasin embodies this principle, offering a practical solution that addresses the unique challenges faced by individuals with reduced mobility and their caregivers.

For occupational therapists, understanding and utilising such innovative products is key to solving the complex challenges of bathroom accessibility. By incorporating adjustable fixtures into their designs, therapists can ensure that their clients enjoy a higher level of independence, comfort, and safety in their daily lives.

As experts in this field, Danish manufacturer of accessible bathroom solutions, Pressalit, continues to drive innovation in accessible bathroom solutions, demonstrating that with the right approach and tools, even the smallest rooms can be transformed into spaces of empowerment and inclusivity.

ID Above: The movable elements of the washbasin and washbasin bracket are concealed behind a cover that prevents dust and dirt from settling in hard-to-reach places

For more information or consultancy on your next project, please contact uk@pressalit.com

Easy to clean cover that conceals unsightly plumbing

Height- and sideways-adjustable innovation

Turn up the functionality and hygiene with the new height-adjustable and laterally sliding washbasin from Pressalit. You can optimise space in the bathroom and meet the changing needs of both users and carers with this innovation.

Use the benefits of the washbasin for many purposes

• Moves out of the way – to create space, or within reach of the toilet - for seated handwashing.

• Height-adjustable – for people standing or sitting.

• Integrated handrails – to assist with stability and provide support.

• Promotes independence and self-care.

EASY-TO-MOVE EVEN WITH WEAK HANDS

PERFECTION DESIGNED TO

As soon as the word ‘inclusive’ is added to the word ‘bathroom’ or ‘kitchen’, many will think of institutional spaces that look out of place in most homes. Here Stuart Reynolds, UK Marketing & Product Management Director at AKW, a leading provider of inclusive solutions, shows architects and designers how style and functionality can be combined in the bathroom and kitchen to encourage accessibility that is beautiful as well as practical.

The data shows that by 2035, the number of people aged 60+ in England alone will reach 29% of the population*. Alongside this ageing demographic, a survey released by the Department for Work and Pensions in March** has also shown that the number of disabled people in the UK is on the rise. Nearly one in four (24%) of the total population is now classified as disabled, representing an increase of 3.9 million people over the past decade.

CHANGING NEEDS

Based on these statistics, it is no wonder that demand is on the rise for inclusive bathrooms and kitchens. When accessibility was discussed by RIBA (The Royal Institute of British Architects) during last year’s Accessible Homes Week, Amy Francis-Smith, an architect and accessibility expert, said that she thought more emphasis needed be placed on the subject of meeting the changing needs of occupiers over time. She said that this could be met through thoughtfully designed, adapted housing***.

“AKW HAS DEVELOPED A RANGE OF GUIDES ON THE SUBJECT OF ACCESSIBLE DESIGN IN BATHROOMS AND KITCHENS”

STUART REYNOLDS

Below: A fully accessible kitchen has height adjustable workspaces, units, and appliances

So, what does thoughtfully designed housing look like when it comes to the kitchen and bathroom areas in particular? Guidance can be found in many places, including the Approved Document M building regulations, the BS 8300-2:2018 Design of an accessible and inclusive built environment, and The Access Audit Handbook: An inclusive approach to auditing buildings.

In addition, working with occupational therapists, AKW has developed a range of guides on the subject of accessible design in bathrooms and kitchens. All of these can be found at www.akw-ltd.co.uk. Here are some of the outtakes from them.

DESIGNING A STYLISH INCLUSIVE BATHROOM

One of the easiest ways for developers to create inclusivity in the bathroom is with the use of a level-access shower room or wet room. Here at AKW we have seen increased demand for products that place as much of a priority on aesthetics as on functionality. Hence the launch of our popular AKW Onyx range of shower trays, grab rails and accessories that bring affordable luxury to the showering area. When it comes to designing a stylish inclusive bathroom, here are some of the key things to consider when developing bathrooms for those with existing disabilities or for the older demographic:

Easy navigation: a well-lit bathroom is essential, and the light must be adequate for a variety of tasks, avoiding shadows, dark areas, and glare. If designing for visual impairments, trip hazards can be minimised by using anti-slip flooring and contrasting colours that have a light reflective value difference of at least 30 on grab rails and shower seats, to help navigate around the space.

Ease of use: the standard bathroom layout has numerous trip points, slippery floors, hot water, and potentially confusing layouts. For ease of use for older users and those with dementia it is important to include tonal contrasts between surfaces and critical planes, and include thermostatic taps, low surface temperature radiators and under-floor heating where possible to avoid scalding and burns.

Wheelchair movement: for wheelchair users, level access should be prioritised, and doors positioned to face outwards and include a raised height toilet with accessibility on both sides if possible. Use a wall-hung sink, think about radiator and towel rail placement, and remove external pipe work, to improve access.

ACCESSIBLE KITCHENS IN PRACTICE

Whether designing for potential accessibility issues in the future or the present demands of a wheelchair user, there is a good-looking solution for every requirement.

“AS DESIGNERS, IT IS POSSIBLE TO CREATE INCLUSIVE BATHROOMS AND KITCHENS THAT COMBINE STYLE, RELIABILITY, AND ACCESSIBILITY BOTH QUICKLY AND AFFORDABLY.”

STUART REYNOLDS

Storage: For wheelchair users, all units should be fitted at no more than 350mm above the worktop to maximise use. Wall units can be fitted with pull down baskets to allow easier access to items, or fitted with electrically operated units, such as AKW’s ActivMotion Wall Units, that come forwards and down, to enable those with limited reach to have use of the whole kitchen. Although designed for wheelchair users, such easy access storage can also be installed for those difficult to reach areas that would require a non-wheelchair user to get a stool to access the higher shelves.

Lighting: For safety thought needs to be given to the placement of two types of lighting, task and general lighting. General lighting via downlighters should

Below: A stunning contemporary bathroom is achieved using Concrete Alveo wall panels

“DEMAND IS ON THE RISE FOR INCLUSIVE BATHROOMS AND KITCHENS”

STUART REYNOLDS

be calculated as one per 1.5 to 2m2. These should be positioned over key task areas. Task lighting should be used under the cupboards and in drawers where specific spaces need to be highlighted.

Cooking: Choosing a hob that can be recessed into the worktop ensures the smooth sliding of dishes and saucepans over it, reducing the need for a wheelchair user - or someone with weaker mobility - to lift and carry heavy items. The only ovens suitable for accessible kitchens will have either a slide and hide or side opening door and will also be fitted with at least one pair of telescopic shelf rails. The oven should be fitted into a tall housing unit and located with its main shelf position at a height suitable to the users’ needs.

PANEL SHOW

When it comes to creating stylish interiors, no matter the budget, wall panels are an accessible bathroom designer’s friend. As well as being easy to keep clean, long-lasting and hygienic, wall panels eradicate the mouldy grout issue that can plague many users over the longer-term.

Here are some of the benefits of AKW’s Marlbrook and Alveo wall panels ranges for every bathroom:

Waterproof: AKW’s wall panels are available in two formats: PVC or a WPS plywood substrate core bonded with a High-Pressure Laminate (HPL). Both give a completely waterproof surface, protecting the area from moisture damage when installed correctly.

Long-lasting: AKW wall panels come with an up to 35-year warranty and they offer long-lasting water protection for bathroom adaptations and refurbishments.

Easy to install: AKW wall panels can be installed using the same type of tools that would be used to cut standard wood-based materials and would be found in any installer’s toolbox. They can be placed over tiles, walls, or to any clean, dry surface using a high-

strength silicone-based adhesive. The interlocking tongue and groove panels and aluminium end, top and corner profiles are also quick and easy to cut to size.

Versatile: AKW offers wall panels in a wide range of panel widths, heights, colours and finishes, with a variety of aluminium profiles.

“WALL PANELS ARE AN ACCESSIBLE BATHROOM DESIGNER’S FRIEND”

Stylish: AKW’s wall panels come in a selection of classic and contemporary finishes, ensuring they suit the look and feel of the bathroom’s interior décor; from white or black marble to quartz, there is a style to suit any aesthetic.

Above: Dark Graphite Matte Alveo wall panels perfectly finish an accessible bathroom

GET CREATIVE!

As designers, it is possible to create inclusive bathrooms and kitchens that combine style, reliability, and accessibility both quickly and affordably.

For more details on inclusive design in the kitchen or bathroom, why not download one of AKW’s free best practice guides? Alternatively, AKW will be on stand B62 at The Care Show in Birmingham 9th & 10th October, or an appointment can be booked at AKW’s Droitwich or Middlewich showrooms, to see best practice inclusive bathrooms and kitchens in situ.

For more information, please contact AKW on 01905 823298, email sales@akw-ltd.co.uk, or visit www.akw-ltd.co.uk.

FOOTNOTES

* https://www.housing.org.uk/resources/making-the-case-for-specialisthomes-for-older-people/ ** Department for Work and Pensions, Family Resources Survey 2022 – 2023, Updated 26 March 2024. *** RIBA, How Architects Can Help When an Occupant’s Accessibility Needs Change, 7 Sep 23.

BAG A BOOK!

Are You An Inclusive Designer? by Julie Fleck, published by RIBA Publishing, puts forward a powerful case for a totally new attitude towards inclusivity and accessibility - and you can be in with a chance of getting a copy for free in our giveaway!

YOUR CHANCE TO

WIN A COPY

OF THIS ESSENTIAL HANDBOOK

Despite improvements in the last 20 years we still have a long way to go before all of our buildings, places and spaces are easy and comfortable for all of us to use. Are You An Inclusive Designer? by Julie Fleck explores both the social and the business cases for striving for better, and will empower architects to have more enlightened discussions with their clients about why we should be striving for better than the bare minimum, and challenging the notion that inclusive design should be thought of reductively as simply a list of ‘special features’ to be added to a final design, or that inclusivity is only about wheelchair access. This book will help make inclusive design business as usual rather than something that is added on to address legislation at the end of the development process. ID

COUNT ME IN!

To be in with a chance head to our LinkedIn page @inclusive-design-magazine and like and share the pinned post. At 6pm on Thursday 31st October we’ll make a random choice from those likes and the lucky person will have a copy of Are You An Inclusive Designer? winging its way to them!

If you are not on LinkedIn please email juliet@ inclusive-design.co.uk with ‘Are You An Inclusive Designer Book Giveaway’ in the subject line.

Are You An Inclusive Designer? by Julie Fleck is available for £45 at www.ribabooks.com along with many other publications.

RIBA Books

Explore inclusivity in architecture with RIBA Publishing’s collection. From inspirational building design to guidance on building innovation with accessibility regulations, ensuring your projects meet the highest standards.

Available in our online store, or the Bookshop at 66 Portland Place, London.

Visit our website:

HOME STYLE

With 1 in 11 people over the age of 65 in the UK having dementia, it is becoming increasing important - and urgent - to ensure their safety, health, and quality of life.

To find out the impact that interior design can have on people living with dementia, we speak with Diana Celella, Managing Director, Drawing Room Interiors (DRI), Dr Emma Williams, Consultant Behaviour Analyst, Positive Ageing Consultancy & Training, Jacqui Smith, Managing Director, HomeSmiths Ltd., and Melissa Magee, Managing Director and Architect, Carless + Adams Ltd., to ask them what their experience in this sector has taught them.

Tell us a little about a recent project you’ve worked on?

Diana: Recently, I worked on a new-build Care Home facility. The goal was to create an environment that felt both homelike and safe for residents living with dementia. My favourite part of the project was collaborating with a local artist to produce stunning wallcoverings that featured local architecture.

Incorporating local features into the design not only enhanced the aesthetic

appeal but also evoked memories and sparked conversations among the residents. This approach helped create a sense of familiarity and comfort, making the environment more engaging and meaningful for them.

Emma: I recently worked on a project focused on the strategic rearrangement of furniture within a communal living space in a care home for people living with dementia. The aim of the project was to increase engagement between residents and engaging with activities, providing measurable outcomes. This thoughtful redesign was aimed at facilitating easier, more meaningful interactions among residents by ensuring that they could see and hear each other better and had readily available access to enjoyable and purposeful activities.

The outcomes of this initiative were immediate. Following the rearrangement, there was a noticeable increase in the indices of happiness among the residents, as observed through their increased social interactions, enhanced engagement in activities, and overall more positive demeanour. Communication and engagement incidences went from 0-10% of observed sessions to 15-71% after the rearrangement.

Simple interventions such as environmental modifications can be powerful in supporting the emotional and psychological well-being of older adults with dementia. My favourite part of the project was being able to facilitate an improved quality of life for the older adults living in the care home from a simple, zerocost intervention.

Jacqui: Corridor spaces can often get overlooked in care home design, but can provide opportunities for engaging design features which will serve as additional wayfinding cues.

We recently completed a new-build care home where the corridor between the lounge and dining room on the dementia floor was wide enough to accommodate furniture. It also benefitted from plenty of natural light. By building in three shallow Pullman carriage style seating booths, where the ‘window’ shows a view which one would see when travelling on the local railway line, we have created a location with a relevant and reminiscent seating area.

The home manager told us recently that one of the new residents has taken his lunch here. His wife explained how much he loves trains and really enjoys this part of the home. Hearing this gave me goosebumps.

Melissa: The design we created for Green Trees in Exeter keeps us proud as it achieved Stirling Gold a decade ago and has helped pave the way for future and

“NOISY ENVIRONMENTS CAN BE INCREDIBLY OVERWHELMING AND STRESSFUL, ESPECIALLY FOR RESIDENTS LIVING WITH COGNITION ISSUES”

JACQUI SMITH, HOMESMITHS LTD

“MANY FACILITIES DO NOT INITIALLY CONSIDER HOW CRUCIAL CLEAR AND INTUITIVE WAYFINDING CAN BE FOR RESIDENTS WITH DEMENTIA”

DIANA CELELLA, DRAWING ROOM INTERIORS

current designs. Research gathered by the University of Stirling enabled a decision from Dementia Services Development Centre (DSDC) to award the building accreditation 'Gold' award for dementia design. Many architects in the UK query the Stirling Gold standard however currently this is the only standard that can be used to measure such elements.

Green Trees was the first C2 building in the UK with a green wall and we feel was ahead of its time. Green walls are now an integral part of many residential and commercial buildings as the benefits of green therapy are well known and supported. An inspirational project whose phase 1 has just welcomed residents has green walls designed within the space which illustrates the longevity and impact of this element.

The visual impact has a far reaching positive effect on residents, many of whom have been within an integrated NHS vanguard site and moved to the relationship centred care element. Alongside PV, green walls and roofs play a constant design element due to their positive benefits.

Many of the care homes Carless + Adams designs for often have a dementia wing or floor. Sadly as 1 in 11 people over the age of 65 have dementia in the UK, and with this number increasing as people are living longer, this is a fundamental consideration in our designs.

What do you most frequently find has been overlooked in the brief when you are surveying a new project?

Emma: As a behaviour analyst, I assess environmental factors to analyse their effect on people’s behaviour. I find that wayfinding cues and clear signage are commonly overlooked within some care environments. People with dementia benefit greatly from an environment that supports with orientation through a variety of visual cues, such as pictures, symbols, or photographs that can help them navigate their living spaces more easily and with greater confidence. It is beneficial to have different versions of a wayfinding sign (e.g. signs, symbols, photographs etc) so that it is more easily understood at different stages of dementia.

Incorporating different elements into the design and layout of care homes can create a more supportive and engaging environment for individuals with dementia, ultimately leading to a reduction in distressed behaviour, an increase in independence, and improved quality of life. It's essential to view the care environment through the perspective of the person living with dementia, ensuring that the space is not only safe and functional but also enriching and enabling.

Jacqui: Acoustics! As we age, our hearing changes and it can become very difficult to hear properly. Noisy environments just make this worse and too much noise can be incredibly overwhelming and stressful, especially for residents living with cognition issues. Acoustics play a vital role in care home design. Dining rooms with lots of hard surfaces and corridors without carpet can be problem areas. We have used acoustic voiles in dining rooms, noise absorbing acoustic art panels and usually specify carpet in corridors or a cushioned vinyl.

Melissa: Elements that may have been overlooked in the brief are often naturally included by our architects due to their inquisitive, creative nature with the desire to provide residents and care givers with the best possible environment. The home in which people live has a big impact on their health, and this is more so with those who have a form of dementia. Consideration is made to the individual’s needs no matter how unique or specific to ensure that their surroundings help, not hinder them.

Circadian rhythms - the most known one being the awake-sleep cycle –alongside temporal orientation enables people to distinguish between day and night plus year and season. Designing to incorporate light as much as possible will give natural clues to highlight changes in daylight which distinguish time of day and also what time of year it is. Access both physically and visually to the outside has a big impact on individual’s awareness and independence.

Ensuring that people are integrated rather than separated by dementia can

“SIMPLE INTERVENTIONS SUCH AS ENVIRONMENTAL MODIFICATIONS CAN BE POWERFUL IN SUPPORTING THE EMOTIONAL AND PSYCHOLOGICAL WELLBEING OF OLDER ADULTS WITH DEMENTIA”

DR EMMA WILLIAMS, POSITIVE AGEING CONSULTANCY & TRAINING

be achieved by designing areas with a specific purpose. Encouraging people to find their own way through familiar areas to designated areas can be made easier with this designated pathway, borders and colour schemes. Independence is important to the individual as it can provide confidence and lessen anxiety, however we must be mindful that everyone has different experiences with dementia and this needs to be taken into account.

Diana: One element that is often overlooked is proper wayfinding. Many facilities do not initially consider how crucial clear and intuitive wayfinding can be for residents with dementia. It’s essential to have easily recognisable signs and visual cues that help residents navigate the space independently and safely. These small details can significantly reduce anxiety and confusion for residents.

What element(s) have you specified that have not been previously considered by your client?

Jacqui: At a care home completed this year, we specified a preserved moss wall in a double height reception/café space. The client was not sure at first, but we felt it would add to the scheme as a biophilic design feature as well as improving the acoustics in the space. We were delighted with the result, as was the client.

Melissa: Design plays a huge part in the wellbeing of care home residents and even more so for those who have dementia.

Consideration of the dementia residents’ needs are a priority for Carless + Adams and often clients rely on our experience to advise specifics to them in order for this to be achieved.

Something that is rarely discussed but of paramount significance is way finding. Enabling people living with dementia in care homes to navigate their way around the home, and identify areas for their purpose, is so very important. Simple design solutions such as having a destination or something of interest at the end of a corridor will engage the person and avoid confusion.

Similarly, not opening their bedroom door onto a door opposite will ensure that the person leaves their room and joins the flow of the corridor rather than be confused as to whether they should enter the opposite door. Smaller scale areas are less likely to cause disorientation, so this is considered when designing communal areas such as dining rooms or activity areas. Clear lines of sight enable the environment to be understood and items within that area identified for their purpose, for example having the ensuite in view of the bed so that people can see where it is.

Diana: I think that sometimes people underestimate the impact that dressing the finished design with artwork and accessories can have. In our projects, we use a mix of artwork and accessories, including tactile objects that people can feel and touch. These elements add a sensory dimension to the environment, enhancing the overall experience for residents. Clients have been particularly pleased with how these finishing touches bring warmth and personality to the space, making it feel more homelike and engaging.

Emma: I was asked to carry out an initiative at mealtimes on a hospital ward for people with dementia to maintain independent feeding skills and enhance the experience. Typically, when people with dementia enter hospital, some vital skills (such as feeding or washing etc) can rapidly decline if people are not given the opportunity to engage in those behaviours. The intervention was the introduction of ‘Family-style Dining Experiences.’

This method involved serving meals in a communal setting, where dishes are placed at the centre of the table, allowing people to serve themselves or be assisted by staff. Easy to use utensils and a variety of visual cues were placed in prominent positions that indicated how to serve dinner.

This approach not only aimed to replicate the familiar and comforting atmosphere of a family meal but also encouraged independence and choice, providing a sense of control over their dining experience.

On the ward, people with dementia who previously experienced distressed behaviour during conventional mealtimes became more engaged with others around them. This increased engagement led to a noticeable improvement in food intake and a reduction in distressed behaviour at mealtimes. I was particularly pleased with this intervention because it demonstrates simple low-cost considerations that improve quality of life with purposeful and meaningful interactions.

Right and below: Designed well, care homes can provide people living with dementia with a safe and comforting environment

All non-contributor images courtesy of Freepik on freepik.com

Do you have any advice regarding interiors that is beneficial to those living with dementia?

Melissa: For those living with dementia we must remember that cognitive function is impaired but also so are their senses. Perception can change for people and this includes misperceptions and misidentifications, hallucinations, delusions and time-shifting all of which can make for upset, distress, anxiety and anger. Designing for dementia must consider what the individual could be experiencing to ensure that this upset is not amplified.

K www.drawingroomint.co.uk

k info@drawingroomint.co.uk

K www.positiveageingconsultancy.co.uk

k emma.williams@ positiveageingconsultancy.co.uk

K www.homesmiths.co.uk

K www.carless-adams.co.uk

k enquiries@carless-adams.co.uk

The strength of relationship between interior and structural design can help. Having clear boundaries, such as hand rails or skirting boards in a different colour to the walls enables people to identify between the functions. Ancillary doors do not need to be identified differently by colour as this can create confusion about whether they should be used or not – neutral colour is better.

Way finding and clear lines of sight are so very important to those with dementia as these enable them to function independently, avoiding anxiety and confusion and ensuring their safety at all times.

Emma: There is a wealth of information available about the design of homes for people living with dementia. Having items around which are familiar and comforting makes the environment more homely and person centred.

In my experience, some of the most useful intervention developments in is the application of smart home technology and the way it can be used to enhance and maintain independence for someone living with dementia. For example, the use of motion activated lights that guide the way and help prevent falls at night in the dark, or the use of personalised voice activated prompts to help complete tasks. This is an area I would like to explore further.

Jacqui: Flooring, whether carpet or vinyl should have minimal pattern and adjacent flooring surfaces should be very similar in tone so as not to suggest a step which might cause a resident to fall. We use a mixture of paint and wall coverings in our projects, depending on the budget and brief. Every colour choice we make is made with tonal contrast in mind ensuring that residents can make sense of their environment and navigate independently and safely.

Selecting adjacent surfaces with a minimum of 30 LRV point difference will ensure that residents can make sense of their environment. Examples include handrails contrast with the wall and skirting with floor. Surfaces in general should be matte rather than shiny so as to avoid glare.

With the average 85 year old requiring three times the amount of light to see properly as an average 18 year old, good light levels are important for all residents, especially those living with dementia. Lighting should be selected so as to minimise glare which can be very disorientating to residents.

For acoustics, see my previous reply. Furnishings should be practical of course, and with the wide range of fabrics and

softer vinyls available these days, designers have plenty of options to choose from. A range of chair styles and seat heights will offer residents choice and make a space less institutional. By selecting fabrics which contrast with the rest of the room or piping that contrasts with the main fabric of the chair, furniture provides another opportunity for supporting independent movement as residents will able to better understand their surroundings. Clusters of seating will promote resident engagement which is so important in supporting cognitive health. I always use warm palettes rather than cooler ones as warmer tones feel more inviting and homely.

When it comes to wayfinding, people navigate by objects over colour or numbers and this really help in a care home through accessories, pieces of furniture and of course distinctive art.

Any final words?

Diana: It’s important to remember that designing for dementia is not just about safety and functionality, but also about creating spaces that promote dignity and independence. Engaging with caregivers and residents themselves during the design process can provide invaluable insights. Everyone’s experience with dementia is unique, so personalised solutions often yield the best results. Creating a sense of community and connection through thoughtful design can greatly enhance the quality of life for those living with dementia.

“KNOWLEDGE AND EXPERIENCE GAINED BY DESIGNING FOR DEMENTIA NEEDS TO BE SHARED ACROSS DIFFERENT MARKETS AS IT PROVIDES SUCH VALUABLE INSIGHTS”

MELISSA MAGEE, CARLESS + ADAMS

LTD

Jacqui: A sense of home should be at the heart of all care home design. People living with dementia need to feel calm, safe from falls, safe from infection, be able to navigate with ease, see as well as possible, encouraged to eat and hydrate well and be able to sleep. A homely well-designed environment will do all of these things. And as a last word, interior design should always support the care.

Melissa: Knowledge and experience gained by designing for dementia needs to be shared across different markets as it provides such valuable insights. There are some similarities of peoples requirements for those who are neurodiverse and the learnings made for dementia can benefit here too.

IN BRIEF

Almost every element of interior design has an impact on those living with dementia, and Diana Celella of Drawing Room Interiors has some pointers.

Flooring: Use non-slip, matte finishes to prevent glare and falls. Avoid patterns that can be perceived as obstacles. Use similar LRV values for adjoining flooring.

Walls: Soft, warm colours. Use contrasting tones with over 30 LRV points difference for doors and handrails to improve visibility.

Lighting: Ensure even, indirect lighting to reduce shadows and glare. Incorporate natural light as much as possible.

Acoustics: Use sound-absorbing materials to reduce noise levels, which can be distressing for residents.

Furnishings: Choose furniture with rounded edges and stable bases. Arms to chairs and appropriate seat height. Opt for fabrics that are impervious, antibacterial and anti-microbial.

Colourways: Use a simple, calming colour palette. Avoid high contrasts and bold patterns that can be confusing or overstimulating.

Wayfinding: Implement clear signage with both text and images. Use distinct landmarks to help residents navigate.

DRIVING DESIGN FORWARD

Flooring and walling manufacturer Altro is leading the way in turning theory into best practice as an ambassador for education around inclusive design. Joe Hurst, Altro’s UK Social Care Key Account Manager, tells us how.

It’s been a decade since flooring and walling manufacturer Altro collaborated with the University of Stirling’s renowned Dementia Services Development Centre (DSDC) to develop colour palettes and non-sparkle finishes for safety flooring to enable safer, better designs in care environments for people living with dementia.

From that came best practice guidance and Altro’s RIBA-approved CPD Designing

for Dementia, which proved to be hugely popular in the years that followed.

However, over time, it became clear that to focus in on design for dementia only was to overlook the needs of the many other specialist operators in the care sector, as Joe Hurst, Altro’s UK Social Care Key Account Manager, explains.

“The care sector is broad with services for adults with learning difficulties, those with autism and other neurodiversity, physical

disabilities, young people in independent living facilities, and much more,” he said. “We started talking to people about design for neurodiversity, and looking at inclusive design more widely and realised there is so much more the design community could do to enhance buildings for all those who use them. This really resonates with our core values as a company so we looked at the role we could play in this process of education and sharing best practice.”

IN COLLABORATION

From this commitment came Altro’s first hugely successful Forum events which brought together designers and architects to look at a range of topics around design for neurodiversity. From those, and in collaboration with some of the experts involved in the forums, Altro developed their RIBA-approved CPD, Designing for Neurodiversity.

This CPD provides an outline of what neurodiversity is, and demonstrates the importance of designing spaces to be inclusive with consideration for the needs of people who are neurodivergent. It also provides practical details of the relevant legislation, standards and guidance to consider when designing inclusive spaces.

To date, Altro’s Designing for Neurodiversity CPD has been delivered to nearly 5,000 architects, designers and estates managers, with extremely positive feedback.

“The Designing for Neurodiversity CPD is incredibly popular,” explained Joe. “It focuses on the many practical, often small and straightforward considerations that can be incorporated into building designs to make a huge difference to the wellbeing of those living, working or visiting them. There is so much good practice to pass on around design for neurodiversity.”

WIDER CONSIDERATIONS

Joe and the team knew there was even more work to be done looking at the wider considerations for inclusive design, so they developed another RIBA-approved CPD, Designing with inclusivity in mind.

“We always wanted to tell this side of the story too, but there was just so much material that we decided to focus first on neurodiversity, then look more widely at best practice for design for inclusivity,” he added.

Designing with inclusivity in mind was launched in April 2024 and has already seen huge uptake, including many who had found Altro’s previous CPDs immensely useful. The CPD sets the scene for diversity and inclusivity in the UK, outlines current guidance and legislation, provides an awareness of the nine protected characteristics, discusses design considerations and best practice, and draws advice from interviews with a team of inclusive design champions from across the UK.

Altro has revised and updated its original Designing for Dementia CPD over the years, and also has Designing for Mental Health, both also RIBA-approved. Each seminar is approximately one hour long and is designed to fit flexibly within busy work schedules.

To find out more, visit www.altro.com/ uk/learn-and-engage/continualprofessional-development

CHROMA VALUES

Altro’s close collaboration with architects and designers has led to a move to start to include chroma values online for its product ranges. Stephanie Kyle, Senior Architect and Inclusive Design Consultant at Floyd Slaski Architects, and recent winner of first ever AJ100 Changemaker of the Year award, explains the significance of that move.

“Many designers are familiar with light reflectance values which essentially indicate how light or dark colour is,” she told us. “Even though some designers may not have lived experience with vision impairment or visual processing differences, using the Light Reflectance Value numbers makes it much easier to improve the accessibility of their colour choices.

“In the same way that LRVs give designers a way to identify contrast, chroma values give designers a way to identify colour intensity. Chroma is an additional consideration that denotes how saturated a colour is and therefore how intense that colour is. The greyer or more desaturated a colour is, the lower the chroma value, the more intense/ saturated the colour is, the higher the chroma value.

A TAILORED PALETTE

“The intensity of a colour is also dependent on the hue, with yellow tones generally having higher chroma values than blue tones for example. Choosing a colour with a lower chroma value can help to reduce the intensity of the surface which can be overstimulating for people with sensory processing

differences. This doesn't entirely exclude high-chroma colours from the palette. Instead, a tailored palette for each space, taking into account surface area and surrounding materials, should be developed for review with stakeholder groups who have lived experience.

“Colour intensity can be difficult for some designers to recognise so having the chroma values to support colour choices, in the same way Light Reflectance Values assist with contrast, will hopefully improve accessibility for people who have a visual processing difference or are more sensitive to visual stimuli.”

Maria Luigia Assirelli, Director and Mental Health & Social Value Lead at Floyd Slaski Architects, was also involved in updating the colour palette for the popular Altro Whiterock Satins range.

A NUANCED APPROACH

“The introduction of new 'tonal' colours in healthcare design (above) presents the opportunity to further refine and tailor colour palettes to the specific needs of healthcare environments,” she explained. “Tonal colours, which may include subtle variations within a single hue, offer a nuanced approach to colour selection that can enhance the visual interest of a space while maintaining a sense of harmony and tranquillity. By incorporating tonal colours alongside traditional low chroma hues, designers can create dynamic and visually engaging environments that still prioritise the calming effects associated with softer tones.”

Main pic: Every model in the Omnicare range is operated with a soft press of the appliance’s stop/start button, which is followed by a ‘power on’ illumination for further reassurance

CARE & SHARE

With the rise in multi-generational living, selecting a showering solution accessible to all is vital. Karen Wise, Head of Product Management at Triton Showers, shares the key considerations when specifying inclusive electric care showers.

Over recent years, an unprecedented spike in the cost of living has led to a shortage of affordable homes across the nation. Coupled with the UK’s ageing population, this has resulted in a significant increase in multigenerational living.

Research conducted by Aviva* at the start of the decade revealed that one in three homes are now multi-generational and given the countless economic challenges the country has endured since then, this figure may now be much higher.

The government’s pledge to deliver 1.5 million new homes over the next five years, with half classified as affordable, indicates a long-term solution is on the horizon. However, it’s important to specify products that cater to residents of all ages, particularly in the bathroom.

Selecting an inclusive solution can make showering the safe and accessible task it should be, but what should purchasers consider when choosing an electric care shower?

INCLUSIVE SHOWERING WITH OMNICARE

First and foremost, it’s essential to look out for the innovative features a shower is equipped with.

Triton’s Omnicare range of electric showers provides a stylish and inclusive solution for everyone in the household. The latest addition to the portfolio is the Omnicare Ultra+, which has been carefully designed to become the pinnacle of inclusive showering.

“CARE MARK APPROVED THERMOSTATIC TEMPERATURE CONTROLS PREVENT SUDDEN DROPS IN WATER TEMPERATURE, REGULATING WITHIN +/1°C THROUGH ITS UNIQUE TRI-THERMTM FEATURE” KAREN WISE

Below:

The A-rated Omnicare Ultra+ can save up to 52,000 litres of water annually when compared to alternatives

One of its standout features is the audible confirmation, which assists visually impaired users by signalling when the shower starts and stops. This attribute is testament to the appliance’s accreditation from the Royal National Institute of Blind People (RNIB).

Every model in the Omnicare range is operated with a soft press of the appliance’s stop/start button, which is followed by a ‘power on’ illumination for further reassurance. With an extended riser rail and two metre anti-twist hose, Omnicare has been manufactured to assist showering regardless of whether the user is standing or seated.

THE PERFECT TEMPERATURE

Maintaining a safe water temperature is among the most serious considerations to ensuring a comfortable shower. While hot water poses a risk to us all, the effects can be more severe for demographics like elderly residents or those with physical or sensory impairments.

Regulations state that 46°C should be the maximum temperature of water coming from an outlet, however the British Burns Association recommends 37°C to 37.5°C, and that extra precautions should be taken for vulnerable cohorts.

All showers in the Omnicare range feature Care Mark approved thermostatic temperature controls, which are on hand to prevent sudden drops in water temperature, regulating within +/-1°C through its unique Tri-ThermTM feature. Continues over...

SMART COMPATIBILITY

The Omnicare Ultra+ is also compatible with Whale’s Instant Match Digital Pump. Using Bluetooth technology, the shower and pump are automatically paired as soon as the shower is powered on, and the pump removes wastewater from the shower tray where gravity draining is not possible.

What’s more, the shower will also switch off instantly if power to the pump unit is cut for any reason, helping to prevent the risk of flooding.

Thanks to its small footprint, the pump can be installed in a variety of accessible locations, such as the loft or an airing cupboard, making it easier and faster for installers to fit and maintain. The long seven metre pairing distance also provides extra flexibility when siting the pump.

EXTENDED ACCESSIBILITY

Triton’s entire Omnicare range allows shower durations to be set at five, ten, twenty, and thirty minute intervals, assisting people with conditions like dementia or autism. This can be set at the commissioning stage by installers, with the shower entering a phased shutdown once it is either manually or automatically switched off.

The manufacturer offers a range of accessories that can further prevent the risk of slips, trips, and falls. Multi-purpose grab riser rail kits can be installed to support people who may be unsteady on their feet and remove start/stop control allows operation from outside a cubicle.

SUSTAINABLE SPECIFICATION

Sustainability is an industry-wide priority, and the anticipated arrival of the Future Homes Standard next year is set to formalise its impact. The impending legislation will set out to ensure that the next generation of housing is prepared for a low-carbon future, and electric showers have a role to play in achieving this.

Electric showers have long been an energy efficient choice, drawing on cold water mains to heat water on demand. Triton’s latest research discovered that an electric shower costs nearly a third less to run than a mixer shower, reducing carbon footprint by 70% in the process.

The findings were based on a fiveminute shower and compared an 8.5kW electric model to a mixer fed by an A-rated combi boiler outputting 12 l/min. The analysis also demonstrated that endusers have the chance to reduce energy usage by 76% and save more than 40 litres of water per shower.

Compared to a mixer shower, electric showers can save more money, water and energy. Electric showers, like the A-rated Omnicare Ultra+, cost nearly a third less than their mixer counterparts each year.

About Triton

Triton Showers is the UK’s leading shower manufacturer. Established in 1975, the business has been at the forefront of providing customers with energy efficient electric and mixer showering products ever since.

As a proud British manufacturer, the company became a member of the ‘Made in Britain’ scheme in 2014 and remains passionate and dedicated about delivering style, functionality and value to its customers. Triton Showers’ products have been designed with ease of installation and unrivalled reliability in mind, as well as coming with a one-year parts and labour guarantee.

In 2021 Triton Showers achieved the Carbon Trust Standard for Carbon; followed by being accredited with Carbon Neutral status in 2021; and again in 2022/23, underlining its commitment to reduce carbon emissions year on year, as part of its

Left: With an extended riser rail and two metre anti-twist hose, Triton’s Omnicare Ultra+ has been manufactured to assist showering regardless of whether the user is standing or seated

“ONE OF THE OMNICARE’S STANDOUT FEATURES IS THE AUDIBLE CONFIRMATION, WHICH ASSISTS VISUALLY IMPAIRED USERS BY SIGNALLING WHEN THE SHOWER STARTS AND STOPS” KAREN WISE

ambition to achieve Carbon Net Zero alignment by 2028.

Triton’s latest innovation, ENVi®, has been verified and accredited by ClimatePartner, an independent partner which has helped the business identify appropriate projects which enable carbon savings and support the United Nations Sustainable Development Goals to improve lives, specifically via renewable energy production across Asia and removing plastic from the oceans with the Plastic Bank.

In May 2024, Triton was honoured to achieve a King’s Award for Enterprise in recognition of its outstanding commitment to Sustainable Development, which places sustainability at the heart of its long-term business strategy and ‘Net Zero by 2035’ ambition.

For further information about Triton, visit www.tritonshowers.co.uk.

They can also save up to 52,000 litres of water annually when compared to alternatives.

Earlier this year, Triton was honoured with a King’s Award for Enterprise, recognising its outstanding commitment to Sustainable Development, which places sustainability at the heart of its long-term business strategy and Net Zero ambition. This year, Triton is just one of 29 organisations to be recognised nationally for its contribution to driving sustainable action.

FUTURE-PROOFING THE BATHROOM

With multi-generational living on the rise, it’s crucial that houses are suitably specified to improve lives at home. As one of the busiest rooms in the house, the bathroom is key to this effort. Opting for a manufacturer, like Triton, that offers a range of efficient showering solutions designed to meet all needs can help purchasers go the extra mile.

It’s just as important to consider ongoing service, maintenance support and aftercare, as doing so allows property managers to remain well-equipped if something should go wrong.

For more information about Triton and its Omnicare range of energy efficient thermostatic electric care showers, please visit www.tritonshowers.co.uk/showerstaps/care-showers.

IN THE

NET!

This November, a new initiative is set to launch that will make a real difference in the way home adaptations are delivered across the country. Paul Smith, Director of Foundations, explains how it will raise the bar for quality and trust.

The Home Adaptations Installer Network aims to ensure that essential modifications for older adults and people with disabilities are carried out by reliable and skilled professionals. Whether funded by Disabled Facilities Grants (DFGs) or by private individuals, this network offers a trusted route to find qualified tradespeople who genuinely know their stuff.

But why is this network so important, and what makes it such a valuable resource for builders, local councils, and homeowners?

WHY THE HOME ADAPTATIONS INSTALLER NETWORK MATTERS

Let’s face it, the need for home adaptations is growing fast. With an ageing population

"THIS NETWORK IS DESIGNED TO SUPPORT EVERYONE, INCLUDING THOSE FUNDING THEIR OWN ADAPTATIONS”

PAUL SMITH

and more people choosing to stay in their own homes for longer, there is increasing demand for everything from ramps and widened doorways to level-access showers and stairlifts.

These aren’t just nice-to-haves; they are often essential for maintaining independence and improving quality of life.

The Home Adaptations Installer Network, launching this November, brings together the expertise of Diversity (a company with over 25 years of experience in construction and scheme management), Foundations (the national body for Home Improvement Agencies in England), and TrustMark (the government-endorsed quality scheme for work carried out in or around the home).

The aim is to create a network of trusted

installers who have been carefully vetted to ensure they deliver high standards of workmanship and customer service.

WHAT MAKES THIS NETWORK STAND OUT?

What really sets the Home Adaptations Installer Network apart is its commitment to quality and trust. Every installer in the network will be registered with TrustMark, the only government-endorsed quality scheme for work in and around the home. This means each installer has been through a rigorous vetting process, giving homeowners and local authorities confidence that they are working with the best.

Foundations, a key partner in the network, will be actively encouraging local authorities to use this platform when they need contractors for DFG-funded projects.

But it doesn’t stop there. This network is designed to support everyone, including those funding their own adaptations. The goal is simple: to make it easier for anyone who needs home adaptations to find trusted tradespeople who can do the job right.

A RESOURCE FOR EVERYONE

For local authorities, the Home Adaptations Installer Network is a valuable tool for finding dependable contractors for DFGfunded projects. It saves councils time and effort by providing a ready list of prevetted, TrustMark-registered tradespeople.

For private individuals funding their own adaptations, the network offers a straightforward way to find reputable contractors committed to high standards of work and customer care.

Every contractor provides a minimum two-year guarantee on workmanship and adheres to a clear code of practice that covers quality, customer service, and fair complaint handling.

If things do go wrong, the network offers mediation and access to the TrustMark Dispute Resolution Ombudsman.

A NEW ERA FOR HOME ADAPTATIONS

The Home Adaptations Installer Network is a game changer for anyone involved in home adaptations, whether it’s local builders, councils, or private homeowners. By bringing together a pool of vetted, TrustMark-registered professionals, the network will provide a reliable resource for all adaptation needs; both publicly funded and privately financed.

This network isn’t just about getting the job done; it’s about doing it right, every time. So, whether it’s a DFG project or a privately funded adaptation, this November brings an opportunity to join a network that promises to raise standards and build trust, creating a brighter, more accessible future for everyone who needs adaptations to live comfortably and independently at home.

Find out more at homeadaptations.co.uk

HOW TO GET INVOLVED

Getting involved in the Home Adaptations Installer Network is straightforward. The full launch is set for 1st December 2024, with early access to the website from 15th October 2024. Here’s what’s needed: Register Interest: The website will be open for expressions of interest, keeping everyone updated on next steps.

Complete the Vetting Process: The network will carry out thorough checks, covering financial health, insurance coverage, customer feedback, and relevant qualifications or memberships to ensure only the best make the cut.

Get Registered with TrustMark: Once the vetting is complete, contractors will be registered with TrustMark, allowing them to display this respected badge of quality.

Enjoy the Benefits: Members can start taking advantage of the network's benefits, from increased visibility to exclusive discounts and valuable resources.

“IT ISN’T JUST ABOUT GETTING THE JOB DONE; IT’S ABOUT DOING IT RIGHT, EVERY TIME. ADAPTATIONS AREN’T JUST NICE-TOHAVES; THEY ARE OFTEN ESSENTIAL FOR MAINTAINING INDEPENDENCE AND IMPROVING QUALITY OF LIFE”

PAUL SMITH

THE BENEFITS FOR LOCAL BUILDERS AND TRADES PEOPLE

Joining the Home Adaptations Installer Network is a smart move for local builders and tradespeople. Here’s why: Greater Visibility and More Work: Membership means being listed on a national database of registered contractors, which will be used not only by local authorities but also by private individuals seeking home adaptations. With over £573 million in DFG funding each year, plus a significant number of private clients, this network opens up a whole range of opportunities. And with a profile on the TrustMark website (visited by over 135,000 consumers a year) businesses will benefit from increased visibility to potential customers.

A Government-Endorsed Mark of Quality: TrustMark registration is a serious endorsement. It tells customers that a business has met stringent standards for workmanship and customer service, providing a valuable edge over the competition. It’s not just about standing out in the home adaptations market but being recognised for quality across the board.

Exclusive Resources and Support: The network comes with a range of perks to help businesses thrive. From discounts on tools, fuel, and insurance to ready-made promotional materials and business templates, there’s plenty on offer. Plus, the network provides ongoing support, including regular assessments and feedback, to ensure that high standards are maintained.

Connections with Local Authorities and Private Customers: With Foundations backing the network, local authorities will be more inclined to use it for their DFG projects. This not only strengthens ties between builders and councils but also opens up more opportunities with private homeowners looking for reliable contractors.

Image by storyset on Freepik

BACK TO SCHOOL

ADP Architecture works across many mainstream and specialist schools, gaining much experience and expertise in this sector. Their School Sector Director, Claire Mantle, explains the role that architecture and design can play in making schools more inclusive and accessible to a much greater proportion of the pupil population, including neurodivergent pupils.

Simple, carefully considered changes can have an almost immediate effect.

Of course, each child and every school is different, and our work rests on building an understanding of school staff, pupils, parents, and communities, and putting them at the centre of our thinking. This work has given us a detailed understanding of the range of factors that

can affect people with SEND and the design challenges we face.

Last year we visited five of our SEN schools, (one complete, two recently complete, two on site). This insight discusses the biggest challenges we’ve found through our experience of designing schools for children with additional needs and disabilities.

Above: At Rivertree Free School the design meets the challenges of a two story building that incorporates external play

The schools visited were:

High Point Academy A 90-place school for all children with Autistic Spectrum Conditions (ASC), Moderate Learning Difficulties (MLD), and Speech, Language, and Communication Needs (SLCN.)

Rivertree Free School A 200-place school for pupils with PMLD (profound and multiple learning disability), ASD (autism spectrum disorder) MLD and SLD with ages ranging from nursery to post-16. Currently on site and due to open in September 2024.

Elm Tree Primary Academy A primary SEN school on the same site as High Point Academy with a focus on ASD and Social, Emotional, and Mental Health (SEMH).

Bloxham Grove Academy A 100-place school for students with a range of special educational needs and disabilities, including Cognition and Learning needs, ASC, and SEMH needs. For pupils of ages ranging from nursery to post-16. Due to open in January 2024.

The Heights Academy A 116-place school for students with ASC and associated SEMH needs.

UNDERSTANDING THE CHILDREN; THEIR AGE, AND THEIR NEEDS

SEN schools have a vast diversity in age and need. Both of these things create a complex approach to design, no single design solution can work for everyone. As architects, we aim to design a building that allows children to develop independence so that they feel confident and comfortable within their surroundings. This is one of the most important and straightforward ways to reduce daily frustration.

At Bloxham Grove Academy we designed classroom clusters to reflect the restorative behaviour needs. The layouts of the classroom and breakout spaces have been developed from an understanding of a transitional strategy used by the Trust. Pupils that have left a class are re-integrated via a process of moving through a series of calming spaces.

The careful design of thresholds and transitional spaces is key to ensuring pupils can move easily between rooms, reducing levels of anxiety and allowing the restorative effect to work. The use of external spaces and landscape was also fundamental to this process, with nature helping to create a peaceful, calming, and therapeutic environment.

There will be times when pupils with ASD want to retreat and have time on their own, so it may be appropriate for classrooms to have adjacent ‘quiet’ rooms for reading and respite, and to incorporate quiet seating areas off corridors. This principle can be adapted in mainstream schools, by creating a SEN base that is safe and provides a series of different spaces inside and outside for calming, therapy, seclusion, and low stimuli.

Above: It’s possible to orient your building in a way that avoids solar glare, while also making use of shading and trees

“TO CREATE A SAFE INTERNAL ENVIRONMENT, WE FOCUS OUR APPROACH ON THE SENSORY EXPERIENCE, CONSIDERING COLOUR, ACOUSTICS, LIGHT, HEAT”

CLAIRE MANTLE

The start of school can be very important for pupils with ASD, setting the tone of the day. The transition from drop-off to desk in particular should be free from distractions and obstructions.

At The Heights Academy, the arrival is separated into three points: secondaryage children, primary-age children, and community. The community arrival is welcoming, and safe and includes a family room for parents, and a place to access support. The primary and secondary school entrances are separate, removing chance encounters.

Secondary school students come into a secure lobby where they handover their bags into a locker zone immediately with the primary school entrance positioned separately to the rear of the site.

THE CHALLENGES OF TWO-STOREY BUILDINGS AND EXTERNAL PLAY

The DfE budgets for SEN schools are higher, however, they assume a two-storey design. The challenge of a two-storey SEN school is implementing an external classroom to all classrooms which enables all children to have the same independent experience.

We explored introducing balconies at the first floor, however, there are challenges with these being inclusive spaces, and from our experience working with schools and educationalists, they are not always a safe approach for children with SEN. Our design solution is to create specialist spaces on the first floor with courtyards at ground-level that can be viewed from above.

At Rivertree Free School the challenge of aligning the brief (cohort numbers), site constraints (a sloped approach), and cost model (two-storey building) resulted in an ‘Options Appraisal’ exercise at the early concept stage. This was an important intervention in the design process which allowed the brief to be refined and the design to evolve to capture the needs of

Image by

from Pixabay

the Trust and county. The chosen option located PMLD at ground floor level with ASC positioned in their own ‘wing’ that had a dedicated entrance. The progression of key stages through the building was maintained in a logical arrangement from Early Years up to Post 16.

CREATING INTERNAL SPACES FOR CHILDREN TO THRIVE

To create a safe internal environment, we focus our approach on the sensory experience, considering colour, acoustics, light, heat.

At Rivertree Free School the corridors are oversized with clear exits out to the central courtyard. The colour scheme reflects earth tones in the circulation areas (clay and browns) and signage is kept simple and clear.

In terms of light, it’s important to avoid direct sunlight into a space, or reflections that could be a cause of distraction, particularly for ASC pupils due to their sensitivity. When designing a new build, it’s possible to orient your building in a way that avoids solar glare, while also making use of shading and trees.

High levels of noise can also pose a challenge for people with ASD. Deadening reverberations within a learning environment can be vital here, and as architects, we specify products that are particularly good at absorbing sound when designing an inclusive classroom.

Simple landmarks that help pupils to orient themselves can play a really important role in aiding independent navigation, as well as signage that is simple, visual, clear and relevant.

"OUTDOOR SPACES RELIEVE STRESS AND ANXIETY, HELP DEVELOP SOCIAL SKILLS, AND MOTIVATE LEARNING”

Natural, textured materials make inside spaces as comfortable as possible, perhaps creating a sensory pathway through the school. Visuals should not be overstimulating, ‘less is more’.

Incorporating flexibility into the design of internal spaces will enable the schools to adapt and evolve as required.

High-Point Academy completed in 2021 and we recently carried out a Post Occupancy Evaluation (POE) to understand how the school was working. Since the design process, there has been a change in the Trust and headteacher, resulting in changes to

CLAIRE MANTLE

Image by rawpixel.com on Freepik

how they use the school. Our flexible design meant the school was able to successfully adapt the intervention spaces for a new use as different activity areas for the children to choose to spend time in.

With all students, it’s fundamental to ensure they feel a sense of belonging to their school. We always involve an element of co-design with students where possible, something we see schools doing themselves in increasingly creative ways.

PROVIDING OUTDOOR SPACE

THAT INSPIRES AND CALMS

It’s impossible to overstate the importance of nature when designing an SEN school. We always seek to understand how we can integrate the natural environment into the learning environment as much as possible. Outdoor spaces relieve stress and anxiety, help develop social skills, and motivate learning – particularly for those with special educational needs.

For all of our SEN schools we have created a landscape strategy that is driven by the desire to create a safe and stimulating learning environment.

At Bloxham Grove Academy we created small individual garden spaces that act as gathering points when pupils arrive, and provide breakout spaces outside each classroom. These areas also work as defensible spaces helping pupils to feel safe without having to integrate directly into the main playground.

Shaded areas are distributed throughout the landscape and a sensory garden provides a quiet and relaxing place for

"INCORPORATING FLEXIBILITY INTO THE DESIGN OF INTERNAL SPACES WILL ENABLE THE SCHOOLS TO ADAPT AND EVOLVE AS REQUIRED”

CLAIRE MANTLE

Above: This transitional strategy ensure pupils that have left a class are reintegrated via a process of moving through a series of calming spaces

small groups. There is also an enclosure to accommodate the school dogs that are used as part of the schools therapy strategy.

During the design stages of our work at High-Point Academy, there were concerns of safety within the outdoor space and external design elements such as ‘trim trails’ were removed. These are now being installed in a safe and thoughtful way. Children thrive off nature and challenging themselves physically outside, so it was important not to pull back on external design.

CONCLUDING THOUGHTS

As four of these schools open in the coming months, we will learn more about how they are used, how the spaces adapt and how we can find further solutions to these design challenges. It is also useful to take some of these lessons learned on specialist schools and apply them to mainstream schools. This will support a more inclusive approach to school design generally, improving the wellbeing and everyday lives of all pupils.

Find out more about Claire’s work at ADP Architecture at adp-architecture.com

MEET CLAIRE MANTLE…

Claire leads the practice’s school strategy. She shares lessons learned, best practice and specialist knowledge across the practice's studios and the sector more widely.

Claire believes that the only way to create responsive, inspiring learning environments is to put pupils at the centre of the design process, consulting closely with user working groups to understand staff requirements.

This year, she has been working to incorporate ‘design for wellbeing’ into all of ADP's school briefs and designs, using an evidence-based approach. She is also leading post occupancy evaluations of their schools to appraise performance and gain feedback from pupils and staff.

As ADP’s School Sector Director, architect

ON THE RIGHT TRACK

Built environment access panels (BEAPs) or groups support projects and design teams to consider the impact of changes or designs on accessibility through consultation with a diverse panel of people. Fara Muneer, Network Rail’s BEAP Chair and Head of Centre for Accessible Environments (CAE), explains how they work.

Access panels are a critical part of consultation or co-production to reduce disabling barriers of buildings, neighbourhoods and external environments. They typically comprise of disabled people and/ or people with protected characteristics (under the Equality Act 2010) in addition many panels have people with technical expertise in inclusive design too.

Access Panels were first established in the 1980s, linked to the 1981 United Nations International Year of Disabled People. Sadly, there has been a reduction of panels, across the public sector where funding reduced for local authority access officer roles and access groups.

So it’s lovely to see the Network Rail’s Built Environment Access Panel (BEAP)* is thriving, celebrating its 10th anniversary and is a 2024 National Rail Awards Finalist in ‘Outstanding Contribution to Society’ category for its work in supporting a more inclusive and accessible railway for all. BEAP was set up over ten years ago, by Margaret Hickish MBE**, who had been involved in leading the way on access and inclusive design for the London 2012 Olympics and Paralympic.

Network Rails' BEAP provides valuable knowledge, lived experience and advice for applying inclusive design. It has around 15 panel members with lived experience of disability and/or professional access expertise. Their recommendations are based on guidance and best practice of accessibility in the built environment

“ACCESSIBLE STATIONS MAKE IT EASIER FOR PEOPLE TO TRAVEL TO WORK, VISIT FRIENDS, SHOP OR ENJOY A DAY OUT”

FARA MUNEER, NETWORK RAIL’S BEAP CHAIR AND HEAD OF CAE

Above right: The BEAP panel l-r Andy Shipley with assistant dog Dodge, Fara Muneer (Chair), Iyiola Olafimihan, Shaun Morris, Josh McDonagh, Lorna Brown-Owens (NR Access & Inclusion Manager) Ian Streets, Sam Pugh with assistance dog Oscar, Tanvi Vyas MBE, Phil Stevens and Nick Goss

Below: BEAP members in a panel meeting

and railways. The panel supports Network Rail to deliver an inclusive and accessible railway for all, connecting people with where they need to be.

BEAP forms part of Network Rail’s Diversity Impact Assessment (DIA) process ensuring all teams consult disabled people and consider early on, the potential negative or positive impacts and BEAP is an essential part of this process, supporting inclusion through accessible journeys and stations and facilities are easier to navigate.

SUPPORTING NEIGHBOURHOODS AND COMMUNITIES

Accessible stations make it easier for people to travel to work, visit friends, shop or enjoy a day out. Accessibility benefits everyone; disabled, older people, carers with young children, those with heavy luggage or shopping.

The panel supports Network Rail to deliver an inclusive and accessible railway for all, connecting people with where they need to be.

And getting more people to travel by public transport contributes to reducing carbon footprint with fewer car journeys, less congestion and carbon emissions.

BEAP supports Network Rail to plan spaces and places for everyone

ID

Find out more search Built Environment Accessibility Panel - Network Rail

FOOTNOTES * www.networkrail.co.uk/who-we-are/diversity-and-inclusion/ access-and-inclusion/inclusive-design/built-environment-accessibility-panel ** www.networkrail.co.uk/stories/remembering-margaret-hickish

“FEEDBACK FROM BEAP IS INVALUABLE AND CONTINUES TO INFORM THE DESIGNS OF THE STATIONS AND OPERATIONAL CONSIDERATIONS”

NEIL SMITH, INCLUSIVE DESIGN LEAD HS2 LTD

A POSITIVE IMPACT

Over the last decade, BEAP has provided advice and support to over 400 rail projects ensuring that the needs and expectations of rail users are considered in designs and services of stations, buildings and external spaces. Here’s feedback from some of the project teams:

“The BEAP is an integral part of how Network Rail can deliver better accessible outcomes for our customers and provides expert support and guidance for a range of projects as well as advising on strategy and policy development. We’re grateful to our panel members for the constructive challenge they bring and the difference they make in providing an independent perspective to what we do.”

Malcolm Pitt, Network Rail’s Head of Customer Experience and Accessibility

The BEAP feedback gave us the assurance that our design was inclusive and took all parties needs and requirements into consideration whilst ensuring compliance to standards and regulations, It is good to work together to achieve a common goal.

Steve Smith, Ryde Esplanade Station

Reconfiguration

The feedback from BEAP has been invaluable and continues to inform the designs of the stations and operational considerations for HS2 Ltd. Consultation with BEAP is an important part of the design process and how we deliver on our strategic goal to set new standards for customer experience.

Neil Smith, Inclusive Design Lead HS2 Ltd

THE BEAP PANEL

SET THE STAGE

A recent Sight Scotland report calls for improved accessibility in UK venues. Craig Spalding, Chief Executive of Sight Scotland and Sight Scotland Veterans, explains its findings and its policy recommendations.

Sight Scotland and Sight Scotland Veterans have issued a report urging better accessibility in UK venues, both existing and new. The report, "Enhancing Accessibility: Venues and Visual Impairment," identifies key accessibility challenges and offers guidance for venues to incorporate accessibility from the outset.

Created by Sight Scotland's policy group members, all of whom are blind or partially sighted, the report draws on their lived experiences to offer comprehensive recommendations.

The policy group consulted with existing venues like Summerhall, the Festival Theatre, and the Edinburgh International Conference Centre (EICC) in Edinburgh; the Scottish Event Campus and the Glasgow Royal Concert Hall in Glasgow; and His Majesty’s Theatre in Aberdeen.

ACCESSIBILITY CHALLENGES

The report highlights the ongoing challenges faced by many visionimpaired visitors at venues and identifies several areas that require improvement. One of the major issues is the reliance on ineffective communication channels, such as websites and brochures that are not screen reader-friendly, along with the lack of clear, accessible information about the venue's facilities and services.

As a result, visitors with visual impairments often struggle to obtain the information they need to plan their visit effectively, leading to frustration and a diminished experience.

"ACCESSIBILITY SHOULD BE A PREREQUISITE, NOT A CHOICE”

CRAIG SPALDING

Another major challenge identified in the report is the inaccessibility of booking systems. Many current systems are not designed with accessibility in mind, making it difficult for visually impaired individuals to independently book tickets or make reservations.

This lack of accessibility often forces visually impaired customers to rely on others for assistance, undermining their independence and excluding them from the full experience.

By introducing a standardised, accessible system across all UK venues, it would become easier for visually impaired visitors to navigate the booking process independently, reducing the need for external assistance and fostering greater inclusivity.

The lack of audio descriptions and touch tours in many venues makes it even harder for vision-impaired visitors. Audio descriptions are essential for conveying visual elements of performances or exhibits, while touch tours allow visitors to experience the physicality of objects and spaces in a more tactile way.

Insufficient training for staff in sighted guiding and visual impairment awareness is another critical issue. If staff members are not adequately trained to assist visually impaired visitors, this can lead to situations where visitors may feel unsafe or unsupported. Proper training is crucial to ensure that all staff members can confidently and respectfully guide and assist vision-impaired individuals, enhancing their overall experience.

Finally, poor design features in many venues contribute significantly to the

challenges faced by visually impaired visitors. Issues such as inadequate colour contrast, the absence of tactile elements, and unclear signage make navigating venues difficult and sometimes dangerous for those with visual impairments.

These design flaws are often overlooked during the planning and construction phases, resulting in environments that are not fully inclusive.

ACCESSIBILITY NEEDS TO BE PRIORITISED

The report provides crucial guidance for venues to ensure that accessibility is prioritised from the outset. By addressing these issues during the planning and design stages, new venues can create spaces that are more welcoming and accessible to all visitors, setting a new standard for inclusivity.

Key suggestions include:

Universal Design Principles: Adopt universal design principles that prioritise

“WE BELIEVE A STANDARDISED BOOKING SYSTEM, THAT IS ACCESSIBLE TO ALL,SHOULD BE ADOPTED ACROSS THE BOARD"

CRAIG SPALDING

accessibility from the ground up, ensuring that spaces are inherently inclusive for individuals with visual impairments.

Advanced Technology Integration: Incorporate cutting-edge technology such as real-time wayfinding apps such as NaviLens, beacon systems, and advanced audio description tools that can enhance the experience for visionimpaired visitors.

Customisable Layouts: Design spaces with flexible, customisable layouts that can easily adapt to various accessibility needs without compromising the aesthetic or functional integrity of the venue. It’s also important to ensure the environment has adequate lighting that provides good even illumination – visually impaired people require four to five times m relight to that of fully sighted people.

Follow the 3Bs rule: Big, Bold, and Bright. Use dark colours against light backgrounds to make chairs and tables stand out, or light colours against dark backgrounds. Avoid patterns, prints, or stripes. Clear, bold signage with strong colour contrast, like white on a dark blue background, aids navigation for visually impaired people. Make sure accessible toilets are available and easy to locate with clear signage and good lighting. Tactile indicators and non-slip contrasting paint strips on step edges help reduce tripping risks, along with a change in surface texture at the top and bottom of stairs.

Proactive Consultation: Engage with accessibility experts and organisations like Sight Scotland during the design phase to identify potential challenges and solutions early in the process.

Mandatory Accessibility Plans: Require new venues to submit comprehensive accessibility plans as part of their planning and approval process, ensuring that accessibility is not an afterthought but a core component of the venue’s design and operation.

MANDATORY ACCESSIBILITY STANDARDS

We believe there should be mandatory accessibility standards for all venues, whether they are newly built or long established. These standards would ensure that accessibility is not an optional feature but a fundamental requirement for operation. By making these standards compulsory, the report aims to guarantee that all venues provide a baseline level of accessibility, thereby creating a more consistent and inclusive environment across the UK’s cultural landscape.

The Sight Scotland, and Sight Scotland Veterans, report aims to set a new

Above right: Sight Scotland and Zoo Venues staff after the VI training

EXAMPLES OF BEST PRACTICES & TRAINING INITIATIVES

Venues, such as Summerhall and Zoo Venues in Edinburgh, and the Royal Concert in Glasgow, face accessibility challenges due to their historic nature but have made significant strides through staff training and infrastructure improvements. It is very important to understand that small changes can make a huge difference.

Awareness is key; understanding the needs and experiences of visually impaired individuals is the first step towards creating a more inclusive environment. We're not asking venues to be perfect, but to make small changes that can make a big difference. It’s great to see a proactive approach being taken, and these venues are a great example for other venues to follow.

These venues collaborated with Sight Scotland’s Policy Group and Sight Loss Councils to enhance their accessibility. Training programmes at these venues included:

Awareness Building: Emphasising the importance of understanding the unique needs of visually impaired visitors.

Communication Skills: Training staff in effective and respectful communication techniques.

Sighted Guiding: Providing practical skills for guiding visually impaired visitors safely.

Customisation: Tailoring tips and strategies to the specific layout and design of each venue.

“I’M PROUD OF THE WORK THEY’RE DOING AND LOOK FORWARD TO WORKING WITH THEM AND OTHER VENUES IN GLASGOW"

PAM DUNCAN-GLANCY, MSP

standard for accessibility in UK venues, ensuring that everyone, regardless of their visual ability, can participate fully in the cultural life of the nation.

We are calling for a collaborative effort between venues, architects, developers, and accessibility experts to ensure that existing and future venues in the UK are inclusive for all. Accessibility should be a prerequisite, not a choice.

“Culture and the arts are for everyone,” added Pam Duncan-Glancy, MSP. “I was delighted to meet with the Royal Concert Hall and Sight Scotland to discuss the work they’re doing together to make their venue accessible to people with a visual impairment.

“Working with Sight Scotland and taking a lead from the report they’ve done on access, the Concert Hall are working hard to make sure their venue is one where everyone is welcome, including people with a visual impairment.

“I’m proud of the work they’re doing and look forward to working with them and other venues in Glasgow to make sure everyone can enjoy the wonderful culture and arts venues that Glasgow has to offer.”

Above (l-r): Pam Duncan-Glancy MSP, Sight Scotland’s policy group member Collette Walker, and GRCH Assistant Venue Manager Robin Cassidy after training at the Glasgow Royal Concert Hall

Below: The report, "Enhancing Accessibility: Venues and Visual Impairment," identifies key accessibility challenges and offers guidance for venues

GET TO THE HEART OF OUR INDUSTRY

DO YOU TARGET ARCHITECTS, INTERIOR DESIGNERS, OCCUPATIONAL THERAPISTS, DEVELOPERS, BUILDING MANAGERS - ANYONE WHO CARES ABOUT CREATING ENVIRONMENTS THAT CAN BE ENJOYED BY ALL - WITH YOUR PRODUCTS OR SERVICES? OUR FLEXIBLE APPROACH MEANS THAT YOU CAN REACH THE AUDIENCE YOU WANT IN THE WAY THAT YOU WANT

TALK TO OUR TEAM TODAY ABOUT OUR MULTI-CHANNEL OPTIONS AND SEE HOW YOU CAN START

Want to become a specialist content partner and share information, insight, product developments and opportunities with the inclusive-design community?

Get in touch: sales@inclusive-design.co.uk or call 01630 801004

PRINT l ONLINE l DIGITAL l SOCIAL

GO BY THE BOOK!

Habinteg’s forthcoming Inclusive Housing Design Guide, published by RIBA, will replace the 2003 Housing Design Guide, updating and expanding upon previous publications. Author Jacquel Runnalls describes what drove the content…

The guide is broadly based on documents I wrote in my current role with Wandsworth Regeneration Team, now used across the London Borough of Richmond and Wandsworth, and would not have been possible without the invaluable support and peer review from my colleague Marney Walker, and external peer review from experts in the field.

Marney and I are housing occupational therapists and specialists in accessible and inclusive environments, with careers that have focussed on learning from, and working with, disabled and older people in their homes and communities to gain an understanding into the daily barriers created by poor design and limited space.

It is also informed by my experience and lessons learnt from applying good practice guidance and M4(2) and M4(3) requirements in the design and delivery of small to large scale housing development, as well as viewings with prospective occupants and post occupancy evaluation.

The guide aims to address common misunderstandings and misconceptions about what accessible, adaptable, and inclusive housing design is, and how, if incorporated at the outset, it can provide significant benefits for all, with minimal or no additional cost.

It presents the rationale for exceeding the minimum building regulatory requirements, and how to do it in practice, by providing detailed technical guidance, scale drawings with people in them, case studies, insights and photos. These were all critical in demonstrating how to design spaces, inside and outside the home, that are fit for purpose, durable, flexible, sustainable, attractive and future-proofed, without the need for invasive, disruptive and costly adaptations.

When first writing the guide an example of sadly typical attitudes and misunderstandings was when I explained the need to show how to design a frequent physical barrier (an accessible door threshold) to be told it was not practically possible. Undeterred, considerable time and effort was spent showing how it can be achieved through the use of technical guidance, drawings, photos and insights.

Insights are provided throughout the guide, similar to an approach adopted in my Wandsworth site briefs, where a more detailed explanation is provided about the impact of certain design features with anecdotes from peoples’ lived experience, in the hope that people better understand why it matters and that we are not just asking for the sake of it.

These all serve as a reminder to continually challenge and not just accept the status quo, and encourage detailed designs and products that work for as many people, and reasons, as possible.

One of the main aims of the book was to also provide guidance on accessible designs, fixtures, fittings, and

finishings for people with a broad range of sensory and cognitive impairments including dementia, and neurodivergent people. These include basic considerations that should be easy to incorporate from the outset, such as visual contrast, avoiding uncomfortable glare and confusing shadows, compatible lighting that provides choice and control, acoustics/noise, odour, and views and access to biophilia.

Whilst the guide also touches on aspects which might impact other protected characteristics, such as culture/ faith, I am acutely aware that it is limited in a broader inclusive design approach and wider considerations under the Equality Act.

The rationale for including recommendations for going beyond minimum regulatory requirements set out in Part M Volume 1 is also limited insofar as it is informed by a dated evidence base, so does not consider current demographic trends, prevalence of disability, ergonomics, and anthropometrics.

It is therefore imperative that we continue to put pressure on the new Government to publish long-awaited Part M research to ensure new regulation and guidance is fit for purpose.

“IT IS IMPERATIVE THAT WE CONTINUE TO PUT PRESSURE ON THE NEW GOVERNMENT TO PUBLISH LONGAWAITED PART M RESEARCH TO ENSURE NEW REGULATION AND GUIDANCE IS FIT FOR PURPOSE” JACQUEL RUNNALLS

I really hope that the Inclusive Housing Design Guide provides a practical resource for commissioners, housing developers and built environment professionals including architects, surveyors, and contractors, particularly in light of Government mandating for M4(2) to become the baseline standard for all new homes. Not to mention the need for a percentage of M4(3) too!

The guide is published on Tuesday 1st October and can be pre-ordered from www.ribabooks.com, https://cae.org.uk, Amazon and WH Smith.

THE INCLUSIVE HOUSING DESIGN GUIDE replaces the 2003 Housing Design Guide by updating and expanding on the 3rd Edition Wheelchair Housing Design Guide, and providing guidance on how to meet and exceed the minimum requirements of Building Regulations Part M Volume 1: Dwellings for both M4(2) accessible and adaptable and M4(3) Wheelchair user dwellings.

Additional considerations cover outside space and connectivity to the local neighbourhood and designing for people of all ages with a broad range of impairments and abilities throughout their lifetime.

The Introduction is followed by three standalone sections; Part One : Strategic Site layout, connectivity and outside amenities, Part Two : accessible and adaptable housing and Part Three : wheelchair housing. The intention is for Part One to be read with both Parts Two and Three, with good practice resources provided in an appendix.