Vital Aging: 5 Ways Architects Can Combat Sterile Stereotypes of Elderly Care Homes

Retirement and nursing homes are multiplex environments that constitute complex design undertakings, but they shouldn’t be sterile living spaces.

Francesca Mercurio Francesca Mercurio

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As the boomer generation grows old and cultural norms for caring for the elderly shift, retirement homes become increasingly important in our society. When we think of elderly care homes, a sterile and despondent image often comes to mind, one that typically lacks vitality, life and community. Retirement and nursing homes are complex spaces that facilitate a variety of tasks and undertakings. They do not only serve as living spaces; they are medical centers, social domains and spiritual places too. And such multiplex environments have proven to be complex design undertakings.

The architectural field plays an intrinsic role in the betterment of retirement communities. Through careful planning, a deep understanding of the elderly’s needs and a commitment to fostering community, elderly care homes can become places that nurture vibrant lifestyles for their aging population.

Encouraging Movement Through Accessible Floor Plans 

Physical mobility decreases with age, and it is imperative that elderly homes both limit and encourage movement. There is a fine line between accessible circulation and inaccessible movement, and architects can help encourage movement through well-devised and safe floor plans. The St John’s Nursing Home in Dublin, Ireland is a space that responds to elderly needs.

This renovation completely reconfigured its amenities in order to best serve its residents. The site’s original chapel was located in an inaccessible and non-central spot. The chapel was then relocated from its former position to a central spot that leads onto an external, enclosed structure. Centralizing this place of worship within the home makes for easier movement and as a result, encourages residents to engage in moments of devotion.

At St John’s Nursing Home, a sheltered promenade was created to join the new building with the existing structure. Covered pathways are ideal for elderly residents as they encourage outdoor movement while protecting residents from extreme weather, such as heavy rainfall, which could cause slippery conditions. 

Moreover, herbs, vegetables and fruits were planted in the outdoor gardens, which create active outdoor spaces where residents can engage their senses through scents, textures and taste. The home’s interior design was carefully placed and boasts contrasting colors in order to remain accessible for residents with cognitive impairments. Thus, creating a space for accessible circulation and healthy movement. 

The Hainburg Nursing Home by Architekt Christian Kronaus & KNOWSPACE architecture + cities, Hofmeisterstraße, Hainburg an der Donau, Austria, 2009

The Hainburg Nursing Home in Austria is another great example of accessible and tactical design. Inside, niches were implemented in front of each resident’s bedroom door, and thus turn the hallways into active spaces for circulation and gathering that are an extension of residents’ rooms. The interior surfaces are demarcated by their materiality: laminate and linoleum and wooden floors. Meanwhile, contrary to the anonymous and bland exteriors that lend a medical air to many nursing homes, this Austrian project is sheathed in a pattern of colored diamond-shaped Eternit-shingles, offering a unique expression of identity for the place that residents call home; which brings me to my next point.

Steering Away from Sterile Environments 

Homes for the elderly encompass much more than a simple place to eat and rest. These spaces are typically equipped with large medical teams made up of doctors and nurses. More often than not, a pragmatic reality takes precedence over design creativity and as a result, sterile spaces are erected. 

However, there are ways to ensure that a caregiver’s work can be performed without a hitch while creating inviting and dynamic spaces. The simplest way to do so is through color. The Home for Dependent Eledery People and Nursing Home in Orbec, France chose unconventional colors for its design. The interior hallways are painted with a bright red and crisp white color, steering away from conventional medical palettes. Even the exterior’s green façade makes for an inviting space and connects the center to the surrounding landscape.

St Brieuc’s Elderly Establishment by Nomade Architectes, Saint-Brieuc, France | Photo by Mathieu Ducros

This bold use of color can be seen in additional homes, including the St Brieuc’s Elderly Establishment in France, which boasts a colorful interior and exterior purposefully done to energize the space. The design respects the area’s residential nature by breaking the program into nine small blocks and borrowing traditional architectural codes, such as double-pitched roof. The array of materials and color further differentiate units of the housing, reinforcing a sense of individuality for the residents in the community.

Encouraging Autonomy Through Separated Public and Private Spaces 

Indeed, balancing autonomy and independence can be a challenge when designing an old folk’s home, especially when most residents require assistance from staff. Separating public and private spaces in order to encourage independence — while not compromising community and efficient care — is key. The Old People’s and Nursing Home in Rolle, Switzerland finds a perfect balance between public and private spaces. Residents’ bedrooms are located on the upper floors while the main level is reserved for communal areas. Additional common spaces are added to upper floors, which encourages private gatherings and therefore, allow residents to socialize on their own terms. 

Hospitality-Based Design

Some designers have approached the architecture of a senior’s home similarly to that of a hospitality space. The Nursing Home in Sceaux was informed by hotel designs and mimics a similar aesthetic through its thematic spaces. This home has three pronounced gardens, all of which boast a unique theme and create exploratory spaces for residents to discover.

Dining, lounging and media rooms are all separated to further encourage movement and exploration — just like one would in a hotel. Moreover, the entire façade is wrapped by wooden logs which create an enclosed passageway and provides an environment completely atypical of a nursing home but still safe for the elderly. 

Hospitality-influenced design is equally see at the St Brieuc’s Eldery Establishment (mentioned earlier in this article) which has an in-house hair salon and delineated family reception area. These sorts of hospitality-focused spaces bridge the gap between the home and the outside world by providing a sense of ‘normal’ living. Residents can engage in mundane tasks such as visiting the hairdresser and hosting family. 

Improved Areas for Staff and Caregivers 

As important as it is to consider the residents’ needs when designing spaces for the elderly, it is equally paramount to take into consideration the very people that make these spaces possible — the staff. Caregivers have arguably one of the most challenging jobs and it is critical they are well-considered when designing nursing homes and retirement residences. Delineating clear environments where staff can perform their work, as well as look after themselves, help create an environment ideal for growing old.

Architizer's 11th Annual A+Awards is open for entries! With an Extended Entry Deadline of Febuary 24th, 2023, the clock is ticking — get started on your submission today.

Francesca Mercurio Author: Francesca Mercurio
Part of the Architizer team, Francesca covers a broad scope of topics related to the built environment. Trained as an art historian at McGill University, Francesca is interested in architectural conservation and the ways designers are using historical spaces to better society today. Francesca is based in Toronto, Canada.
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