Jun 18, 2018

Are smaller aged care residences better?

Those who lives in smaller towns and rural areas are the happiest people in society, research shows. And so it follows that smaller, more intimate, aged care facilities also have happier residents.

“In smaller units the wellbeing is better. It’s been well established,” said Colin McDonnell, Dementia Excellence Practice Lead with not-for-profit aged care provider, Scalabrini.

Units of 12-15 beds, even if they make up a larger overall facility, are the design standard in aged care, said Mr McDonnell.

A study by the Vancouver School of Economics and McGill University founds there is a close association between population density and happiness. The 20 per cent of unhappiest communities in Canada had a population density eight times higher than the happiest 20 per cent of communities.

“Life is significantly less happy in urban areas,” the paper concluded.

And is seems lower populations are also desirable in aged care.

Smaller units, with fewer beds, have a more “villagey” feel that make it easier for residents to think of the facility as their “home”, said Mr McDonnell.

Designated staff in smaller residences also boosts happiness

The other element to the success of smaller residences is having designated staff, said Mr McDonnell. Having lower turnover of staff, and the familiarity that develops with having regular carers, means social bonds are more easily created, reducing residents’ feelings of loneliness and social isolation.

Mr McDonnell said Scalabrini’s Drummoyne facility, which recently won Best Aged Care Facility Award, has 126 beds, but is divided up into units of 6-15 beds. Each unit is a different type of house, he said, and each has its own designated staff.

Dementia: Larger facilities “increase agitation and are confusing”

The latest guidelines for dementia care design by Richard Fleming and Kirsty A Bennett, outlined in their Environmental Design Resource, says that for people with dementia, providing care on a smaller “human” scale is desirable.

The Resource says people living with dementia experience scale through the number of people they encounter and the overall size of the building.

“A person should not be intimidated by the size of the surroundings or confronted with a multitude of interactions and choices,” the Resource says.

“Rather the scale should encourage a sense of wellbeing and enhance the competence of a person,” the Resource says.

“Larger facilities increase agitation and are confusing for residents.”

Leave a Reply

Your email address will not be published. Required fields are marked *

  1. I like that you talked about how the other element to the success of aged care residences is having designated staff. My grandparents are very old and I think they definitely need some help now. Having some professionals to take care of them is the best option, so we should probably have them enter an aged care residence.

    https://villageglen.com.au/agedcare/

Advertisement
Advertisement
Advertisement

Star Café serves up intergenerational and disability-inclusive fun for all

A unique social enterprise cafe fostering intergenerational communication and traineeships for people with disabilities has just turned six months old and has no plans to close. Read More

How coronavirus exposes the way we regard ageing and old people

  By Shir Shimoni, King’s College London The elderly have come to occupy a central place in our news bulletins these days. Headlines were quick to inform the public that the highest mortality rate from COVID-19 is in people aged 70 and over. Experts have repeatedly announced that the pandemic is severe and the virus is... Read More

Dementia and Mercy Killings: Are these Crimes or Acts of Desperation

Earlier in the year, an elderly Perth man was accused of killing his wife in their suburban home. He was in the later stages of cancer and his wife had advanced dementia. Harold Barclay, 85,  was charged with the murder or his wife of 63 years, a woman he was described as “devoted” to. According... Read More
Advertisement