Inclusive Design Magazine March/April 2024

COMING UP ROSES

How to create beautiful outdoor spaces for everyone to enjoy

22

COMING UP ROSES

Our forum on the best ways to add accessibility and inclusion to beautiful outdoor spaces

“At the heart of my work is a deepseated belief in the power of inclusion and accessibility”

REGULARS

06 CASE STUDY

The team at The Lowry ensure that their events and facilities can be accessible to as many people as possible

22 FORUM

Removing the restrictions to enjoying the outdoors, and inspiration for accessible garden design

34 LEGAL & FINANCE

Paul Smith of Foundations explains the cap to the DFG and the safety net of its flexibility

STUART BARROW FOUNDER AND MANAGING DIRECTOR, OTAC

46 THE LAST WORD

Mary Doyle urges designers to collaborate with disabled professionals and communities

We put the spotlight on Stuart Barrow, his company Promoting Independence, and his OTAC roadshows

LEISURE

18

A recently opened accessible playground in Barnet is setting the standard for inclusivity

COMMUNITY CARE

36

RCOT say that having more OTs in the community will improve health and care services

RETIREMENT HOUSING

38

ARCO point out the shortage of housing-with-care schemes

INTERIORS

40

FLOORING Kerry Southern-Reason points out the benefits of carpet in the care home environment

WAYFINDING

42

PROFILE FEATURES EVENTS

TACTILE PAVING Craig Spalding of Sight Scotland explains the problems that a lack of warning surfaces cause

14

THE CARE SHOW 24th & 25th April, ExceL London. Celebrating the voice of care and providing informative positive takeaways

EDITOR

Juliet Davies

juliet@inclusive-design.co.uk • SALES

Stuart Moody h3opublishing@gmail.com

To

FROM THE EDITOR

“What good is an accessible built environment if the surrounding landscape lets it down?”

We had a fantastic response to our accessible play feature in the last issue, and it’s great to see how much accessible play equipment is being installed in parks around the country. So when we heard about Fair Play in Barnet we simply had to include it in this issue!

And staying with the outdoors theme, this time our Forum group discuss gardens. Often overlooked when designing or adapting a house, gardens are a welcome retreat, a place for entertainment or muchneeded solitude, and can be personalised to reflect the home-owners style; rammed with riotous cottage flowers, or a zeninfluenced calm zone.

And the restorative effect of nature is brought in to play when gardens are designed for people who have a long stay in hospital. Horatio’s Garden is a charity that nurtures the wellbeing of people after spinal injury in beautiful, vibrant sanctuaries within the heart of NHS spinal injury centres, and two of their designers join the Forum to explain how they approached this project.

After all, what good is an accessible built environment if the surrounding landscape lets it down?

Still on the subject of outdoors, I learned a lot recently from Craig Spalding, the Chief Executive of Sight Scotland, about tactile paving and the different types. Sight Scotland are campaigning to demand that tactile paving is installed in every railway station in Scotland to warn rail users about platform edges, and it was shocking to me that this lack is the case throughout the UK.

Whilst in this magazine we want to celebrate great inclusive design and share best practice, it is clear we have a long way to go.

What do you think? Get in touch.

ISSN

CONTRIBUTORS

MARK LANE

Mark is a TV and radio broadcaster, published garden writer, and lectures across the UK on garden design and horticulture.

GADGET: It has to be the smart speakers that we have dotted around the house for shopping, jokes, music and more.

PASTIME: I love cooking, especially Thai food, as well as baking (it’s because I’ve a mouth full of sweet teeth).

MARY DOYLE

Mary works to improve inclusion and understanding through consultancy, EDI training and executive coaching.

GADGET: Google Maps for checking access/photos. Flightradar24 for the live flight tracking and weather. RadioApp is amazing for worldwide radio stations.

PASTIME: Out with people or learning something. Live 80s rock music, airfields, radios, technology, inclusion, Duolingo.

Juliet

Juliet Davies, Editor

With a policy of wanting everyone to feel included in all they have to offer, the team at The Lowry are working hard to remove barriers so that their events and facilities can be accessible to as many people as possible.

CURTAIN UP!

CASE STUDY

The Lowry is a world class arts centre based in Salford, Greater Manchester, at the core of the region’s creative and cultural quarter, and named after the artist Laurence Stephen Lowry (1887 – 1976) who spent much of his life in Salford and whose work is strongly associated with the city.

It is a registered charity committed to using visual and performing arts to enrich people’s lives. The Lowry presents audiences with a diverse programme of theatre, opera, musicals, dance, music, comedy and visual art as well as events and activities to expand the horizons of audiences and artists alike.

Emma Underwood, The Lowry’s Equality, Diversity & Inclusion Manager, spoke to us about how they have approached accessibility.

“At the heart of our work is a commitment to our local communities and young people,” she said. “Tapping into the work on our stages and in our galleries, we offer thousands of free creative participation opportunities each year. We are passionate about nurturing talent, developing creative

professionals of the future and raising aspirations.

“We want everyone to feel included in all that The Lowry has to offer. We’re working hard to remove barriers so that our facilities and events are accessible for all. We have step-free access to our box office, toilets, performance spaces and galleries from the street.

“There are lifts that enable access to all floors and with accessible toilets on each floor, and we have recently installed a Changing Places Toilet. This is accessed by a RADAR key and features a height adjustable, adult sized changing bench, ceiling track hoist system, space for up to two assistants, toilet with grab rails, privacy screen and a hight adjustable washbasin. Visitors can either use their own RADAR key or can collect one from the Welcome Desk in our foyer. There are wheelchair spaces in all three theatres and our box office staff will always do their best to accommodate any needs when booking.”

Their work on accessibility is guided by their Access Steering Group. Chaired by Emma, the steering group is attended by a representative from every department, who co-ordinate with one another to address access issues in and around the building.

“Sometimes these are small scale projects, such as acquiring portable chairs for our Galleries, up to larger scale projects such as the implementation and review of our 3D seating plan,” she explained.

The Lowry has three theatre spaces all of which offer wheelchair seating and step free access.

The Lyric is the largest theatre space. Impressive in size, it has the UK’s largest stage outside of London. Contemporary in design, the space can seat audiences up to 1,730 in fixed tiered seating.

A mid-scale space, the Quays Theatre is an extremely adaptable space, with seating for audiences up to 440. Hydraulic technology allows a range of seating configurations, from traditional end-stage to theatre in the round.

The Aldridge Studio is a tiered auditorium for audiences of up to 150. As well as providing a traditional blackout space, the Aldridge Studio has large floor to ceiling windows overlooking the Manchester Ship Canal.

Assistive technology has been brought in for visually impaired, hard of hearing or deaf members of the audience.

“WE CAN BRING CAPTIONED PERFORMANCES FOR DEAF AND HARD OF HEARING USING OPEN OR CLOSED CAPTIONS…”

EMMA UNDERWOOD

“Sennheiser MobileConnect is an assistive and personal listening solution that streams live audio content via WiFi to any iOS or Android phone in Quays Theatre and Lyric Theatre,” said Emma. “Technical and IT Departments worked together over several months to install the system in the Lyric Theatre and the Quays Theatre.

“This included the overhaul of the building’s existing WiFi infrastructure and significant investment in the products.”

From the comfort of their own headphones or earbuds or Lowry-provided inductive neck loop, plugged into their own smart device with the MobileConnect App downloaded; visually impaired and hard of hearing audiences can choose to receive either the live audio describer’s voice (from a booth located at the back of the theatre) or amplify the voices and sounds to achieve an excellent theatrical experience.

“We share a Digital 4 Standard Caption Unit which is a captioning kit consisting of two captioning units and ten tablets with other Greater Manchester theatre venues - a shared resource that would otherwise have cost a huge amount of investment if purchased individually,” Emma said. “We can now bring captioned performances for deaf and hard of hearing audiences and those who use English as a second language using open or closed captions. The kit can be set up in our Lyric and Quays Theatres in under an hourr.”

Left: The beautiful Lowry arts centre in Salford opened in April 2000

Below: The Changing Places toilet is imaginatively decorated with show posters

“WHAT STANDS OUT MOST IS THE LOWRY’S GENUINE DEDICATION TO ACCESSIBILITY AND INCLUSION…”

EMMA UNDERWOOD

To enable disabled artists and performers to access stage level from backstage, a Mobilift CX-UK, a manually powered portable wheelchair lift, has been installed in the Aldridge Studio.

Above: Emma Underwood, The Lowry’s Equality, Diversity & Inclusion Manager

Below: A Mobilift CX-UK enables disabled artists and performers to access stage level from backstage

In 2023 The Lowry installed a specialist Changing Places toilet; larger than a standard accessible toilet, and open to the public, the facilities have made The Lowry and Salford Quays accessible to even more people.

“It’s really great that The Lowry now has a Changing Places Toilet,” said Zack Kerr, campaigner for Changing Places. “I’ve been a campaigner for Changing Places for about eight years. I love coming to the theatre and I’ve been here many times with my family but trips out anywhere are always difficult when there aren’t any accessible toilet facilities which meet my needs. There aren’t many theatres which have Changing Places toilets and this will make such a huge difference to so many people! Well done The Lowry and thank you!”

The new Changing Places facility was made possible thanks to a joint application with Salford City Council for grant funding provided by the Department for Levelling Up, Housing and Communities in association with Muscular Dystrophy UK.

The project involved the adaptation of an existing toilet with works carried out by RISE, a specialist contractor in disabled adaptations. It is accessed by a RADAR key and features height adjustable, adult sized changing bench, ceiling track hoist system, space for up to two assistants, toilet with grab rails, privacy screen, and a height adjustable washbasin.

“We want to make visiting The Lowry as easy and comfortable as we can for all of our visitors and this new facility will enable more people the freedom to take part in and enjoy everything that we have to have to offer,” said Tony Smith, Commercial Director at The Lowry. “We are delighted that our joint bid with Salford City Council was successful and has resulted in the opening of this new Changing Places toilet.”

The Lowry programmes over 100 accessible performances each year and also presents, commissions, and partners with artists such as Access All Areas, Extraordinary Bodies, and Frozen Light who push boundaries to embed the aesthetics of access in their work.

Audience reports following Frozen Light’s Fire Songs performances have shown how this work impacts audiences. When surveyed, 100% of audiences felt safe in the building, 100% felt they were treated with dignity and respect, and 92% felt more confident in attending indoor theatre performances following the show. Audience feedback highlighted the importance of blending building wide access improvements with the content and style of the show itself.

“Through the Artist Development programmes we support and inspire artists and disabled-led companies to make artistically ambitious work that considers and embeds access at point of creation,” explained Emma. “By developing and

The accessibility programme improved the theatre experience for performers and customers.

presenting work made with an integrated ethos, we are proactively working to the Social Model of Disability. Enabling disabled and non-disabled artists to create highquality, contemporary work and breaking down barriers for audiences to enjoy and access arts and culture in an inclusive way.

“We programme accessible performances in the theatres, and accessible tours in the Galleries through the lens of the Social Model of Disability. Where the Social Model makes a clear distinction between impairment (a condition, illness, or loss/lack of function) and disability (barriers and discrimination), it posits that individuals are in fact disabled by the barriers presented in wider society.

“All our accessible performances such as audio described (with accompanying touch tours pre-show), captioned, BSL interpreted, relaxed, and livestream, operate from the lens of the Social Model working to remove these barriers so everyone - disabled and non-disabled - can come together with their friends and families to enjoy world class theatre and exhibitions at The Lowry.”

Livestream is the latest addition to the accessible performances they provide. Performances are livestreamed on the day and time, direct from the theatre to the homes of those whom travel costs and/or chronic/life limiting illnesses are a barrier to coming to the theatre to watch in person.

“In addition to this, during the Christmas period we livestream a family show to a number of local children’s hospitals and hospices as part of an initiative to bring theatre to those who would otherwise be unable to access it,” Emma added.

Bringing theatre to audiences with profound and multiple learning disabilities, they work with pioneers in this specialism, Frozen Light, who create exciting and original multi-sensory theatre that are engaging, interactive and fun.

“We operate to an Involuntary Noise Policy which aims to provide the highest level of service and duty of care to all

audiences and visitors by having a definitive approach, in accordance to The Equality Act 2010, to dealing with involuntary noise,” explained Emma, “to avoid a situation where a disabled person is being placed at a “substantial disadvantage” compared with non-disabled people accessing our services and facilities.”

Regular training sessions across the teams ensure that staff are fully equipped with the knowledge required to provide superb customer service to any visitor with an access requirement.

“The training is custom created with the Social Model of Disability at its core, so staff know not only how to deliver the service, but why, from an ethical standpoint, we do it in the way that we do,” she added.

Emma’s favourite part of the theatre is the main foyer.

“Personally, nothing can beat it!” she said. “There’s never a dull moment, constantly buzzing with activity, and full of possibilities. It’s the nucleus of The Lowry, the starting point of every journey around our building - from there someone might be heading to the Quays, the Lyric, Pier Eight, or the Galleries. At its centre are our Front of House

“WE ARE PROACTIVELY WORKING TO THE SOCIAL MODEL OF DISABILITY…”

EMMA UNDERWOOD

team, staff and volunteers equipped to deal with any situation, and always with a smile on their face. We call it a Welcome Desk for a reason. Our first impression to anyone coming into our venue is set here, and I firmly believe we put our best foot forward every time. Not to mention it’s the space that houses our Box Office, the lifeblood of our ticket sales. All told, nowhere encapsulates The Lowry’s dedication to its audiences like our entrance.”

Michael Allen is the Lowry’s Accessibility Ambassador. “As a long-time visitor to The Lowry for theatre shows, I’ve had the privilege of experiencing its vibrant performances,” he told us. “Being visually impaired, I appreciate the availability of Audio Description services, which elevate the show by allowing me to fully engage with the visual aspects. The Lowry stands out as an exceptionally accessible space, catering to wheelchair users and other mobility needs. Its well-lit environment and intuitive layout make navigation effortless, and the staff’s helpfulness adds to the overall experience.

Below: MobileConnect is an assistive and personal listening solution that streams live audio content via WiFi

“Recently, I assumed the role of Accessibility Ambassador at The Lowry. Together, we’re committed to enhancing accessibility across the theatres, gallery, and other spaces. Our efforts include an improved access email newsletter, and we’re exploring innovative ways to improve navigation within the building. Valuable feedback from access users during a recent event has sparked great ideas. What stands out most is The Lowry’s genuine dedication to accessibility and inclusion - it’s not just a policy, but a heartfelt commitment.”

The work done by The Lowry to ensure a welcome to everyone who enjoys live events - whether as a performer or an audience member - is a great example of how putting accessibility and inclusion at the heart of your organisation results in benefits for everyone.

Find out more at: https://thelowry.com

Above: The Lyric is the Lowry’s largest theatre space

PLAN OF OTAC

Stuart Barrow is a dedicated Occupational Therapist with a passion for promoting independence and enhancing the quality of life for individuals with disabilities, through his work with his company Promoting Independence Ltd., and his OTAC roadshows.

Stuart Barrow is not your average Occupational Therapist (OT)! With over twenty years of experience in the field, Stuart has dedicated his career to promoting independence and improving the quality of life for individuals with disabilities. His journey began with a simple yet profound desire to make a difference in the lives of others - a desire that has since blossomed into a lifelong commitment and a thriving consultancy.

"…ADAPTATIONS CAN REMOVE THE BARRIERS TO LIVING INDEPENDENTLY…”

STUART BARROW

"THROUGH OTAC, I’M PROUD TO HAVE CREATED A PLATFORM FOR CONTINUOUS LEARNING AND COLLABORATION WITHIN THE OT COMMUNITY” STUART BARROW

Right: Stuart takes to the stage at OTAC Glasgow Below: In 2023 a range of training courses were launched

In 2012, Stuart founded Promoting Independence Ltd, an Occupational Therapy consultancy aimed at providing comprehensive assessments, interventions, and solutions to support individuals in achieving their maximum potential in daily activities. Under Stuart's guidance, the company has grown into a trusted resource for individuals, families, healthcare professionals, and organisations seeking expert OT services.

“In 2023 a range of training courses was launched,” explained Stuart, "devised and run by myself and my expert team of Occupational Therapy associates around equipment and adaptations to complement the OTAC events based upon more specific adaptations, ie stairlifts and home-lifts.”

Promoting Independence’s assessment services benefit from speedy access to expert recommendations tailored to an individual and their home environment.

“We have years of expertise in the housing and care sector and our strong links to the industry means we have upto-date knowledge of the latest and best technologies,” said Stuart. “We will provide you with a clear quotation and fast access to our assessors.”

As a thought leader and advocate for inclusive and accessible environments,

Stuart continues to inspire others through his dedication, expertise, and unwavering commitment to empowering individuals to live life to the fullest.

They also arrange Independent Living Assessments for older and disabled people looking to stay in their current home or move to a new one, offering clear and specific advice about adaptations that can remove the barriers to living independently.

EXPERT RECOMMENDATIONS

For older and disabled people looking to stay in their current home or move to a new one, clear and specific advice about adaptations can remove the barriers to living independently. Housing Associations, providers of Sheltered Housing and other housing and care providers using

COLLABORATE

AND CONNECT

But Stuart's impact extends far beyond the walls of his consultancy. He is also the driving force behind OTAC (Occupational Therapy Adaptation Conference) events, which bring together OT professionals, suppliers, and exhibitors to exchange knowledge and ideas, showcase the latest innovations, network with peers and foster meaningful connections.

“Through OTAC, I’m proud to have created a platform for continuous learning and collaboration within the OT community, furthering the advancement of the profession,” he said.

The OTAC events are a year-round programme designed for Occupational Therapists, Occupational Therapy assistants and support staff, commissioners, people working within housing (surveyors, architects and technicians), Occupational Therapy students, charities and charitable organisations, and all other healthcare and housing professionals involved in assessing for home adaptations.

For more than five years the events have featured talks by a range of industry experts

alongside a hands-on exhibition of the latest equipment solutions. A one-stop shop of solutions for accessible homes, the latest thinking in home adaptations, specialist talks, speak to a range of product specialists all in one place; designed to bring together CPDaccredited talks and the opportunity to try out the latest products in convenient locations.

Set in central venues such as Weetwood Hall Estate in Leeds, The Queen Hotel in Chester, Golden Jubilee Hotel in Glasgow, Hilton Southampton, and St.David’s Hotel in Cardiff, they are easy to reach, free to attend, and include lunch.

“And the advantages of OTAC events to the exhibitors are clear,” Stuart told us. “Get face-to-face with OTs in their home region, in a relaxed atmosphere”

At the heart of Stuart's work is a deepseated belief in the power of inclusion and accessibility. Whether through his consultancy services, his involvement in OTAC events, or his advocacy work within the community, Stuart is constantly striving to create a world where everyone has the opportunity to live life to the fullest, regardless of their abilities.

As a pioneer in the field of Occupational Therapy, Stuart Barrow continues to inspire and empower others through his unwavering dedication, innovative approaches, and boundless passion for promoting independence. With Promoting Independence Ltd and OTAC events leading the way, Stuart's impact on the OT community - and the lives of those it serveswill undoubtedly be felt for years to come.

Get the next Occupational Therapy Adaptation Conference (OTAC) dates in your diary! Visit: otac.org.uk

For more information please visit: promoting-independence.co.uk

Above: OTAC events are a one-stop shop of solutions for accessible homes

Independent Living Assessments Commissioners

Independent Living Assessments Commissioners enjoy a range of benefits which together improve independence and efficiency of service delivery:

• The assessment fee for major adaptations can often be reclaimed via the Physical Adaptations Grant meaning there is no direct cost to the care and housing provider

• Assessments are typically completed within three days of referral, reducing waiting times and reducing the risk of injury and loss of independence

• Timely adaptations can help extend tenancies reducing void periods, re-housing costs and unnecessary administration costs and for tenants this often saves on the costs of renting

• Complex cases can be handled more effectively, reducing the risk of unsuitability and ensuring overall wellbeing

• Assessments are designed to identify cost-effective solutions that meet the needs of the individual considering all suitable options

• Our strong links to the manufacturers of aids and adaptations ensures we have up-to-date knowledge of the latest solutions

• Our no-cost follow-up and review service ensures that the solutions are working and that any issues are addressed

• Our comprehensive occupational therapy approach is person-centred and empowers the individual to optimise their own health and wellbeing

Below: Independent Living Assessments assist older or disabled people to stay in their own home ID

"…THE ADVANTAGES OF OTAC EVENTS TO THE EXHIBITORS ARE CLEAR; GET FACE-TOFACE WITH OTS IN THEIR HOME REGION, IN A RELAXED ATMOSPHERE”

OTAC® Leeds

Weetwood Hall Estate

Thursday 21st March 2024

OTAC® West Wales

The Halliwell Centre

Friday 12th July 2024

OTAC® Kent

The Spa Hotel, Tunbridge Wells

Thursday 14th November 2024

OTAC® Newcastle

Hilton Newcastle Gateshead

Wednesday 1st May 2024

OTAC® Chester

The Queen by Best Western

Thursday 26th September 2024

OTAC® Cardiff

St David’s

Thursday 5th December 2024

OTAC® Midlands

Molineux Stadium

Thursday 27th June 2024

OTAC® Reading

Hilton Reading

Thursday 7th November 2024

OTAC® Southampton

Hilton Southampton –

Thursday 12th December 2024

CARE CONNECTIONS

Celebrating the care sector: The Care Show London 2024 at ExCeL is a must-visit event…

The Care Show London is bringing the beloved Care Show spirit to our nation's capital on 24th & 25th April, and will be the UK’s premier destination for leaders in social care looking to improve the quality of their service, deliver personalised care, achieve outstanding ratings, and transform the care sector.

This two-day conference and exhibition event provides the perfect opportunity to stay up to date with policy, regulation, and best practices, network with fellow care professionals and meet with leading service providers for the sector. With a comprehensive conference programme, designed specifically to address the current priorities and challenges in the care sector, you cannot afford to miss out!

"WE CAN ACHIEVE A LOT MORE WHEN WE WORK TOGETHER TOWARDS A COLLECTIVE GOAL”

Topics & trends:

For the spring 2024 event, there is a big focus on celebrating the voice of care and providing positive takeaways to current challenges. The conference programme has been carefully curated with the assistance and full support of an Advisory Board, representative of all areas of social care.

Free to attend for all care professionals, the CPD-accredited programme will be delivered across six theatres which include two exclusive learning areas from our partners The Outstanding Society and Care Providers’ Voice.

Care Keynote Theatre

Discover how other businesses are navigating the new assessment framework, gain top tips on how to secure the best

funding from your local authority, and join the discussion around the importance of social care in public policy, and developing and professionalising the workforce pathway. Hear from the CQC and learn from those who know best what the future of care looks like.

Technology Theatre

Focus on the importance of cultural transformation and a people-centred training approach, uncover how to access government funding for your new digital endeavours, how to maintain your cybersecurity measures, and how to harness the power of AI. Practice digital inclusion, master social media, and stay up to date with CQC data requirements as we move forward into the exciting new technological world of care.

People, Workforce & Wellbeing Theatre

Learn how to deal with difficult conversations, cultivate a harmonious mentally healthy workplace, and navigate the newly arising challenges around international recruitment. Develop your leadership skills, your training programmes and celebrate the value of the younger generation as part of the workforce, and so much more.

"WE WILL UTILISE THE TIME TO MEET WITH INDUSTRY EXPERTS AND AID OUR LEARNING ON NEW AND EVOLVING PRODUCTS”

GEORGE MORRIS

Business Theatre

Here you can expect to refine your business’ learning and development budgets, enhance your sales and marketing practices, and focus on the sustainability of your business for a greener future! Join the discussion around refurbishment vs new build and follow the journey of raising finance, to setting up a franchise.

More details on speakers, sessions and registration can be found over page

WHY SHOULD YOU ATTEND?

• We can achieve a lot more when we work together towards a collective goal

• Reinforce your professional network

• Learn how to overcome challenges by listening to colleagues’ experiences

• Share your expertise with others

• Talk to suppliers to understand how technology can help you, and so they can learn what your priorities are as a care business

• Reignite your passion for caregiving by engaging in conversation with like-minded peers

• Celebrate and be celebrated!

VOX POP

Speakers' corner

Dr Emma Williams, Co-Director and Consultant Behaviour Analyst, Positive Ageing Consultancy & Training (PACT)

“I am very excited to have been invited to speak at The Care Show London 2024 about a revolutionary, evidence-based, behavioural approach within dementia care!

I am looking forward to presenting about the unique role of a behaviour analyst within dementia care, and the specialised behavioural support which is available for people living with dementia.

I strongly believe that older adults deserve to receive high quality, personcentred care and I am passionate about disseminating behavioural sciences to improve quality of life for people living with dementia and their caregivers.

Please join me in the ‘People, Workforce & Wellbeing’ Theatre on the 24th April at 1.55pm to explore how behaviour analysts can provide support in any care environment for people who experience distressed behaviours, and how we can help ensure their needs are met in an effective and respectful way.”

George Morris, Associate Architectural Technician, Carless + Adams

“The energy at The Care Show is huge and Carless + Adams is thrilled to be exhibiting at Excel. Our belief is to design somewhere not only our Mums would like to live, but also where we would like to live - we focus on longevity and promoting independence whilst empowering residents.

Melissa Magee, Stewart Anderson, and myself will be speaking in the Business Theatre about how demand for IRCs and care homes is fortunately driving change, but is design, development and construction focused on simply erasing the old and bringing in the new?

Attending The Care Show will give us the opportunity to exhibit and discuss architectural designs plus we will utilise the time to meet with industry experts and aid our learning on new and evolving products.

We’ll also be catching up with our contacts in the care industry – it’s a perfect occasion to build those bonds even more!”

Kevin Humphrys, Chief Executive Officer, Oakland Care Group

“I'm delighted to be speaking at Care Show London 2024 on the important topic of leadership in social care. As CEO of Oakland Care Group, I'm passionate about empowering compassionate leaders who can drive positive change.

My talk is titled ‘Empowering leadership in social care: a collaborative approach to moving forward.’ In this presentation, I'll be exploring strategies for how we can work together across the sector to address some of the key challenges facing social care today.

This includes advocating for sustainable funding models, promoting widespread adoption of technology, and driving cultural shifts to professionalise careers, challenge stereotypes, and celebrate the incredible value of this work.

“I'M LOOKING FORWARD TO UNITING WITH OTHER LEADERS AT THE CARE SHOW WHO SHARE A VISION FOR CREATING A CULTURE WHERE SOCIAL CARE IS TRULY VALUED AS AN ESSENTIAL SERVICE”

KEVIN HUMPHRYS

I'm looking forward to uniting with other leaders at the Care Show who share a vision for creating a culture where social care is truly valued as an essential service. Events like this provide the perfect platform for us to share ideas, network, and influence policymakers.

My goal is that participants will leave this talk feeling galvanised and equipped with practical strategies to create positive change in their own organisations and communities. But real transformation requires collaboration across the entire ecosystem. I hope this session will inspire leaders to work collectively to address the issues that matter most, whether that's fairer funding, embracing technology, or attracting talent.

The Care Show brings our community together at such a pivotal time. I can't wait to connect with fellow leaders who have the passion and influence to shape the future of social care. Let's move forward, together.”

Top to bottom: Dr Emma Williams, CoDirector & Consultant Behaviour Analyst, PACT; George Morris, Associate Architectural Technician, Carless + Adams; Kevin Humphrys, CEO, Oakland Care Group

Come and meet with 150+ leading suppliers, explore the latest products and services for the sector, and find other care professionals to network and collaborate with. If you are a care or healthcare professional, you can register for a complimentary pass now and secure your place for the biggest celebration of care in the nation’s capital at www.careshowlondon.co.uk/id.

Speaker Highlights for April 2024

Professor Vic Rayner CEO, National Care Forum

Professor Oonagh Smyth CEO, Skills for Care

George Appleton Head of Policy, Care England

Nadra Ahmed Chairman, National Care Association

Angela Boxall CEO, Majesticare

Scan

SESSION HIGHLIGHTS

Wednesday 24th April

11:45-12:15 ‘An update from the CQC’ – Care Keynote Theatre

12:15-13:00 ‘What now? Navigating the challenges around international recruitment’ – People, Workforce & Wellbeing Theatre

15:15-16:00 ‘Green horizons: embracing sustainability through an ESG lens’ – Business Theatre

16:00-16:45 ‘The new SingleAssessment Framework: making it work for you and your organisation’ – Care Keynote Theatre

Thursday 25th April

10:05-10:35 ‘Professionalising the workforce: how far foes a register take us?’ – Care Keynote Theatre

11:45-12:30 ‘Meeting the call for new CQC evidence: a tech shopping list’ – Technology Theatre

14:00-14:45 ‘Retaining top talent: understanding the employees’ experience’ – Business Theatre

15:00-15:30 ‘Communication and supporting people with learning disabilities: are we a voice or a microphone?’ - People, Workforce & Wellbeing Theatre

You can view the full conference programme and book tickets at: careshowlondon.co.uk/id

PLAYING TO WIN

Heralded as the first of its kind, a recently opened inclusive and accessible playground in Barnet, North London, is setting the standard for inclusivity across the UK by enabling people of all ages and abilities to play together.

There are one million disabled children in the UK. But research from Scope has shown that half (49%) of parents with disabled children say there are accessibility issues at their local playground, and more than one in ten families living with disability (13%) were unable to enjoy the playground because their children were not able to play together.

Fair Play is a pioneering initiative advocating for inclusive public spaces, beginning with the development of its flagship fully inclusive playground in Barnet. Founded by Deborah Gundle and Nathalie Esfandi in partnership with Barnet Council, the campaign aims to break down barriers, create a more inclusive society, and redefine the standard for public space design.

Above: The flat carousel proves very popular. Image © Chanelle Joseph

The Fair Play playground in Barnet directly addresses the challenges faced by the disability community and empowers disabled and non-disabled people of all ages to play together without exclusion or bias. Local residents with disabilities, parents, carers and accessibility experts have been involved in shaping the project from the outset, putting the disability community at the heart of its design.

Fair Play worked with manufacturer Kompan to include accessible equipment which spins, rocks, and swings, along with sensory panels for touch, movement and sound - all selected with the disability community in mind.

Kompan design, make and install a wide range of accessible play equipment that encourages children to play together to learn, socialise and explore, with the ethos of ‘Everyone can’t do everything, but everyone can do something.’ Their universal playground design principles help anyone who is planning an inclusive playground project to create equity in access and use.

“We worked closely with Barnet Council and are delighted with the outcome,” said Sandra O’Sullivan, Kompan’s Area Sales Manager, who was heavily involved with the project. “It’s a fantastic resource for the community and I hope it will be very well used and enjoyed.”

“WE HOPE FAIR PLAY WILL ACT AS THE BLUEPRINT FOR NEW PLAYGROUNDS UP AND DOWN THE COUNTRY”

DEBORAH GUNDLE

Above: The playground from a bird’s eye view. Image © Sammy Thomson Left: The swing looks like great fun! Image © Chanelle Joseph

Solid safety surfacing across the whole play area ensures it is wheelchair accessible, and the picnic area allows wheelchair users and non-wheelchair users to sit together. There are also communication boards for non-verbal people to use, along with a textured path surface to support visually impaired users to navigate, and only one entrance and exit to ensure users won’t leave without their parent’s or carer’s knowledge.

This flagship initiative may be the first of its kind, but it should not be the last. Fair Play has created a new standard for inclusivity and is calling for local councils to replicate the model and transform the future of play.

The founders of Fair Play, Deborah Gundle and Nathalie Esfandi, with the assistance of Angela Harding OBE, rose to the challenge to bring their vision of a truly inclusive playground to life. The pair raised funds independently and mobilised various partners including Barnet Council, Scope, PiPA Play, and Kompan to construct the playground and lay the groundwork for the future of play.

“EVERY CHILD HAS

AN

EQUAL RIGHT TO PLAY...”

Deborah, a social entrepreneur and learning disabilities activist, wanted to create a playground that would remove the current barriers of having fun, social inclusion and fitness accessibility. Having a son with a disability, she knows first-hand how vital promoting inclusivity is.

“As a mother with a disabled son, I know how difficult it is for families like ours to be able to play together,” said Deborah. “A lot of hard work has gone into this project, and seeing the equipment being used by disabled and non-disabled children sideby-side is incredibly rewarding. I’d love for every playground to allow people of all ages and abilities to play in this way, and we hope Fair Play will act as the blueprint for new playgrounds up and down the country.

“Inclusive play will reduce stigma through positive experiences in a society where social integration and physical fitness are important to all of us.”

As a mother of three, Nathalie has always valued the importance of play for physical, social, cognitive, and emotional development, and believes playgrounds are a space where there should be no exclusion.

“Playgrounds should be wholly accessible and inclusive, allowing those with learning and physical disabilities to play alongside their siblings and friends,” she told us. “Local governments across the country should take note of this, providing community spaces that serve all ages and abilities.”

The playground has been given a gold rating by PiPA PLAY, the UK’s only accreditation scheme for evaluating accessible and inclusive play area design. The PiPA scheme is a social enterprise with the sole aim of helping to improve inclusive play facilities for children and families across the country.

“As a mum to a child with a profound disability, I have first-hand experience of what it feels like to see your child excluded from parts of society,” said Becky Maddern, PiPA PLAY Director. “Play is fundamental to a child's development and no child or family should be denied the opportunity to access and have fun at their local play park.

“My goal as a parent, and as the Director of PiPA PLAY, is to educate relevant stakeholders on what it means to design an accessible and inclusive playground. The equipment can be created, and change can happen, however the guidelines need to be much more specific.

JAMES TAYLOR

“INCLUSIVE PLAY WILL REDUCE STIGMA THROUGH POSITIVE EXPERIENCES”

DEBORAH GUNDLE

Above: Two children using the communications board. Image

© Chanelle Joseph Below: Wheelchair and non-wheelchair users can play on the accessible seesaw. Image © Sammy Thomson

“The Fair Play playground in Barnet has shown what is possible when accessibility and inclusivity is at the heart of play park design.”

Fair Play Barnet has also been supported by Scope as part of its ‘Let’s Play Fair’ campaign that has called for more inclusive and accessible playgrounds across the UK.

Scope is a charity that works towards equality for disabled people. It provides practical and emotional information and support when it’s needed most, and campaigns relentlessly to create a fairer society.

James Taylor, Scope’s Director of Strategy and Social Change at disability equality charity, Scope, said, “Fair Play is a brilliant project, and this playground will be an excellent community resource. Every child has an equal right to play. Play feeds imagination and forms friendships. Our playgrounds are places where memories are made and where children can be themselves.

“Yet many disabled children can’t enjoy their local playground because the equipment isn’t designed for them. It leaves disabled children shut out and missing childhood experiences. For some disabled children, inaccessible equipment has even put their safety at risk.

“We hope this will lead to many more inclusive playgrounds for disabled children to enjoy and play with their friends. We hope that other councils use this project as an example to help transform their own playgrounds.”

The half a million pound playground has been paid for through independent funding and donations, including £100,000 coming from Barnet Council.

ID

EQUALITY IN PLAY

Helping to build healthier and happier playgrounds

Children with disabilities have less than 50% chance of accessing playgrounds. Play between children with disabilities and typically developing children support the areas of self-efficiency, tolerance, and empathy in both user groups.

ACORNPARK SENSCHOOL

VIEWOURVIDEO CASESTUDY

ST NICHOLAS SENSCHOOL

VIEWOURVIDEO CASESTUDY

“ The children’s behaviour has improved. They are a lot more entertained and their play has been a lot more imaginative. There is now a lot less negative behaviour. It has been a success. It has been pain free working with KOMPAN.” Katie Goodwin, Head Teacher, St Nicholas School

COMING UP ROSES!

For most people the only restriction to enjoying a garden is the great British weather, but for many others consideration must also be given to accessibility and navigation

We speak to Faith Leach, Head of Estimates, Clarks Construction Ltd., Andy Sturgeon, Principal, Andy Sturgeon Design, Charlotte Harris, Co-founder/ Director, Harris Bugg Studio, and Mark Lane, Managing Director/Principal Designer, Mark Lane Designs Ltd., who discuss their favourite projects and offer some inspiration for accessible garden design.

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

Faith: We recently worked on a high-end residential extension and reconfiguration project in collaboration with Cowan Architects. The ground floor London apartment was made fully accessible for our client, including adaptations to their beautiful landscaped garden, ensuring the homeowner had full independent wheelchair access to all areas, as well as a route to the therapy room at the rear, that was constructed as part of the scheme. We modified all external thresholds with gently ramped access, as well as levelling

Abovet: Mark Lane, working with Thrive, redesigned the gardens surrounding Sense’s flagship building, Touchbase Pears

steps and external pathways.

Of course, like many London properties in an exclusive location, the process wasn't exactly straightforward as every piece of material had to be manoeuvred through the existing property, all through a single doorway. Nevertheless, our team tackled each obstacle and achieved a beautiful finish for our client!

Charlotte: Last year we created a garden for Horatio’s Garden at RHS Chelsea Flower Show - for the first time on Main Avenue, an adaptive garden that put the priorities of all those with different mobility needs at its heart.

Embracing the mission of Horatio’s Garden charity to nurture and support all those learning to live life after a traumatic spinal injury, the garden gave visitors to the show a sense of the hope and transformative effect having access to a Horatio’s Garden can have when coming to terms with a devastating spinal injury.

The founder of the charity, Olivia Chapple, asked us to shine a light on adaptive gardens and demonstrate that accessible spaces do not have to compromise on aesthetics and experience simply because of the specific functional and practical requirements they have. The charity wanted to open a dialogue at the iconic RHS Chelsea Flower Show to show how wheelchair accessible gardens are relevant for everyone.

Starting its life at Chelsea Flower Show, its longer and far more important legacy will be as the start of the transformation of a car park at the Northern General Hospital in Sheffield, where it will be eight times the size of the show garden and the eighth Horatio’s Garden in the UK.

As a studio, we spent many months meeting and listening to the whole Horatio’s Garden community of patients, NHS staff, and garden teams to

“ALL GARDENS ARE SENSORY BUT WE THOUGHT A LOT ABOUT WHAT THIS REALLY MEANT TO THE GARDEN USERS INCLUDING PATIENTS INSIDE ONLY ABLE TO LOOK OUT THROUGH WINDOWS” ANDY STURGEON, ANDY STURGEON DESIGN

make sure our design was completely responsive to their multi-faceted needs and incorporated the key elements that patients find so critical.

Every single element of the garden was informed by the experiences of patients with spinal injuries. Planting, views and interactions were carefully located and layered to accommodate different ways of seeing – whether up from a hospital bed or on wheelchair level.

We prototyped completely smooth, flat, permeable, cement-free terrazzo paths, designed to be patient-friendly, environmentally-friendly and aesthetically beautiful.

A garden room provided welcome relief and privacy from the busy ward, and was made of natural materials in complete contrast to the sterile and formica wards.

And, within the garden room, 1200 clay thumbprints, carefully exhibited on the walls, showed the real life community of patients and NHS staff with whom we had consulted.

The garden design was heavily influenced by the stories, history, and craftsmanship of the Sheffield region, connecting it to its legacy home in Sheffield, where, at the UK’s second largest NHS spinal injury unit, it will serve thousands of patients, their families and the NHS staff that care for them each year.

A beautiful bespoke water feature, designed for bed and wheelchair height and responding specifically to patient requests to attract wildlife to the garden, featured reflective bronze cutlery dies. Elsewhere in the garden, hand-crafted stone ‘cairns’, representing way finding when the path is unclear, gave structure, rhythm and presence. All of these elements - and many more - including a greenhouse, social building and 30+ more trees will be part of the garden when it opens in 2025 in Sheffield.

Mark: Recently, I had the great pleasure of redesigning the gardens surrounding the charity Sense’s flagship building, Touchbase Pears, in Selly Oak, Birmingham. The garden had become overgrown, and the brief was to design a space where clients and visitors could actively garden, sit back and relax and be surrounded by nature, and an area for events and create a sensory garden.

The design was shown to HRH Princess Anne, Patron of Sense. Funding was going to be piecemeal, including self-fundraising events, so we designed the garden in sections, focusing initially on a woodland walk full of texture, an outdoor room for gardening activities (working alongside the charity Thrive, who use social and therapeutic horticulture to change lives positively) with scent, colour and texture to excite and calm the senses, as well as an

Above: Andy and his team busy placing thousands of plants at the new Horatio’s Garden in Belfast

area for tables and chairs. Hence, clients, visitors and staff have somewhere to sit in the summer.

Andy: It was a garden for a spinal unit in Belfast created by Horatio’s Garden, a charity that has been delivering gardens at spinal units across the United Kingdom.

What was your favourite project of those you’ve worked on?

Charlotte: From the very start the mission of Horatio’s Garden really spoke to us - the power of nature and gardens to transform lives, especially those coming to terms with traumatic and life-changing injuries.

Working with the charity on the garden for Chelsea Flower Show and now on the larger, permanent garden at the Northern General Hospital in Sheffield is a once in a lifetime opportunity and one that all of us in our small studio team has embraced, in the spirit of making something exceptional.

Faith: The London apartment’s garden has been my favourite project; I think outdoor space is so important for overall wellbeing and with the modifications, the homeowners will be able to make full use of the space, from planting in the raised beds to social activities with family and friends.

Andy: Horatio’s Garden in Northern Ireland.

Mark: My favourite garden is a small one in Kent for a client with motor neurone disease. The cottage sits near a river, but the clients wanted a garden you wouldn’t expect to find behind a small cottage. They also love the ruggedness of Dungeness, so my brief was to create a safe and secure garden, with a cottage-Dungeness style! Not exactly a straightforward brief to follow.

“WHEELCHAIR ACCESSIBLE GARDENS ARE RELEVANT FOR EVERYONE…” CHARLOTTE HARRIS, HARRIS BUGG STUDIO

Right: Horatio's Garden [Chelsea Flower Show 2023] designed by Charlotte Harris and Hugo Bugg. Image © Marianne Majerus

Below: Charlotte Harris’ water feature for Horatio’s Garden is visible from many angles. Image © Marianne Majerus

The client has difficulties with proprioception or not being aware of where his limbs and body are in relation to the surrounding environment. The existing garden had got very overgrown, so we ripped everything out, relocated the garden shed, introduced wide concrete paths with exposed aggregate for extra grip, large turning circles and feature walls, as well as a secluded seating area to the rear, with space for a wheelchair to slide in between other sitters.

The planting is relaxed and informal, and the larger white wall is used to air outdoor films during the summer. In the centre of the garden is an ornamental cherry tree, which the client can see from his bed from the relocated bedroom to the rear of the house. Planting, in general, is low-maintenance to enable his wife/carer to spend more time together.

image © Christa Holka

Has there been an element you have incorporated into a garden that has particularly surprised/delighted your client?

Mark: We designed the gardens surrounding a large barn/farm complex for clients who rent out the buildings for people looking for a gorgeous and stylish place to stay, in the Kent countryside.

As this was an old farm, the large concrete areas, perfect for walking on or for parking, were harsh to the eye. We hunted around the larger farm and found old farm equipment, which we repurposed, for example, an old cart with planted up feeders on top introduced greenery and colour, while old pallets were turned into a table with a glass top, other larger feeders were used as planters, while reclaimed wood help build pergolas and seating areas.

“RESIN BONDED PATHWAYS LEND THEMSELVES VERY WELL TO WHEELCHAIR ACCESS…”

FAITH LEACH, CLARKS CONSTRUCTION LTD

Everything is on flat, even ground. There are a couple of small steps into some of the outbuildings, but the client invested in lightweight ramps to assist visitors. It was these repurposed items that really surprised and delighted the client. We also took up some areas of the concrete and introduced setts with good grip and small joint lines, used primarily in areas where alternative directions could be found. These setts enabled blind and visually-impaired people to locate their position, but the feel and texture of the setts.

Faith: I think being able to reach every part of the garden has been particularly important to our client, to allow them to be fully included and involved with gardening and social activities.

Andy: The complex planting plan we designed delivers constant surprises!

Charlotte: When the garden was unveiled at Chelsea Flower Show many of the charity’s beneficiaries, advocates and user ambassadors were invited to visit and experience the garden first hand. It was wonderful to hear their feedback about the many elements we featured in the show garden. For us, seeing people in the garden, enjoying it, smiling and sharing their stories was such a moving moment.

Many people commented on the immersive nature of the garden as well as the way all aspects of the design had been considered from various vantage points, reflecting how patients in beds or wheelchairs would be able to see and interact with the garden.

For instance, the height of the water feature allows those in wheelchairs to see all the details of the Sheffield cutlery casts positioned on top and to run their hands in the water. The trees are planted

Below:This garden in Dungeness is one of Mark Lane’s favourite projects

Left: Andy Sturgeon designed Horatio’s Garden in Musgrave Park Hospital, Belfast.

“BEING OUTDOORS HELPS REDUCE LEVELS OF OBESITY, INCREASE PHYSICAL ACTIVITY, AND IMPROVE MENTAL HEALTH…”

MARK LANE, MARK LANE DESIGNS LTD

into the pathways so those in wheelchairs and beds can get up close to them and touch their tactile bark, yet still easily move around them.

Planters with hidden wheels are easy to move and shift depending on where a patient prefers to be. In the richly planted beds, leaf shapes, textures and colours have been thought about when choosing the plants, including the delicate shape of the leaves found on the Acers and Birches to create an interesting all-season tree canopy - for those in beds and only able to look up.

The trees also provide important cooling and shading - responding to patients whose temperature regulation and UV sensitivity is often affected by a spinal injury.

What advice do you have regarding surface materials for pathways, planting schemes, seating options?

Andy: We used a resin bound gravel with falls of only 1:100 which is almost flat. This came from lessons learnt regarding patients in beds being able to use the garden. This was also beneficial to wheelchair users.

All gardens are sensory but we thought a lot about what this really meant to the garden users including patients inside only able to look out through windows. We harnessed the faintest breeze allowing grasses to become animated, everything near paths and seats is tactile, whether plants, water, furniture, or walls.

Plants and the wildlife they bring is close to paths, seats, and windows, so the interaction is as easy as possible. Even climbing plants and trees above people’s heads played an important role.

Indoor pods are vital to assist body temperature regulation and also for privacy away from the wards.

The garden also has some challenges for rehabilitation including a Boccia court and a sloping path.

Charlotte: For Chelsea, we created a completely new, patient-friendly, environmentally-responsible and aesthetically beautiful surface material for the pathways. Using revolutionary green materials, our eco-terrazzo was made from cement-free, ultra-low carbon concrete and unusable crushed waste which would otherwise be sent to landfill.

It contained no high-carbon steel and having prototyped and tested for months, the surface was completely permeable, so water could drain off safely. We reduced the carbon footprint by 77% when compared to Portland cement - the equivalent of 14 return flights from London to Barcelona.

The surface was designed to be completely smooth and joint-free when laid to ensure pain-free movement for those

FACTS & FIGURES

Cutting through a dense thicket of standards and guidance for accessibility in gardens, Mark Lane explains it in brief

To propel a manual wheelchair, for example, the ISO standard for wheelchairs (ISO 7193) notes that a clearance of not less than 50mm, preferably 100mm, on both sides is required.

Entry points need to have an accessible clear opening width of at least 1000mm, gates should not exceed 30N, and gates should have clear visibility between 500mm and 1500mm above ground level.

Handles, latches or other ironmongery should be located between 750 and 1000mm above ground level. They should either be with a lever action or designed so that a single, closed fist can operate them, and not be cold to the touch. Gates and ironmongery need to contrast tonally with the surroundings.

Turning spaces are key for wheelchair and scooter users. To provide a full range of scooters and wheelchairs turning through 180 degrees, a length of 2800mm and a width of 2200mm are required.

Pathways provide access for all users through and between features in the accessible garden. They need to be of a sufficient width with an appropriate surface, and where terrain mitigates against universal access, alternative routes need to be created.

Actual and potential hazards need to be eliminated. To turn 90 degrees, a manual wheelchair user requires a minimum space of 1200mm x 1200mm, and to turn through 180 or 360 degrees, a space of 2000mm x 2000mm is required.

Meandering routes

Also, make a distinction between direct routes and meandering routes, possibly with different materials or colour contrasts. For two wheelchairs to pass, a path should be 1800mm-2000mm wide. If this is not possible, a width of 1500mm will work, with passing bays at every 50 metres on level ground.

Drainage should ideally be positioned beyond the boundaries of the access route or set flush with the surrounding surface. Slot drains should be no wider than 13mm and set at right angles to the dominant line of travel.

Tapping edges to pathways helps visually impaired and blind persons. They also help stop the wheels of scooters and wheelchairs from ending up in a flower bed.

All surfaces need to be firm, stable, non-slip in dry and wet conditions and obstacle-free. Paving should have a minimum ‘R’ value of R12 or R13, which is suitable for patios and pathways, or a rating of 51-70 PTV (Pendulum Test Value) and 70+ PTV, respectively, under BS EN 130364:2011 Pendulum Test. R13 (61+ PTV) is best on slopes.

The difference in level between adjacent paving should be no more than 5mm. Paving joints should be flush, or no wider than 10mm or deeper than 5mm. Great materials for accessible hard-standing are, self-binding gravel, resin-bound or resin-bonded aggregate, concrete,

tarmac, porcelain tiles or wet-pour surfacing with a base of SBR and a top layer of EPDM granules.

Level pathways

For changes in level, ramps are an obvious choice, and for some ambulant people, a few easy-going steps will be more accessible than a ramp. Level pathways or ramps are ideal for wheelchair and scooter users. Provide both, where possible. Part M suggests ramps for slopes with a minimum of 1:12, but this is often too steep for many users and can be hazardous if a wheelchair user has a weighty backpack, which can cause the chair to topple backwards. Ramps for slopes exceeding 1:20 need flat landings and are provided for every 750mm of vertical climb.

Steps (in accordance with Document K and M of the Building Regulations, BS8300:2009+A1:2010, BS9266:20113 and Building Research Information Paper IP15/03) should have a level landing at top and bottom of each flight, be unobstructed and the rise of flight between landings should contain no more than 12 risers for a going of less than 350mm and no more than 18 risers for a going of 350mm or greater. All nosings should be made apparent with a permanent contrasting material 55mm wide on both the tread and the riser.

The riser and going of each step should be consistent throughout a flight, and the rise should be between 150mm and 170mm, with the going of each step between 280mm and 425mm. Risers should never be open.

Find out more at www.marklanedesigns.com

using wheelchairs for the first time, assisting ease of movement and removing the impact of painful jolts from paving joints.

Hidden joint lifters were designed in so it could be lifted and relocated to be used in Sheffield after the show.

In developing the eco-terrazzo pathways, we wanted to demonstrate that adaptive gardens are opportunities to design better, rather than a creativity limitation. This was a driving force behind all of the elements in the garden - to design a space that was imperceptibly accessiblebeautiful and functional, rather than being a compromise or ‘second class’ space.

Mark: When it comes to planting aim for a good mix of texture, shape and form with a mix of colours. Ideally, plant in a naturalistic style that will attract wildlife into the garden. Avoid trees that will overhang pathways, or be ready to prune back when they do. A small amount of planting tumbling over the edges of pathways is fine, but ensure you keep the paths clear so that wheels, sticks, frames and feet don’t get tangled up.

Faith: Resin bonded pathways lend themselves very well to wheelchair access, unlike some other finishes there is little chance of wobbling stones, raised cobbles over time, or getting stuck in loose gravel!

Raised beds are a great addition with many designs available to either eliminate the need for users to bend over or reach down to the floor, or to allow space for a chair underneath, it especially helps with keeping the weeds and pests at bay.

It sounds obvious, but what do you think a garden brings to the lives of those who visit it?

Faith: I think a garden really brings an escape from day-to-day stresses and a bit of tranquility and peace, a place to take a deep breath and enjoy nature and its visitors, which many take for granted, it was

“A GARDEN REALLY BRINGS AN ESCAPE FROM DAY-TO-DAY STRESSES…” FAITH LEACH, CLARKS CONSTRUCTION LTD

WANT TO CONTACT ANY OF THE PEOPLE IN THIS ARTICLE?

k Faith Leach www.clarksltd.com

k Andy Sturgeon www.andysturgeon.com

k Charlotte Harris www.harrisbugg.com

k Mark Lane www.marklanedesigns.com

an absolute pleasure to be involved with making this an everyday reality for the client.

Andy: The garden changes every day; seasonality is vital. It can add a place of privacy, which is important for patients and visitors and is not always possible in the ward.

Charlotte: Connecting people with nature is at the heart of everything we do at Harris Bugg Studio and this garden reflects the stories and needs of all the patients we met and listened to when planning our design. By bringing this garden to Chelsea Flower Show, a place to inspire new conversations, we wanted to show that making an adaptive, accessible garden should not be a limitation to creativity and beauty and is good for everyone in our society.

We were delighted to receive the Best in Show award for this garden and to hear how the judges recognised how our design had been driven by the end user, that the brief and the garden had been delivered at an exceptional level and how it would provide a ‘wonderful sanctuary’ for anyone with a life altering spinal injury.

Mark: Being surrounded by greenery, from houseplants to a garden or patio filled with flowers and edibles, has according to the King’s Fund been ‘linked to longterm reductions in overall reported health problems (including heart disease, cancer and musculoskeletal conditions)’.

Gardening, green spaces and being outdoors also help reduce levels of obesity, increase physical activity and improve mental health.

Dementia studies have shown that exposure to gardens and nature helps reduce agitation, aggression and other symptoms and improves concentration, social connectivity, connection with past memories and access to the natural world and natural light; sunlight produces vitamin D which helps support bone health, lowers blood pressure, prevents disease and promotes good mental health.

Green spaces and gardening can help decrease noise and air pollution, improve immune function by providing exposure to beneficial microbiota and can help with psychological restoration, i.e. providing respite for over-stimulated minds.

The impact of green space throughout childhood is significant. Exposure to green spaces is comparable to family history and parental age when predicting mental health outcomes.

Looking at and caring for greenery and living plants helps protect against mood disorders, depression, neurotic behaviour and stress-related issues. Plants can improve your mood, reduce fatigue, lower stress and anxiety. It’s essential to take time out, sit back with a cuppa or your favourite tipple and enjoy the greenery!

Above: Faith Leach made the garden of a ground floor London apartment fully accessible for her client

FIFTEEN LOVE!

Having recently celebrated the company’s 15th anniversary, Absolute Mobility Director Darren O’Connell talks to us about his journey from training as a car mechanic to leading a highly successful supplier of accessible bathroom solutions.

Absolute Mobility, based in Henley on Thames, Oxfordshire, is a professional and friendly team specialising in accessible bathrooms for all.

“We offer supply and fitting of mobility bathroom solutions, backed by Which? and Trading Standards, as well as peace of mind,” Darren told us. “Empathy is at the core of our ethos. In our line of work, we interact with people who face unique

"WE BELIEVE EVERYONE DESERVES CHOICES, NOT JUST TO HAVE WHAT THEY NEED, BUT ALSO WHAT THEY WANT”

DARREN O'CONNELL

challenges on a daily basis. Whether it’s someone with a physical disability, limited mobility, or a senior in need of assistance, our goal is to provide them with an accessible and functional bathroom solution.”

Empathy is at the heart of everything they do. “For us, it’s not just a buzzword, but a vital pillar of our ethos,” said Darren.

“When we receive an enquiry, we don’t see it as an opportunity to sell a bathroom, but instead an opportunity to make a difference to someone’s life and give them back their independence in their own home. We understand that our customers are potentially going through a difficult time and are looking for someone who will solve their problem.”

Darren’s career journey has taken unexpected but rewarding turns from his initial plans; as a student he aspired to become a mechanic. This led him to complete a three-year college course, earning both NVQ and City & Guilds Level 3 qualifications. However, his path took a new direction as he ventured into the retail world, joining Vodafone for several years.

“My career took another interesting turn when a family friend introduced me to the accessible bathroom sector,” he said. “This opportunity opened a new chapter in my life, one that I embraced for five years. Sadly, despite enjoying my time there, the company eventually closed because the owner moved to New Zealand.”

But this led to the birth of Absolute Mobility, a venture Darren initiated from the ground up. “Every day brings the joy of meeting new people and the satisfaction of enhancing their lives by creating safer bathrooms,” he said. “My career has been different from what I envisioned in my school days, but it has been incredibly gratifying and full of learning experiences.”

Darren’s career began at the age of 15, working in a pub where he was responsible for restocking fridges and assisting in the kitchen. This early start was followed by a variety of roles, including gardening and bar work. When he secured full-

time employment, he continued to work weekends to supplement his income.

“From a young age, I’ve had the opportunity to interact with diverse groups of people and adapt to various working environments,” he explained. “These experiences taught the importance of maintaining a solid work ethic. I pride myself on always being punctual, polite and well-presented, and I commit to performing every task to the best of my ability, values I have carried with me my whole working life.

“Empathy is the foundation of everything we do at Absolute Mobility, and it can be emotionally difficult witnessing the struggles of people living with deeply challenging circumstances, who are coping with chronic and life-altering conditions.

"I AM LUCKY TO WORK ALONGSIDE MY WONDERFUL WIFE, RACHEL, THE CODIRECTOR OF ABSOLUTE MOBILITY, WHO MASTERFULLY OVERSEES THE COMPANY’S BOOKKEEPING AND FINANCIAL OPERATIONS”

DARREN O'CONNELL

“But this is the precise reminder of why we do what we do: to help those in need get what they deserve, giving them choices, independence and comfort within their own homes. We believe everyone deserves choices, not just to have what they need, but also what they want.

“Additionally, there are days when the business demands require me to stay behind the desk, focusing on administrative tasks. While necessary, my preference always leans towards engaging directly with people face-toface – I’m a people-person!”

This year is the first time that the Absolute Mobility team are participating in Disability Expo (5th & 6th July at London ExCel), and they will also be at Parallel Windsor, a festival of inclusivity, on 7th July, alongside their cherished partners, Phab, who they will be sponsoring for the event.

Parallel Windsor is open to participants of all ages, health conditions, and abilities, and is set against the stunning backdrop of Windsor Great Park.

Darren has long-term plans for the business.

“We are committed to expanding our business while upholding the high standards of service our customers expect from us,” he explained. “Our goal is to continue to develop and nurture ongoing relationships within our sector, furthering our mission to support as many people as possible to maintain their independence at home. We also aim to assist the care sector by ensuring they are equipped with the proper facilities.

“We are really proud of the partnerships we’ve built over the years with charities, including Berkshire Banshees, Crossroads Care Surrey, Phab, People to Places, Alzheimer Dementia Support, League of Friends of Reading Hospitals and Sport Together Berkshire.”

Recently Darren was thrilled and deeply honoured to have been shortlisted for the ‘Excellence in Customer Service Award’ at the Maidenhead and Windsor Business Awards.

Above: One of the vans ready to hit the road Above (opposite page): Santas are suited for the Alzheimers Dementia Support Santa Fun Run

Right: Rachel O’Connell, Co-Director, Absolute Mobility

“This recognition was a testament to the compassion, dedication, and customerfocused ethos that underpins everything we do,” he said. “Being shortlisted for this award was validation of our efforts as well as a motivator that encouraged us to continue pushing the boundaries of what is possible in customer service.

“We are passionate about setting industry standards and offering services that make a real difference to people’s lives, so the nomination was a sign that we are doing a great job, but we also know that the journey ahead is filled with opportunities for even more growth and improvement.

“My phenomenal team’s consistent efforts in going above and beyond are the backbone of our notable customer service.”

Having achieved so much on a professional level, it is good to see that Darren’s personal life is just as successful! What are his proudest moments?

“On a personal level, marrying my wife Rachel and raising our two children are my proudest achievements,” he stated. “Watching my children develop into their own unique personalities is a continuous source of pride and joy for me.

“Professionally, I take immense pride in having founded a business from the ground up, armed with nothing but a laptop and

Above: With their cherished partners, Phab, who they will be sponsoring at Parallel Windsor in July; Centre: Darren’s beloved 1970s Dodge Charge

a mobile phone in my flat in Maidenhead in the early days. What began as a small venture has blossomed into a team of 20+ outstanding professionals dedicated to assisting thousands of individuals to live safely and with dignity in their own homes.

“This success is not mine alone; it’s the combination of the collaborative efforts of my team and our commitment to working closely with each customer to meet their unique needs.”

"WE UNDERSTAND THAT OUR CUSTOMERS ARE POTENTIALLY GOING THROUGH A DIFFICULT TIME AND ARE LOOKING FOR SOMEONE WHO WILL SOLVE THEIR PROBLEM”

DARREN O'CONNELL

Outside of work Darren is a petrolhead, and beyond the workplace his escape is immersing himself in the world of classic cars. “Specifically, my beloved 1970s Dodge Charger,” he said. “I love the nostalgia it brings because my passion for cars was passed down by my late father, who was once the proud owner of a 1970 Dodge Charger.

“My father sadly passed away just over a decade ago, and I began to feel nostalgic about what was once his most prized possession. So, after what can only be described as a nationwide treasure hunt to track the car down, and through the power of the internet, I eventually found the current owner, who agreed to sell it back to me!

So now, my father’s 1970 Dodge Charger is back with its family, and I can’t wait for my own children to enjoy it.”

Behind every successful business is a supporting, loving wife, mother - and bookkeeper!

“I am lucky to work alongside my wonderful wife, Rachel, the Co-Director of Absolute Mobility, who masterfully oversees the company’s bookkeeping and financial operations,” said Darren. “We also have the furry heart of Absolute Mobility; Monty, our beloved office mascot. He is more than just an adorable face; he’s an essential part of our daily operations. Monty brings an infectious joyous energy that instantly boosts our team’s morale and our customers’! Monty may not be able to type or make coffee, but what he lacks in office skills, he more than makes up for in spirit and companionship.”

Is there another career for Darren in an alternative universe?

“I believe that no matter where life takes me, I would still find myself involved in customer support in some capacity,” he said. “The sense of purpose I derive from knowing that my work makes a difference has evolved into a genuine passion and a source of fulfilment. It’s hard to imagine a future where I am not working in this sector, as I consider myself lucky to be part of an industry that aligns so closely with my values and aspirations.”

"THE SENSE OF PURPOSE I DERIVE FROM KNOWING THAT MY WORK MAKES A DIFFERENCE HAS EVOLVED INTO A GENUINE PASSION AND A SOURCE OF FULFILMENT” DARREN O'CONNELL

But if he could take an extended leave…

“I would seize the opportunity to explore the UK and Europe further by hiring a camper van, just as I did last summer,” he said. “I would love to see and experience more of the UK and Europe. I would also love to dedicate more time to supporting the charities we partner with, contributing in a more hands-on way to causes close to my heart.”

But we don’t think Darren would ever wander too far away from Absolute Mobility, the company he has created and grown to its current success - here’s to the next fifteen years!

ID

Find out more at: www.absolutemobility.co.uk

Top: Celebrating at the Maidenhead and Windsor Business Awards; Above: At kbb Birmingham with Yvonne from Leda Bathrooms; Right: Absolute Mobility ducks are hooked and ready to swim at the Alzheimers Dementia Support Santa Fun Run

TAKEN FOR

GRANTED

Talking about the Disabled Facilities Grant (DFG) and its £30,000 cap, Paul Smith, Director of Foundations, tells us it's important to zoom out and see the bigger picture.

This grant is there to help people with disabilities make their homes more suitable for their needs. On average, folks get about £10,000 from this grant, and it's not often - actually, only about 3% of the time - that someone needs the full £30,000. This tells us that for most people, the grant does its job pretty well.

“THIS ISN'T JUST ABOUT BUILDING RAMPS OR WIDENING DOORS; IT'S ABOUT CREATING A HOME WHERE SOMEONE CAN LIVE WELL AND HAPPILY”

PAUL SMITH

But what about those times when someone's needs are bigger, and the cost goes beyond £30,000? Here's something not everyone knows: local councils have the power to offer more money if they see a real need for it. They can decide to do this across the board or just in special cases. This flexibility is a game-changer because it means there's a safety net for those who really need more help.

One of the biggest things we learned from the 2018 review I was part of is that it's not all about the money. It's about people coming together - local councils, social care, health services, and most importantly, the disabled person and their family. Everyone has to work together to find the best solutions. And this isn't just about building ramps or widening

doors; it's about creating a home where someone can live well and happily.

It's really important to involve the disabled person and their family in these decisions. After all, it's their home, and they know best what they need and what would make life easier and more enjoyable. The DFG might pay for a necessary bathroom update, but the family might also dream of a kitchen that's easier to use, even if that's not covered by the grant.

So, we're not just talking about handing out grants; we're talking about teamwork. Local councils, social care, and health teams need to join forces and listen closely to what the disabled person and their family say. Together, they can come up with a plan that really fits the person's life and

wishes. And with councils having the option to go beyond the £30,000 cap when it's really needed, there's more room to make sure everyone gets the help they deserve.

In essence, helping people with disabilities adapt their homes is about more than just the DFG regulations. It's about building a community of support around each person, a community that listens, adapts, and acts to make their home a place where they can thrive. By being flexible with funding and putting people at the heart of every decision, we can do more than make homes accessible - we can make them truly welcoming and comfortable for everyone who lives there.

At the end of the day, it's all about making sure that people with disabilities

“LOCAL COUNCILS, SOCIAL CARE, AND HEALTH TEAMS NEED TO JOIN FORCES AND LISTEN CLOSELY TO WHAT THE DISABLED PERSON AND THEIR FAMILY SAY”

PAUL SMITH

have homes that work for them in every way possible. This means homes that are not only accessible but also places where they can enjoy life to the fullest. By working together and keeping open minds and hearts, we can make this happen, one home at a time.

ID

PAUL SMITH

Paul Smith is the Director of Foundations, the National Body for Disabled Facilities Grants in England and working to improve the delivery of home adaptations across all tenures. Find out more at www.foundations.uk.com

SAFETY IN NUMBERS

According to Royal College of Occupational Therapists, having more occupational therapists in the community will improve health and care services.

More occupational therapists placed in community settings, rather than hospitals, will prevent people from developing health crises, help them get support for existing health needs sooner, and reduce pressure on A&E and GP services.

Community settings include GP practices, schools, social services, housing associations, care homes and places of work. That’s according to the new Workforce Strategy for occupational therapists, launched by the Royal College of Occupational Therapists (RCOT).

“OCCUPATIONAL THERAPY IS THE SOLUTION TO MANY OF THE UK’S HEALTH AND CARE NEEDS”

KARIN ORMAN DIRECTOR OF PRACTICE AND INNOVATION AT RCOT

The NHS is in crisis, with waiting times at their worst ever. NHS data released last week show a rise in the number of people waiting 18 months or more for treatment, and continued high numbers of people waiting for 12 hours or more in A&E.

And by 2035 the UK population is projected to be over 70 million. Mental illness will continue to be one of the largest single causes of disability, and two-thirds of adults aged over 65 are projected to be living with multiple health conditions. People will also need to stay in work for longer and may need more support to do that.

“PREVENTION AND EARLY INTERVENTION HELPS PEOPLE LIVING WITH MULTIPLE HEALTH CONDITIONS OR COMPLEX NEEDS MANAGE THEIR SYMPTOMS”

KARIN ORMAN DIRECTOR OF PRACTICE AND INNOVATION AT RCOT

Occupational therapists support people to prioritise their health and wellbeing to live healthier for longer, with a dual focus on both mental and physical health. Streamlining services within hospitals and widening access to occupational therapy where people live, work, and go to school will help prevent people reaching crisis point and ultimately reduce pressure on health services.

“Occupational therapy is the solution to many of the UK’s health and care needs,” explained Karin Orman, Director of Practice and Innovation at RCOT. “By positioning occupational therapists in the community - where they’re most needed - people will have the support they need to live in their own homes for longer and continue with the occupations that they want and have to do.

“It will mean that occupational therapy services are available to everyone who needs them. Our plans echo the government’s own NHS workforce plans across the UK, and a recent King’s Fund report: Making care closer to home a reality.

“Health and care services need to focus on prevention and early intervention to help people living with multiple health conditions or complex needs manage their symptoms and reduce the need for hospital and specialist services. One of the best ways to do this is by investing in occupational therapists.

“Occupational therapists help prevent people going into hospital, and if they are admitted can help get them home faster. We support people to prioritise their health and wellbeing to live healthier lives for longer. That’s why we want to see more occupational therapists working in communities and more occupational therapists leading, reviewing and codesigning community services so they’re as safe as they can be, and the people using them get the support they need.”

“OCCUPATIONAL THERAPISTS HELP PREVENT PEOPLE GOING INTO HOSPITAL, AND IF THEY ARE ADMITTED CAN HELP GET THEM HOME FASTER”

The new RCOT Workforce Strategy focuses on seven core areas:

• children, young people and families, including schools

• community rehabilitation after a stay in hospital

• primary care, including GP surgeries

• artificial intelligence and technology-enabled care

• housing

• acute and emergency care

• work

The aim of the strategy is that, by 2035, occupational therapy will help people:

• have the choice and opportunity to engage in a diverse range of activities and roles

• have access to the health and care services they need within their community

For more information visit rcot.co.uk/ workforce-strategy. To find out more about what an occupational therapist does, or to find a registered occupational therapist, visit www.rcot.co.uk

• rely less on A&E and be able to stay in their own homes for longer, with the right support

• pursue the occupations they value, manage their health and care needs and contribute to society in the way that they want to

www.inclusive-design.co.uk

COMING OF AGE

New analysis from ARCO (Associated Retirement Community Operators) has found that over half of London boroughs do not have any housing-with-care schemes for older homeowners, despite 7 in 10 older Londoners owning their home. The finding comes from a new manifesto on housing-with-care for older people in the capital.

ARCO is challenging all London Borough councillors and staff who work in housing and planning to visit a modern housing-with-care scheme by the end of this year.

Drawing on new analysis from the Centre for London, ARCO's manifesto reveals that between 2011 and 2021, London saw an 8% increase in residents over 75, yet the provision of specialist housing-with-care remains extremely low.

Modern housing-with-care schemes, known as Integrated Retirement Communities (IRCs), combine 24-hour onsite support, restaurants and gyms, as well as onsite care if it is required. They have been shown to improve wellbeing, reduce loneliness and need for personal care.

Despite these benefits, 19 out of 32 London Boroughs currently offer no such housing solutions for the city's homeowners aged over 75.

“ALL LONDONERS DESERVE TO HAVE A GENUINE CHOICE ABOUT WHERE AND HOW TO LIVE AS THEY AGE”

JOSH COTTELL , HEAD OF RESEARCH FOR CENTRE FOR LONDON

With just 8,835 units available across all tenures, London's provision of IRCs pales in comparison to other capital cities, such as Auckland in New Zealand, where 7% of the older population lives in modern housingwith-care.

“Modern housing-with-care schemes can transform older people’s lives for the better, but Londoners are missing out,” explained James Lloyd, Director of Policy and Communications for ARCO. “Thousands of older Londoners experience unnecessary illhealth, loneliness and loss of independence because of the lack of options in the capital.

“Ahead of the Greater London elections in May, we are calling on all political parties to commit to improving housing options for older people in London.”

ARCO’s manifesto, An IRC in Every Borough, also calls for:

• All Greater London Assembly (GLA)

Members and GLA staff, London Borough Councillors and officials, who have relevant portfolios, to visit an Integrated Retirement Community in or around London by the end of 2024.

• London Boroughs to produce an Older People’s Housing Action Plan to set out how the borough will meet its targets and which partners it will work with to do so. This plan should be joint responsibility of cabinet members responsible for adult social care, housing and public health.

• The GLA to convene an Older People’s Housing Forum for London Boroughs so that cabinet members responsible for adult social care, public health and housing can share ideas, insight and learnings on developments in their boroughs.

“A growing older population in London is a cause for celebration, but at present too many are unable to access the housing they need,” said Josh Cottell, Head of Research for Centre for London. “Many

All

older people face ill-health, with Londoners facing a shorter healthy life expectancy than the average across England. Meanwhile, high housing costs mean that older people who live alone in the capital have a lower income after paying for housing than the English average.

“All Londoners deserve to have a genuine choice about where and how to live as they age. To achieve this, more needs to be done to ensure that we are providing the right homes in the right places.”

“THE PROVISION OF SPECIALIST HOUSINGWITH-CARE REMAINS EXTREMELY LOW”

An IRC in Every Borough

ARCO’s report “An IRC in Every Borough” was launched in February at an Expo event in City Hall for the sector. London’s Deputy Mayor for Housing, Tom Copley, spoke at the manifesto launch alongside residents of IRCs.

The Centre for London is an independent think tank. A voice for all London is, and could be. Its vision is a London that’s successful, equal and sustainable; a global city that works for all Londoners. They have no ties to any political party or any part of local or national government.

Key data highlighted in the manifesto include:

• 19 of the 32 London Boroughs have no housing-with-care at all for older homeowners to move into. The total number of units for all tenures across the capital is just 8,835.

• Of the 192 housing-with-care schemes in London, 23 are for owner-occupiers (12%), eight are for private rent (4%) and 153 are social/affordable rent (80%).

• There are just 23 housingwith-care schemes for owneroccupation in the capital providing 1,684 individual homes.

• In the period 2011-2021, there was an 8% increase in the number of over 75s living in London. While some boroughs are not ageing fast, for others the picture is very different. Haringey saw a 20% per cent increase in the number of over 75s in this period and Brent saw a 19% growth.

• The capital now has almost half a million (467,900) people aged 75+, as well as a further half a million aged 65-74.

ARCO (Associated Retirement Community Operators) is the national body representing the Integrated Retirement Community sector in the UK, setting standards for the sector, and representing the interests of consumers and providers at national level. ARCO has almost 30 members, comprising charity, not-for-profit and private operators. Find out more at www.arcouk.org

• 18% of older Londoners report having a disability that limits them a lot.

• Around one in four Londoners aged 65 are in receipt of disability benefits, such as Attendance Allowance or PIP (220,941 people or 23% of the age group).

• Across London, 7% of those aged 65+ (around 70,000 people) are in receipt of care and support (compared to 5% across England).

THE SOFT OPTION

Flooring options for care homes have to tick many boxes, and with its durability and ease of cleaning hard floors are often the automatic choice. But Kerry Southern-Reason, CEO of The Care Home Interiors Group, tells us that carpet has many benefits

In the specialised world of care home design, the focus on creating environments tailored for residents, particularly those with dementia, has never been more critical. The Care Home Interiors Company, known for its bespoke designs for dementia care facilities, is leading a re-evaluation of a fundamental aspect of these environments: the flooring.

Traditionally, care homes have leaned towards vinyl flooring, prized for its durability and ease of maintenance. However, a deeper understanding of the needs of dementia patients is steering this trend towards the more homely, comforting, and safer alternative of carpet.

At the heart of this shift is the recognition of the homely warmth carpets bring to care home interiors. Unlike the clinical feel that vinyl floors might evoke, carpets contribute to a softer, more welcoming atmosphere. This visual and tactile comfort is not just about aesthetics;

“CARPET HAS AN OFTENOVERLOOKED ADVANTAGE, ITS ABILITY TO TRAP AND DIFFUSE VIRUSES ”

KERRY SOUTHERN-REASON

it's about creating an environment that feels familiar and secure for residents, mirroring the comforting essence of a true home.

Above right: A carpet isn’t affected by glare Below: There’s a trend towards the more homely, comforting alternative of carpet

Noise can be a significant cause of stress for individuals with dementia, exacerbating confusion and anxiety. Care homes, bustling with activity, can inadvertently become a source of distress. Carpeting comes into play as an effective solution, with its natural sound-absorbing qualities. By dampening ambient noise, carpets can transform communal areas like lounges into tranquil havens, where residents can engage in social activities or enjoy television without the added strain of background noise.

Since the pandemic we now live in an era of heightened awareness about infection control, the role of flooring in mitigating the spread of airborne viruses is under scrutiny. Carpet has an oftenoverlooked advantage, its ability to trap and diffuse viruses. Thanks to the antimicrobial properties of modern carpet fibres, these floor coverings can act as a passive defence mechanism, reducing the risk of viral spread - a stark contrast to hard surfaces where viruses can remain airborne longer due to continuous footfall stirring them up.

Carpet specifically made for healthcare environments has the added advantage of benefitting from antimicrobial coatings which provides a permanent barrier

against microbes and inhibits bacterial and fungal growth, which are the major causes of cross-contamination and odour. Another good reason to choose carpet above other alternatives.

Mitigating accidents and keeping people safe is always a top priority but very few care home companies consider flooring as a critical part of this. Many care homes are well versed on not including trip hazards such as rugs in a care home, but not many understand how trips and falls can often be as a result of the Light Reflective Value (LRV) of the materials used.

LRV isn’t about colour; it’s about tone and is measured on a theoretical scale between 0 and 100, with 0 being black and 100 being white with all the tonal variations in between. Good use of LRV can really assist with limiting shuffling and unsteadiness when walking, by clearly defining the floor as a safe surface to walk on.

Imagine how a shiny white tiled floor has a bright sheen and glare when the sunlight hits it. Most people have the ability, and capacity, to understand why it looks like it does, so it doesn’t affect how they walk on it. However, if you have dementia or have loss of perception, a bright glaring floor could be misconstrued as a wet area. There is no doubt someone with dementia would avoid that space or if feeling brave would attempt to cross it, but with significant short-paced shuffles.

A carpet isn’t affected by glare, its colour can help to differentiate tone, its texture can provide cues that help in navigation. For instance, a change in texture can signal a transition from one area to another, such as a corridor to a lounge. You can begin to understand how carpets provide a safer walking surface than hard flooring, reducing the risk of slips and falls for individuals with dementia, who may have impaired mobility or balance.

Aside of the many practical benefits understanding the emotional landscape of those with dementia is crucial in care home design. The choice of carpet doesn’t just offer physical comfort but also a sense of emotional security. The familiarity of carpet underfoot can be particularly grounding for residents, nothing says home like carpet.

The Care Home Interiors Company's advocacy for carpeting in dementia care homes is a call to re-examine long-held beliefs about care home design. It's an invitation to consider how every element, down to the flooring, can contribute to a safer, more comforting environment for some of society's most vulnerable members.

“MITIGATING ACCIDENTS AND KEEPING PEOPLE SAFE IS ALWAYS A TOP PRIORITY BUT VERY FEW CARE HOME COMPANIES CONSIDER FLOORING AS A CRITICAL PART OF THIS ”

KERRY SOUTHERN-REASON

As care homes continue to evolve, the focus remains steadfast on creating spaces that are not only functional but also nurturing. In this context, the humble carpet emerges not just as a flooring choice but as a foundational component of emotionally and physically supportive care home environments.

Above: Carpeting has natural sound-absorbing qualities

THE CARE HOME INTERIORS CO.

The Care Home Interiors Co. (part of The Care Home Group) is a multi-award-winning, family-run business dedicated to changing the lives of those living in care homes. Since 2001 Kerry Southern-Reason has built the company to offer exceptional design, in-house manufacturing, and soft furnishings from their original work rooms applying traditional handcrafted methods.

Over the years, Kerry has become a pioneer in dementia interior design. This expertise has led to her helping her clients secure a Pinders Healthcare Design Award in 2016, 2020, 2022 and 2023 in the dementia design and best interior design categories. Using first-hand experience, coupled with best practice dementia advice, she strives to create comfortable environments for those living with dementia.

Find out more at: carehome-interiors.co.uk ID

PAVING THE WAY

Mind the gap - but only if you can see it! Craig Spalding, Chief Executive, Sight Scotland and Sight Scotland Veterans, explains the problems that a lack of tactile paving at railway stations cause.

Sight Scotland, and Sight Scotland Veterans, have warned that all railway stations in Scotland and across the UK need to have tactile paving installed to prevent the lives of blind and partially sighted people being placed at risk.

For most people living with a visual impairment, public transport is the only means they have to make journeys around the country. Getting from A to B with the least amount of inconvenience is what everyone wants. At the very minimum we all expect to be safe as we navigate the world, but for many blind and partially sighted people this is not the case.

Accessible travel is the basis of inclusivity and equality, and every individual should have the freedom to use transportation systems safely and independently. At a railway station, without tactile paving to indicate where the platform ends, visually impaired people face a serious risk to their safety and could fall onto the train tracks.

Tactile paving is a system of textured ground surface indicators that are primarily designed to assist individuals with visual impairments. These tactile indicators typically consist of raised patterns or distinctive surfaces that can be felt underfoot or with a mobility aid, such as a cane. Tactile paving provides crucial information about someone’s surroundings and are used to indicate any dangers or obstacles someone may be approaching. Consistent and meaningful tactile paving is essential to identify crossings and steps.

Shockingly, not all train stations have tactile paving. In bustling train stations, tactile paving is a lifeline for those who rely on touch to get around safely and is often the only way for blind or partially sighted people tell where the platform edge ends.

Off street train stations typically use a specific type of tactile paving known as the ‘Platform Edge Warning Surface,’ which features offset blisters arranged in an

“ACCESSIBLE TRAVEL IS THE BASIS OF INCLUSIVITY AND EQUALITY, AND EVERY INDIVIDUAL SHOULD HAVE THE FREEDOM TO USE TRANSPORTATION SYSTEMS SAFELY AND INDEPENDENTLY.”

CRAIG SPALDING

offset pattern. This design helps indicate the edge of off-street railway platforms and is crucial in preventing accidental falls or missteps.

DIFFERENT TYPES OF TACTILE PAVING

In Scotland and across the United Kingdom, various types of tactile paving serve as vital components of urban infrastructure, contributing to the safety and accessibility of pedestrians, especially those with visual impairments.

Blister tactile paving is one of the most common types used for pedestrian crossings, primarily due to its simplicity and effectiveness. The flat-topped 'blisters' arranged in a square pattern create a distinct and easily recognisable surface, providing tactile feedback to individuals with visual impairments. The repetitive pattern is intuitive and can be quickly understood, making it a practical choice for indicating the location and type of pedestrian crossings.

Additionally, the blister design offers durability and ease of installation,

contributing to its widespread use. The high visibility and straightforward nature of blister tactile paving make it a reliable and cost-effective solution for enhancing pedestrian safety and accessibility at crossings, which explains its prevalence in public spaces.

Other types of tactile paving include Corduroy Hazard Warning Surfaces which utilise rounded raised bars, strategically placed to warn individuals of specific hazards such as steps.

“THE HIGH VISIBILITY AND STRAIGHTFORWARD NATURE OF BLISTER TACTILE PAVING MAKE IT A RELIABLE AND COSTEFFECTIVE SOLUTION”

CRAIG SPALDING

On-street platforms, such as bus stops or tram stops, use distinctive Lozenge Tactile Paving, featuring large 'lozenge' shaped bumps at the platform edge.

Segregated Shared Cycle Track/Footway Surfaces use ladder/tramline tactile paving with flat-topped bars, while Guidance Path Surfaces with directional flat-topped bars aid pedestrians in navigating open paved areas and avoiding obstacles.

The colour of tactile paving is also crucial and should contrast with the pavement around it making the tactile

Above: Platform Edge Warning Surface features offset blisters arranged in an offset pattern

“TACTILE PAVING IS THE DIFFERENCE BETWEEN SOMEONE BEING CONFIDENT TO TRAVEL INDEPENDENTLY OR NOT AT ALL” CRAIG SPALDING

paving as obvious as possible for people who are partially sighted. However, throughout the UK the colour of tactile paving is often chosen to match with the rest of the pavement, which contradicts its purpose.

When choosing a colour for tactile paving, planners should also consider how the colour and material will look under different lighting and at different moisture levels. Effective tactile paving should contrast with the pavement around it even in poor lighting and wet conditions.

Tactile paving is the difference between someone being confident to travel independently or not at all. To create a more inclusive society we need to take steps to not only remove barriers, but to support people to get out and about by themselves.

Investing in tactile paving is not just a matter of accessibility. It’s also a step towards building a more sustainable transportation infrastructure and sends the message that every individual has the same rights.

Sight Scotland has recently launched its ‘Pave the Way’ campaign asking people to write to the Minister of Transport for Scotland demanding that tactile paving is installed in every railway station in Scotland.

For more information please visit: www.sightscotland.org.uk/pave-way

Above: x

Right: Corduroy Hazard Warning Surfaces utilise rounded raised bars that to warn individuals of specific hazards such as steps

Below: Flat-topped 'blisters' arranged in a square pattern indicate the location and type of pedestrian crossings

EXPANDING OUR AWARENESS

As a wheelchair user and inclusion consultant Mary Doyle of Rocket Girl Coaching has a lifelong curiosity about the built environment and spaces, inclusive design, and the politics of disability, and urges designers to collaborate with disabled professionals and communities.

My background is in technology and I am continuously learning. One of my favourite topics is the theoretical architecture of disability which asks us to look at how architecture connects with the humans, the world, nature, and what architecture produces under its surface. And more importantly, what does architecture produce unintentionally and what are its effects?

This approach encourages us to shift beyond accessibility as a functional and mechanical design challenge, to reimagine spaces, structures and attitudes that honour the uniqueness of the human body and individuals. And how history, politics, and design are entwined in our structures everywhere.

I have learned a lot from architect and author Dave Gissen in recent years. Disability critiques of architecture usually emphasise the need for modification to improve disability access and usability, and in his book The Architecture of Disability he calls for a huge shift in this perspective by situating impairment as a foundation for the built environment. This is a radical approach in how we consider and represent impairment in our world.

Also if we expand our design perspectives to include disability justice, collective access, intersectionality, and interdependence it transforms design into a form of activism to make this world a more inclusive and fair place.

Disability justice challenges us to move beyond the checklist approach to accessibility and embrace collective access - the idea that access is a shared responsibility. Design becomes a powerful tool for activism, actively contributing to the creation of a more inclusive and fair world.

Design can be used as a catalyst for change, a form of activism that goes beyond aesthetics.

When we view the theoretical architecture of disability through the lens of disability justice, design becomes a powerful force in recognising the societal impact of design decisions and challenging oppressive systems. It's about actively contributing to a more inclusive and just world.

Collective access changes the narrative on designing for disability as an individual task. It emphasises that creating accessible spaces is a collective responsibility. Designers are urged to collaborate with disabled professionals and communities, making sure their voices actively shape the design process. In this way, design becomes a co-creation, ensuring that spaces contribute to the collective well-being of the community.

Interdependence challenges the myth of selfsufficiency and places value on mutual reliance. In

design professions, this means fostering collaboration and recognising the expertise of disabled individuals as equal partners. Design becomes a shared endeavour, acknowledging that everyone has unique insights to contribute. This shift fosters a more respectful, inclusive, and reciprocal relationship within the design community.

There are several things we can do to increase our knowledge, deepen our understanding and create better outcomes, retrofits are so last century!

• Learn more about the principles of equity, disability justice, collective access, and interdependence. Mentor younger designers to study these principles to equip the next generation.

• Actively challenge ableist attitudes within design practices. Encourage curiosity and normalise conversations about discrimination, privilege, and power dynamics within the profession.

• Make time for self-reflection and feedback which can lead to more conscious design decisions that prioritise justice and equity.

• Advocate for the inclusion and support of disabled individuals within the design professions. Promote IDEA (Inclusion, Diversity, Equity, Accessibility) initiatives, create mentorship programs and consistently amplify the voices and contributions of disabled designers.

• Recognising the expertise of disabled professionals is a fundamental step toward creating a more equitable industry.

“DESIGN CAN BE USED AS A CATALYST FOR CHANGE, A FORM OF ACTIVISM THAT GOES BEYOND AESTHETICS.” MARY DOYLE

This discussion on disability serves as a call to action for designers, policy makers, communities, and beyond. We can transform design into a powerful force for positive change by fostering built environments and attitudes that create a world where spaces not only accommodate but actively embrace the humanitarian values of inclusion, justice, and the inherent worth of every individual. Be the change!

Mary Doyle is the owner and founder of Rocket Girl Coaching (www.rocketgirlcoaching.com). Her life and work are dedicated to personal and organisational development to improve inclusion and understanding in society through coaching, consultancy and training. Mary leads with a disability justice framework and provides practical help in becoming more confident to think and live inclusively every day. She’s a proud Disabled woman - and geek! Contact her at mary@rocketgirlcoaching.com