UBC Theses and Dissertations

UBC Theses Logo

UBC Theses and Dissertations

Senior citizen housing implementing a continuum of care environment Marek, Danna S. 1989

Your browser doesn't seem to have a PDF viewer, please download the PDF to view this item.

Item Metadata

Download

Media
831-UBC_1989_A7_4 M37.pdf [ 13.44MB ]
Metadata
JSON: 831-1.0097730.json
JSON-LD: 831-1.0097730-ld.json
RDF/XML (Pretty): 831-1.0097730-rdf.xml
RDF/JSON: 831-1.0097730-rdf.json
Turtle: 831-1.0097730-turtle.txt
N-Triples: 831-1.0097730-rdf-ntriples.txt
Original Record: 831-1.0097730-source.json
Full Text
831-1.0097730-fulltext.txt
Citation
831-1.0097730.ris

Full Text

SENIOR IMPLEMENTING  CITIZEN HOUSING  A CONTINUUM OF CARE  ENVIRONMENT  By DANA S. MAREK . M . S c , The T e c h n i c a l U n i v e r s i t y o f Warsaw,  A THESIS SUBMITTED  IN PARTIAL FULFILLMENT OF  THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ADVANCED STUDIES IN  ARCHITECTURE  in THE FACULTY OF GRADUATE STUDIES (School of A r c h i t e c t u r e )  We  accept to  this  t h e s i s as c o n f o r m i n g  the r e q u i r e d  standard  THE UNIVERSITY OF BRITISH COLUMBIA September ©  1989  Dana Susanne Marek, 1989  1967  In  presenting  degree freely  at  this  the  available  copying  of  department publication  thesis  in  partial  fulfilment  of  the  University  of  British  Columbia,  I  agree  for  this or of  reference  thesis by  this  for  his  and  scholarly  or  thesis  study.  her  for  I further  purposes  financial  gain  shall  permission.  Department  of  School  of Architecture  The University of British Columbia Vancouver, Canada  Date  DE-6  (2/88)  October,  1989  that  agree  may  representatives.  requirements  be  It not  that  the  Library  by  understood be  an  advanced  shall  permission for  granted  is  for  allowed  the that  without  make  it  extensive  head  of  copying my  my or  written  ii Abstract In  the  last  worldwide  has  increased  and  constantly. dominate demand  the  the  the  and  for  but  also  and and  expectations  of  older  i n the  of  has  substantially  citizens  i s growing  e l d e r l y people  coming y e a r s .  care  new  of i n d i v i d u a l s  services  An  increased  f o r the  supply  t h a n we  approaches,  one  will  elderly  have  ever  of which i s  care.  local  of  of  greater  for  health  expectancy  health  design  the  population  much  graduation  options  years  proportion growing  only  Provincial  and  Life  h o u s i n g market  experienced,  tive  changed.  housing  not  b a s e d on  five  This  for  calls  twenty  governments are  looking  s o l u t i o n s which c o u l d  a new  wave o f  seniors  at  for  innova-  meet t h e the  end  needs  of  this  century. It what  is are  services The a  the the  underlying  f o r the Thesis  three-phase  Analysis  environment um the  of  West  and  Point  principles  been d e v e l o p e d  with  of  as  identify  i n planning  the  and  define  housing  and  the  the Grey  care  notion  in  real  Synthesis  environment  proposed  c y c l e based  research  into existing  of m u l t i - l e v e l care meaning o f i n terms of  defines i n the  the  full  B.C.  quality  a  continu-  phenomenon scale  Evaluation  of  the  C o n t i n u u m o f C a r e Complex  Vancouver,  on  analysis-synthesis-evaluation.  elderly facility  lifestyle. of  a research  comprehensive  introduces  within  continuum for  t h e s i s to  I t i n v e s t i g a t e s the  his/her  program  has  methodology  elderly.  this  contemporary e l d e r l y .  commences  facilities the  i n t e n t i o n of  of  facility (CCC)  in  investigates  iii  the  feasibility A  basic  facility may  premise  is  a  fulfill  should terms  of  way  a comprehensive housing  t e n u r e and a  specific  thesis  has  been  create in  a  the  outdoor  quality real  of  Continuum  um may  model o f a  active  spaces t h a t  the  on a s e l e c t e d and  f u n c t i o n a l components o f long-term care,  This  blending  model has  Point  site  of  been  community together developed  G r e y Community on Subsequently t h i s  i n terms  c o n s t r a i n t s which  may  of  the  model  identification  affect  successful  implementation.  The  the  activity  environment.  opportunities  program  residential,  interaction.  tested  been  f o u r major  an  has  It  environment.  as a h y p o t h e t i c a l  of  of  of the e l d e r l y .  s e r v i c e s , b u t above a l l s h o u l d  situation  principle  which  b a s e d on t h e p r i n c i p l e o f t h e c o n t i n u u m  complex:  and  an e n v i r o n m e n t ,  o f needs  structured  model i n c l u d e s  services  a m u l t i - l e v e l care  ambiance e q u a l t o a h o m e - l i k e  care.  proposed  array  supportive  system  the  of a c h i e v i n g  site.  a l t e r n a t i v e s f o r the e l d e r l y , both i n  programming This  i m p l e m e n t a t i o n on a t e s t  of the t h e s i s i s t h a t  viable  include  provide The  o f t h e program  thesis of  selected  concludes Care  physiological  test site  hypothetical  model o f t h e  s u c c e s s f u l l y implemented  of the P o i n t  G r e y Community.  on  "Continu-  f o r t h e e l d e r l y d e v e l o p e d i n t h e model  a broad range and  a  Complex c a n be  of Care" environment satisfy  that  o f needs  sociopsychological.  f o r the e l d e r l y : p h y s i c a l ,  iv  TABLE OF CONTENTS  Abstract  i i-i i i  Table  i v -x i i  of Contents  List  of Figures  List  of Tables  xiii  xvi - xvii  Acknowledgements  xviii  Introduction  1-13  1.  The O r i g i n  2.  Problem  o f my T h e s i s  Statement:  1  British  Columbia  Background 3.  Definition  o f Continuum  4.  Intentions  of the Thesis  5.  Research Questions  6.  Objectives  7.  Methodology  8.  Layout of the Thesis  Chapter  o f Care  Concepts 1.1.1  4  4 -  6  6 -  7  12 - 13  o f Care Concept  14 - 42 14  review:  of Multi-Level  elderly  G r e a t e r Vancouver  Canada  3 -  7 - 8  and P r o j e c t s  A r e a and B r i t i s h 1.1.2  3  8-12  1 - The C o n t i n u u m  Literature  1 -  of the Thesis  C h a p t e r Summary 1.1  - xv  housing.  14 - 17  Regional D i s t r i c t Columbia.  17 - 27 27 - 28  V  1.1.3  Europe  1.1.4  The  1.1.5  Conclusion  1.2  Review of  28  United  S t a t e s of America  the E l d e r l y  Findings,  1.3.  The  CCC  1.4  Housing  i n Point  and Summary  G r e y as One  I n n o v a t i v e Approaches  The  H o u s i n g O p t i o n s and  Contemporary  40  -  41  41  -  42  -  63  of the Services  and West P o i n t G r e y A r e a .  C h a p t e r Summary 2.1.  39  42  C h a p t e r 2 - S u p p l y and Demand: A n a l y s i s  i n Vancouver  -  to  of the T h e s i s  Elderly  35  of the  the E l d e r l y Housing Problem.  Rationale  34  Policies  Problem Statement  O p t i o n s and Solving  29 34  of the C u r r e n t  1.2.1  - 29  43 43  Elderly:  Their  Means  and E x p e c t a t i o n s  43  -  48  2.1.1  Current Trends  43  -  45  2.1.2  Features Characteristics Citizens  of  Senior  - the F u t u r e C l i e n t s  Continuum  o f C a r e Complex  2.2  The E l d e r l y  2.2.1  Elderly  o f the  (C.C.C.)  i n Vancouver  Population:  the People  R e l u c t a n c e t o Move V e r s u s of  a New  Place  48  - 55  48  - 53  and  T h e i r Houses 2.2.2  45-48  Attractivness 53 - 54  2. 2. 3  City's  2. 3  The  2. 3. 1  Vancouver  2. 3. 2  The  Existing  Senior  2. 3. 3  The  Existing  L o n g Term C a r e  2. 3. 4  A Need f o r Long  2. 3. 5  A Need f o r S e n i o r  2. 3. 6  P o i n t Grey: D e s t i n a t i o n f o r the  2. 4  The at  Housing P o l i c i e s  elderly  Site  Chapter  Forces  Grey  West S i t e :  Preferences  Housing i n P o i n t  Term C a r e  Grey  Facilities  Elderly  of Care  Living  3. 2  3. 3  Objectives  61  (L.E.O.)  98  82  -  #2  - S a f e t y and S e c u r i t y  70  #3  - V a r i e t y of Environments  71  Residents'  Objectives  73  R.O.  #1  - R e s i d e n t i a l Tenure C h o i c e  74  #2  - Health  C a r e Needs  77  #3  - Social  Needs  80  (R.O.)  Management O b j e c t i v e s  (F.M.O.)  - Autonomy and U s e f u l n e s s Residents -  62  81  65 65  #2  -  -  64  - Q u a l i t y Environment  #1  60  64  #1  F.M.O.  -  59  64  Environment O b j e c t i v e s  Facility  59  58  63  Summary  L.E.O.  -  Complex  Introduction 3. 1  58  - 62  61  Centre  Facility  55  59  Facilities  & Highbury S t r e e t .  CCC  55 55  T r e n d s and  o f t h e Continuum  4 t h Ave  C h a p t e r 3 - The  i n Point  and M a r k e t  Independence  65 73 70 71 73 82 77 79 81 86  of  83  83  vii  #3 - P e r s o n a l i z a t i o n and C o n t r o l  84  #4 - F r i e n d l y P h y s i c a l E n v i r o n m e n t  84 -  85  #5 - C e n t r a l i z a t i o n o f S u p p o r t i v e S e r v i c e s  85 -  86  86 -  92  86 -  88  88 -  89  3.4 Community O b j e c t i v e s CO.  #1 - C a r e  (CO.)  f o r the Local  Elderly.  #2 - A c c e s s t o N e i g h b o u r h o o d #3 - L i f e  #5  -  *6  -  #4  #2  -  Resources  89  Community Network  89 -  91  Life  91 -  92  Enriching  Business  Neighbourhood N.D.O.#l  Sustaining  Resources.  Resources  Integration  Development  Character  Objectives  and L i v a b i l i t y  92 (N.D.O.)  92 -  98  92 -  93  Compatibility  93  Streetscape  93 -  94  #4  -  Views  94 -  95  #5  -  Minimize Noise  #6  -  Privacy  #7  -  Secure  #8  -  Variety  #9  -  Landscaping  #3  Impact  95 95 -  Environment o f Open  Spaces  96  96 96 -  97  97  3.6 C o n c l u s i o n  97 -  98  C h a p t e r 4 - The CCC F a c i l i t y Components  99 - 123  C h a p t e r Summary  99  Introduction  99 - 100  viii  4. 0  Size of the F a c i l i t y  4. 1  Housing  4. 1. 1  BCHMC H o u s i n g  4. 1. 2  Co-Operative Housing  4. 1. 3  Strata-Title  4. 1. 4  S e r v i c e s i n the  4. 2  Housing f o r Persons Requiring  100  - Independent  Living  101  - Non-Profit Rental Housing  Housing  105 106  (Condominiums)  Independent  Living Long  Housing  108  4. 2. 1  Intermediate  4. 2. 2  Extended  4. 2. 3  The  Number o f Long  4. 3  The  Core  4. 3. 1  Core  Care  Care  Core  Term C a r e  Core  Beds  Centre  103 105 106 107 108  112  -  109 111 112 114  114  C e n t r e Component I - L i f e  Enriching  Centre  C e n t r e Component I I - L i f e  115  -  116  117  -  118  118  -  121  119  -  121  Sustaining  Centre  C e n t r e Component I I I - S o c i a l  Interaction 4. 3. 4  111  Facility  Resources - Health 4. 3. 3  109  Facility  Resources - C u l t u r a l Core  107  101  Term  Care  4. 3. 2  103  -  and B u s i n e s s I n t e g r a t i o n .  118  C e n t r e Component I V - S u p p o r t i n g  and M a i n t e n a n c e 4. 4  Outdoor  Spaces  4. 4. 1  Outdoor  Space  4.5  Conclusion  Components.  Components  C h a p t e r 5 - G e n e r a l Program C h a p t e r Summary  118  122 - 123  Requirements  124 - 229 124  ix  5.1  R e s i d e n t i a l Housing Living  - Independent  Cluster  124  5.1.1  Functional  5.1.2  Housing P a t t e r n  5.1.2.1  Shape  5.1.2.2  Cluster Identity  5.1.2.3  Relationship  5.1.3  Dwelling  5.1.3.1  Functional  5.1.3.2  C a t e g o r y o f U s e r s and T h e i r Needs  5.1.4  P r i v a t e O u t d o o r Space - I n d e p e n d e n t Living  Components  124 - 127  and C r i t i c a l  Issues  128 - 132  (Layout) of the C l u s t e r  128 - 129 129 - 132  with  the Core C e n t r e  132  Units  133 - 134  Components  133 134  Housing  134 - 139  5.1.4.1  Introduction  134 - 135  5.1.4.2  E l e m e n t s o f P r i v a t e Space  135 - 137  5.1.4.3  Issues  i n Designing  Private  Outdoor Spaces 5.2  137 - 139  Dependent L i v i n g - I n t e r m e d i a t e Care F a c i l i t y  140 - 151  5.2.1  Functional  140 - 142  5.2.2  Living Units  Components - Pattern  and C r i t i c a l  Issues  143 - 151  Issue  #1 - S e n s e o f r e s i d e n c y  143 - 146  Issue  #2 - F l e x i b i l i t y  146  Issue  #3 - L i n k  with  the Core C e n t r e -  Wayfinding w i t h i n the CCC F a c i l i t y 5.3  Dependent L i v i n g - Extended Care F a c i l i t y  147 - 151 152 - 164  5.3.1  Functional  Components  5.3.2  Living Units  Pattern  and C r i t i c a l  Issues  152 - 156  Issue  #1 - C l u s t e r A p p r o a c h  152 - 153  Issue  #2 - R e s i d e n t i a l C h a r a c t e r  153 - 154  Issue  #3 - Home l i k e  154 - 155  Issue  #4 - P a t i e n t L i v i n g U n i t Privacy  5.3.3  152  Environment  Issue  155 - 156  P r i v a t e Outdoor Spaces i n t h e Dependent Living  - L o n g Term  Care F a c i l i t y  156 - 164  5.4  Core C e n t r e  165 - 166  5.4.1  Main Concourse  167 - 171  5.4.2  Food F a i r  172 - 176  5.4.3  Food S e r v i c e s  5.4.4  R e h a b i l i t a t i o n Centre  182 - 186  5.4.5  Arts  187 - 190  5.4.6  Auditorium  5.4.7  Administration  194 - 197  5.4.8  Clinic  198 - 201  5.4.9  Pharmacy  202 - 205  5.4.10  Library  206 - 208  5.4.11  S t a f f Support F a c i l i t i e s  209 - 211  5.4.12  Laundry S e r v i c e s  212 - 213  5.4.13  Plant  214 - 215  5.4.14  Building Services  216 - 217  5.4.15  Material Services  218 - 220  5.5  Facility  221 - 227  - Dining Facility  and C r a f t s and S p e c i a l Programs  Services  Common O u t d o o r Space  177 - 181  191 - 193  5.6  Chapter  Parking  and  Road Network w i t h i n  6 - Feasibility on  the  Chapter  o f Program  Selected  Site:  Facility  228  229  Implementation Thesis  Conclusion.  Summary  230  _  273  230  6.1.1  Rationale  230  -  6.1.2  Location  233  -  235  6.1.3  Opportunities  235  6.1.4  Constraints  236  6.1.5  Conclusion  236  -  240  -  239  E v a l u a t i o n i #1:  E v a l u a t i o n i #2:  Site  Location  L a n d Use  and  Size  230  237  Context  6.2.1  Opportunities  237  6.2.2  Constraints  237  6.2.3  Conclusion  240  Evaluation  #3:  Public Transportation,  6.3.1  Opportunities  240  6.3.2  Constraints  241  -  6.3.3  Conclusion  245  Evaluation  #4:  Pedestrian  Site  Physical  240  Access.  Characteristic  -  6.4.2  Constraints  250  6.4.3  Conclusion  250  6.5.1  S p a c e C h a r a c t e r and  Opportunities  Resources  246  Opportunities:  #5:  Natural  246  -  6.4.1  Evaluation  Site  233  Vehicular  -  and  236  Views  251 251  -  246 241 245 246 251 250  251 254 253  xii  6.5.2  Constraints  253  6.5.3  Conclusion  253  -  255  -  261  263  -  272  273  -  283  References  284  -  288  Appendices  289  -  310  Evaluation  #6:  Housing Patterns  255  6.6.1  Rationale  255  6.6.2  Pattern  256  6.6.3  P a t t e r n No.2  261  6.6.4  P a t t e r n No.3  262  6.6.5  Pattern  262  6.6.6  Conclusion  Findings  No.l  No.4  and T h e s i s  Conclusion  L I S T OF FIGURES Fig.  1- 1  Hollyburn  Fig.  1- 2  South G r a n v i l l e  Fig.  1- 3  St.  Fig.  1- 4  Parkwood Manor - M a i n  Fig.  1- 5  Abbeyfield  Fig.  1- 6  Arbutus Ridge V i l l a g e  Fig.  1- 7  H a u s j a r v i H e a l t h Care F a c i l i t y - S i t e P l a n and R e s i d e n t i a l C l u s t e r L a y o u t  30  M o t i o n P i c t u r e and T e l e v i s i o n C o u n t r y House and H o s p i t a l - E x i s t i n g S i t e P l a n and P r o p o s e d S i t e D e v e l o p m e n t  32 33  Fig.  1- 8  House - M a i n  Floor  21  Park - T y p i c a l  M i c h a e l ' s C e n t r e - Main  Concept  Floor  Lodge  Floor  24  Floor  - Main  24  Floor  - Site  21  26  Plan  26  Fig.  1- 9  Regent  Fig.  2- 1  1981 - S i n g l e F a m i l y H o u s e h o l d s w i t h Member Age 65+  50  1991 - S i n g l e F a m i l y H o u s e h o l d s w i t h Member Age 65+  51  Fig.  2- 2  Point  - Site  Plan  Fig.  2- 3  2001 S i n g l e F a m i l y H o u s e h o l d s w i t h Member Age 65+  52  Fig.  2- 4  P r o j e c t i o n o f S e n i o r H o u s i n g Needed by 2001 t o Accommodate E l d e r l y Homeowners  53  Number o f C l i e n t s R e c e i v i n g L o n g Term C a r e Home S u p p o r t o r F a c i l i t y S e r v i c e s by L e v e l o f C a r e (December 1986)  60  Number o f C l i e n t s W a i t l i s t e d Term C a r e P l a c e m e n t by l e v e l (December 1986)  60  Fig.  Fig.  2- 5  2- 6  f o r Long of Care  Fig.  4- 1  A c c e s s and C o n t r o l Model  o f t h e CCC  Facility  Fig.  5- 1  Common S p a c e  i n the C l u s t e r  Fig.  5- 2  Common S p a c e Walkway  i n the C l u s t e r with Shared  as a Garden  123 130 130  xiv  Fig.  Fig.  5- 3  5- 4  C l u s t e r I d e n t i t y R e i n f o r c e d by a C e n t r a l S i t t i n g A r e a and S h a r e d S t o r a g e Shed  131  P e d e s t r i a n C i r c u l a t i o n Developed " F e e d e r " System.  131  L i v i n g Outdoor  as a  136  Fig.  5- 5  Independent  Fig.  5- 6  Long-Term C a r e F a c i l i t y  Fig.  5- 7  Intermediate  Care  Fig.  5- 8  Intermediate  Care C l u s t e r  Type 1  150  Fig.  5- 9  Intermediate  Care C l u s t e r  Support  151  Fig.  5- 10  Private  Fig.  5- 11  Extended  Care  Fig.  5- 12  Extended  Care C l u s t e r  Type 1  163  Fig.  5- 13  Extended  Care C l u s t e r  Support  164  Fig.  5- 14  Core  Centre  166  Fig.  5- 15  Main  Concourse  171  Fig.  5- 16  Food  Services  181  Fig.  5- 17  Rehabilitation  Fig.  5- 18  Arts  Fig.  5- 19  Auditorium  Fig.  5- 20  Administration  Fig.  5- 21  Clinic  201  Fig.  5- 22  Pharmacy  205  Fig.  5- 23  Library  208  Fig.  5- 24  Outdoor  Fig.  6-•1  Location  Fig.  6-2  Land  Fig.  6-•3  Public  Outdoor  Spaces  Access  145  Model  149  Facility  Spaces  i n N u r s i n g Home  162  Facility  186  Centre  190  and C r a f t s and S p e c i a l  Common  158  193  Programs  197  Suite  227  Space  234  and S i z e  Use C o n t e x t Transportation  238 and V e h i c u l a r  Access  242  XV  Fig.  6-4  Pedestrian  Fig.  6-5  Site  Fig.  6-6  Vegetation  Fig.  6-7  Public  Fig.  6-8  Pattern  1  257  Fig.  6-9  Pattern  2  258  Fig.  6-10  Pattern  3  259  Fig.  6-11  Pattern  4  260  Access  243  Topography and  247 Landscaping  and P r i v a t e  Views  248 252  xvi  L I S T OF  Table  2-1  P r o j e c t i o n s o f t h e E l d e r l y Home owners and t h e P o t e n t i a l Movers i n V a n c o u v e r : (1981 c e n s u s )  Table  4- 1  Housing Choices  Table  5- 1  H o u s i n g Type Program  Table  Table  5- 2  5- 3  TABLES  i n t h e CCC  #1:  Facility  Rental Housing  53 102  -  103  Space 126  H o u s i n g Type #2: Co-op H o u s i n g , 50 D w e l l i n g U n i t s Space P r o g r a m  127  H o u s i n g Type #3: S t r a t a 50 D w e l l i n g U n i t s Space  127  Title, Program  Table  5- 4  Intermediate  Care C l u s t e r Space  Table  5- 5  E x t e n d e d C a r e C l u s t e r Space  Table  5- 6  M a i n C o n c o u r s e Space  Table  5- 7  Food F a i r  Table  5- 8  Food S e r v i c e s F a c i l i t y  Table  5- 9  R e h a b i l i t a t i o n C e n t r e Space  Table  5- 10  Arts  Table  5- 11  A u d i t o r i u m and S p e c i a l Space Program  Table  5- 12  Administration  Table  5- 13  Clinic  Table  5- 14  Pharmacy and D i s p e n s a r y S p a c e  Table  5- 15  L i b r a r y Space  Table  5- 16  Staff  Table  5- 17  L a u n d r y S e r v i c e s Space  Table  5- 18  Plant  Table  5- 19  Building  Space  Space  Program  Space  Program Program  161  180 185 189  Program Programs  192 196  Program  200  Program Program  204 207  Program  Support F a c i l i t i e s  S e r v i c e s Space  -  176  Program  Space  160  170  Program  and C r a f t s Space  142  Program  Space  Program  Program  S e r v i c e s Space  Program  Program  211 213 215 217  xvii  Table  5-20  M a t e r i a l S e r v i c e s Space Program  Table  5-21  Facility  220  Common O u t d o o r A r e a  Space P r o g r a m  226  Table  5-22  P a r k i n g A r e a Program  229  Table  6-1  Use o f R e s o u r c e s , T r a v e l Time and D i s t a n c e t o R e s o u r c e s  231  xviii  Acknowledgements  I  would  like  t o e x p r e s s my  his  supervision  My  sincere  Charlotte  and  gratitude  thanks  are to Professor  Murray f o r t h e i r  participation  i n the d i s c u s s i o n  husband, Finally,  like  also  and M i c h a e l , I  Corporation possible.  thanks  am for  very the  to my  G l o r i a Gutman and A r c h i t e c t  constructive  many  would  J o e l Shack f o r  encouragement.  Furthermore,  I  to Professor  to  thank  Professor  Rose  and  comments.  Murakami  f o r her  of the t h e s i s .  Architect  son, f o r t h e i r  grateful  criticism  to  scholarship  Emil  advice  Canada which  Marek,  and  my  assistance.  Mortgage has  Ph.D.,  made  and H o u s i n g this  thesis  1  INTRODUCTION 1.  THE ORIGIN OF MY My  1970 in  personal  interest in facilities  when I was i n v o l v e d Poland.  began  to  missing a  THESIS  While feel  i n a number o f p r o j e c t s as an a r c h i t e c t  working  that  something.  I realized  a day-to-day b a s i s .  specific  program  be an e f f e c t i v e  to  understand  The  fourth  standing project  2.  In  but  and  calls elderly  for  needs  i n a new  not only  and d e s i g n  a r c h i t e c t u r a l three  a four dimensional  This  I came process dimen-  approach.  f a c t o r i n under-  i d e a p u t s t h e whole  BACKGROUND  worldwide  and t h e p r o p o r t i o n  life  e x p e c t a n c y has  of older  c i t i z e n s has  By t h e end o f t h i s  in British  Columbia  create  and p s y c h o - s o c i a l  century,  the growing  challenges supports.  f o r h o u s i n g and h e a l t h  i n much g r e a t e r  almost  perspective.  years  and o v e r w i l l  housing  planning  five  constantly.  particularly  care,  f o r the e l d e r l y i s  i s TIME -- t h e p r i n c i p a l  increased  aged 65 y e a r s  health  a traditional  seventy  and i s g r o w i n g  Canada  programming  STATEMENT: BRITISH COLUMBIA  substantially  process i s  g r o u p o f e l d e r l y seems n o t  needs o f e l d e r l y p e o p l e .  the l a s t  grown  designing  I  a b u i l d i n g which responds t o a  entire  rather  d e l i v e r y system  PROBLEM  tion  the  dimension  the  and d e s i g n  a p p r o a c h t o t h e needs o f t h e e l d e r l y .  that  problem  Care F a c i l i t y  t h e needs o f t h o s e p e o p l e change Designing  n o t be c o n s i d e r e d  sional  that  aimed a t a s p e c i f i c  to  should  on an I n t e r m e d i a t e  t h e e n t i r e programming  unique problem because  on  f o r t h e e l d e r l y began i n  care  in  popula-  i n t h e way o f This situation  s e r v i c e s f o r the  s c a l e t h a n we have e v e r  experi-  2  enced,  but  also  for  a new a p p r o a c h b a s e d  on t h e g r a d u a t i o n o f  care. Therefore thesis  could  underlying  Since  be  summarized  care) free  tive  and  trol  over  That  planning  supportive  investigating  of  care  has  housing  and s e r v i c e s f o r t h e  age 75 and o v e r  s e r v i c e s on s i t e New  independence,  organized  by  designed  by d e l i v e r y services  -  in a fully  low  high  level  Columbia,  of  planning  and o p t i m i z e  con-  The n o t i o n o f seems  f o r the e l d e r l y .  by The C a n a d i a n  f o r use by e l d e r l y supportive  people  living  of personal, s o c i a l that  elderly  people  independent person's  services provided  the p r o v i n c i a l  terminology  in  that  stimulate the crea-  and d e l i v e r e d i n one s e t t i n g  approach  specific  The  very  forms  Medical  p.22).  their  and  continues  ( m e d i c a l and  housing  a r e s t r o n g l y needed.  been s t r o n g l y e n d o r s e d  (1987,  Facilities  vices.  environment  alternative  Association  in this  as f o l l o w s : "What a r e t h e  be i n g r e a t demand.  c h o i c e , maximize  notion  ments,  with  will  the  the  terized  briefly  am  s e l f - e x p r e s s i v e needs o f i n d i v i d u a l s  graduation be  in  I  number o f o l d e r p e r s o n s  expand, h o u s i n g  provide  which  elderly?"  the  personal  to  Problem,  principles  contemporary  to  the  c a n be  and s o c i a l  those  elderly  capable  2.  those  requiring  environ-  and h e a l t h c a r e  ser-  need can range  from  p r i v a t e home t o t h e  i n a nursing  home.  In B r i t i s h  government c u r r e n t l y u s e s t h e f o l l o w i n g  ( s e e Appx # 0-1) t o d e s c r i b e t h e r a n g e :  1.  charac-  of Independent L i v i n g ( I L )  Personal  Care  (PC)  3  3.  those r e q u i r i n g  I n t e r m e d i a t e Care  4.  those r e q u i r i n g  Extended Care  In  the  last  housing  for  (3 l e v e l s :  elderly  philosophy  has undergone  a radical  time  when most "homes f o r t h e aged" where b u i l t ,  were  considered  The  critics  solution  the  of  was  problem  levels (3  has  of  of care  example  a  social  provide  facilities  than r e s i d e n t i a l  buildings.  model p r o p o s e d t h a t  of the p r o h i b i t i v e  health  in  care  own  the  best  homes, b u t t h e  services  costs i n  to  Columbia  Personal  Care, I n t e r m e d i a t e Care  However, t h e r e  facility  "go-go"  i s no  in British  and p r o g r a m  elderly of  there  private  British  Care.  graduation  At the  such  because  flexibility  the  change.  in their  comprehensive space  i n developing  elderly  and  above,  between  would  solved  Extended  implemented  that  the  f o r the e l d e r l y :  and  of  transition  keep  noted  levels)  institutional  n o t be  provision As  institutional  the  to  could  homes.  more  IC3)  (EC)  f o u r decades, the g u i d i n g the  IC1, IC2,  and  care  are  five  practical  Columbia  which  adaptability  "slow-go"  (as  elderly)  for a l l levels  i n one  place.  3.  care a  DEFINITION OF  CONTINUUM OF  A  of  Continuum in  continuum  nursing the  one  care  Continuum  elderly  Care  location. of  housing  at of  facility  CARE  f o r the e l d e r l y  A Continuum and  care  the Extended Care Care which  idea  provides a l l levels  of Care from  facility  level.  fulfill  provide  independent l i v i n g The  i s t o d e v e l o p a new  might  can  rationale program  elderly's  of  to  behind f o r the  diverse  and  4  changing needs. ments  will  be  particular  Groups  of people with s i m i l a r  accommodated  components  in close  of  which  will  offer  ever,  they  will  vices  i n t h e whole Complex.  also  provide  4.  INTENTIONS OF this  tinuum to  of  various terms  ["Senior C i t i z e n  services  blending  o f a f a c i l i t y program  on  i s an  "facility of  f o r the e l d e r l y  Housing,  today  the  process.  design  analytical  processing collection,  that  sermight  live  an a l t e r n a t i v e  model o f a  has been  "architectural for  in  as  an  analysis,  has  planning/programming  model i n  developed i n the r e a l test  investigation" an  innovative  situa-  site. which  focus-  approach  programming  is  to a  firmly  necessary ingredient  of  ( 1 9 8 1 ) , programming i s  Programming, disciplined  organization,  thesis  This hypothetical  A c c o r d i n g t o Palmer  a  approach  w i t h the  i m p o r t a n t and  involves  The  a Con-  of care,  Facility  aspect of design.  system,  of  Implementing  f o r the e l d e r l y .  together.  facility.  established  How-  o f C a r e Complex"  of the continuum  programming"  Care  (CCC)  of s e r v i c e s .  o f t h e P o i n t G r e y Community on t h e s e l e c t e d  Continuum  an  services  on t h e p r i n c i p l e  thesis  area within  THESIS  h o u s i n g and  elements  This es  range  Care Environment"], I propose  based  t o one  require-  o f C a r e Complex"  A "Continuum  d e v e l o p e d as a h y p o t h e t i c a l  system  tion  Thesis  planning  been  THE  fixed  and  have a c c e s s t o a g r e a t e r v a r i e t y  additional  neighbourhood.  proximity  "Continuum  relatively  also  the  In  a  a  needs  as an  information-  methodology  communication  and  of data evalua  5  tion.  The  thesis  is  based  on  the f o l l o w i n g  cycle:  analysis-  synthesis-evaluation: 1.  ANALYSIS  of  the  data  discovered  architectural 2.  SYNTHESIS  of  the  in  the  process  of the  investigation.  findings  in  the  f o r m o f a CCC  facility  program. 3.  EVALUATION  This  as  for  test  should  which  be  site  may  sical,  Program  I will  satisfy  and  which  will  the  design  "continuum  o f a program care  will  care and  of  on  care"  o f h o u s i n g as  services  on one  site.  (such as  be t h e a p p l i c a t i o n o f compo-  an e v a l u a t i v e  process consisting of  t h e needs  and a l s o  of the e l d e r l y a t  t h e way  such a  facility  neighbourhood.  define  and  a  development  f u n c t i o n a l components  a "Continuum  a broad range  research  identify  and h e a l t h  addressing  of  physiological  published  define  as  in  levels  my t h e s i s  to  basic  respond to i t s s i t e  In  site.  specific  approach  different  test  try  social  but  a  of the program  t h e e l d e r l y i n terms  Care),  to  possibility  will  will  innovative  for  selected  results  Extended  all  the  personal,  Generic  nents  the  Thesis  environment well  of  o f needs  psychological. my p r i v a t e  address  this  variables  of Care"  f o r t h e e l d e r l y : phyOn t h e b a s i s  observations particular  w h i c h may  environment  I will  of the  s e t up a  environment  and  improve  q u a l i t y of  life  on a s i t e  i n Point  Grey,  Defence  Lands  the e l d e r l y . My  research  Vancouver,  study  British  will  Columbia.  be a p p l i e d  The F e d e r a l  National  6  site  has  and  a  unique  UBC.  The  development Planning 1.45  of  However,  there  scope  of  attempt  new  of are  no  5.  QUESTIONS In  terms  of  continuation 1.  What  opportunities  elderly  person  be  and  f o r s e n i o r s . The  a senior  from  the  of the e l d e r l y  his/her  home  housing. the s c a l e  housing  elderly  result to  with the  thesis will  person's  constraints  be 1.0 t o  family  regarding  citizens'  defining  and  single  This  Beach  f o r future  compatible  guidelines  development.  proposing  site.  Group I --  as a p l a c e  as a f a c i l i t y  development  official  proposed in  well  serve  multi-family  ment on t h i s  RESEARCH  as  may  to Jericho  recommends t h a t F l o o r S p a c e R a t i o  that  area  i n Vancouver c l o s e  site  housing  also  surrounding  first  subject  Department  and  and  setting  this  be t h e  develop-  facility  as a  lifestyle: f r o m moving an proposed  CCC  facility? 2.  How  has t h e g u i d i n g  elderly  changed  Group I I --  1.  How  can  elderly 2.  How  can  elderly  In  philosophy  i n the l a s t  terms  of  i n developing  four  defining  the  phenomenon  environment":  the  the  fulfill  f o r the  decades?  "continuum o f care CCC  housing  needs  and  of  expectations  the  of  residents? t h e CCC r e s p o n d residents?  t o t h e needs o f t h e n e i g h b o u r h o o d ' s  7  3.  What  a r e t h e most i m p o r t a n t  qualities  i n c r e a t i o n o f t h e CCC  environment? Group I I I -- I n t e r m s o f t h e CCC s i t e 1.  What the  2.  site  development o p p o r t u n i t i e s  and c o n s t r a i n t s  e x i s t on  test site?  How  can  the  progressive  6.  development p o t e n t i a l :  outdoor  spaces  l e v e l s of care  of  the  and t h e i r  CCC  respond  corresponding  to the  services?  OBJECTIVES OF THE THESIS The  principle  objective  o f my r e s e a r c h  study  i s to f i n d out  what c a n be done: 1.  To  create  an o p p o r t u n i t y  possible. the  The e l d e r l y s h o u l d  same  place  necessary should 2.  To  be w i t h i n  a  a  long of  t h e same  to continue  possible  and  i f  health  as long  peer  a  move i s  conditions, i t  facility.  array  l e v e l s of dependency).  To  respond  to  the  above  a way o f l i f e  their  individual  tion,  integration  and  physical  (supportive  (good  t o accommodate t h e e l d e r l y w i t h  ent  and  objectives  at  such  also  as p r i v a c y ,  will  provide  quality; differ-  t h e same t i m e a s  f o r the e l d e r l y which w i l l  rights,  ful-  of e l d e r l y needs such a s : eco-  socio-psychological  groups)  and l o c a t e d  as  to live i n  s p e c i a l home-like environment which would  environments,  providing  be a b l e  as  (affordability),  designed  i n one p l a c e  deteriorating  comprehensive  nomics  3.  as  because  create  fill  for living  recognize  self-determinathe compensatory  8  resources design,  of  variety  landscape  7.  of  living,  in  terms  attractive  of a barrier-free  interior  s e t t i n g and  design.  thesis  synthesis  7.1  follows  and  a  1.  have  the  Analysis  of  different  levels  design  data  gathering.  selected  and  selecting implemented delivered  U.S.A.  (Gutman  a  facilities  1976;  of analysis,  one  of care  Research principles:  of  setting.  components  the e l d e r l y  with  investigation  and  (see  Appx. #0-2)  one i n H a l i f a x , was b a s e d  Carstens  e x a m p l e s was t h a t  the continuum 2.  existing  communications.  policy  for  architectural  The s e l e c t i o n  personal  in  functional  eight  facilities  i n the Vancouver area,  these  cycle  o f dependency.  research:  literature  1988)  existing  of  California,  method  data:  Type  elderly  the  research  evaluation:  ANALYSIS o f c o l l e c t e d A.  of  environment  METHODOLOGY The  I  the  and t h r e e i n  on i n f o r m a t i o n  1985;  CMHC  The p r i n c i p l e  of  care,  I was s p e c i f i c a l l y  mix and t h e i r c o n t r i b u t i o n  from  Conference  criterion in  they a r e f a c i l i t i e s  graduation  for  which  have  organized  and  looking  for the  to the quality  environment.  methods:  Comparative  analysis  of  design  9  The  purpose  criteria  of  and  these  analyses  F i n d i n g out a.  how  Analysing This  the  early  the  rated b.  of both  i n the  Interviewing This  step  tect's tion  the  over  and  I was  the  using:  final  records.  projects.  designer of the  the  and  the  design.  It  were  clarifi-  client  in  the  A n a l y s i s of  the  p e r i o d of d e s i g n  i d e a s c h a n g e d and  development  were e v e n t u a l l y  incorpo-  design.  the A r c h i t e c t s allowed  design about  implementing  a b a s i s f o r hypotheses which  stages  plans how  plans  e v a l u a t i o n of the  planning  designer's  Program  programmatic  d e c i s i o n s were made:  provided  goals  with  Research procedures  architects*  i n the  revealed  The  design  process  explored ed  t o come up  intentions for a Facility  Continuum of Care concept. 2.1  was  further  i d e a s and  how  and  exploration  of the  objectives, providing  why  specific  design  in  existing  archi-  informa-  d e c i s i o n s were  made. c.  Personal  Observations  numerous  site  residents, interviewing B.  ANALYSIS o f  1.  Type  of  visits,  Research with  watching  interviewing  the  residents  management and  facilities: behaviour  and  of  patients,  staff.  Literature: research:  investigation  contemporary models of housing 2.  the  methods: r e v i e w  the  environment:  specific  f o r the  of the  issues  and  data  gathering  elderly.  available literature  directly  on  relating  to  dealing the  CC  10  a.  Living  b.  Psychology of  c.  Sociology take  d.  environment  of  and  C.  INTERVIEWS  1.  Type o f  There  the  post-industrial society  should  people.  of  i n long-term  new  and  innovative  care  facilities.  design  solutions  research:  Structured subject  i t s elderly layouts  implemented  elderly.  process.  i n t e r m s o f how  care  Plans  aging  f o r the  o f my  interviews t h e s i s (see  included  the  with  professionals  Appendix  involved  in  the  #0-3).  following:  Architects Long-Term C a r e F a c i l i t y Facility Health  Administrators.  Programmers.  Care A u t h o r i t i e s  Officials  Developers Residents City Hall 2.  Research  Planners Methods:  tured  i n order  jects  and  in  a l l interviews  have been c a r e f u l l y  t o o b t a i n maximum i n f o r m a t i o n  on  f u n c t i o n a l component i s s u e s r e l a t i n g  particular  I  was  looking  for specific  various t o my  plans,  Developers:  market t r e n d s ,  aspects  layouts,  environment. service preferences,  of p r o j e c t f i n a n c i n g .  fiscal  sub-  thesis;  information  cerning: Architects:  struc-  con-  11  City  planners:  zoning  Health O f f i c i a l s : Residents: D.  ANALYSIS Appendix  1.  local  of  7.2  1.  research:  the  statutory  Research  regulations  Design Guidelines  comparative  relating  (see  to  the  analysis  of  functional  in this thesis. identification  of  existing regulations  in  of:  a.  area,  b.  service  c.  u s e r n e e d s and  d.  program  e.  operation  SYNTHESIS  space  requirements.  and  technical  regulation.  demands.  components policy  i n the  guidelines.  form of  the  CCC  Facility  program  (Chapter  4  5) .  Type  of  The  approach:  of Area  interdisciplinary  full  programming  communication) a  --  architecture,  sociology.  methods:  data  7.3  needs.  i n v e s t i g a t i o n and  Methods:  gerontology, 2.  guidelines.  #0-4).  of  &  design  e x i s t i n g L e g i s l a t i o n and  Type  terms  care  and  t h e i r needs.  components d e v e l o p e d 2.  regulations  facility  leading  program  f o r the  to  cycle the  (data  organization  d e f i n i t i o n of  CCC  Facility  i n the  the  feasibility  and  components Point  Grey  i n Vancouver.  EVALUATION  in  d e v e l o p m e n t on  the the  form selected  of  test  site.  of  CCC  program  12  1.  Type o f  approach:  comprehensive program  2.  The  methods:  LAYOUT OF The  which  The  lined  in  ters  of  cycle:  the  for  the  Vancouver profile serves  are  the  as  SYNTHESIS:  the  synthesizes  comprehensive  thesis follows  divided  site. and  con-  situation.  the  chapter  chapter  methodology  M e t h o d s . The  six  segment  one  and  two.  It  m u l t i l e v e l approach.  As  program.  facilities  in  the  This  planning  i n the  Point  of  Greater  the  social  Grey  Area,  and  five.  thesis.  includes  findings  i n the  gives  facilities  w e l l , d i s c u s s i o n of  residents  f o r the  segment  policies  care  chap-  follows:  e m p h a s i s on  the  out-  research  i n contemporary  potential  facility  a concluding  into a three as  chapters  e x i s t i n g trends  District.  the  and  - evaluation  long-term  a background  This  site  t h e s i s and  a r e v i e w o f new  and  Regional of  of  segment i n c l u d e s  also  housing  test  introduction, five  - Research Cycle  e l d e r l y with  provides  future  It  of  i n t o an  the  analysis - synthesis  overview  part  7.1  thesis  This  in a test  argument  s t r u c t u r e of  ANAYLYSIS: an  the  point  the  a  THESIS  thesis i s subdivided  six.  on  d e f i n i n g development o p p o r t u n i t i e s  THE  develop  a n a l y s i s i n terms of  implementation  straints  8.  site  of  chapter the  three,  previous  four  segment  into  a  13  EVALUATION: presented analysis real  the in  in  conclusion  chapter  six.  of  my It  research  thesis  c o n t a i n s a comprehensive  the form o f a f e a s i b i l i t y  situation.  study  study  o f development  is site in a  14  CHAPTER 1 - THE  Chapter  1  introduces  to  CARE CONCEPT  Summary:  Chapter  the  CONTINUUM OF  i s the  the  beginning  of the  n o t i o n of m u l t i - l e v e l  b a s i s of s e l e c t e d examples, the  elderly  literature  and  multi-level  been  to  housing  with  and  for  provided  a  the  to  proposed  and  the  thesis  1.1  LITERATURE  of  the  t h r e e major t r e n d s  and  thesis  policies  and  have  state  been  the  Continuum  or  the  about  design  features  Many o f t h o s e  findings  synthesis portion. recommendations analyzed.  Problem.  On  approaches  A n a l y s i s of  characteristic  and  elderly.  several conclusions  environment.  i n the  elderly  grounds  the  quality  GVRD  analysis cycle  have been i d e n t i f i e d .  facilities  implemented  Provincial  of care  a c t u a l p r o j e c t s , l e d to  care  contributing have  facilities  thesis  The  o f C a r e Complex  Current regarding  These f i n d i n g s  Chapter  concludes  in a real  situation  Rationale.  AND  PROJECTS  REVIEW:  CONCEPTS  OF  MULTI-LEVEL  ELDERLY HOUSING.  Introduction:  in  Current  In  recent  the  planning  elderly. jects  in  employed.  years,  The  in multi-level  care  a number o f d i r e c t i o n s  of housing  In B r i t i s h which  trends  and  Columbia,  long-term there  are  care  of the  have been  selected  explored  facilities  f o r the  a s m a l l number o f  i n n o v a t i v e approaches to e l d e r l y following  elderly  examples  pro-  facilities  introduce  are  three  15  major the  trends: same  and  the  second  housing;  and  the  elderly  through  stimulating  First  care  in  third  supportive  living  and  extends the independence of  a s s o c i a t i o n with peer groups  in a  luxurious  environment.  there one  various  in  is  of  the  dence. kinds  and  trend  t o combine  While  recognition  assistance  community,  s u p p o r t and a s s i s t a n c e propriate  a  facility.  forms  people  may  of  residents  t o premature  to  Gutman  provides  may  2.  enables of  reduce  a fear that  (1983),  care  To r e s p o n d progressive  there  are  that older  t o o much  c a n be  loss of f u n c t i o n a l  inap-  indepenvarious  t o these needs, the care  as d i f f e r e n t mixes o f s o c i a l  because a m u l t i - l e v e l care 1.  also  frail  age and become more d e p e n d e n t  s u p p o r t may be needed.  as w e l l  is  l e v e l s of  h a s been g r o w i n g  i n t h e form o f l o n g - t e r m  lead  facility  two o r t h r e e  a r e needed t o m a i n t a i n  there  However, as p e o p l e  multi-level  3.  provides  of care i n  Trend  First,  ing  combines more t h a n one l e v e l  facility;  congregate the  the f i r s t  several  f o r the e l d e r l y  services.  Accord-  advantages  i n fact,  facility:  relocation strees effects.  c o u p l e s t o remain  i n close  proximity  when t h e h e a l t h  one d e t e r i o r a t e s .  facilitates  adjustments  in  service  level  t o meet  temporary  higher  level  changes i n needs. 4.  enables  individuals  functioning  to  w i t h whom r a p p o r t  rehabilitated  remain  in  has been  to  proximity established.  a  to s t a f f  and  of  residents  16  5.  enables basic  Second  economies  and s p e c i a l i z e d  of  congregate 10  years  the  midposition  congregate  care  limited  kitchen,  nonmedical  residential  hotel  gregate informal  by t h e consumer t o d a y  staff living social  Record,  less  the  congregate  "watch", minimum  each  communal  and  settings:  congregate  housing  are  the  (Welch,  p r o v i d e s an  services. individual  i s usually Tenants  provides support  such  shared.  the congregate  There  and Z e i s e l  independence.  the large  1984). by a p u b l i c  responsibilities for activities.  o p p o r t u n i t i e s f o r mutual among e l d e r l y  are f i v e  house and t h e  owned and o p e r a t e d  often accept  bathrom  as c e n t r a l  small apartment,  Parker  than a  conventional  has a p r i v a t e  i n management and m a i n t e n a n c e  preserves t h e i r  housing,  one o r two p r e p a r e d  facilities  lounge  Taking  stringent  home  social  resident  that  than i t  1988).  more s u p p o r t i v e t h a n  apartment b u i l d i n g ,  n o n - p r o f i t agency.  assisting  but  congregate  Congregate  reveal  i n c l u d e s a s m a l l k i t c h e n , bedroom,  room  the  time  living,  space;  apartment,  or  preferences  p e r s o n a l c a r e and s e v e r a l  dining  of  and  Usually,  usually  sitting  consumer  p r o v i d e s an a r r a n g e m e n t  facility  congregate which  and  between a n u r s i n g home and i n d e p e n d e n t  housing.  In  types  and o p e r a t i n g ) i n  services.  ago ( G a s k i e , A r c h i t e c t u r a l  around-the-clock  and  (both c a p i t a l  i s more d e s i r e d  housing  long-term elderly  trends  housing  was  unit,  scale  Trend  Studies  meals,  of  Con-  a w a r n e s s and  r e s i d e n t s and a t t h e same  17  Third  trend  Retirement  villages  alternative  living  independent  living.  Lower  Mainland,  greatest These  of  features  several  amenities  parties, have  leisurly,  homes,  and  are  Although village  controlled  common  concept  vide personal be  some  is  systems w i t h  in  o l d e r people peer groups  1.1.1. GREATER  to  nursing  the extended  many  1 - More t h a n  and  by  with  care  surveillance, burglar  communities.  nurse  who m i g h t  homes. The r e t i r e m e n t  or proother-  communities  through a s s o c i a t i o n  environment.  DISTRICT  on t h e same  and  i n the retirement  f o r those  independence  courses  elaborate  employ a f u l l - t i m e  REGIONAL  one l e v e l  golf  video  COLUMBIA.  TREND  townhouses  retirement  i n a stimulating luxury  VANCOUVER  built.  Some d e v e l o p m e n t s  u s u a l l y not provided  villages  been  houses are p r o v i d e d f o r  p u t t i n g greens,  and a s s i s t e d l i v i n g  confined  or  games.  entry-gates  features  health-care  Club  other  hot tubs,  have  that the  a c c e s s i b l e , l a c k o f s t a i r s ) and  for recreation. cards  i t i s here  carefree l i f e s t y l e  apartments  Sophisticated security  alarms  with  a  of  and e s p e c i a l l y t h e  communities  (eg. wheelchair  pools,  electronically  allow  promote  billards,  swimming  other.  wise  retirement  provide  s e n i o r s capable  Columbia  a moderate c l i m a t e ,  single-family  special  communities  f o r wealthy  Because B r i t i s h  boasts  number  lifestyle  accomodation  developments  offering  or l e i s u r e  site.  AREA  AND  BRITISH  18  Example  #1: S e t o n V i l l a  Seton  Villa,  organization, personal  in  into  facility  part.  contained  12th  to  18th f l o o r s ,  common  facilities  88  and  floor.  A  of  room  Adjacent  to  The  care  style)  home  lounge  involves is  a  provides from  residents  a  units  good secure  in  located  on t h e 6 t h t o 1 1 t h  of the b u i l d i n g ,  are located  rooms a s w e l l  active  and  room,  on t h e main  an e x c e r c i s e  which  pool,  On t h e t o p f l o o r  i s used passive  accommodate  i n a separate  a  as an A r t s and  as a m u l t i activities.  i s a beauty p a r l o u r / b a r b e r can  The  shop.  200,  seated  b u i l d i n g , attached  to  ramp.  of  the  several  facility  provides  attractive social  management o f t h e f a c i l i t y .  example  on t h e  A communal d i n i n g  area  (which  located  atmosphere w i t h  very  o f 77 u n i t s o f  i n t h e basement.  there  component  Administration  like  i s comprised  i s the lounge,  main b u i l d i n g by a c o v e r e d The  and t h e common  s p a component c o n t a i n i n g  is  The b u i l d i n g i s  part  on t h e main f l o o r  are located  the  a non-profit  beds on t h e 2nd t o 5 t h f l o o r .  for different  Auditorium  theatre  part  administration  b u i l d i n g , there  purpose  residential  showers and c h a n g i n g  component  the  building.  and on t h e t o p f l o o r .  Health  by  s u i t e s , b o a r d - r e s i d e n c e and  86 room and b o a r d  are located  the  pool,  the  run  (one bedroom o r b a c h e l o r )  personal  basement  kitchen,  Crafts  parts:  suites  and  thermal  self-contained  The r e s i d e n t i a l  floors  the  facility  one n i n t e e n - s t o r e y  two  self  in  multilevel  offers  care  divided  a  i n N o r t h B u r n a b y , B.C.  of  environment  a  facility with  Independent L i v i n g t o Personal  warm,  p r o g r a m s and Seton  Villa  f o r t h e e l d e r l y which  a progressive  Care  a very  care  system  (some I n t e r m e d i a t e  Care  19  is  also  ment  informally  with  those  a  p r o v i d e d ) as w e l l  variety  whose  health  of  severly  move t o a I n t e r m e d i a t e  Example #2: H o l l y b u r n Ideally opposite  a  Library  and  elderly.  Run  facility  is  (personal) two ed  designed  unfurnished  Administration Ground designed Bar,  as  while  small  in  Intermediate comprises  Clinic Level 36  The k i t c h e n  of  main  Although services, problem  the  floor  with  facility.  the a  profit  oriented  and t h i r d  south  and  Beauty Salon.  relocation  Part  s p a c e s on t h e has been  living  these  two - C a r e  on t h e G r o u n d  facilities  serve  stress  f l o o r s and R e c e p t i o n -  of the b u i l d i n g  single units  provides  and  two-bedroom  C r a f t s , Cards, Exercise  1 and 2 i s l o c a t e d  and s t a f f  into  space w i t h a C o n f e r e n c e Room and  contains  furnished  residential  o f 66 s e l f - c o n t a i n -  and d i n i n g  side  affluent  i s divided  one-bedroom,  as s o c i a l  dining  the  Centre,  o r g a n i z a t i o n , the  The b u i l d i n g  (bachelor,  1-1)  Ambleside,  Activity for  one i s c o m p r i s e d  second  at  two l e v e l s o f c a r e :  Care.  well  and  shops  Seniors  side  facility  programs  However, f o r  i t i s a necessary to  accommodation  The  social  space. the  the as  the north  Shop,  Part  level. a  to  to provide  apartments  area  Floor  next  Intermediate  located  from  a private,  functional parts.  suites)  and  blocks  provides by  and  Care  environ-  House, West V a n c o u v e r , B.C. ( s e e F i g . 2  House  and s e r v i c e s .  deteriorates,  o r Extended  located  Hollyburn  amenities  as a s t i m u l a t i n g  with  are located  two p a r t s  "Quality  of L i f e "  arrangement,  Centre:  floor  social  Room,  level  and d i n i n g i n the core  simultaneously. with  there  f o r t h o s e whose h e a l t h  choice is still  of a  conditions  20  require  Extended  Care.  Nevertheless, Intermediate  the  Care  facility  progressive  care  integration  between  for  less  facility A and  of  elderly.  assure  variety  of  two-bedroom  friendly  should  be  For i n the  living  and  i n the  provides and  for  f o r 78  facility  room,  programs. the  main  spacious  CCC  handicapped or  nursing  three  floor,  Intermediate station  residents  outdoor  the  42  South  Granville  Care  Care  and  i s the room,  two  levels  1,  Lodge  Care  2 and  level 3.  i n the  attractive  multipurpose  social  two  floors  room  comprise centrally  The  common  wings.  Reception-Administration  residential  area.  1-2)  Park  i s divided into  u n i t s i n e a c h wing w i t h  social  may  attributes  Personal  several  storey building  The  services  A l l these  r e s i d e n t s a t the  there  one  spaces,  Park Lodge,Vancouver BC(see F i g .  dining  and  social  Care p o r t i o n of  24-hour n u r s i n g s u p e r v i s i o n , m e a l s  units.  the  facilities.  residents,  for  lounge,  an  be s t i m u l a t i n g  community  of r e s i d e n t s .  housekeeping,  The  to  for  living  designed to  r e s i d e n t s at Intermediate  offers  dining  On  120  services  Intermediate  proximity  Example #3:South G r a n v i l l e Designed  opportunity  independent  beautifully  w e l l being  employed  approach  arrangements - s e v e r a l l a y o u t s of  suites,  to the  created  with  s e c u r i t y when one's h e a l t h d e t e r i o r a t e s .  management  contribute  t o a new  g r o u p s o f r e s i d e n t s may  future care  will  The  two  of Independent L i v i n g  p o i n t s out  system.  able  potential  combination  and  area, six  Personal located  21  Fig.  1-2  S o u t h G r a n v i l l e P a r k Lodge - T y p i c a l S o u r c e : S o u t h G r a n v i l l e P a r k Lodge  Floor  22  The unit  long  as  well  provide the  corridors  an  as  and anonymous e n t r a n c e s t o e a c h  lack  of  institutional  facility  provides  deteriorates, an E x t e n d e d  character  two  residents  Care  balconies  of  care,  are forced  most  facility St.  advanced  in  Michael's  multi-level those  Centre. the  seniors  requiring time, 40  Care  24hour  and  the  future  additional initial  idea  of  was t h e o r i g i n a l  Run  by  a  w i t h Day C a r e in  the  beds  with  neighbourhood;  remain  services to  the  f o r those  At the present  facility,  i n a separate b u i l d i n g .  expansion of the e x i s t i n g at  the Extended  of c r e a t i o n  Care  into  beds and  Room, spaces. is  small Day  located  i s a proposal  facility  t o accommodate 80  level.  I t seems t h a t t h e  of a m u l t i - l e v e l  transformed  There  and  independent  Care  Lounge and a u x i l i a r y within  for a  Personal  common s p a c e s : D i n i n g  areas,  programmed  is  called  and Home C a r e  supervision.  religious  i s c o m p r i s e d o f 40 I n t e r m e d i a t e C a r e  street  care  program  care  concept of the  non-profit,  facility  1-3).  of a m u l t i - l e v e l  t h e C e n t r e and t h e E x t e n d e d  Therapy  beds  health  again to  B.C. ( s e e F i g .  i n terms  a day p r o f e s s i o n a l  Care  previously  across  tion  outside  Extended  t o move once  f o r t h o s e who c a n no l o n g e r  the f a c i l i t y  Activity  for  living  Care  residents  Although  i f their  area,  original  c a r e complex  Intermediate as  approach  the Vancouver  organization,  spaces  facility.  Example #4: S t . M i c h a e l ' s C e n t r e , Burnaby, The  outdoor  t o the b u i l d i n g .  levels  still  as p r i v a t e  sleeping  facility  institutional  with  continua-  approach  -- a  23  geriatric  complex w i t h  the  Intermediate  and  Extended  Care  levels  only.  TREND 2 - C o n g r e g a t e Example  #5:  Parkwood Manor, C o q u i t l a m ,  Parkwood development  Manor of  congregate  landscaped  115  one-bedroom  the  main  social  yard,  convenience,  at  meal  facility  type  fee  medical  founded on  the  by  The  lounge  and  facility and  covers  rental  use 24  provides  of  hour only  Columbia.  a profit  Centre  i s only  other The  of f o u r r e s i d e n t i a l  wings  with  ground  and  a central  floor  level,  p a r t with  i n the  areas  overlook  people.  laundry services, in-house call  residential  One  spacious  interaction i s aimed inclusive apartments,  regular dining  recreational and  security.  (personal)  a  accommodation,  l u x u r i o u s environment elderly  core  room o v e r l o o k i n g t h e  activities  of a l l p r i v a t e ,  emergency  and  one  site.  opportunities for social  all  oriented  beautifully  a library  provides comfortable  affluent  This  p r o x i m i t y to the  social  However, t h i s and  1-4)  t r e n d i n the  5 a c r e s of  offices,  in close  On  second  Shopping  8 two-bedroom u n i t s  w e e k l y maid and  and  was  Coquitlam  active  service,  parking  British  i s comprised  security  retired,  utilities,  in  t h e r e i s an e l e g a n t d i n i n g  residents.  monthly  facilities  space.  while  garden.  among  the  are a l s o  and  the b u i l d i n g ,  formal  of  The  building  (see F i g .  example  Churches,  services  three-story  B.C.  i n t h e h e a r t of C o q u i t l a m  away.  front  an  elderly  grounds.  community  of  is  house-hotel  organization  block  housing  room  facilities, Since  the  c a r e , when t h e  F i g . 1-4 Parkwood Manor - M a i n F l o o r Source: Waisman Dewar G r o u t C a r t e r A r c h i t e c t s  25  health care  of a residents facility.  deteriorates  That  is  the  t h e y have t o move t o a h e a l t h  main d i s a d v a n t a g e  of congregate  housing.  Example  #6: A b b e y f i e l d ,  The for  a  Abbeyfield maximum  NHA 6009).  usually  located  are  assist  attends  opened  in a  lack  of  serves  September  for  one's  room.  housekeeper  who  t h e s h o p p i n g , and  Canadian  p r o t o t y p e was  Although  this  concept  living  and an  nevertheless  health  However,  and l i v i n g  supportive  interactions,  to t e n people  severely  there i s a  deteriorates,  a move t o an i n s t i t u t i o n .  #7:  Villages  Arbutus  Ridge  Village,  Vancouver  Island,  B.C. ( s e e  1-6) Arbutus  complex This  The f i r s t  concept i s  spaces.  a live-in  of t h e house,  atmosphere,  when  TREND 3 - R e t i r e m e n t  fig.  is  1987 i n S i d n e y , B.C.  social  security,  necessitating  Example  meals.  own p r i v a t e  room, k i t c h e n  there  running  close-circle  opportunity  their  seven  housing  housekeeper  i n 1956, t h i s  house i n w h i c h  common d i n i n g  daily  of congregate  with a l i v e - i n  i n England  large  a l l with a  the  and  creates  a  a l l residents,  to  prepares  9 p e o p l e who l i v e  in  share  i s an example  Originated  accommodated,  residents To  concept  of  (CMHC,  S i d n e y , B.C. ( s e e F i g . 1-5)  Ridge  aimed  project  at has  Village  i s an example  self-sufficient, adopted  an  of a luxury retirement  active  and w e a l t h y  English-country  village  seniors. theme.  26  F i g . 1-5 Source:  A b b e y f i e l d C o n c e p t - Main F l o o r Murray, C h a r l o t t e . S u p p o r t i v e Housing f o r S e n i o r s : the E l e m e n t s and I s s u e s f o r a C a n a d i a n M o d e l . 1989, p. 44.  F i g . 1-6 Source:  Arbutus Ridge V i l l a g e - S i t e Plan Canadian Retirement C o r p o r a t i o n Brochure  27  Located  on  218  comprised,  when  attached  such  swimming  grocery  course,  for elderly  spite  terms  of  health  purchasing  "home  communities: still  a  Mill  problem  beyond what can  Bay  Founded Senior  Citizens  non-profit  the  1960  village  and  bank,  features  nine-hole  offers  s y s t e m and village  the  does n o t  can  services  and  be and  Duncan.  elderly,  provide  obtained,  who  of  of  "community  for  social mind  by  feeling".  security however,  care  Nevertheless,  golf  a stimulating  peace  medical  and  walking  They have a c h o i c e  security  It  or  fishing  in  in by  adjacent  there  will  require health  be  care  a t home.  CANADA  N o r t h w o o d c a r e Complex, H a l i f a x , in  as  horseshoes,  Village  residents.  provided  1.1.2. OTHER PARTS OF  Example #8:  Ridge  f o r more f r a i l  be  such  a luxurious park-like setting  care. care"  banquet  also  signal  of advantages,  amenities,  tennis,  and  heated  round  activities;  emergency  room,  office,  The  be  eight buildings  teaching  shop.  will  year  Arbutus  recreational  providing In  provides  centre  and  commercial  village  f a m i l y detached  club, post  beauty  shuffleboard,  environment  craft  the  single The  health  and  land,  676  activities:  residents.  and  as  as w e l l as  shop  which  of  centre.  Jacuzzi,  outdoor  pathways,  waterfront  the  amenities  facility  several  all  and  pool,  kitchen  of  completed,  homes  include  small  acre  by  Housing  organization  Edward  L.  Roach, P r e s i d e n t o f H a l i f a x  Corporation, w h i c h has  N.S.  Northwood C a r e  developed  a  Inc.  "shelter",  is a  "care"  28  and  "reachout"  variety  of  facility.  living  institutional  accommodations  care,  maintenance",  in  "health  "life-enrichment"  purpose  Centre.  The  Centre  for  "nursing" purpose  the home  Centre". Day  other  facilities  Care  Centre,  Centre  has  excellence  necessary system  and  Home  the  Care  components  f o r i t s residents. i n the Multipurpose  rise  was  built  In the  by a n i n e - s t o r y ,  297 bed  complex  floor,  a "Multi-  introduced  the f i r s t  In the f o l l o w i n g  and R e s p i t e  twenty f i v e  the t e s t  Northwood  program  care  s e r v i c e s were i n t r o d u c e d  a  phase  beds.  i n Nova S c o t i a .  over  Multi-  The f i r s t  high  on t h e main  Support Service  created,  the  environment  1.1.3  program  and  146 s e l f - c o n t a i n e d a p a r t m e n t s ,  incorporated,  t h a t has stood  Today,  i n phases.  was i n c r e a s e d  1978,  prevention", Northwood's  beds and 195 " p e r s o n a l "  In  l i v i n g to  s e l f - c o n t a i n e d apartment b u i l d i n g  of care:  complex which  Adult  Care  care  a  p r o v i s i o n of "health  through  developed  a 73-unit  the  "illness  programs  levels  "supervisory" phase  to  independent  Than, i n 1969 a t e n - s t o r e y  progressive  next  addition  been  i n 1966 w i t h  the e l d e r l y .  with 84  has  from  promotion",  other  started  Some 859 r e s i d e n t s o f Northwood e n j o y  of time  year  such as a care.  s p a n , a model o f  (Rogers  ensure  The f a c i l i t y  a  Child  Northwood  1987).  Complex has i m p l e m e n t e d to  years  a l l the  comprehensive  offers  care  a stimulating  centre.  EUROPE There  are other  c o n c e p t s o f Care  f o r the aging  that  c o u l d be  29  implemented types day  of  even  facilities.  and  night  nowhere  to  go  (or  night).  the  Eastern  spectrum those  these  the  European  day  British  f o r the  may  homes o r  with  provide  of  I f a person  has  someone who care  works)  during  the  i n Sweden, F i n l a n d , Denmark and  s e r v i c e s i n the try  trend  residential to  meet  a  day  also in  i s to provide  setting  other  have a s y s t e m  aging.  (or l i v e s  c o u n t r i e s , the  facilities  nursing  example, t h e  facilities  Similarly  of  existing  facilities  during  needs c a r e ,  the  For  care  and  All  within  a  (Hogland,  full  1985).  v a r i e t y of needs of  the  elderly.  Example #9: In for  Hausjarvi,  Finland,  Finland  there  "more human h e a l t h  municipality. health  centre,  designed elderly  The an  extended  1.1.4. THE  Example  Motion  i n the  of  care  CA  Country  California  are  House  sponsoring  in Hausjarvi, w i n n e r has  ward o f  30  competition  a typical  proposed  b e d s , an  a community  a  rural  primary  o l d - a g e home  centre  for  other  ( K o t i l a i n e n , 1987).  AMERICA  and  (see  a Multilevel  Television  architectural  neighbourhood  Picture  Woodland H i l l s ,  Residents  prize  r e s i d e n t s and  UNITED STATES OF  #10:  Hospital,  living  r e c e n t l y an  facilities"  first  f o r a b o u t 45 people  was  (see F i g . 1-7)  and  T e l e v i s i o n C o u n t r y House  and  F i g . 1-8).  Care F a c i l i t y Hospital  their  own  in  - Motion P i c t u r e Woodland  community.  Hills  and in  A l l residents  30  A  Fig.  1-7 H a u s j a r v i H e a l t h C a r e F a c i l i t y : A - S i t e P l a n , B - Res i d e n t i a l C l u s t e r Layout Source: H a u s j a r v i H e a l t h C e n t r e and O l d P e o p l e ' s Home D e s i g n C o m p e t i t i o n . A r k k i t e h t u u r i k i l p a i l u j a . 1987, 2,pp.17-18.  31  have  worked  have  contributed  their  in  life  Television  Fund  of  country  site  natural  over  Founded  in  provides  a  living  system  expansion nursing  of  a  cottages  i s preserved  project  cottages  these care  Regent by  the  residents;  for  semi t o f u l l y  care  facility.  The  by a l a n d s c a p e  and  vernacular  by Bobrow, Thomas  i n Los Angeles,  includes  of a  skilled  semi-independent  additions,  t h e MPTF  f o r n e a r l y 500  living.  and t h e o u t p a will  be a b l e t o  residents.  (see Fig.1-9)  a r e t i r e m e n t community  owned and o p e r a t e d  California  Presbyterian  Homes.  Thomas  Associates  in  the f a c i l i t y  has 370  f o r independent  living,  &  units:  136  personal  skilled  is  communi-  Southern  Neptun  234  Point,  for retiring  Care  and a d d i t i o n  for  Example #11: R e g e n t P o i n t , P a s a d e n a , CA  P i c t u r e and  California  designed  firm  care h o s p i t a l ,  guarantee  somewhat d i s t i n c t  new a d m i n i s t r a t i o n b u i l d i n g  With  comprehensive  Motion  a modern a c u t e  site  to  On a f o r t y - o n e a c r e  enhances the e a r l y  and  are  the  Intermediate  architectural  of the acute  clinic.  provide  the  current  an  facility,  three  the  and t h i r d ,  i n d u s t r y and  c a r e and h o u s i n g  country-type  The  planned  for  which  Associates,  1942,  industry.  operates  lodge  and t e l e v i s i o n  a period of years  health  entertainment  t h e MPTF  architecture.  tient  a fund  character  waterway  Also  to  semiattached  independent  and  picture  the  first,  second,  motion  care.  members  ties:  the  semi-attached care u n i t s  nursing-care  Pasadena,  low-rise units i n a four story  units  Designed  by  a p a r t m e n t b u i l d i n g , and  i n a two-story  building.  A  centrally  32  Fig.  1-8  Source:  Motion Picture and T e l e v i s i o n C o u n t r y House and Hospital - E x i s t i n g S i t e P l a n and P r o p o s e d S i t e D e v e l o p ment . Carstens, Diane Y. Site P l a n n i n g and D e s i g n f o r t h e Elderly Issues, G u i d e l i n e s and A l t e r n a t i v e s . 1985, pp. 44-46.  33  F i g . 1-9 Source:  Regent P o i n t - S i t e Carsten Diane Y. Elderly Issues, p. 48.  Plan Site Planning G u i d e l i n e s and  and D e s i g n f o r the Alternatives. 1985,  34  located  Dining  Pavilion  semi-independent maximize  living  its hilltop  and R e c r e a t i o n units.  Centre  The s i t e  i s connected  with  h a s been d e v e l o p e d t o  view of the a d j o i n i n g r e g i o n a l  park.  1.1.5. CONCLUSION All  of  creation  the foregoing  of  a  specific  multi-level  care  variety  social  of  supportive  create  for  social  "community  environment. well-being will  propose  many  of  level  care  life  in  The  people. care  and  examples  a  provide  a t m o s p h e r e and an  retirement  villages  a p p r o a c h e s may have a g r e a t  i m p a c t on  features  stimulating  The  oriented  satisfaction  environment.  progressive  i n the  leisure  a CCC f a c i l i t y  a l l these  elderly  home-like  interaction.  feelings"  for  several merits  The c o n g r e g a t e  close-circle  A l l these and  provide  services. in  include  environment  facilities  living  opportunity  examples  of the e l d e r l y .  This  thesis  program w h i c h w i l l  t r y t o implement  i n order  a quality multi-  to create  35  1.2.  REVIEW OF THE CURRENT POLICIES OF ELDERLY HOUSING In  ed  the l a s t  seventy  substantially  five  i s growing c o n s t a n t l y .  the  elder population whole.  over; are  In  2%  Central  Area  Vancouver  over trends  in  3%,  54%  create  by  demand  However,  societal  suggests  particularly  at  the  for  increase  follow:  (supply  and p o l i c y  the t o t a l  10%, and f o r aged 85 and  as  A,  Table  well  2).  These  as h e a l t h  care  s c a l e t h a n we have  ever  utilization  care  1987).  f o r t h e GVRHD by L o c a l  Appendix  overall,  lower  R. and M. R a j a n  2001  as  i n much g r e a t e r  trends  f o r Canada as  population f o r  f o r housing  both  than  i n the aging  and o v e r  1987,  that,  services will  Provincial  of  side)  services  will  be i n f l u e n c e d  directions.  facility levels,  (GVRHD R e p o r t ,  care  and  (demand  The  will  general  decline,  demand f o r home  1987,  p.6).  of t h i s  trend  Level  British  differential care.  65  and p r o v i s i o n o f s e r v i c e s  consensus  In  1986-2001  aged  f o r the e l d e r l y  evolving  support  projections  Report,  a  experienced. side)  years  for  (GVRHD  services  Bureau  the i n c r e a s e i n  P r o j e c t i o n s f o r the year  (LHA) assume an i n c r e a s e  LHA  population  80 and o v e r .  h a s grown  C o l u m b i a n s were aged 65 and  3.6% r e s p e c t i v e l y ( S e a t o n  Statistics  Health  Columbia,  i s substantially greater  aged  and  e x p e c t a n c y has i n c r e a s -  of o l d e r c i t i z e n s  In B r i t i s h  1981, 10.9% o f B r i t i s h  were  13.5%  life  and t h e p r o p o r t i o n  and  a  years,  There  Columbia,  rate is  there  i s evidence  o f t h e growth o f f a c i l i t y a recommendation  care  and home  i n the p r o v i n c i a l  i n the based  government  36  policy  to  1  Level  and  unlikely  reduce 2  that  clients the  the  need  the  Intermediate  be  for  funding  f a c i l i t y referrals  increased  facility  of  usage  supply  and  market  unsubsidized  At  the  of  private  market  afford  gaps  in  tion, to will  maintain be  Intermediate  The fastest increase  care care  and  growing growing  even  disparity  not  current  between  the  a t the  Government w i l l  congregate lower be  care  cutting  a c c e s s i b l e to a l l ,  the  p r o v i d i n g luxury u n i t s o n l y to those  who  Obviously, system elderly  this  f o r the  will  remaining  elderly  c r e a t i o n of  seniors  a t home b e y o n d  their  t o move f r o m range of  continue  ability  there  one  still  facility  s e r v i c e s and  t o be  popula-  to  expen-  a substitute for  Care.  District  population segments  i n the  homecare. C o n s e q u e n t l y ,  care w i l l  Extended  result  m a j o r i t y of the  l a c k of a f u l l  Vancouver Regional  the  when the  be  hospital  reduce  Government w i l l  ( r e t i r e m e n t or  will  of  It is  Care L e v e l or  f a c i l i t i e s primarily  same time  possible.  f a c i l i t i e s at  The  Level  i n c r e a s i n g number o f p r i v a t e  facilities  a n e c e s s i t y f o r the  acute  Greater  l e a d t o an  themselves with  because  p.4).  f a c i l i t i e s , t h a t are  care some  l o n g term  term  them.  with  another sive  long  the  However, t h e  1987,  will  term  funding  can  (Tate  demand  levels).  Level.  Care  services will  a t the E x t e n d e d  c o n s t r u c t i o n of  levels  long  greatest extent home s u p p o r t  care  Care  the  housing,  to the  f o r Intermediate  of  of  Level older citizens,  people  aged  demand f o r f a c i l i t i e s f o r t h e  74  especially  t o 85  elderly.  the  and  older,  Other  trends  37  which  may  increase  the  demand  f o r or u t i l i z a t i o n  of services  include: 1.  Fewer f a m i l y rising  care-givers  divorce  among f a m i l y  rates  which  members due t o :  result  in  fewer  spousal  care-givers; high  mobility  distance  from  increased the to 2.  the  elderly  port  services  care,  care-giver  Expansion  of  young  there  decrease 1.  squeeze  tax  the  AIDS  decline  at  the  be  care-givers)  and q u a l i t y o f s e r v i c e s : better  they w i l l  traditional  educated  over  and b e t t e r i n -  demand a d d i t i o n a l home  client  - the t r a d i t i o n a l patients  day c a r e ,  sup-  respite  g r o u p : t h e e l d e r l y and client  g r o u p s w i l l be  by whom u t i l i z a t i o n  o f homemaker  increasing.  are  other  assumptions  of or u t i l i z a t i o n  revenues:  resources  (a  limits  support.  the p r o v i s i o n  Lower  a t some  parents;  will  disabled by  (the t r a d i t i o n a l  s u c h a s : home makers, a d u l t  s e r v i c e s has been However,  children to l i v e  parents;  of quantity  Consequently,  enlarged  adult  daughters  aging  expectation  formed.  the  aging  of adult  fortheir  Higher time,  3.  their  requires  female p a r t i c i p a t i o n i n the workforce which  ability care  which  fiscal  lower care  number o f homemaker  will  that  continue  i n the health  of the p o p u l a t i o n  l e v e l s without hours).  trends  may  of services:  restraint  f o ra l l services  i n the percentage  and  concurrent  care  to  sector  in facilities  increase  i n the  38  Quality  of  abling  life  the  services,  elderly rather  beneficial to  facility  care  Increasing  nals,  the  into  on  and  regulation will  alert,  help  and  economic  in  savings  (RRSP),  pension  retirement  Innovative  the  enjoy  is  i s improving many  of  very  elderly.  and  prevention:  care  professio-  of p s y c h o l o g i c a l  good h e a l t h  and  occupational elderly  to  in  Consequently,  frail  increased  and  live  and  environ-  longer,  be  health.  f o r the  elderly:  had  relatively  low  some  evidence  that  due  support  satisfaction  health  better  independence  there  life  importance  en-  in facilities, is  promotion  maintaining  have t r a d i t i o n a l l y  situation  of  concentrated  in  home w i t h  economic b e n e f i t s .  g o v e r n m e n t s o f the factors  own  and  individuals,  women,  the  health  by  conditions  cially  to  be  thinking i s that  them  recognition  Increasing  of  perceived  will  more a c t i v e and  with  their  for  health  research  elderly  caring  on  lifestyle  ment  than  in their  emphasis  and  mental  to remain  i n terms of  addition  greater  considerations: current  while  incomes, their  the  espe-  economic  t o : removal of compulsory  retire-  s e t t i n g s , government e n c o u r a g e m e n t o f  private  insurance  plans.  The  and  i n c r e a s i n g number o f  above s i m p l y  provides  workers  another  source  income.  housing  options:  growing e l d e r l y  supportive  alarm  systems  delay  facility  housing etc) care.  the  private sector  population (meal  which All  by  supplying  service,  enable these  the trends  is  responding  various  forms  caretaker/manager, elderly are  to avoid  likely  to  or  influ  39  ence  the  1987,  p.3-7).  The  provision  Extended  Care  recommendations.  referrals  However,  there  the  there  at  will  be  resources  f o r home s u p p o r t  ancillary  services  services. an  Care c l i e n t s  the e l d e r l y  tive  housing  housing, only needed  day  the next there  options  levels  by  aged  of  will  care)  people.  elderly.  "various  forms  a major i n c r e a s e i n increase i n  i n t h e community, e . g . beds,  rehabilitation  be p r o v i s i o n i n f a c i l i t i e s f o r  Care  (level  3) and 1850 E x t e n d e d  years.  still  be a s h o r t a g e levels  i s profit  in facilities  of care.  and  a  Innova-  e.g. congregate  facilities  do n o t p r o v i d e  recommendations  housing  of  f o r the e l d e r l y i n  a l l kinds  new o p t i o n s  (practically of services are provided  oriented. Therefore,  f o r new, i n n o v a t i v e s o l u t i o n s w h i c h w i l l  mentioned  seniors'  be  respite  Most o f t h e s e  still  between  will  model o r m u l t i l e v e l  is  above  of  reduction i n  (PC, IC1 and I C 2 ) .  w h i c h were r e c e n t l y b u i l t  the p r i v a t e s e c t o r which  all  levels  a t the higher  by  a need  major  housing  care,  fifteen  especially  Abbeyfield  two  a  s e r v i c e s and a c o n c u r r e n t  960 I n t e r m e d i a t e  over  be  needed by t h e e l d e r l y  adult  Nevertheless, for  there  In a d d i t i o n , there w i l l  additional  GVRHD o u t l i n e d s e v e r a l  care  affordable  Report,  of  encouragement  Moreover,  meals-on-wheels,  o f s e r v i c e s (GVRHD  will  t h e lower  designed,  community".  utilization  Subcommittee  First,  facility  appropriately  and  support  o f GVRHD and b r i d g e  health  care  facility  there  a gap  f o r the  40  1.2.1.  FINDINGS AND PROBLEM  STATEMENT  Findings: The  Extended  recommended designed, This  and  is  one to  most  further  support  Both not  ties  at  between  be  the  for lack has  the of  been  appropriately  the contemporary  have t o s t a y  living an  of  within the  i n . Therefore,  increase  t h e same  i n resources f o r day c a r e ,  respite  s e r v i c e s and o t h e r s .  funding  those  provided  of  supply  who  can't  full  usage.  of long There  will  and demand. T h i s system  term c a r e  will  retirement  from one f a c i l i t y  range o f s e r v i c e s . T h i s  facili-  result  f o r the majority  afford  they  be a d i s p a r i t y i n the  of seniors,  or  by t h e p r i v a t e m a r k e t . So, i t w i l l  e l d e r l y t o move a  and GVRD p r e d i c t t h a t  the c o n s t r u c t i o n  levels  actual  government  o f gaps i n t h e c a r e  especially housing  aspects  seniors  recommends  provincial  current  creation  of  specifically  Statement:  the  will  has  forms  s e r v i c e s , meals-on wheels, a d u l t  beds, r e h a b i l i t a t i o n Problem  important  have  GVRD  f o r t h e e l d e r l y i n t h e community".  housing:  they  of  "various  housing  elderly  subcommittee home  of  community  Subcommittee  encouraged  affordable  approach same  Care  congregate  be n e c e s s a r y  t o another because o f  creates  a problem  which  t o be a d d r e s s e d . Summary: The  GVRD  situation  (they  looking  both  i s c l e a r : both, share  f o r innovative  expenditure options  t h e p r o v i n c i a l Government and for elderly  and d e s i g n  housing) are  s o l u t i o n s which  could  41  meet  needs  of t h i s  and  expectations  o f a new  wave o f s e n i o r s  a t the  end  century.  1.3.  THE  CONTINUUM  THE  OPTIONS  OF AND  CARE COMPLEX IN POINT GREY AS INNOVATIVE  APPROACHES  TO  ONE  OF  SOLVE  THE  G r e y has  one  ELDERLY HOUSING PROBLEM. The major  p r o p o s e d Continuum goal:  to  create  a comprehensive  that  provides  that  meet a v a r i e t y o f r e s i d e n t s ' n e e d s .  alternatives units  for  There facility  well  as  quality  will  not  would  thesis.  the of  separate Moreover,  payment  (BCMHC,  CMHC,  program services  proposed which not  CC  will only  range  and  of  services  the housing  from I n d e p e n d e n t t o Dependent  1986),  that  and  and  of  GVRHD, MOH).  provide  Living  a Continuum  operating  of  the q u a l i t y of care  as  costs.  These  thesis issues  s e c u r i t y o f the r e s i d e n t s a CCC  because  there  could  c o n t r o l l e d by government The  will  of  they are not the s u b j e c t  CCC  f o r those with  Complex  Living  costs  operating  financial  arrangement  for  range  I n t h e CCC  capital  studies  be a c c e s s i b l e f o r a l l , even The  a wide  f o r the e l d e r l y  f o r t h e e l d e r l y . However, t h i s  advantage  rent  facility  same t i m e i n c r e a s e life  i n Point  Living Units  the  the c a p i t a l  additional  stable cies  reduce  evaluate  require  an  at  with  indications (Cluff  may  and  be  of care  the e l d e r l y w i l l  are  services  this  levels  and S u p p o r t e d I n d e p e n d e n t  Units. Care  a l l  o f C a r e Complex  facility very  have  personal,  a  social  r e s i d e n t s but a l s o  may be  a  agen-  i s assumed t o  limited more  of  income.  comprehensive  and h e a l t h  f o r the e n t i r e  care Point  4 2  G r e y community. By p r o v i d i n g a f u n c t i o n a l , table  environment elderly  attractive  f o r t h e r e s i d e n t s and v i s i t o r s ,  ing  the  link  between t h e CCC  and c o m f o r -  and by  involv-  i n i t s management, t h e CCC may c r e a t e a s t r o n g 'community' and t h e o u t s i d e  neighbourhood.  1.4. RATIONALE OF THE THESIS This a  thesis  viable  way  comprehensive program  elderly above like  of  in  environment.  achieving of this  terms  thesis  of  provide  to achieve  of  the  expands  elderly. that  include housing tenure  ambiance  hypothesis  amenities  f o r the  s e r v i c e s , but  equal  t o a home-  goes on t o d e m o n s t r a t e how  i n retirement v i l l a g e s .  a  facility  alternatives  Examples o f p a r t i a l  some o f t h o s e  care i s  fulfill  The  basic  and s u p p o r t i n g  a specific  The t h e s i s  i n t h e USA  that multi-level  an e n v i r o n m e n t w h i c h may  needs  may be o r g a n i z e d .  common  attempt  the h y p o t h e s i s ,  a CCC s h o u l d  a l l should  facility are  that both  of array  study  arguing,  accepts  such  a  multi-level  care  This thesis  will  on an u r b a n  site.  43  CHAPTER 2 - SUPPLY  AND  OPTIONS  DEMAND:  AND  ANALYSIS OF  SERVICES  IN  THE  ELDERLY HOUSING  VANCOUVER  AND  WEST POINT  GREY AREA. Chapter Chapter elderly: have  Summary: 2  their  been  concentrates  the  in  conclusions  to  has  households,  Senior  housing  senior  background  a n a l y s i s of  of the  social  the  Continuum  implemented  characteristic  features  o f C a r e Complex and  on  home o w n e r s h i p and  centres  dwelling  facility  chapter's of  a CCC  dwelling units,  o b j e c t i v e : to  i n P o i n t Grey  unique  i n terms  as  care a  i n terms of  CONTEMPORARY ELDERLY: THEIR MEANS AND  beds  research  i n v e s t i g a t e the  2.1.  of  characteristics.  serve  location  The  i n P o i n t Grey i n  long-term  residents,  THE  and  and  also  program.  census data,  i n V a n c o u v e r ' s West S i d e  for this  contemporary Findings  i n the  based  the  profile.  i n Vancouver i n g e n e r a l  resources,  establishment  and  form o f  been a n a l y s e d ,  family  for  be  population  particular  and  i n the  future c l i e n t s  elderly  the  means, e x p e c t a t i o n s  presented  of  on  need  i t s future  environment.  EXPECTATIONS.  2.1.1. CURRENT TRENDS. As towns  Harlow show  surprise quent States housing  Unger n o t e d  b u i l d i n g boom  after  decline college  the in  i n h i s S t a t e s i d e - Column: U n i v e r s i t y (Canadian  October housing  towns  construction  have boom.  B u i l d i n g , 1988); t h e  1987  stock  starts,  was  been The  market c r a s h the  fact  experiencing cause  of  the  biggest  and  subse-  t h a t the  United  an  unprecedented boom  was  the  44  exploding move  population  to  and  the  have  and  nearby  found  their  cities  expectations  can  towns  offer  which  concerts,  beauty,  too costly.  Who  including  environment,  University  senior  are those  i n college  advantages museums,  environment retirees?  too s t e r i l e for?  Their  and u n i v e r s i t y  o f major adult  of  British  cities  -  e d u c a t i o n as  coastal  and moun-  i t s impressive  cultural,  Columbia  advantages  continue  citizens,  i t s scenic  climate,  recreational  importance,  cultural  environment.  i t s temperate  and  i n t h e U.S. S o u t h  What a r e t h e y l o o k i n g  lectures,  longer  more c o s m o p o l i t a n r e t i r e e s  be s a t i s f i e d  theatre,  t h e y no  suburban communities  a l l the c u l t u r a l  safe  (the  University)  existing  (low crime)  Vancouver's  business  the a c t i v e  communities.  easily  opera,  as s a f e  academic  favor  Now,  villages  t h e y t e n d t o be w e a l t h i e r ,  who  tain  retirees.  retirement  but instead  and u n i v e r s i t y  First,  well  American  traditional  Southwest,  of c o l l e g e  of  and Simon  Fraser  and i t s c o m m e r c i a l and  to a t t r a c t  more and more p e o p l e ,  from a l l o v e r Canada and t h e U n i t e d  States. With cularly  steady  population  the p o p u l a t i o n  growth  projected  age 65+ may i n c r e a s e  the  y e a r s 1986-2001 (GVRHD R e p o r t , 1987),  ing  supply  and  a t t h e same t i m e e s c a l a t i n g  new,  will  innovative  elderly In  grow. Low v a c a n c y r a t e s  solutions  resale  to continue, by about  35% between  the pressures in rental  prices  and h o u s i n g o p t i o n s  parti-  on hous-  accommodation  f o r homes c a l l f o r specially  f o r the  population. summary,  t h e "new" e m e r g i n g  group  of the e l d e r l y people,  45  who be  will  dominate the housing  d e s c r i b e d as  - older  people  who  v a l u e independence  want t o l i v e  - they p r e f e r  to l i v e  with t h e i r  alone  2.1.2  CHARACTERISTICS OF  FEATURE  CLIENTS OF Housing  Majority British The willing their  first to  equity The tively  Income  can  group  of  to  group  but  own  housing,  The  selling  third  group  with  no The  the BCHMC p r o g r a m s .  their  who  are a c t i v e , based will  communities  SENIOR CITIZENS - THE CARE COMPLEX  in  Canada  their  senior  i f such  (CCC)  homeowners may  housing  tenure  responds  type  will  a portion  of those  to  be  of  "go-go"  o f f as t h e  to p a r t i c i p a t e  on t h e CMHC a s s i s t a n c e  b e s t form  be  a  any  p r e s e n t home.  a r e n o t as w e l l  be made up  in  ( s e e Appx.#2-1).  invest  i s made up  willing  financial  FUTURE  i n g e n e r a l and  homes  most a t t r a c t i v e  of s e n i o r s  housing,  else  cosmopolitan  more a f f l u e n t  new  needs.  anything  Levels:  Citizens  healthy individuals  assistance.  decades  children  condominium, where t h e y c a n  second  co-operative  income,  and  r e c o v e r e d from  group,  The  CONTINUUM OF  in particular  move  title  more  THE  Senior  Columbia  specific  strata  ous  of  more t h a n  i n more s t i m u l a t i n g  w e a l t h i e r and  #1:  few  institutions  - t h e y t e n d t o be  Feature  i n the next  follows:  - t h e y want t o s t a y o u t o f - they don't  scene  of s e n i o r s  resources, of h o u s i n g  who  and  previ-  establish  programs.  living badly  for this  rela-  on  a  need  group,  fixed social  would  be  46  The  f o u r t h group w i l l  continuous by  basis,  the P r o v i n c i a l  Conclusion  #1:  and  qualify  Ministry The  CCC  tenures Feature  #2: F a m i l y  The  elderly  family  and  alone)  wheelchair  Conclusion  with  handicapped The  CCC  spectrum #3:  Health  Access elements  to  and  Case  complex  study  framework  variety  clients.  diversified  families  or  more a c t i v e  i n terms o f  status:  friends,  rehabilitation personal long  and " n o - g o ' s " ,  should  create  responding  of the e l d e r l y  a  physical  respite day  care  care  healthy  and s o c i a l  t o t h e needs o f a b r o a d population.  Needs.  to  of  the  analysis of  health  care  s e r v i c e s a r e major  well-being  of  most  (doctors;  (physical,  senior  ( s e e Appx.#2-1) i n d i c a t e s t h e  the e x i s t i n g  available  clinics) mental)  c a r e : home c a r e and home s u p p o r t s e r v i c e s  term-care:  elderly  unattached  terms o f : general medicine  of housing  and so on.  quality  contributing  citizens. whole  Care  financed  Status  individuals,  #2:  a  a r r a n g e m e n t s and s o c i a l  environment  Feature  provide  f o r i t s future  and S o c i a l  living  care  of Health.  population i s extremely  those  (living  who need L o n g Term C a r e on a  forfacility-based  should  s t a t u s , household  couples,  be t h o s e ,  i n t e r m e d i a t e and e x t e n d e d  care  services i n  47  short  s t a y assessment  and  treatment  pharmacy As  the  ces  City  and  population,  nication course now  o f V a n c o u v e r grows i n t e r m s o f t h e  problems may  Feature  affect  #3:  #4:  any  terms  the  access  CCC  care  s e r v i c e s (except  should  and  expect  in their  natural  and  area.  commuThis  to h e a l t h care  of  services,  provide acute  all  levels  care)  of  i n one  health place.  Expectations  lifestyle.  c e n t r e s of m e t r o p o l i t a n sport  metropolitan  The  sophisticated attractive,  other  congestion  resour-  city.  seniors  of q u a l i t y  face t r a f f i c  s e n i o r s ' easy  Lifestyle  Contemporary  an  as  s c a t t e r e d a l l over  Conclusion  more  i t will  economic  more t h a n  predecessors  in  They a r e more e d u c a t e d ,  healthy  expectations.  looking for  environment, life  their  They are  y e t c l o s e to the  where t h e y  can  and  cultural  enjoy:  and r e c r e a t i o n  secure  environment  leisure  and  cultural  retreat  activities  companionship Conclusion  #4:  The  CCC  beauty  of  close  to  Cultural Feature The  #5:  Seniors  growing  should the the  Centres  take BC  advantage  environment  University, and  of the  natural  and  located  be  Recreational  major shopping  and  area.  Everywhere.  population  of s e n i o r c i t i z e n s  i n any  community  48  across  Canada  industry,  call  approach new  together  to  a  or  catchment area  housing  housing  f a r beyond  #5:  The  the  general  seniors'  facility  Conclusion  for  with  the  CCC  The elderly  Flexibility  shall  only is  that  phenomenon, to  live  constant  the  Conclusion  #6:  The  B.  Flexibility  take  into  account  the  a d e s t i n a t i o n f o r the from  local  Metropolitan  Canada.  change  CCC  characteristic  continuously.  social  should  provide  i n housing  1.  form o f  2.  types  3.  accessibility  Continuity  local  of a l l the  Because of  environment  they  are  this  suppose  flexible.  should A.  specific  consideration for a  a l s o f o r those  certain  p h y s i c a l and  i n must be  a  Continuity.  and  they  than  housing  community.  be  and  and  f o r c e s i n the  p r o b l e m s . Any  actual  V a n c o u v e r and  #6:  rather  p r o j e c t , should  residents  Feature  market  create  an  environment,  which  for:  options  i n terms  of:  tenure  of d w e l l i n g  in  units  f o r the  health  physically  care  place: 1.  from  Independent  2.  t o Long Term  Living  Care.  services  handicapped. provided  i n only  one  49  2.2  THE ELDERLY IN VANCOUVER  2.2.1 ELDERLY POPULATION: In  1986  the  THE PEOPLE AND  number  of people  65 y e a r s  city  i n c r e a s e d from  cent  o f t h e p o p u l a t i o n and 22 p e r c e n t  35,000 Half  of of  are  their  cent  elderly  least  have  lived  are l i v i n g  r e n t and h a l f  mobile  present  o l d and o v e r  i n the  57530 i n 1971 t o 64,415 and composed 15  the e l d e r l y  the  in  the  THEIR HOUSES.  i n t h e West S i d e own  of the c i t y ' s  homes there  for  of the households.  their  at least  f o r ten years  five  The  elderly  Most have  years,  and o v e r  About  of the c i t y .  homes.  households.  per-  lived  b u t 36.6 p e r  (McAfee,  Donegani  1985). In  1986  the  traditional  two-parent  1  i n 5 homes.  An e q u a l  occupied  only  aged  or older.  in  65  3 single The  ing  number  cent  of  In of  data).  single  1981,  children  o f homeowners  2000, t h e e l d e r l y  Department  were  c o u l d occupy 1  reports: there  f a m i l y households with  there  households  movers and  50%  to  see F i g . 2 - 1 ) .  Projections  house-holds with  with  member  alternative  maximum for  i s a grow-  members age 65 and  were 14,500 s e n i o r s h o u s e h o l d s  p r o j e c t i o n s f o r t h e same a r e a  family  Potential minimum  Planning  a l l households,  Department single  share  with  f a m i l y houses.  Vancouver  over.  By t h e y e a r  family  (The year  member age 65+  The V a n c o u v e r  (14 p e r Planning  i n 1991 i s a b o u t age 65+  housing Vancouver  will  (see F i g . 2-2). be between 20%  Planning  Department  2001 assume 22,800 s i n g l e (see F i g . 2-3).  20,000  family  in  these  census  F i g . 2-1 Source:  tracts  1981 City  - S i n g l e F a m i l y H o u s e h o l d s w i t h Member Aged of Vancouver P l a n n i n g Department  65+ o  Based  on  F i g . 2-2 Source:  1981  Census  1991 City  Total  -  103,425 h o u s e h o l d s  in  these  census  tracts  - S i n g l e F a m i l y H o u s e h o l d s w i t h Member Aged of Vancouver P l a n n i n g Department  65+  TOTAL  =~22,BOO  POTENTIAL  ( 2 2 % of a l l h o u s e h o l d s )  MOVERS = 2 0 % ( m i n i m u m )  NUmBER = * of s i n g l e households  - 5 0 * Imaximum)  family with  member  age  65+ max imum \  m i n i mum [households  -  mov i ng Based  o n 19B1 C e n s u s  F i g . 2-3 Source:  DusehoIds \ moving TOTAL  I - 103,425 h o u s e h o l d s  i n these  census  tracts  2001 - S i n g l e F a m i l y H o u s e h o l d s w i t h Member Aged 65+ C i t y o f Vancouver P l a n n i n g Department  53  T a b l e 2 - 1 . - - P r o j e c t i o n s o f t h e E l d e r l y Homeowners and t h e p o t e n t i a l movers i n V a n c o u v e r : (1981 c e n s u s )  YEAR  HOUSEHOLDS TOTAL COMPARISON BASE  ELDERLY HOUSEHOLD % | TOTAL  POTENTIAL MOVERS MIN | MAX 20% 50%  1981  103,425  14  14,500  2,900  7,252  1991  103,425  19  20,000  4,000  10,000  2001  103,425  22  22,800  4,560  11,400  2.2.2 SENIORS'  RELUCTANCE  TO MOVE VERSUS  ATTRACTIVENESS OF A  NEW  PLACE. The that  City's  the  which  Planning  elderly  stem  do  Department  not  choose  (Draft  1985) has c o n c l u d e d  t o move b e c a u s e  from e m o t i o n a l a t t a c h m e n t t o t h e i r  homes  of preferences or neighbour-  hoods : familiarity location fear  with the environment  of c h i l d r e n  and  family  of debt  change  i n general  crime memories o f y o u n g e r length the The  o f term o f r e s i d e n c e  lack of v i a b l e Planning  eventually  years  force  alternate  Department 10%  of  housing  claims,  elderly  that  declining  health  homeowners t o move from  does their  54  family their  home  into  care. Another  10% s e l l  and move from  s i n g l e - f a m i l y home t o s m a l l e r , s e l f - c o n t a i n e d d w e l l i n g .  There encourage  are  characterisitics,  the e l d e r l y  t o move from  their  houses a r e o f t e n l a r g e r  the  aging  increase aging  increases which  alternate most  process  substantial  today's  asset  elderly  result  should  2.  At a price  they  could  3.  In the l o c a t i o n  they  a house and g a r d e n , illness  o r death partner  of a  seeking  home o u t r i g h t ( e q u i t y ) ;  (McAfee, D o n e g a n i  o f home t h e y  1985) t h a t 50%  choice.  becomes  move. I n g e n e r a l  of  paramount  terms,  importance  i n any  l o c a t i o n s p r e f e r r e d , by t h e  1985):  own n e i g h b o u r h o o d  walking  a  want.  distance of s e r v i c e s ,  families  near p u b l i c t r a n s p o r t a t i o n near c o n c e n t r a t i o n s of e l d e r l y not  which  choose t o s e l l .  would be (McAfee, D o n e g a n i  within  of  limitations,  afford.  of t h e i r  however,  their  housing:  homeowners would c o n s i d e r moving i f : the type  in  physical  i n the s u r v i v i n g  have f o u n d  find  elderly  might  required  likelihood  They c o u l d  to  to smaller  of maintaining  1.  decision  than  homeowners own t h e i r  studies  Location,  larger  ( i n theory)  housing.  elderly  Several  the may  which  creates  the d i f f i c u l t y  spouse,  of  long-term  people  too close to concentrations of c h i l d r e n .  and f r i e n d s  55  2.2.3. THE "The  CITY'S HOUSING POLICIES AND Goals  recommended  f o r Vancouver"  that  neighbourhoods to  live  be  i n the  fact  stock  and  large  ground  be  its  oriented  units.  the  elderly  remain  City  meet  could  assist  by  type.  Actually,  upon to The  market move  Vancouver  housing amount (see  needed to  Fig.  two  that  the  = the  a supply  of  Planning by  13,700  traditional for families  2001 units  land.  two  city's  goals.  It is a  e x i s t i n g housing  Family housing  requires  However, a l t e r n a t i v e h o u s i n g density,  for  wish to  zoning  city  the  can the  i s the relocate  allows  only  zone  the  appropriate  period.  zoning  land  can The  by-law.  near t h e i r  some c h o i c e  p r o v i s i o n of  demand o f  therefore  a longer  objectives  point,  forces  and  of  to  at higher  t h o s e who  that  opportunities  between t h e s e  independent  ensuring  From  built  these  home,  ment.  be  elderly in their  that  limits  supply  can  to  are  scarce  elderly  issue  and  is a link  there  the  the  document  expanded.  there that  a major p o l i c y g u i d e l i n e  for  encouraged  city  Obviously, known  housing  MARKET FORCES.  of  to permit new  housing  e l d e r l y who  units built  by  Department's p r o j e c t i o n s  of  are  meet the  needs o f  aging  help key The  present housing developdepends prepared  developers. new  seniors  t o accommodate e l d e r l y homeowners to  for  alone  homeowners  2-4).  2.3  THE  ELDERLY IN  2.3.1  VANCOUVER WEST SIDE: TRENDS AND Demographic  POINT GREY  studies  PREFERENCES.  i n V a n c o u v e r ' s West S i d e  (Rebalski  1988)  2500  2 100  1200 \ --.—I 2100  Total 13,700  Fig.  2-4  Source:  units  P r o j e c t i o n o f S e n i o r H o u s i n g Needed b y 2001 t o Accomodate E l d e r l y Homeowners C i t y o f Vancouver P l a n n i n g Department  2000 1900 1900  57  show  a  might  need feel  for  presently  Current  indicate own  According Side  Ltd.  "Is  responded building  were  many  own  to  the  residents  detached  recent carried  55  for  apartment  dining f a c i l i t i e s .  one  1 0 t h and T o l m i e  was c h o s e n p a r t i c u l a r l y The E l d e r l y  Particularly, per  cent  form  5.76  population higher, that  the  in  9.66%  in  buildings  by t h o s e  their  and  of  women  fifties  the  interest  i n l o w r i s e aRespondents  services including  near  and  9.66  elderly  locations:  4 t h and Alma, w h i c h  o l d and  over.  Area the e l d e r l y  p o p u l a t i o n o f 11,540. per  early  and 10.31% r e s p e c t i v e l y .  number  the p r e f e r r e d  with  65 y e a r s  who  While  P o i n t Grey area,  the t o t a l  cent  71% o f t h o s e  T h e r e were two p r e f e r a b l e  and t h e s e c o n d  West  & Associates  5 s t o r e y s and o v e r .  i n West P o i n t G r e y  of  per  or over.  preferences of  Geller  (1987),  townhouses, t h e r e was  communal  15.4  of housing  were  was  Planning  available.  o u t by M i c h a e l  age  appropriate  V a n c o u v e r s e n i o r s who  i f i t was survey  of  to find  otherwise  h o u s e s m i g h t be i n t e r e s t e d i n  House G e t t i n g Too B i g ? " years  who  of the C i t y ' s  10,000  Your  looking  2.3.1.1  as  as w e l l as a p a r t m e n t s  near  f o r those  (1988) e s t i m a t e s  forms o f h o u s i n g  type  partments  as  their  moving t o o t h e r  West  s e n i o r s housing  f o r c e d t o leave the neighbourhood  accommodation. Department  more  compose  Elderly  men  cent.  However, t h e  sixties  i s relatively  T h e r e f o r e , we  c a n assume  i n West P o i n t G r e y a r e a  will  d w e l l i n g s i n West P o i n t G r e y  area  increase. 2.3.1.2 D w e l l i n g There  are  Characteristics 4,625  private  58  with  2770 owned  can  assume  will  be  (59.9%) and 1850  that  in  (40%) r e n t e d  the o l d e r people  the  future  housing or f a c i l i t y  living  potential  (Census  1986).  i n the rented  applicants  We  dwellings  for alternative  f o r the e l d e r l y .  2.3.1.3 H o u s e h o l d C h a r a c t e r i s t i c s In in  West  Point  Grey  p r i v a t e households,  2.3.1.4  family  families  This  group  become of  33% o f them i s l i v e  o l d and o v e r  live  alone.  Census F a m i l y C h a r a c t e r i s t i c s  The of  1760 p e r s o n s 65 y e a r s  without is  ill.  the  profile  at  in  high  would  terms  Grey area  composes o f 50%  any c h i l d r e n o r c h i l d r e n no l o n g e r risk  Therefore,  elderly  security  i n West P o i n t  of going  to a nursing  we c a n assume t h a t  seek a n o t h e r l i v i n g  of  health  care  a t home.  home i f t h e y  a significant  number  arrangement with  due  to  lack  of  more  family  supervision.  2.3.2  THE E X I S I T I N G SENIOR  In  Vancouver,  elderly  single  housing  in  Grey  area  Social  site  is  general,  family  their  Housing  project  in  homeowners  to  project,  building  which  seniors  with  limited  wish  to  Particularly, There  choices f o r  move t o  other  t h e West  Point  i s only  one  Seniors  S t e e v e s Manor, on W a l l a c e S t r e e t .  200 d w e l l i n g  residential  are  who  capacity.  on West 4 t h Avenue, t h e r e  are  there  neighbourhood.  built  comprises  HOUSING IN POINT GREY  45  oriented.  u n i t s . Next t o t h e t h e s i s i s under c o n s t r u c t i o n self-contained In  addition,  subject  a 10  dwelling there  This  storey units,  are  two  59  condominuum with one  developments  81 u n i t s bedroom  2.3.3  construction:  "Mayfair  House"  (one and two bedroom) and t h e " C u m b e r l a n d " w i t h 41  units.  THE EXISTING LONG TERM CARE F A C I L I T I E S In  and  the  West P o i n t G r e y a r e a  over)  as  well  Dunbar-Southlands, ties,  with  level,  a  202  tinuing for  beds  there  the adjacent  are  their  still  a  Although  Intermediate  areas  nine There  the P r o v i n c i a l  who  can  families,  need  only  o f 384 b e d s .  Care Program a r r a n g e s  among  for  care  facili-  (Vancouver  Ministry  function  l o n g term  care  a r e 56 b e d s a t t h e E.C. Health  of Health's  Con-  and s u p p o r t s e r v i c e s  independently  due t o h e a l t h r e l a t e d  a  o f K i t s i l a n o and  l o n g term  f o r treatment  not  65 y e a r s o l d  problems,  facility  i n homes there i s  especially  a t the  Care L e v e l .  A NEED FOR LONG TERM CARE F A C I L I T I E S  According 13,169 (see  in  ( w i t h 2310 p e r s o n s  a t I.C. and 126 beds a t P.C.  individuals  2.3.4  as  total  Department).  to  clients  Vancouver  in  Health  Vancouver  F i g . 2 - 5 ) : however, t h e r e  clients  (see  (Annual  area  create  may  Department  receiving is still  Report a  new  health  care  services  Clinic  f o r the e l d e r l y ,  s e n i o r s when t h e i r  data  l o n g term  there are  care s e r v i c e s  a significant  F i g . 2-6) who a r e w a i t l i s t e d  placement  the  under  number o f  f o r a l o n g term  care  1986). The g r o w i n g p o p u l a t i o n o f t h i s problem  such  with  the supply  as I n t e r m e d i a t e  R e s p i t e Care,  families  Care,  of necessary  Extended  Care,  Day/Night Care o r care f o r  a r e on v a c a t i o n s .  60  Fig.  2-5 Number o f C l i e n t s R e c e i v i n g Long Term C a r e Home S u p p o r t o r F a c i l i t y S e r v i c e s by L e v e l o f C a r e (December 1986)  Int.l:  Fig.  299  (37X)  2-6 Number of Clients Waitlisted f o r Long Term Care P l a c e m e n t by L e v e l o f C a r e (December, 1986) Source: Vancouver Health Department, C o n t i n u i n g Care D i v i s i o n , A n n u a l R e p o r t , 1986.  61  2.3.5  A NEED FOR  There this  area.  Jericho  The  and  been  leased  zens.  Situated 20  not  accomodate  i s simply  which  on two  lectures, classes, In  and one  desired  for  adequate  of  activities:  social  events,  September  supported  and 1988  the  major  that  there  more  comprehensive  are p r o v i d e d  I  half  is  dances,  research  thesis,  environment:  and  a non-profit  activities.  orchestra,  o f 576  addition  organi-  can are  concerts, popular  tournaments,  fitness  on t h e Annex C o n c e p t  replies  project.  to the The  a wider range  THE  general  was  questionnaire  s u r v e y documented  f o r a Senior C i t i z e n and  in  Citi-  There  Centre with a  of amenities than  time.  ELDERLY  t h e P o i n t G r e y a r e a as a b a c k g r o u n d  because  and  activities.  by B r o c k House a t t h e p r e s e n t  selected  of Vancouver  f o r 3000 members and  a questionnaire  POINT GREY: DESTINATION FOR have  B r o c k House i s  Centre f o r Senior  bridge  recreational  program  educa-  room t o accommodate Members f o r a choir,  a u r g e n t need  C e n t r e on  acres of waterfront proper-  programs  t o a l l members. A t o t a l  2.3.6  too s m a l l .  the A c t i v i t y  a l l  workshops  for seniors i n  of c u l t u r a l ,  belongs to the C i t y  administers  needs  range  sent  a variety  room B r o c k House i s i n s u f f i c i e n t  apparent  centre  t o t h e B r o c k House S o c i e t y ,  which  ty,  providing  programs,  building,  activity  B r o c k House - S e n i o r s A c t i v i t y  although  zation,  wide  f o r a bigger  existing  social  heritage  has  a need  Beach  tional a  is  SENIOR CENTRE  terms,  i t offers  f o r my  a unique  62  Firstly: present  f o r the  senior  citizens  moment and who want t o s t a y  Secondly:  f o r those  Kerrisdale  areas,  Thirdly;  living  in  living  in  Lower M a i n l a n d  who would  and  f o r a l l those  U.S.A.  who  reasons: level  area  are  Natural  Beauty  proposed  could  be  like  planning  of health care The  i n P o i n t Grey a t the  there. adjacent  Kitsilano,  who want t o move t o f a m i l i a r  f o r those  Finally:  living  seniors  V a n c o u v e r and t h e  i f possible,  from a l l o v e r  t o come h e r e , of  neighbourhood.  Metropolitan  t o move t h e r e  Dunbar and  because  Canada and  of these  primary  BC, i t s m i l d c l i m a t e and e x c e l l e n t  services. Continuum  o f C a r e Complex  one o f t h e o p t i o n s  i n West P o i n t  f o r the b a s i c three  Grey  groups o f  elderly: 1.  2.  "empty  nesters",  family  houses  get  smaller  a  lower  price.  aging  i n that  "renters", the  3.  mostly terms  services,  one,  and  people  or  a  pre-elderly  sell  an e x p e n s i v e  townhouse, time  i n single house t o  f o r convenience  and  buyers t h i n k i n g about  unit.  with high the  women. of  these  the e l d e r l y  with  "aloners",  --  elderly  They may be l a s t  elderly  housing  the  a  living low  level  income,  living  Those p e o p l e secure  will  dwellings  interested  of amenities  elderly  physically  i n rented  i n affordable  and s e c u r i t y .  alone look  without  families -  f o r security  environment  t r o u b l e f r e e maintenance  - usually  and  both i n  health  and c o m p a n i o n s h i p .  care  63  2.4  THE  SITE  OF  THE  CONTINUUM  OF  CARE COMPLEX AT 4TH AVE &  HIGHBURY STREET I  have  Lands  selected  site  exellent  f o r my t h e s i s  f o r the  access  to  proposed  the U n i v e r i s i t y of B r i t i s h  the  core  is  of  close  of  considerable family  site  of  discussion  on  and t r a d i t i o n . on a need there  the  and  variety and  seniors  from V a n c o u v e r ,  of  easy  not only  because  is  also  place  services  access  there  to  i s an  public  transportation  The s i t e  i s located i n  residential  areas. I t well-loved  Although there  a  has been  g r o w i n g need  of Vancouver.  single f o r new  The  subject  f o r t h e CCC d e v e l o p m e n t . The provided  by t h e C o n t i n u u m o f  community  from t h e West P o i n t  the Province  Defence  to preserve Vancouver's  West S i d e  make an e x c e l l e n t  Complex  attract  Columbia.  National  and has n e i g h b o u r h o o d s w i t h  stability  housing  could  location Care  Beach  neighbourhoods,  forms  activities,  one o f V a n c o u v e r ' s d e s i r a b l e  to Jericho  atmosphere  development,  services,  and  the F e d e r a l  resources  Grey area,  o f BC and a l l o f Canada.  could  but a l s o  64  CHAPTER  3 - THE CCC F A C I L I T Y  Chapter  Summary;  Chapter the  3  major  five  concludes  objectives  sections,  These  OBJECTIVES  issues  each  are:  the t h e s i s  analysis  f o r the f a c i l i t y dedicated  Living  Community and N e i g h b o u r h o o d  to  cycle  program.  a separate  Environment,  and  develops  I t consists of important  issue.  R e s i d e n t s , Management,  Development.  INTRODUCTION The  Continuum  housing,  h e a l t h care  The complex w i l l  care  Since and  C a r e Complex c o n s i s t s  residential  services. health  of  elderly  mental a b i l i t i e s ,  them  requires  this  process  imaginating  affects their  on s i t e  with  or  deteriorating  life-styles  a great d i v e r s i t y  and p r e f e r e n c e s , d e s i g n i n g f o r  knowledge a b o u t t h e a g i n g their  way o f r e a d i n g ,  environment.  process  and how  interpreting  o r even  understood  o f l o s s e s such  friends, health  and  loss  as c h i l d r e n  o f income,  diminished  i n an i n c r e a s e i n t h e e l d e r l y ' of  of p h y s i c a l  s e v e r a l c h a n g e s . These c h a n g e s may be  spouse  M.  p e r s o n a l , s o c i a l , and  process i s  of  decrease  and s e n i o r community  In g e n e r a l , the aging  a slow p r o c e s s  Aging"  provide  represent  special  as  results  facilities  seniors'  services to i t s residents. the  associated  of independent  their  Powell  level  of  leaving  loss  home,  death  of sensory  acuity,  independence. T h i s  process  level  competence.  o f d e p e n d e n c e and a In  " E n v i r o n m e n t and  Lawton d i s c u s s e s t h e i s s u e o f t h e i n t e r a c t i o n  65  between man and e n v i r o n m e n t . He s t a t e s  that:  The l e s s competent the i n d i v i d u a l , t h e g r e a t e r t h e impact o f e n v i r o n m e n t a l f a c t o r s on t h a t i n d i v i d u a l (Lawton 1986, p . 1 4 ) .  A  person with  through of  adaptive  their  lives  behavior, 75  average  behavior.  Although  are characterized  they a r e vulnerable  years  of  deprivations suggest  competence c a n d e a l  age  which  and  t h e aged  physical  settings  f o r t h e most  part  by i n d e p e n d e n c e and c o m p e t e n t  ( e s p e c i a l y the " o l d - o l d "  more)  may l e a d  with  to  health  to reductions  changes  segment -  and  i n competence.  social Lawton  that:  ... i f we c o u l d d e s i g n h o u s i n g w i t h f e w e r b a r r i e r s , neighborhoods with more enriching resources, or institutions with h i g h e r s t i m u l a t i n g q u a l i t i e s , we could improve the l e v e l of f u n c t i o n i n g o f many older people more than proportionately (Lawton 1986, p.15).  He  later  unique and  3.1. In  concludes  that  by  needs we c a n c r e a t e  elevate  their  recognizing  overall  to  affect  satisfy  the  L.E.O. # 1  the  have  special  the design  environment  behavior.  objectives  recognize  e l d e r l y persons  f o r them a more f a v o r a b l e  LIVING ENVIRONMENT OBJECTIVES order  the  (L.E.O.)  elderly's  to  be  unique  pointed  characteristics  o f t h e Continuum o f Care  To c r e a t e  n e e d s a number o f  o u t . These of  the  objectives  elderly  Complex.  a q u a l i t y environment which  will:  which  66  1)  increase  opportunities  for  individual  choice  i n t h e CCC  physical setting; Rationale: by  a  to  the  the  reduction  choice  must  their  ability CCC  choices a  and a b i l i t i e s  be o f f e r e d .  older  style  people  generally  environment  among t h e e l d e r l y v a r i e t y and  tend  choices  t o choose those  are a v a i l that  match  1985).  should  permit  the widest  range o f  personal  by p r o v i d i n g : of  living  arrangements  bedroom u n i t s , townhouse, m u l t i p l e variety  social, a  open t o him. To r e s p o n d  "Where e n v i r o n m e n t a l  level"(Carstens  variety  a  i n o l d e r age i s a f f e c t e d  o f t h e number o f o p t i o n s  preferences  able,  The  individual's life  of  personal  variety  scale  amenities  of  and  and h e a l t h outdoor  dwelling  services  care  areas  (one bedroom u n i t s , two units)  (a  wide  range o f  services)  (formal,  informal,  choices i n  and s p a c e s )  a v a r i e t y o f common s p a c e s  (social  i n t e r a c t i o n vs  intimacy)  a v a r i e t y of tenure  2)  minimize pendence  Rationale:  dependence  instead  i n use o f t h e CCC  "The  cularly  strong  carries  a  1978,  and  desire  to  encourage p e r s o n a l  facility;  be  independent  of others  among t h e e l d e r l y . The a b i l i t y  sense  of  pride  inde-  and  increases  is parti-  t o do f o r o n e s e l f  self-esteem"  (Jordan  p.47) Physical  support  features  (as  well  as management) i n t h e  67  CCC  should  be  dependency. wider ed),  unobtrusive  For  parking walks,  example,  spaces ramps,  in  the  order  design  or s p e c i a l l y living  marked  units,  permit  elderly  without  the a s s i s t a n c e of others.  the  environmental Rationale; help  individuals'  able  unit  i n t h e common s p a c e  a higher  reinforce ty  of  ing  easy  4)  compensate  By 1985)  mobile  will  level  will  be  o f competence. I n be i n t h e d w e l l i n g  help o l d e r people  to function supports  o f c o m p e t e n c y and i m p r o v e  easier  may  quali-  g e n t l e r i s e r s and  f o r o l d e r people  s p a c i n g o f rows o f a u d i t o r i u m  should  t o u s e , as  s e a t s , and p r o v i d -  use f u r n i t u r e .  Rationale; losses  level  F o r example, wide s t a i r w a y s w i t h  wider  or less  o f competence. Some e n v i r o n m e n t a l  landings  as,  i n the Core  w i t h i n t h e CCC f a c i l i t y  "around", whether i t w i l l  the i n d i v i d u a l s  frequent well  level  life.  f o r handicapp-  o f c o m p e t e n c y by p r o v i d i n g  to function at higher  more s p a c e  at  spaces  handicapped  level  support  general, or  the  of  support;  Environmental  the less  feeling  a l l facilities  should  reinforce  by  reduce  o f t h e p a r k i n g a r e a (15%  Centre  3)  use  to  occur  f o r sensory  The with  adopting such  environment"  aging  process  vision, a  changes offers  and p e r c e p t u a l brings  hearing, taste,  "prosthetic could  be  changes; sensory  changes.  touch  and s m e l l .  approach" compensated  appropriate levels  to  design  for. A  Sensory  (Carstens  "prosthetic  of c h a l l e n g e o r support.  68  It  compensates  colors  and  for  those  distinguish),  providing  (walking  surface).  improve  i n the orange-yellow-red  using  heard),  5)  l o s s e s by, f o r example, u s e o f t h e b r i g h t e r  lower-pitched tactile  comprehension  sounds  spectrum  (which  (easier to  a r e more  easily  c u e s t h a t may be more e a s i l y  perceive  and  environ-  orientation  i n t h e new  ment; Rationale:  "Changes  can  i n behavior  result  disorientation To tern  the  accessible. and  mental  f u n c t i o n i n g brought  t h a t i n c l u d e s memory l o s s ,  and i n c o h e r e n c e " ( J o r d a n  promote of  in  wayfinding whole  CCC  F o r example,  the  finding  building  through  any  particular  6)  encourage  the c i r c u l a t i o n  should  be s i m p l e  pat-  and e a s i l y  s i g n s s h o u l d be l a r g e enough t o be r e a d  located at a height convenient  tion;  forgetfulness,  1978, p.49)  and o r i e n t a t i o n facility  a b o u t by age  f o r people  p l a n s and o u t d o o r  visual  clues  areas  with v i s u a l  limita-  s h o u l d promote  which emphasize  way-  the c h a r a c t e r of  area.  social  interaction  between  residents  (and  visitors); Rationale; reduced  With  by:  loss  age an o l d e r p e r s o n ' s of  children  moving  establish  new a c q u a i n t a n c e s  A  specially  away.  health, Older  designed  death people  social of  contacts are often  s p o u s e o r f r i e n d s and  look f o r o p p o r t u n i t i e s to  or friendship  (Jordan  1978, p.50)  e n v i r o n m e n t w h i c h p r o m o t e s and e n c o u r  69  ages  the  friends as  elderly and  dining  atmosphere  rooms,  arts  should  increase  and  recreational a mix  7)  (rather  to  a  in  amenity spaces  pool  for  and  social  attract  should  other  such an  game  components  interaction;  younger persons  new  provide  private conversation;  outdoor  and  promote  activities;  come a r e d u c t i o n i n  encourage  the  be  participation  one's s e l f -  passing-by  closed-off  for  such  observers  rooms),  a c t i o n i s " , outdoor  in  implemented. F o r  amenity areas  s e a t i n g area  provide  can  should  for  than  "where t h e  the  to e s t a b l i s h  confi-  1986).  in  visible  by  age  features  activities  8)  may  help  w a i t i n g areas  swimming  opportunities  With  order  design  example,  promotes  crafts,  can  cohorts.  (Lawton  In  ed  which  stimulate participation  dence  For  facilities,  facilities  o f age  Rationale;  be  interaction  acquaintances.  lounges,  intimate  in social  and  should  crafts  areas  be  should  some  the  p r o v i d i n g open  lounges  activity  example,  as a r t s by  activities  group should  studios  adjacent be  to  surround-  watching.  opportunities for individual  privacy in contact  with  want more i n t i m a t e c o n t a c t  with  others; Rationale; one  o r two Common  or  by  With others  age  (Jordan  spaces:  furniture  many p e o p l e 1978).  providing quiet corners arrangement  (alcoves) i n  lounges  ( t w o - p e r s o n t a b l e i n d i n i n g room)  70  for  example,  may  conversation. areas  and  9)  which  the  Rationale: associated  of  or s i c k  with  To Older  mental  competence  concern aided  should  provide  a  space  This issue i s  elderly.  stereotypes  be  designed  about the  to  elderly  elderly  isolated  are  improve the p u b l i c ' s  by  c r e a t i n g an  could function e f f e c t i v e l y  as an  seating  6.  sickness.  the  institution  reasonably  of  environas a p a r t  for disabled  falling  Fear  or being  safe  caused be  from  sensitive  by  levels  need  stolen  and  not  of and  property  being  seen  They a r e more v u l n e r a b l e  a fall  o r an  l o c a t e d i n an robbery,  to the  of p h y s i c a l  of crime,  attacked  among o l d e r p e o p l e .  should  security.  reduced  (Lawton 1986).  disabilities  facility  s a f e t y and  are e s p e c i a l l y  because  about  are h i g h  long-term The  not  people  environment  1.  include secluded  territory.  and  elderly  provide  secure  to  i n Chapter  intimate  people.  Rationale:  or  should  o p i n i o n s about the  community b u t  e n c o u r a g e more  dwelling unit:  obsolete  should  the  or  c r e a t e o n e ' s own  disability  which  L.E.O. # 2  and  The  may  Negative,  and  in the  spaces:  p u b l i c image o f t h e  facility  attitudes ment  privacy  in greater detail  improve  The  Outdoor  retreats.  arrangement discussed  improve  attack.  a r e a where p e o p l e  muggings  or  are  personal  harassment. 2.  The  facility  should  provide  services,  which  may  improve  71  feelings  3.  4.  be l o c a t e d  to  f o rvisual  allow  Outdoor  A  common  space  facility  by r e s i d e n t s s h o u l d  be e n c l o s e d  should  should  be  clearly  provide  corridors,  non-slip  emergency  to  be v i s u a l l y system).  To p r o v i d e a  floors,  which w i l l  "home-like" of care.  grab  boxes  a variety  specific  personal  bars  system  areas i n case  s h o u l d be  as: h a n d - r a i l s  i n washrooms and  and t e l e p h o n e s  common  supervised  Public  safety  s a f e t y f e a t u r e s such  b u i l d i n g s and i n t h e o u t d o o r  elderly  a sense o f s e c u r i t y .  should  video/tv  call  such  physical safety features. A l l  exits  Hazards  providing  semiprivate  d e f i n e edge c o n d i t i o n s  p r o t e c t e d by an emergency l i g h t i n g  by  transitional  ( t h e CCC community),  w h i c h may f o s t e r  and  failure.  provide  by p r o v i d i n g  (patio).  (closed-circuit  power  levels  by r e s i d e n t s and s t a f f .  be i m p l e m e n t e d  entrances  staff  L.E.O. # 3  a  home  from n e i g h b o u r h o o d p u b l i c s p a c e t o p r i -  private  planning  bathrooms,  To  used  semipublic  space),  minimized  the  should  public,  site  should  in  areas  transition  facility  of  surveillance  f e n c i n g and g a t e s ,  The  by  f o r example:  clusters.  clear  The as  a.  and main p e d e s t r i a n walkways s h o u l d  areas  (cluster  1.  services,  Outdoor  zones:  7.  support  personnel.  vate  6.  safety  security  within 5.  of  throughout  areas.  of Environments.  combination  of environments  f o r the  include:  environment  in  the dwelling c l u s t e r s  ata l l  72  b.  a  "social  community"  outdoor a c t i v i t y c.  environments residents,  environment  i n t h e a m e n i t y a r e a s and  centre.  which their  will  be  families  aesthetically and  friends,  appealing the s t a f f  to the and t h e  community a t l a r g e . Rationale: to  live  help  The in  the  Continuum  but  by  o f C a r e Complex w i l l  providing a residential  residents  to  retain  their  be t h e new  character  place  i t might  self-identities  and  are usually associated  with  life-styles.  2.  To d i m i n i s h  Rationale: the  Long t e r m c a r e  stereotype  creates in  not  negative  of  public opinion.  to  the  and  p.105).  institution  character Older  which  people  don't  consequently like  t o move  o f becoming a " p a t i e n t " ; t h e neighbourhood have  such a f a c i l i t y  which can p r o l o n g  Rationale:  the  least  any  attempt  n e a r by b e c a u s e o f i t s  life  of older  people"(Lawton  a r e unanimous i n f e e l i n g  to design  that the  f o r o l d e r p e o p l e and  s e r v i c e s and e n v i r o n m e n t s  i n t h e community.  an o p p o r t u n i t y  make  i n our s o c i e t y ascribes  desirable place  residence  The f a c i l i t y to  to the majority  Gerontologists  is  To c r e a t e  p u b l i c image o f a g i n g  sickness  encourage  residents  facilities  image.  disability  3.  stereotype.  institutional  fear  like  "Regrettably,  1986,  of  negative  because  does  they  " o l d - f o l k s home"  f o r a "new  start".  might a l s o p r o v i d e more  enjoyable  opportunities f o r the by e s t a b l i s h i n g a new  73  pattern part  of  of  vices  the  and  proposed become not  social  Core an  and  A  "social  among  facility  aquaintances  library, together.  mental  and  to  staff  library, raise  the take  funds  residents. by  r e s i d e n t s but  from  the  art  preparing Crafts their  for  a  for income  and  the  the  special can  a  interaction  friends,  rela-  such  crafts,  Core  as a  etc.  Centre  swimming  should b r i n g should  provide  elderly  s h o u l d be  i n the  running  of the C e n t r e .  cultural  encouraged  events,  They  run  the  g a r d e n e t c . They c a n  join  f o r c e s to  project  with  community  as  and  interact  opportunity to earn  instrument  t a x e t c . They can Core C e n t r e  The  should  The  have t h e  example  be  community.  also with  r e c e p t i o n desk, o r g a n i z e  They  serving  and  the  stimulation.  of  also  neighbourhood.  Moreover,  care  entire  open t o t h e p u b l i c  c o n t r i b u t e or p a r t i c i p a t e  can  the  community" w h i c h e n c o u r a g e s  facilties  social  will  i n n o v a t i v e program component,  auditorium,  people  in principle,  by p r o v i d i n g a g r e a t number o f s e r -  the  active  of  CCC,  f o r r e s i d e n t s and  Centre,  variety  pool,  The  neighbourhood  programs  only  tives  life.  may  be  and  e x t r a income  languages  very creative  become a v e r y  teachers,  in Arts  important  and  p a r t of  lives.  3.2.  RESIDENTS' OBJECTIVES  The  most  the  CCC  important  (R.O.)  o b j e c t i v e s f o r residents choosing  have been a g g l o m e r a t e d  residential,  health care  and  into  social  to  t h r e e b a s i c groups of needs.  live  in  needs:  74  R.O. # 1 To  RESIDENTIAL TENURE CHOICE  provide  purchase ing  r e n t e d accommodation  their  dwelling units.  f o r those  who w i s h  f o r t h o s e who a r e u n a b l e t o To p r o v i d e a l t e r n a t i v e  to relinquish  hous-  the r e s p o n s i b i l i t y of  ownership. Rationale: Although tially  the over  between al  the  l y women  (National  pension  and the  few  Canadians  years  and t h e r e s t  of e l d e r l y  Canada,  which  last  the e l d e r l y  position  tics  income o f e l d e r l y  there i s s t i l l  men h a s i m p r o v e d  the  income  elderly  security  65 y e a r s o f age o r o v e r were a l s o  however,  household (City ly will  C o r r e s p o n d i n g l y , 46.8% o f u n a t t a c h e d  t h e West P o i n t G r e y  The  Hall  people  has  paid  or  save  to  of  themselves  $20,000 Although  improved (National  those people  during t h e i r in  this  of  household  a l l households  line. income i s  income  is  i s i n adjacent K i t s i l a n o represents  the f i n a n c i a l  where a  position financial  of eldersecurity  C o u n c i l of Welfare,1984) a t t e n t i o n who d i d n o t make p e n s i o n  to  must  contributions  y o u n g e r y e a r s . F o r example, many women According  only  54% o f a l l h o u s e h o l d s  and t h e t r e n d t o w a r d  situation.  below  individ-  below t h e p o v e r t y  a r e a , the average  situation  data,1986).  continue  be  39.6%  worst  income  d e p e n d e n t on p u b l i c  was 65 y e a r s o r o v e r were  uals  $20,000.  of elder-  p l a n s . I n 1985, 10% o f f a m i l i e s i n  head o f t h e h o u s e h o l d line.  that  According to S t a t i s -  are heavily  poverty  $35,000;  more t h a n  C o u n c i l of Welfare,1984).  1984  an income gap  o f t h e p o p u l a t i o n . The f i n a n c i -  the  In  has i n c r e a s e d substan-  find  a s u r v e y o f B.C.  75  Housing ing  Management C o m m i s s i o n a p l i c a n t s ,  assistance  partment  was f e m a l e  (87%) and  the t y p i c a l  ( 7 0 % ) , aged 65-74  spending  48%  of  her  senior  seek-  (59%), l i v i n g  i n a-  income  on  renting  shelter. On  the  o t h e r hand, f o r more a f f l u e n t  availability specific ing  of  alternative  an  conducted  SFU  by  study  Gutman  of  Community C o n c e p t " ,  thought  seriously  creasing  age.  difficulty  asked  i t was  selling"  to  youngest  with those the  said  buy  group  buying  they  in  Accord-  " S e n i o r s R e a c t i o n t o New  their  home i n c r e a s e d w i t h i n -  f o r doing  home o r g a r d e n  so were  physical  and t h e i l l n e s s o f  or  p.20).  rent  age.  site  they When  sell  their  were s t i l l homeowners  their  next  (51-64) were a b o u t home.  of respondents  they could not f i n d  reported  to  a third  d i d n o t want t o change t h e i r  i t was b e c a u s e  the oldest Vista  homes.  their  51-64, 65-74, and 75+  d i d not s e l l ,  they  were  another  increasing  New  their  11.1%  i f they  to their  t h e p r o p o r t i o n o f homeowners who had  selling  (Gutman,1988  whether,  entitled  respond  spouse.  why  while  aged  major reasons  because  14.8%  alternative  and  Their  or their  "When  likely  about  maintaining  themselves  seniors  (1988),  Vista's  style,  housing which w i l l  needs c o u l d c o n v i n c e them t o s e l l  to  said  s e n i o r homeowners, t h e  life-  a better  considering were  asked  home, t h e y would be more  accommodation,  equally  split  those  between  i n the renting  The p r o p o r t i o n who w o u l d buy d e c r e a s e d Renting  (75+) g r o u p . because  was  clearly  the preference of  R e s p o n d e n t s were a t t r a c t e d t o  New V i s t a  was w e l l  located,  there  76  would and  be  access  there  would  emergency The  to the care centre i f long-term be m e d i c a l  p e r s o n n e l nearby  oldest  group  afford  of respondents  could  the  o t h e r b u i l d i n g s housed m a i n l y  Based  on  possibility  elderly  who  wish  creation  1.  of  o f an  that  people  low  we  can  assume  that  there  Therefore, affordable  home w i l l  Continuum  - as l o n g as  of  Care  i s the  low income and t h e  income and a l t e r n a t i v e  their  where  seniors.  people.  sell a  housing  be an i m p o r t a n t Complex  housing  for  f o r those  objective i n  i n West P o i n t G r e y  T h i s c o u l d be a c h i e v e d by:  Providing charges  housing do  According  to  Providing program  exceed  the  City  or  cing and  For  organized  programs  of  the  where  resident's  P l a n n i n g Department  assisted  Housing seniors'  housing  based  rights  without  have  mortgage  (1986) t h e  government  Cooperative Housing  h a s won t h e CMHC award  as  income.  on t h e CMHC a s s i s t a n c e  housing  Avondale  housing  was 2,558.  c a t e g o r y . Members b o u g h t s h a r e s  o f f the they  Hall  example,  i n North-Surrey  and t e n u r e  paying until  affordable  BCHMC 30%  requiring  Co-operative  assistance. Seniors  through  not  number o f p e o p l e 2.  low income p e o p l e  coexistance of r e s i d e n t s with  with  to  were  data,  o f f elderly  the  area.  these  of  were c o n v i n c e d  t o p a y m a r k e t r e n t would move t o a s i t e  low income p e o p l e  better  i n the event  (Gutman 1988, p . 2 8 ) .  who  those  c a r e was n e e d e d  for  i n the finani n t h e co-op  s h a r e h o l d e r s i n a c o r p o r a t i o n . By they  increase their  invested the f u l l  shareholding  value of the u n i t .  Then  77  they  just  share  pay  does  remain have  not  the  share  without  to  will  the  Provide  strata  portion  of  and  who  be  remain  rising  R.O.  # 2 To  low  cost  in  of a unit  1988).  fact,  of other housing,  t h e co-op  condominiums f o r t h o s e who their  other  forms of h o u s i n g .  more a m e n i t i e s , b e t t e r  will  shares.  can i n v e s t a p r e s e n t home  t o have a h i g h e r s t a n d a r d o f h o u s i n g by  Because  decrease i n  can a f f o r d  selling  will  t h e amount t h e y  (Rebalski  m a r k e t o f p e o p l e who  title  wish  space,  Since the value of a  the p r i c e  and,  e q u i t y r e c o v e r e d from  provided  living  time,  making a p r o f i t  have an e v e r b r o a d e n i n g 3.  over  fees.  Members who move o u t r e c e i v e  price  proportion  maintenance  increase  same.  invested  the  monthly  than  may  F o r example, more  finish  materials.  HEALTH CARE NEEDS provide health  facility. residents  To  care s e r v i c e s  provide  health  and i n t h e e n t i r e  f o r a l l residents care services  o f t h e CCC  f o r the e l d e r l y  neighbourhood.  Rationale: Health  matters  of d i s t i n c t  needs  of  fears  f o r older people.  are  also  the  are  elderly.  elderly  services  provision  services  than  more 1982).  than  any  young  Increasing  Illness Given  people,  importance  and l o n e l i n e s s  that  the  elderly age  adult and  among  become  realistic  two-thirds of disabled  importance  i s self-evident. other  when c o n s i d e r i n g t h e  The e l d e r l y  age g r o u p , women  the  of health  and  use more  social medical  t h e o l d e l d e r l y use  u s e more t h a n men  elderly  people  (Gutman  i s associated with a  78  decrease health  health  dysfunction  As too  in  the  does  home.  and  level the  in  of  services  must  formal  services  i n the  an  elderly over  higher  (Statistics  cost-saving for  whom  other  words  is  to  the  that  society  Therefore,  but  can  possiblity  of  Site,  data  the  for  those  younger group  clearly  in  the of the  area  i n the  home c a r e will  of  will  demand  than the  cost  of  proportion  of  the  age  and  r e a c t i o n s of market  of  longer  be  some e l d e r l y  support  best  possible  rental  health  Association care  In  deinsti-  s e t t i n g at a  current  cost  1987).  services According  homeowners t o  u n i t s a t the health  a  care  New  at to the  Vista  services  on  Vista's attractivness, especially  (75+)  respondents services  no  aged p e o p l e .  show t h a t h a v i n g New  years  have h e a l t h by  1987), of  to  Medical  at  cost  may  most a p p r o p r i a t e  which  oldest  person  institutionalization.  the  so  the  a l w a y s be  failing  (Canadian  increase  groups felt  i n the  providing  would  surrounding  increases  a question  on  some p o i n t  become h i g h e r  1980),  great  1988)  t o keep t h a t  g r o u p s , e s p e c i a l l y 85  afford  in  (Gutman  site  With  At  a l t e r n a t i v e to  facility be  individual increases,  r a t h e r of p r o v i d i n g  elderly  a  would  no  i t i s not  care  the  home w i l l  age  physical  r e m a i n a t home (GVRHD R e p o r t  provided.  Canada  there  research  an  measure. M o r e o v e r , t h e r e  tutionalization  hand  be  institution.  i n the  to  illness,  others.  services required  I f more e l d e r l y a r e  in  of c h r o n i c  dependency of  formal  care  form  d e p e n d e n c y on  of  level  the  group. and  would  i f t h e y were o f  Two-thirds of  four-fifths be  used  by  of  the  those  good q u a l i t y , d i d n o t  the  two  oldest in  the  duplicate  79  services  close  by,  i f they  were handy a n d / o r i f t h e i r  cost  was  reasonable. The  respondents  providing  such  the such  an  adult  Approximately idea  in  half  would  the  h e a l t h care  Continuum  and  select  meet  to  heavier  2.  Care  Facility.  The  CCC  Pharmacy,  which  people 3.  The and  of the  CCC  Holiday  relatives  respondents  or  be  for  satisfied  persons  needs,  Facility  should  will  whole  as  night  supported  pointed  out  independence, reduce w o r r i e s  that  and/or  by:  needs. the  provide  serve  CCC  (three  offices, the  at  living  varying levels  s e r v i c e s from which they  complex  care  dentist  should  services  respite  14.8%  Vista  1988).  their  facility and  support  New  C a r e Complex p r o v i d i n g a c h o i c e o f  Care  doctors  about  centre,  additional  a range of c a r e  health  Intermediate  An  suitable  dependence  care  needs may  of  accommodations  long-term  (48.1%) o f t h e  extend  h e l p c a r e - g i v e r s (Gutman  1.  enthusiastic  day  principle.  services  Resident's  also  traditional,  meals-on-wheels, care.  were  In order should  levels)  a Health  and  to  can  satisfy  provide an  Centre  r e s i d e n t s as w e l l as  an  Extended  Care C l i n i c  a Rehabilitation  of  with and  a  elderly  neighbourhood.  provide Vacation  c a r i n g f o r the  A d u l t Day/Night Care, Care elderly  beds  providing  a t home.  Respite  Care  relief  for  80  R.O. # 3  SOCIAL NEEDS  The  CCC  facility  should  provide  a supportive  social  living  environment. Rationale: In  the  future,  provide small  care  distance the  care  elderly  sought  society  The order  and  is  living  t h a t they  centered  types  role  support  and p a r t i c u l a r l y  who c a n become  around the n u c l e a r  isolated family of  the P o i n t Grey area,  outnumber  e l d e r l y men. T h e r e f o r e ,  elderly t h e y may  t o t h e CCC, l o o k i n g f o r a  peers.  c r e a t e a s t r o n g community  feeling i n  needs. F o r o l d e r people  t o a community, w h i c h t h e y  f o r s e l f - e s t e e m and s a t i s f a c t i o n .  and  of social  In  residents' social  will  alternative  children.  should  to older  care-givers)  other  the e l d e r l y  the persons  environment with  belong  a l s o have an  the workforce  (traditional  different  Moreover,  in  Therefore,  a p p l i c a n t s f o r admission  to satisfy  status  provide  will  r e q u i r e d t o be p r o v i d e d  parents.  are precisely which  parents  participation  aging  will  CCC f a c i l i t y  important  aging  of a d u l t daughters  significantly  potential  support  after.  father  supportive  ing  which  their  female  ability  women  mother,  be  social  f o r their  be  women  children  from  Increased the  a  any  without  t o t h e i n c r e a s i n g number o f  to l i v e  lifestyles  in  due  High m o b i l i t y which o f t e n r e q u i r e s a d u l t c h i l d r e n  people.  will  elderly  divorce  on  limit  the  be f e w e r f a m i l y members a v a i l a b l e t o  and due t o r i s i n g  some  impact  to  to  families  rates. at  there w i l l  a r e proud  feelof, i s  I n a s o c i e t y where  a r e d e f i n e d i n work s i t u a t i o n s ,  the e l d e r l y are  81  deprived  of  such  distinct  identification  1985).  There w i l l  1.  By  establishing policies  in  the  CCC  process. three ing of  be two ways t o a c h i e v e  facility  For  will  responsible  three  a critical  role  will  be members  o f one o f  housing)  hous-  f o r t h e management and o p e r a t i o n facilities  (the Core  Centre)  and managed b y t h e B o a r d s o f D i r e c t o r s o f a l l  societies  Management  play  BCHMC s u b s i d i z e d  u n i t s . A l l "community"  be s h a r e d  objective:  o w n e r s h i p , management and d e v e l o p m e n t  strata-title,  societies  this  residents  example, r e s i d e n t s  (co-op,  their  that  (Champagne and B r i n k ,  i n cooperation  organization.  with a p r o f e s s i o n a l  Property  D e v e l o p m e n t o f t h e new CCC f a c i l i t y  w o u l d be t h e B o a r d s ' m a j o r r e s p o n s i b i l i t y . 2.  By  introducing  environment CCC  Program  which  programs  tional  activities  200-seat  housing  for  chance will  facilitate  f o r several of  creative  (sports, Cultural  Auditiorium  The  cluster  and  s e r v i c e s and by d e s i g n i n g  will  calls  provide  Educational  3.3.  social  cluster meetings  games) programs  objectives:  both  arrangement so  objectives the  s e r v i c e s , which  as  well  that  will  f o r both r e s i d e n t s  that  a t l e a s t recognize  Management  social  i n t e r a c t i o n . The  ( A r t s and C r a f t )  will  each  are  will  and r e c r e a -  as  introduce  be h e l d  ina  and  non-residents.  create  opportunities  residents  F A C I L I T Y MANAGEMENT OBJECTIVES The  social  a physical  o f t h e same  housing  other.  (F.M.O.) somewhat  Management p o l i c i e s  s i m i l a r t o design  and t h e p h y s i c a l  envi  82  ronment  may e q u a l l y p r o d u c e  institutionalization This ed the  apathy,  withdrawal  obviously i s not the q u a l i t y to  elderly  people.  provision  life  and  best  of  of l i f e  and d i s e n g a g e m e n t .  which  The CCC f a c i l i t y  The i m p a c t o f  should  should  growth  of  The r e s i d e n t s s h o u l d restorative  spiritual,  each  barriers  and s u p p o r t i v e  should  be  that  avoided  segregate  where  individual  quality of  member o f i t s  be esteemed and e n t i t l e d care: emotional,  p h y s i c a l and s o c i a l .  impose  be o f f e r -  be d e d i c a t e d t o  o f a home-like environment emphasizing  encouraging  community.  al,  is  institutionalization.  Rules  those  possible,  intellectu-  and r e g u l a t i o n s w h i c h  in  to  to the  each  level  of care  a l l o w development o f a  s e n s e o f community.  F.M.O. # 1  Management  of  visitors) reinforce Rationale:  Some  providing economic of  to  t h e CCC s h o u l d perform  tasks  g r o u p s e r v i c e s and f a c i l i t i e s .  important  1985).  elderly's  needs  f o r themselves  and  i n housing Mostly  p r o j e c t s by  i t i s caused  by  In a d d i t i o n , retirement often brings the l o s s  roles  (Carstens  r e s i d e n t s (and  a s e n s e o f autonomy and u s e f u l n e s s .  autonomy i s s a c r i f i c e d  factors.  allow  in  society  Management  and  policies  a  sense should  of  uselessness  respond  and a l l o w r e s i d e n t s t o r e i n f o r c e  to the  their  sense o f  autonomy and u s e f u l n e s s by p r o v i d i n g : 1.  easy  access  t o a l l CCC f a c i l i t i e s  2.  comfort  3.  opportunities  and s e r v i c e s .  and e a s e o f u s e ( t h e C o r e C e n t r e , for participation  in  outdoor  activities,  space). activity  83  organizing 4.  and s e r v i c e  opportunities (gardening  F.M.O. # 2  are  and  needs  and may  1.  Create  a  forum to  as  a  propose  Identify and  in 3.  service  encouraging  and  activity  independence  and t h e  ( C a r s t e n s 1985).  Elderly  to adjust to existing  t h e s e may n o t accommodate  their  with the surround-  should:  solving  p r o b l e m s and d i s c u s s i n g  issues  t h e g r o w t h and d e v e l o p m e n t o f t h e CCC i n promotand  group  resident  needs, a b i l i t i e s  design board  changes o r a d d i t i o n s  expansion  Centre  of  service  eg:  a  and o u t d o o r  and a s p i r a t i o n s  which can e v a l u a t e ,  t o t h e CCC  facilities.  program  i n c r e a s e use o f  especially  disabled,  independent,  eg: r e s i d e n t  of to  board  to  facilities  spaces.  experiences, opportunities  freedom  review  gaps and a r e a s f o r p r o g r a m  resident  e v e n t s w h i c h may  on l e a r n i n g  promotion  independence  facilities.  although  for  special  t h e Core  Advise  maintenance  s h o u l d encourage  than younger people  common p r o b l e m s ,  organize  outdoor  on use o f f a c i l i t i e s  for  Management  individual  such  centre).  d i s c o u r a g e use and s a t i s f a c t i o n  environment.  related  in  of the i n d i v i d u a l  conditions  ing  2.  critical  a r e more l i k e l y  rules  and  use o f t h e CCC  functioning  ing  policies  Management p o l i c i e s  programming  people  participate  Management  Rationale:  (seniors'  committee).  and  optimal  to  delivery  choice be  to more  e d u c a t i o n board  help  f o r g r o w t h and older  people,  self-sufficient and p r o g r a m s .  and  84  F.M.O. # 3  O b j e c t i v e : Management p o l i c y dents  to  personalize,  should  encourage  resi-  change and c o n t r o l t h e CCC  environment. Rationale:  " P e r s o n a l i z a t i o n and c o n t r o l o v e r  important aging Being  persons able  vidual also  f o r self-esteem  experience  needs and p r e f e r e n c e s increases  (Carstens  satisfaction, a closing  particularly for  o f f of l i f e ' s  options.  t o change and p e r s o n a l i z e t h e e n v i r o n m e n t a l l o w s  decreasing  1.  who  and  t h e environment i s  the f e e l i n g  the  t o be s a t i s f i e d .  character  of  1985, p . 1 6 ) . Mangement p o l i c i e s  encourage  residents  especially  in  opportunities  long  term  f o r display  care  of t h e i r  planned  while  housing"  should:  to personalize their  the  A sense o f c o n t r o l  o f home and t h e u s e o f a s p a c e  institutional  indi-  own d w e l l i n g  clusters personal  units  by p r o v i d i n g b e l o n g i n g s and  furniture. 2.  accentuate  3.  provide like  4.  entry with  residents  with  aquariums, b i r d s  facilitate by  unit  flowers  their  Management of  Rationale:  The e l d e r l y  care o f :  p l a c e m e n t w i t h i n t h e CCC e n v i r o n m e n t  should a  unobstructed physical  t o take  items.  feeders.  c o n t r o l over  terms  personal  own a m e n i t i e s  p r o v i d i n g , f o r example, movable  F.M.O. # 4  o r other  make  relaxed services  furniture.  the  place  atmosphere as  well  appealing  in  and f r i e n d l y y e t as  "friendly,  environment". a r e more v u l n e r a b l e  because o f day t o day  85  difficulties. cause  Contact  anxiety  time  to  Through  evaluate a  example:  reduce c o n f i d e n c e . and  relaxed,  management  like  and  may  w i t h a new s t a f f  prepare  positive  elevate  accessories:  each t a b l e ,  bright  comfortable  F.M.O. # 5  but  residential Rationale:  Centralization  rably  reduce  those  services,  the  CCC  sive  the  residents  atmosphere mood  and c h e e r f u l  ambience For  be e q u i p p e d w i t h home  tablecloth,  fresh  f l o w e r s on  should  centralize  retain  home-like  a l l supportive environment  ser-  within  cluster. o f a number o f f a c i l i t i e s of  staff  that  may  i s required  In addition  i n the f a c i l i t y  to that,  will  allow  centralized  conside-  t o perform  w h i c h c o n s e q u e n t l y may r e d u c e o p e r a t i n g  and s t a f f .  require  and s a t i s f a c t i o n .  rooms s h o u l d  coloured  number  facility.  services  people  furniture.  Management vices,  The o l d e r  may  f o r changes i n the environment.  residents  a l l lounges/dining  or other residents  costs  of  comprehen-  f o r ease of a c c e s s f o r  The management o f t h e whole f a c i l i t y  may be  more e f f e c t i v e and e a s i e r t o o . The Centre  CCC  should  centralize  such as:  1) c e n t r a l  administration  2) c e n t r a l  food  services  3) c e n t r a l  laundry  4) c e n t r a l  material  services  5) c e n t r a l  building  services  a number o f s e r v i c e s  i n the Core  86 6) c e n t r a l  plant  7) c e n t r a l  personnel services  8) c e n t r a l  social  services  9) c e n t r a l  health  care  3.4.  services  services.  COMMUNITY OBJECTIVES  (CO.)  The n e i g h b o u r h o o d e n v i r o n m e n t may be t h e s o u r c e o f a e s thetic enjoyment, physical s e c u r i t y , sensory v a r i e t y , basic resources, help i n emergencies, s o c i a l i n t e r a c tion, i n t e r e s t i n g t h i n g s t o do, t h e f e e l i n g o f t e r r i t o rial pride, and many o t h e r s a t i s f i e r s o f human needs (Lawton 1987, p . 3 8 ) .  To "ideal  provide  similar  and  a special  within  the  These  Continuum  larger  f o r special  outside  the  CCC,  simultaneusly  necessary objectives  context  the  of  # 1  sense  (subject  i t may o f f e r  advantages  t h e need  groups  of l i v i n g  to retain  of objectives: to f o r the e l d e r l y  both  unique  people  living  t o age p e e r s ,  Community.  order  prevent  close  Plan.  some u n i t y w i t h t h e p e o p l e  in  relocation  a p p r o v a l ) have  to elderly  p r o v i d e t h e CCC f a c i l i t y  enduring  general  to the Planning  to recognize  To  to  the  o f an  t h e Community D e v e l o p m e n t  should attempt  services  attributes  o f Care neighbourhood  and t h e r e s o u r c e s o f t h e P o i n t G r e y  CO.  to  t o t h e p r e v i o u s two g r o u p s  " m i n i " CCC community  needs  a l l these  P o i n t Grey neighbourhood  background  create  with  i t is  objectives.  Department  and  elderly  environment",  community  The  the  local  stress.  i n the P o i n t Grey elderly  people  Area from  87  Rationale: stitutes  Although an  mobility  continue their  f o r many  of  the  few make t h i s to l i v e  previous  traumatic have  occasion  rate  relatively  i t i s g e n e r a l l y assumed t h a t r e t i r e m e n t  increase  1983;  1986).  1.  To CCC  2.  To a c h i e v e  and  this  should  banks,  of  task people  Care,  Senior  institution  is  and  f o r older  people,  rates  the e l d e r l y  (Gutman  within the  is  o f major  responsible f o r delivering  be l o c a t e d n e a r e x i s t i n g  shopping  The new malls,  parks. near e x i s t i n g  The CCC l o n g - t e r m Center,  concentration of  facilities,  Recreational  Adult  Activity  Day/Night Clinic  be l o c a t e d i n c l o s e p r o x i m i t y t o t h e e x i s t i n g  elderly  areas.  mobilize  existing  F o r example,  resources local  to  tailor  programs t o t h e  merchants' i n s t i t u t i n g  s e n i o r s - S e n i o r ' s Day i n bank, d r u g m a r t ,  establishing centre.  the t i e s of  Club,  habitation  for  need t o  near d e s i r a b l e resources.  locate desirable resources people.  that  i t i s necessary:  To  older  an  fact  people  i t s resources  f o r those  stops,  elderly.  the  Elderly  to  to retain  bus  To  to  i n m o r t a l i t y and m o r b i d i t y  usability  elderly  housing  should  3.  the  locate  move  consequences  In order  f o r planners  services.  o f change.  The  negative  community  attests  move, t h e v e r y low  A number o f s t u d i e s on i n v o l u n t a r y r e l o c a t i o n  particularly,  concern  type  existence.  documented  same  elderly  to  i n t h e same community and t o r e t a i n  enough.  Lawton  people  con-  a  new  program  for  seniors  discounts  restaurants or  i n t h e community  88  4.  To  mobilize  can  informal  provide  support  tions.  For  services  as  resources  f o r the  example, friendly  a  of the  elderly  who  volunteer  visitors,  neighbourhood have g r e a t e r  which  limita-  network p r o v i d i n g  security  such  call  s y s t e m and  to neighbourhood  resources.  pet  therapy.  CO.  # 2  Provide  Rationale: general the of  Access  life  resources nants studies  on  elderly romat  or  Lawton  knowledge are  the  related effect  that  people  m o r a l e and  the  i s important  optimal  for  f u n c t i o n i n g of  store, studies  1986).  there  transportation located:  of  neighbourhood  a post bank  with  to w e l l - b e i n g of the  are  office or  from t h e  rest  older  are  neighbourhood two  determi-  elderly.  Several  proximity to e l d e r l y  "critical facilities. t o be  o r bus  on  t h a t the  For the  example, a housing  stop within three  amount o f use  d i s t a n c e to the and  people  resources  the  becomes new  CCC  which laund-  site  to  blocks,  but  a  be a  However,  of r e s o u r c e s  p e r c e i v e d convenience  increasingly  housing  d i s t a n c e s " beyond  p h y s i c i a n w i t h i n ten blocks.  distance  walking for  the  c e n t r e needed  have f o u n d  Since  p r o x i m i t y to the  of resources  only associated with  satisfaction  (1986),  d e c l i n e t o use  seniors  maximally,  grocery  not  and  proved  other  resources  as w e l l as. f o r a v o i d i n g i s o l a t i o n  to  which  used  neighbourhood  community.  According  have  to  access  satisfaction,  individual, the  easy  also  is  with  (Lawton,  m a j o r mode o f  facility  should  be  89  1.  Close  to  outlets, 2.  Close  the  neighbourhood's  necessary  to  Located on  4.  i n an  centres  CO.  a t t r a c t i v e place  close  or  (e.g.  # 3  CCC  living  ed  enthusiasm  nostic  oldest  Vista as  on  safe  and  the  community,  focused  access  to  educational  provide  life  found  New  adult  In the  f o r the  elderly  t h a t more t h a n t w o - t h i r d s  in  the  90%  i n the  day  care  o l d e s t group services  physiotherapist,  Vista site.  were v e r y  CCC  and  New  idea of h e a l t h  have been d i s c u s s e d  The  residents  sustaining  to  i n R.O.  facility  (e.g.:  docdiag-  Respondents, e s p e c i a l l y i n  long-term  care,  express-  podiatrist,  e n t h u s i a s t i c about the  community n e t w o r k o f Rationale;  and  Reactions  such t r a d i t i o n a l  meal-on-wheels,  # 4  out).  neighbourhood.  more t h a n  the  the  group,  providing  objectives  CO.  for  should  its  dentists' offices,  lab)  stops  (1988) s t u d y o f S e n i o r s '  Community C o n c e p t  y o u n g e r g r o u p s and  the  for  Gutman's  and  within  convenient  facility  i n the  two  tors'  layer, eating  retail  views.  with  resources  Vista's  as  UBC).  The  Rationale:  such  routes.  n a t u r a l b e a u t y and  Within  (banks,  convenient public transporation  convenient walking 3.  services  resources  care  support  r e s p i t e or n i g h t #  idea  of  New  services  care.  These  2.  should  create  f r i e n d s and  an  informal  relatives.  community, r e s i d e n t s mingle with  people of a l l  90  age  groups.  and  acquaintances  the  elderly  programs also  are  visitors on  associated group  the  from  a  c o n t e x t s . In a  social  CCC  for  The  1.  recreational  outdoor  the  facility  was  the  t o Gutman*s  f o r the  availability g r o u p was  companionship  and  preferable resources  complex  oldest  most  o f age  youngest  of r e c r e a attracted  peers  in  such  should:  facilities  activity  facility,  r e s i d e n t s and  According  most  housing  p r o g r a m s . The  o f t h e CCC  groups. the  respondents  complexes.  - an  (1988)  seniors'  elderly  relatives  a homogenous community. R e s o u r c e s  various social  opportunity  Provide  a wide v a r i e t y  Vista  with  and  networks i n c l u d e f r i e n d s ,  encourage p a r t i c i p a t i o n  New  of the  tional  from  faced with  should  research  by  Their friendship  such  as:  club with bowling,  m i n i - g o l f , croquet,  BBQ - gardening for  c l u b which w i l l  social  - indoor fitness  integration,  activities  provide  but  and  centre, dancing  also  programs  the  o p p o r t u n i t y not  for horticulture such  only  therapy.  as a swimming p o o l ,  club, auditorium with  multipurpose  use. 2.  Provide the  social  programs,  r e s i d e n t s and bingo,  visitors  encourage p a r t i c i p a t i o n  such  as:  arts  and  bridge  drama c l u b , s i n g toastmaster picnic  which  along,  club, travel  lunches,  t e a and  crafts  club talk,  shopping  trips  of  91  3.  Provide social  facilities  which  will  provide  the  opportunity for  contacts:  restaurant cafe/bar winter  garden with  b e a u t y s a l o n and  arts  hairdresser  bank, s m a l l r e t a i l  CO.  # 5  The  exhibition  CCC  outlet  facility  resources  which  should will  provide  promote  life  mental  enriching and  social  integration. Rationale: being  of  sive  Life the  enriching resources elderly  community  CCC  facility  such  areas  may  strategy through  as  support  their  their  neighbourhood.  ways,  who  emphasis  classes  along  facility  should:  1.  Provide (music,  2.  An  a  in  the  should  be  a p a r t of a  o f s e r v i c e s and or  on  with  in  encourage the  p o p u l a t i o n o f more  whole  educated  i n more s o p h i s t i c a t e d  creative activities,  forms of a c t i v e  library  and  community and  satisfaction  put  activities  the  l e a d e r s h i p development  enhance d i g n i t y  growing  comprehen-  needs o f o l d e r p e o p l e ,  o f t h e CCC  life  other  small  As  creative arts  life  seeking  with  variety  independence,  With are  1986).  t o meet t h e  a  education,  involvements  elderly  (Lawton  c o n t r i b u t e v e r y much t o w e l l  recreation.  r e a d i n g and  special The  listening  CCC  rooms  languages).  Auditiorium  and  classes for special  e d u c a t i o n a l program  92  such  as  guest  experiences 3.  Arts the  4.  and  and  to  U.B.C.  or c u l t u r a l  # 6  The  elderly  CCC  1.  on  benefit  facility  with  the  travel  so w e l l f o r  or  downtown  for  special  the  should  enhance  P o i n t Grey  Community. t o meet a v a r i e t y  very expensive investment.  business  and  The  does n o t  provide  community c a n  is  open t o t h e  such  day  care, r e h a b i l i t a t i o n  of  public.  share  The  CCC  should: facilities  clinic,  stores,  Provide  the  centre,  r e s t a u r a n t , c a f e / b a r , h a i r d r e s s e r , pharmacy,  library  t o be  membership c a r d s  social  as  programs  shared  by  the  for special  such  as:  Selected  recreational  club, gardening  Test  Site  community a t  bowling  NEIGHBOURHOOD DEVELOPMENT OBJECTIVES For  provide  facility  swimming c l u b , d a n c i n g  3.5.  be  original  Provide  and  S.F.U.,  .  facility  needs, can  if  S.F.U  environment, which t r i e s  the  auditorium, 2.  CCC  people  return  the  The  or  elderly.  or  events  integration Rationale;  U.B.C.,  programs b e c a u s e t h e s e  e x p r e s s i v e needs o f t h e  lecture  a  from  others.  Crafts  Excursions  CO.  lecturers  large.  activities  club, croquet  c l u b and  club,  others.  (N.D.O.)  (Please  refer  to  Chapter  2  p.2.4. )  N.D.O. # 1  The  d e s i g n and  p l a n n i n g o f t h e CCC  facility  has  to  93  ensure  t h a t a new f a c i l i t y  a sense  o f community:  Rationale: ing  The new CCC f a c i l i t y  P o i n t G r e y Community  istics  as  well  encouraged elderly  living  in  in  facility  create  as  social  the  the  However,  the P o i n t Grey  N.D.O. # 2  physical  infrastructure.  P o i n t Grey area activities.  provide  this  character-  Residents  s h o u l d be  should  be e n c o u r a g e d t o  The r e s i d e n t i a l  buildings i n clusters  portion of i n order t o  The  with  architectural  massing  a  options  from  N.D.O. # 3  should  blend  the surrounding  are  merit. built  new  3  apartment storey Along  as  with  The scape  interest.  housing. b u i l d i n g s along  4 t h Ave and  should  storey  homes. I n t e r m s o f o v e r a l l provide  a variety  to the m u l t i p l e - u n i t  development should  having  compatibili-  8 t h Avenue t h e r e a r e s i n g l e  f a m i l y housing  CCC  visual  neigh-  b u i l d i n g s w h i c h have no s p e c i a l  single-family  development  single  create a cohesive  c h a r a c t e r and a c h i e v e  existing  Street  houses  CCC community  The CCC d e v e l o p m e n t s h o u l d  ty Rationale:  small  t o each  neighbourhood.  bourhood  old  h a s t o be a p a r t o f t h e e x i s t -  a m i n i community p r o v i d i n g p r i v a c y and l i v a b i l i t y  resident.  Highbury  p r i v a c y and  t h e community b u t a t t h e same t i m e t h e  CCC  should  livability,  i n terms o f b u i l d i n g  t o go o u t i n t o  participate the  maintains  contribute to  i t s distinctive  o f space housing.  street-  c h a r a c t e r and v i s u a l  94  Rationale: a  The  character  neighbourhood's  image.  landscaping  treatment  the  of  rhythm  styles  On is  4th  front  side  A should 1.  the of  4th  setbacks  achieved  Ensuring  visual  the  N.D.O. # 4  individual A variety  by  the  sites  and  of b u i l d i n g  c o e x i s t because the  created  by  M a l l and  the  proximity  s h o p p i n g and existing  streets-  distinctive  of  character commercial  s e r v i c e s area.  On  buildings create  a  neighbourhood.  Avenue, m u l i t i p l e - u n i t c r e a t e a more u r b a n  housing  street  Along  with  the  minimal  character.  c h a r a c t e r and  visual  interest  by:  that  the  CCC  provides  developments  on  building  adjacent  treatment  sites  and  that creates  rhythm.  Maintaining of  can  predominant r e s i d e n t i a l  streetscape with be  of  side yards.  Highbury S t r e e t the  complements  2.  is  Jericho  and  of  yard  yard  created  to  together.  new  Avenue  north  front  subject site  which  buildings:  rhythm  of the  is traditionally  Avenue, c l o s e t o Alma S t r e e t , a more u r b a n  evident  8th  the  them  It  b u i l d i n g s and  around  cape t i e s  of s t r e e t s c o n t r i b u t e s s i g n i f i c a n t l y  a  more u r b a n  streetscape  i n the  north  east  part  site.  The  CCC  part  development  should  not  especially  block  or  the  reduce  residential the  existing  along  Highbury  views. Rationale: Street,  The  looking  major p u b l i c view c o r r i d o r e x i s t s north.  A  private  view  is  available  in  the  95  southern where  part  there  of the s i t e is  and i n t h e n o r t h w e s t p a r t o f t h e s i t e  a v i e w o f t h e m o u n t a i n s and J e r i c h o P a r k t o t h e  north.  N.D.O. # 5  The the  Rationale: fic  impact  4 t h Avenue.  Avenue an  potential  The C i t y H a l l  has a g r e a t  along  CCC d e v e l o p m e n t s h o u l d  and  access  provide to  the  noise data  impact  indicate  on t h e q u a l i t y  In order  be d e s i g n e d  t o minimize  f r o m 4 t h Avenue. that the vehicular t r a f -  of l i f e  i n t h e development  t o r e l e a s e t h e heavy t r a f f i c  easy  access  CCC  site  to the s i t e  the C i t y  on 4 t h  recommended  from H i g h b u r y S t r e e t through  Sixth  Avenue.  N.D.O. # 6  Individual  dwelling  units  should  enjoy  a  high  degree o f p r i v a c y . Rationale; important does  1.  that  elderly the  housing  CCC  should  especially  privacy i s h i g h l y valued.  provides  n o t erode t h e p r e s e n t  properties This  In  levels  p r i v a c y f o r i t s r e s i d e n t s and of p r i v a c y enjoyed  i n the southern  be a c h i e v e d by:  Orienting  Orienting screening  3.  Providing access  by a d j a c e n t  part of the s i t e .  major  windows  away  f r o m t h e windows o f a d j a c e n t  u n i t s when d i s t a n c e between them i s l e s s 2.  It is  balconies  away  them t o m i n i m i z e screening  route.  from  than  adjacent  15 m e t r e s .  sites  (units), or  overlook.  f o r ground  level  This screening should  u n i t s near a s t r e e t o r be o b t a i n e d  primarily  through  landscaping  with  fencing  The  should  providing  a  secondary  screen.  N.D.O. # 7  design  accommodate  defensible  methods t o e n s u r e a s a f e and s e c u r e Rationale: housing. ment  Security  and c r i m e  Through s i t e  that  prevention  planning  discourages  crime  be  environment.  i s an i s s u e i n e l d e r l y  and b u i l d i n g can  space  design,  created.  an e n v i r o n -  T h i s s h o u l d be  a c h i e v e d by: 1.  Locating spaces  2.  indoor  Grouping  dwelling  Designing the  areas  t o improve mutual  surveillance 3.  common  adjacent  to  outdoor  common  security.  units  in  clusters  t o enhance  entrances  o f c o m i n g s and g o i n g s .  fences  clusters  and  landscaping  (buildings)  and  that allow  same v i e w s o f  p r i v a t e open s p a c e s  from t h e  street.  N.D.O. # 8  The  CCC  open and of hood Rationale: area  development  spaces the open  which w i l l  can  serve  neighbourhood space s h o u l d  provide  a variety of  the p u b l i c ,  as a whole.  residents  The t r e a t m e n t  c o n t r i b u t e t o the neighbour-  identity.  The s u b j e c t s i t e  and  should  be e a s i l y  lopment  with  sufficient  portion  of the s i t e  i s a "green transformed  oasis"  i n the P o i n t Grey  i n t o medium  p r o v i s i o n o f open s p a c e s .  d e n s i t y deveThe n o r t h e r n  i s a l r e a d y an open p u b l i c g r a s s - c o v e r e d  area  97  with to  trees  t h a t c r e a t e an a t t r a c t i v e  neighbourhood  area  is  elderly than to  an  identity.  essential  kinds  Rationale: located buffer  zone  Justice  CCC  that  creates visual is  the  trees  that  Avenue.  Close  to  cross a  there the  very  the  is  site  important  future  scattered  interest  of  the  3.6.  CONCLUSION  site  a  several  f e a t u r e of the s i t e  landscaping  which p r o v i d e School  a natural  p r o p e r t y and  i s a green from  zone  with  the noisy 4th  many f e a t u r e t r e e s t h a t axis.  that should  This alley i s be p r e s e r v e d i n  T h r o u g h o u t t h e whole s i t e ,  there are  t r e e s and rows o f t r e e s Along  o b j e c t i v e s developed  trees  o f 4 t h Ave., and H i g h b u r y  d i a g o n a l l y on t h e e a s t - w e s t  hedge and a row o f d e c i d u o u s  facility  provide  and i d e n t i t y .  barrier  a l l e y with  routes.  homes  residents  q u a n t i t y of deciduous  intersection  a beautiful  transportation  shrub  permit  provide  4 t h Avenue, t h e r e  provides  development.  high  should  Jericho H i l l  c o n i f e r o u s and d e c i d u o u s  existing  The  part  f o r the  i n or near t h e i r  should  substantial  Along  deciduous  Street  a  the adjacent  Institute.  environment  outdoor  activities.  development  western  from  area  for different  The  There  in  The o u t d o o r  accessible  and c o n v e n i e n t l y and s h o u l d  o f space c r e a t e d  N.D.O. # 9  easily  t o spend more t i m e  people.  walk a b o u t e a s i l y  A pleasant,  part of a r e s i d e n t i a l  who a r e l i k e l y  younger  s t r e e t s c a p e and c o n t r i b u t e  8 t h Avenue, t h e r e  along isa  trees.  i n this  chapter  have  been  98  established following mental  in  Chapters  in  terms  CCC f a c i l i t y .  Group  1  of  a safe  Residents'  and  there  Point Group 5  which a d d r e s s t h e i s s u e environment. on t h r e e  c a r e and s o c i a l which a l t h o u g h  basic  needs. emphasiz-  of c e n t r a l i z a t i o n of supportive  nevertheless  stress also and v a r i e d  Objectives  relationship  explain between  t h e need physical  a need the  ser-  f o r independenvironment.  f o r s u c c e s s f u l and  CCC f a c i l i t y  and t h e  G r e y Community.  Neighbourhood for  health  are i n s t r u -  and management o f t h e  which c o n c e n t r a t e  choice,  i n the  groups of o b j e c t i v e s :  Management O b j e c t i v e s  Community smooth  operation  are f i v e  Objectives  ence, p e r s o n a l i z a t i o n Group 4  A l l these o b j e c t i v e s  successful  the importance  vices,  5.  t h e program development  and q u a l i t y f a c i l i t y  tenure  Facility ing  guide  Environmental Objectives  issues: Group 3  4  to  I n summary,  Living of  Group 2  order  the  Development O b j e c t i v e s  architectural  have been p r e s e n t e d  are very  important  c o n c e p t o f t h e CCC f a c i l i t y  i n t h e form o f d e s i g n  and  guidelines.  99  CHAPTER 4 - THE CCC F A C I L I T Y COMPONENTS  Chapter  Summary:  Chapter on  four  4  is  major  complex:  t h e p a r t o f t h e s i s s y n t h e s i s and  functional  residential,  outdoor  activity  spectrum  of  long-term  spaces.  the  components  CC  concentrates  of the continuum of care  care,  community  s e r v i c e s and  T h e s e components c o n s t i t u t e t h e e n t i r e  environment  and  are  instrumental  to i t s  quality. INTRODUCTION A  quality  satisfaction Continuum are  and  of  several  evaluation  as  well-being  Care  of  As p o i n t e d  and s o c i a l  the environmental  choice,  residents,  an  stimulation  The  opportunity  generally  by  for  providing  quality.  a  variety  permit  the widest  range o f p e r s o n a l  choice  would  a  The would  be  CCC F a c i l i t y provide  dwelling  units.  choice  will  further  of  social  three  choices  interaction in activities  independence are j u s t the  choice  satisfaction.  would be  satisfied  o f Environments which choices.  i n a variety  provide  there  The o p p o r t u n i t i e s f o r  t h e CCC r e s i d e n t s  individual  a  w h i c h may be u s e d i n  and p a r t i c i p a t i o n  of i n d i v i d u a l  objectives i n f u l f i l l i n g  i n designing  o u t i n C h a p t e r 3,  criteria,  encouragement  w e l l as r e i n f o r c e m e n t  basic  i s the major f a c t o r  Complex.  physical  individual between  e n v i r o n m e n t , w h i c h may c o n t r i b u t e t o t h e e l d e r l y s  The most  of l i v i n g  tenure  would  important  arrangements.  options.  i n terms o f the type  Each  option  and s i z e o f  100  For  those s e n i o r  Continuum living  of  Care  of  care  The  Core  CCC  promote  mental  and  with  the  and  individual  choice.  all  its  residents  4.0  tained  there in  continuing  and  contacts  in  (three  and  a  levels)  i n the  Health  the e l d e r l y  living  i n the  would  increase  Besides having  component as w e l l  would  create also  a  promote  social  the  enhance  business  Several  services,  be t h e  for  principal  therapeutic  variety  promote  as e n c o u r a g e  also  opportunities  components would  would  would  resources  and  would  resources  of  the Core Centre -  P o i n t G r e y Community.  spaces  activities  S I Z E OF Is  This  the  i n a range of  i n the c r e a t i o n  C o r e C e n t r e would  environment.  outdoor  and  sustaining  s p a c e program  i n t h e CCC  activities.  life  amenities  outdoor  the  services  o f dependence  enriching  intergration  the  social  programs  elements  care  a choice  levels  life  residents  However,  integration  The  The  satisfy  for  to  The  social  component.  opportunity  provide  be a key component  environment.  neighbourhood.  health  Facilities.  C e n t r e would  would  need  i n the I n t e r m e d i a t e Care  quality  cultural Centre  will  according  services  and E x t e n d e d C a r e  alue  Complex  accommodations  range  the  r e s i d e n t s who  of outdoor  participation in contacts  between  visitors.  THE  FACILITY  an i d e a l one care  number o f e l d e r l y  Continuum  people, that  o f C a r e Complex?  retirement  communities  c a n be  In the U n i t e d house  an  mainStates  average  of  101  350-500 r e s i d e n t s , a p o p u l a t i o n  r a n g e t h a t has  proven  ly  Another study  suggests  viable  (Green,  1985,  p.39).  economicalthat:  Although there is d i v i d e d o p i n i o n as t o t h e number o f elderly who may be c o n c e n t r a t e d i n t h e i r own n e i g h b o u r hood, up t o 500 h o u s i n g u n i t s d i v i d e d i n t o c l u s t e r s o f 30 t o 50 i s a s c a l e t o w h i c h most r e s i d e n t s c a n c o m f o r tably relate. With l e s s t h a n two p e r s o n s p e r h o u s e hold, the neighbourhood w i l l house a p o p u l a t i o n u n d e r 1000 ( Z e l v e r 1976, p. 200). The  size  create  an  provide  of  which  and  their  designing  dent  in  a  i n the  such t h a t  e l d e r l y , but  in  problem  first  i t does  t e r m s o f b u i l d i n g s and  space. place  w o u l d be  not  l a r g e enough  r e m a i n s beyond t h e  given  well-being  objective  for  to  ser-  question  of  a  A q u a l i t y environment,  to the  elderly*s  satisfac-  another important  factor in  Complex.  choice  L i v i n g Housing could The  elderly  who  housing  rental  first  are  one  be  of  residential  f u l f i l l e d by  w o u l d be  u n a b l e t o own be  a v a i l a b l e to  apartments  in  the  assumes funds  Dunbar  other  choices:  from  willing  and  to  West  Cooperative  CMHC) f o r t h o s e w i t h participate  i n the  providing  dwelling  low  Point  Kerrisdale.  tenure  i n Indepenthree  r e n t a l accommodation  their  would  Kitsilano,  and  viability  a Continuum of Care  options.  by  the  be  HOUSING - INDEPENDENT LIVING The  of  f a c i l i t y should  community o f  the  seniors  contributes  tion  CCC  economic  However,  number  4.1  the  isolated  an  vices.  of  units.  income s e n i o r s Grey area However, t h e  as  tenure for  This  the type  living well  as  program  in in  also  H o u s i n g townhouses ( a s s i s t e d m o d e r a t e income, b u t cooperative  active  management;  and  102  also  Strata-Title  dwelling  sector.  The  option  residents  of  well  as  to  last  units could  West P o i n t G r e y , those  from  developed be  offered  by  the  t o more  private affluent  a d j a c e n t Dunbar and K e r r i s d a l e a s  M e t r o p o l i t a n V a n c o u v e r and Canada ( s e e  Chapter 2 ) . There option.  are  advantages  (Housing  Information  Centre  f o r Continuing  Guide,  NHA  different  5179  and  disadvantages  each  F o r Those A p p r o a c h i n g  Eduction,  CMHC,  of  1983)  U.B.C. Each  1986;  housing  housing  Retirement,  Home type  Selection satisfies  needs o f t h e e l d e r l y :  Tabel  4-1.--Housing C h o i c e s  BCHMC  CO-OPERATIVE  i n t h e CCC F a c i l i t y  HOUSING  STRATA-TITLE DW. UNITS  ADVANTAGES Low and m o d e r a t e income - r e n t s a r e 30% o f g r o s s h o u s e h o l d income.  Security  Opportunity to change a c c o m o d a t i o n .  Housing charges a r e kept a t reasonable level.  Opportunity to participate i n t h e management o f t h e condominium.  L i t t l e o r no r e s ponsibility for the maintenance.  L i v e and s o c i a l i z e i n a community t y p e setting.  More l i v i n g space s e r v i c e s and f a c i l i t i e s , better finish materials.  No down-payment required.  Occupants collecti v e l y own and manage the housing.  Opportunity to recover the i n v e s t e d money.  o f tenure,  S e c u r i t y of the ownership.  103 Table  4-1.--Housing C h o i c e s  i n t h e CCC  Facility  CO-OPERATIVE HOUSING  BCHMC  (Cont'd)  STRATA-TITLE DW. UNITS  ADVANTAGES More f r e e d o m away.  to  be  Household/occupants p u r c h a s e s h a r e -- money r e f u n d e d when t h e o c c u p a n t moves o u t .  Convenience of having f r i e n d s i n t h e same building  I n d e p e n d e n c e and freedom t o p u r sue i n d i v i d u a l livestyle. V a l u e has i n creased over past several years.  DISADVANTAGES Long w a i t i n g  list.  Members must c o m p l y w i t h the r e g u l a t i o n s e s t a b l i s h e d by t h e c o o p e r a t i v e as a g r o u p .  Necessity to comply w i t h c o n dominium r e g u l a tions.  No o p p o r t u n i t y t o t u r n p a r t of your expenses i n t o i n vestment.  O b l i g a t i o n s to p a r t i cipate i n cooperative administration.  Maintenance and improvements o u t s i d e the housing u n i t are subject to decis i o n s by t h e board of d i rectors .  No s e c u r i t y o f the ownership.  No o p p o r t u n i t y t o b u i l d up i n v e s t m e n t i n value of property.  Costs: higher than co-ops.  5% w h e e l c h a i r a c c e s s i b l e units only.  H i g h e r m o n t h l y mortgage payments t h a n f o r r e n t a l housing  Long-term f i n a n c i a l commitment.  L e s s l i v i n g space a m e n i t i e s than i n c o - o p and s t r a t a title.  Long-term f i n a n c i a l commitment o r l a r g e downpayment.  Relatively less f r e e d o m t o move than with r e n t a l housing  N e c e s s i t y t o buy  shares.  104  4.1.1  BCHMC HOUSING - NON-PROFIT RENTAL HOUSING To  satisfy  dents  the  within  the  CCC  the  facility  Non-profit  objective  of  projects  for  that  the  could  first  provide  Housing  people  regulations.  At  resi-  independent  units  of  in  present  the  for  disabled.  The  t o c o v e r the  d i f f e r e n c e between t h e  the  project  household is  a  a  of  which long  rent  Commission  such  project  to  housing  to  the  must  be  develop  t e r m commitment t o  break-even  construction,  behalf  According a  plans  of  on  senior  on  the  the  units  rent  s o c i e t y by of  a social  the  by-laws  program  c o n t r i b u t i o n based  sponsoring  governments.  sponsor  make  to  Management  society,  tenant  BCHMC  including associated  a v a i l a b l e under the  A f t e r completion  directly  Provincial the  the  income.  paid  Housing  and  with  program c o v e r s b o t h  family housing p r o j e c t s , subsidy  The housing  b u i l d i n g codes, municipal  and  designed  BCHMC.  accordance  citizens the  the  living  d e v e l o p m e n t o f modest  built  a l l applicable  group of p o t e n t i a l  Program  program i s the  needy  specifications, and  needs o f  is for  30%  of  subsidy the  Federal  B.C. and  development  criteria  a non-profit  housing  housing p r o j e c t  efficient  management o f  and the  facility. BCHMCs great 1040  data  demand  for  persons  persons  in  are  living  the  CCC  (on  55 the in  J u l y 21th,  subsidized years  old  West S i d e very  1989)  indicate that  housing. and  In Vancouver, there  o v e r on  of Vancouver).  poor c o n d i t i o n s .  f a c i l i t y might p r o v i d e  up  to  100  there  the  waiting  Five  per  Thus, we u n i t s of  can  list  cent  is a are (226  of  them  assume  that  rental  housing  105  according  to the  development and  as  BCHMC D e s i g n G u i d e l i n e s the  management,  Proposal  4.1.2.  Call  and  influence  housing  is  Committees, the  non-profit, co-op  affairs  cost  housing 15  and  Courier, An  becoming  of  view  property  (BCMHC  1989  projects  2,  form  of  for  a  Association.  at  of  houses  and  the  b a s e d on could are  45,  In  and  p e r m i t s them  addition  1980  there  provides  were o n l y  i n Canada. offering  i t  to  By  1986  six  there  2,000 u n i t s  (The  Independent L i v i n g Housing could housing in  (see  cost the  of  looking  for  seniors'  co-ops,  to t h e i r  the  Chapter  their  mortgage and  offered  According  by  members p u r c h a s e  be  units.  B.C.  co-operative  for  Columbia  Housing  experience  -  units.  Monthly  operating  re-  Residential  s h a r e s w h i c h amount  t o p e o p l e who smaller,  3  be  senior  t y p e o f H o u s i n g Co-op d o e s n ' t  subsidies  Instead,  option  of  This  Objectives).  are  are  developed  government  charges  seniors  non-profit  Advisory  20%  In  satisfy  1989).  recently  least  housing.  there  citizens  quire  co-op.  to  for user p a r t i c i p a t i o n  of D i r e c t o r s  the  efficient  today  April  of  a p o p u l a r way  I t provides  Board  a l t e r n a t i v e option  new  This  point  financial,  of  CO-OPERATIVE HOUSING  several  were  from the  size  1).  e l d e r l y * s h o u s i n g needs.  in  a  maintenance  - B l u e Book, p.  Co-operative the  most e c o n o m i c a l  indicating this  costs  housing  per  sold their  more manageable  to  unit. family  dwelling  i n management o f e x i s t i n g  Columbia Housing A d v i s o r y  Association  suggests  106  the  number  co-op.  of  I n t h e CCC  grouped which  in  4-5  most  1977,  50-70  units  as t h e most a p p r o p r i a t e s i z e  cooperative housing,  clusters,  elderly  creating  r e s i d e n t s may  STRATA-TITLE HOUSING term  condominium  refers  housing  unit  i n a housing  project  common  space  mortgage, minium  Act,  lity  Council  However,  manager.  Although  are  less  comparison affairs  be has  of  the  the  involved  with  to  (Alexander  to e x c l u s i v e ownership and  co-ownership  The  m o n t h l y payment c o v e r s  a council power  elected  to  act  co-op  Condothe  f o r t h e g r o u p as  The  the  in  operation  hires  over t h e i r  of  the  units  the p r o j e c t  involvement  a  responsibi-  council  have c o n t r o l  where  the  a n n u a l l y from  members  housing  one  fraction  A c c o r d i n g to the  project.  the  of a  of  in  in  common  on  housing  i s mandatory.  According market  to  the  characteristics one  homebuyer.  British in  1985  HOMES  and  demand,  of f o u r Canadians  potential  The  relate  t h e members a r e r e l e a s e d from  management  tion  o f the c l u s t e r  comfortably  maintenance c o s t . shall  of  they  amenities.  and  there The  whole.  and  taxes  members.  is  scale  units  (CONDOMINIUM)  The  1986)  the  50  the  p.202).  4.1.3  of  t h e r e would be  of  the  survey  Columbia. 55 has  The  shown t h a t  Survey  (Berger, Godin,  between 55  and  64  and  twenty seven  group are although  p e r c e n t of the  interested  Harvey  y e a r s o f age  r e g i o n s h o w i n g t h e most a c t i v e  There,  p l u s age  National  i n buying  the p r e f e r e d housing  is a  market populaa home. type  by  107  the  m a j o r i t y of Canadians  second  preference  was  condominium  (2%).  they  seriously  would  seriously Harvey, for the  o f 50  Since various will means  to  private  condominium  i n t h e CCC  housing,  social  of  L.E.O. #2,  the  housing  depending  Services  facility.  on  will such  the  townhouse said  somewhat  Godin  t h e r e c o u l d be  and  a demand  Similarly  Clusters  (higher  choice  to  will  be  and  (standard  t o d e s i g n by of  be  addressed  opportunity within  units,  mortgage, more  to  r e s i d e n t s of the  In a d d i t i o n ,  quality,  independence  options w i l l  CCC  their  a l l three types affordable more  space)  - will  of  rent),  space)  p r o v i d i n g environmental  and  adopt  a  support  s e n i o r r e s i d e n t s (see C h a p t e r  3,  4).  INDEPENDENT LIVING HOUSING  types of s e r v i c e s provided i n e l d e r l y  Living,  elderly  (Berger,  the p o t e n t i a l  (affordable  SERVICES IN THE The  (6%) and  t h e y would  Condominium  wish.  housing  approach  3,  of  they  housing  encourage  4.1.4  as  housing  prosthetic  said  condominiums  variety  live -  15%  assume t h a t  flexibility  cooperative  dent  We  a  needs o f t h e e l d e r l y ,  housing  to  buying  house,  dwelling units.  the  have  detached  four percent of respondents  can  cooperative  comprised  a single  apartment-condominium  c o n s i d e r , and  p.62).  purchasing  was  Moreover,  consider 1986,  (80%)  the where live  level the  housing  o f dependence o f r e s i d e n t s . level  will In  vary,  Indepen-  o f d e p e n d e n c y i s " v e r y low",  independently  as t r a n s p o r t a t i o n ,  with social  only  minimal  events,  or  the  support.  recreational  108  activities Core  could  Centre  Independent low", be  When  or  services  as  of  well  of  or  services  from  will  or  social  f r o m t h e C o r e C e n t r e may p r o v i d e programs  i n t h e common  shopping, d i n i n g  4.2  In the Supported  a  The  pleasant  residents  atmosphere.  changes t o "moderate", will  personal  be r e q u i r e d  minor  house  s e c u r i t y checks,  and 2 4 - h o u r s e c u r i t y .  such a s : repairs), telecare, This  kind  by t h e Home S u p p o r t and Home C a r e Also,  the s o c i a l  planning  staff  a v a r i e t y of r e c r e a t i o n a l a c t i v -  a r e a s o r may o r g a n i z e  trips  away f o r  or c u l t u r a l events.  HOUSING FOR PERSONS REQUIRING LONG TERM CARE The  second  could  be  (three  levels),  person time.  m a j o r component o f t h e C o n t i n u u m o f C a r e  Long  Long-term with The  functioning in  and  wheels-to-meals,  be p r o v i d e d  o f CCC  o f dependence i s "moderate  (cleaning,  t h e C o r e C e n t r e component.  ity  level  services  friendly visiting could  Centre.  be m o s t l y r e q u i r e d .  house-keeping  meals-on-wheels care  the  dependence  as  i n the c e n t r a l part  Activity  f o r information,  level  counselling,  day  where  services  looking  the  Outdoor  Living  social  may  be m a i n l y a v a i l a b l e  Term C a r e F a c i l i t i e s and t h e E x t e n d e d care  a  chronic  goal in  there  the p r o v i s i o n disability  patient.  and  home  Intermediate  Care  Care. of organized over  I t includes settings  services  a prolonged  i s t o a t t a i n and m a i n t a i n  the  institutional  present,  is  including  Complex  an o p t i m a l  services  period of l e v e l of  f o r patients  ( R e p o r t o f CMA,  i s a s h a r p d i v i s i o n between c a r e  to a  1987). A t  i n t h e community  and  care  in  the  fragmented. provision blending  According of  a  services  will  provide  a  home  mediate  Care  and  and  spaces  will  be  health  care  and  elderly  reactivation  elements i n plann-  of care  Care  system  to treatment  facilities.  people  Complex of care  i n Inter-  The CCC w i l l  organized  be a  and d e l i v e r -  be t h e D a y / N i g h t f o r the e l d e r l y  Care,  who a r e  basic  Care  facility  will  who have l i m i t e d  provide  m o b i l i t y and  i s "moderate h i g h " .  Therefore, a l l  a c c e s s i b l e and a v a r i e t y  o f s e r v i c e s may  types  Generally, a l l three  of  services:  personal,  levels  could  s o c i a l , and  services. Care  level  I  recognizes  moderate a s s i s t a n c e w i t h  minimal  sional  Care  dependency  Intermediate requires  the various  coordinated  and home c a r e  to i t s residents.  the  and  Intermediate  be h a n d i c a p  offered  provide  level  of  1987 " t h e  CARE;  for frail  level  with  t h e CMA,  The C o n t i n u u m o f C a r e  Holiday/Vacation  INTERMEDIATE  whose  of  Moreover, t h e r e w i l l  4.2.1  services  care,  graduation  i n the neighbourhood.  three  Report  elderly".  living  The  services are generally  be t h e u n d e r l y i n g p r i n c i p l e  Extended  centre with  Care  the of  support  one s e t t i n g .  Respite  indeed,  comprehensive  from  in  should  f o r the  ranging  multi-level  to  continuum  together,  ing  ed  institution;  the  the a c t i v i t i e s  p r o f e s s i o n a l care  and s u p e r v i s i o n .  and  program  nursing  maintenance  supervision.  The  with  individual of d a i l y The f o c u s  medical  who  living i s on  and p r o f e s -  p r o g r a m c o u l d e n c o u r a g e and  110  maintain  independence  also  could  tion  implies  mental  meet t h e  and  in  the  psycho-social  stimulation  social  activities  of  abilities  needs o f  the  are  of  daily living,  residents.  residents  so  brought to the  that  optimum  and  Reactivaphysical, level  and  maintained. Personal  services  provided  at t h i s  level:  supervision; personal  care  housekeeping three  eg:  and  meals per  personal  personal  grooming,  hygiene,  podiatry,  laundry;  day;  counselling. Social  services  provided  at  this  level:  activation  program;  social  r e c r e a t i o n a l p r o g r a m s as  Health  and  care  basic  desired;  services: nursing  services  approximately  2-6  hours  per  resident/day; consultation; three  months d r u g  annual p h y s i c a l medication Intermediate services options full  Care  l e v e l s I I and to  services  III provide available  as:  dietary  assistance  examination;  administration;  similar such  review;  services;  with  financial  matters;  on  personal level  and  social  I with  added  Ill  needed  supervision;  emotional or behavioral The  health  care  condition  s e r v i c e s at t h i s  medications administered part-time daily  consultant  by  support;  levels  could  a registered  p h y s i o t h e r a p y and  include: nurse;  occupational  therapy,  observations;  constant  supervision  required  due  to d i s o r i e n t a t i o n of  the  residents; other  s e r v i c e s a v a i l a b l e as  (Community  Care F a c i l i t y  Act,  C a r e Program, P o l i c y M a n u a l ,  4.2.2  physical, require  Care  mental ongoing  (e.g.  nursing,  could  serve  require basis  required;  1980)(Ministry  of Health  Long Term  1983).  emotional  d i e t a r y and elderly  regular  Care  hospital  does  level  with a  of  The  "high  on  medical  require  a  of  care  and  the  physical  could  provide:  in  the  personal  Extended services.  condition  of  facility  twenty-four  resources  Care  patient  dependence  supervision.  a l l the  because  a l l disciplines  Extended Care  level"  services  Care  resident-  i n t e r v e n t i o n by  medical).  continuous  provided  health on  conditions  and  nursing  not  Intermediate  (BCHP E x t e n d e d C a r e D e s i g n G u i d e l i n e s  Services  depend  or  from  assessment  the  and  include  differs  professional  Extended  Care  be  EXTENDED CARE Extended  care  may  of  hour  However, an  acute  1988).  facility  Social services  residents.  who  The  could will  Extended  112  daily  help with  daily  treatments  medication  speech  special  a s may be r e q u i r e d ;  administered  therapeutic and  grooming, t o i l e t i n g , m o b i l i t y ;  services:  by a r e g i s t e r e d  nurse;  physiotherapy,  occupational  therapy.  diet  mechanical  aids  for  resident  care  h i g h - l o w beds, as w e l l as s p e c i a l i z e d h e l p and a s s i s t a n c e i n e m o t i o n a l The  major  ties  are  the  program  significant  provided  losses,  consequently  into  vice  day  needs times  4.2.3. At right  of  through  to t h e i r  there  particular services.  Continuum  o r b e h a v i o r a l problems;  the l e v e l gradual  and Care a  order  Most e l d e r l y different Complex  requirements  p h y s i c a l and  i s a necessity to provide  of services;  facili-  emotional a variety  do n o t f i t n e a t l y  o n l y a few r e q u i r e a l l  may need one p a r t i c u l a r  mix o f s e r v i c e s t h e n e x t may meet t h e s e  network o f d i f f e r e n t  and  o f dependence o f t h e  However, most o l d e r p e o p l e  available one  l i f t s or  therapeutic aids;  terms o f t h e s p e c i a l Since  according  levels.  any  in  services.  grows  care  eg: mechanical  d i f f e r e n c e s among t h e Long-Term C a r e  elderly  of  therapy  day.  d i v e r s e and  services available  serThe  changing ata l l  i n one p l a c e .  THE NUMBER OF LONG TERM CARE BEDS present mix  Continuum  of of  there  i s no answer t o t h e q u e s t i o n  residents  in  multi-level  Care Retirement  Communities  care  "What i s t h e  facilities  (CCRCs)?"  and  Researchers  113  do  not  CCRC  know  the  nursing  residents 1988).  beds  home  affect  For  facility  extent  the  The  units  and  were  facility  arrangement care.  only  (35%  The  rest  levels  Care  of  "personal"  care  beds,  has  not  a  many, the  is  one  of  297  25%  among t h e  care  board-residents seemed  people  112  ..",  levels  i n various  apartments through self  contained 174  ( R o g e r s 1987).  attitudes  towards mixing  or  CCRCs  are  and  enthusiasm.  dependent  to  i n no  are  there  between l e v e l s  "Nurs-  apartments  bachelor apts.).  On  or  beds,  167  beds. Although  the  those  indication  of care.  N.S.  living  progressive stages  care  "there  According  a l s o on  to  " s u p e r v i s o r y " care  "nursing"  there  in Halifax,  the  Complex i s a model o f e x c e l l e n c e f o r t h e  Vancouver,  care  of r e s i d e n t s  " T h i s mix  bedroom and  v e r y b i g and  right  Country  In  older  independent  up  large  the  represented  " c a r e " beds o f f e r  grown t o o mix  multi-level  Northwood Complex  876  230  576  made  (Gutman,  "heavy" p e r s o n a l  independent.  the  i n 56  care  it  or  "self-contained"  residents  Complex  "light"  a  unit  p.10)  is  There are  (65%)  --  between  living  of each group  i n s e l f - c o n t a i n e d and  accomodates from  Villa  level)  essentially  of  Northwood  the  interactions  independent  satisfaction  B.C.  example  and  Seton  (Gutman 1988,  Another  ing"  in  remainder l i v e d  work w e l l . "  The  life  Burnaby  (Intermediate  only.  residents  example,  in  to which continued  t o Gutman  who  believe  that there  is  contrary, for Province  (1988)  in multi-level  management p r a c t i c e s ,  i s a need f o r Long Term C a r e  and  positive complexes policies  facilities  114  (see  Chapter  residents 69  for  for  Care  THE The  cluster  the  the  and  would  relatives,  from  Point  the  integration  and  declining In will  (42  waitlisted was  Health  694  and  Department  above d a t a t h i s Intermediate  Program Care  (90  beds).  serve and  the  will  as  be  the  keeping centralize  administration, supply  building  health  services.  It  a  also  number  and  provide  life  at large.  and  would enhance  generate  be  the  a place  the  of  spend time  services,  just  t o go  and  only  inexpen-  "ongoingw a t c h when possible.  T h e r e would be services,  p l a n t s e r v i c e s as w e l l as c e n t r a l  However,  a few  people  business  o b j e c t i v e s the Core  laundry  life  friends, opportunities community and  services.  of  r e s i d e n t s , the  l o n g e r makes p a r t i c i p a t i o n facility  of  This  s u s t a i n i n g and  community. F o r  may  t h e CCC  food  community  i n f o r m a l community n e t w o r k  contact with  v i g o r no  with  between a l l l e v e l s  a p l a c e where t h e y may  I t may  physical  liason  activities  r e s i d e n t s as w e l l as o l d e r  entire  profitably.  life.  the  a major f o c u s of  neighbourhood  p e r s o n a l g r o w t h and of  the  Care  would  for  Grey  with  Centre  ness"  on  create  facility  resources  for  would  and  enriching  sively  i n 1986  (Vancouver  should provide mainly  of Extended  number o f  facilities  component would c r e a t e an  friends  Core  Based  Centre CCC  within  facility  Care  total  CORE CENTRE Core  within  CCC  The  Facilities  1986).  t h a t the  beds) w i t h  2-6).  Intermediate  Report  assumes  care  F i g 2-5,  Extended  Annual  4.3  2,  Centre central  materials, social  of the major Core  and  Centre  115  components There for  will  will the  ty.  be  example,  and  Special Centre  Arts  and  may  for It  may  by  adults  50  the  person  well  to  advantage  o f age  Senior take  i n the and  and  and  over  and  and  Rehabilitation Food F a i r The  can  Senior Centre  We  will  the  of t h a t  A  eligible  stage  activities  services offered  to be  with that  f o r membership  membership may  p a r t i n C o u n c i l sponsored  may  community  assume a t t h i s be  by  needs o f o l d e r  deepen a " s e n s e  The  be  Senior  o p p o r t u n i t i e s f o r people  Association.  o f o t h e r p r o g r a m s and  provide  P o i n t G r e y community  members from  staff.  communi-  the A u d i t o r i u m  intellectual  provide  residents  professional  years  CCC  role  may  the  of the S e n i o r C e n t r e .  physical  as  as  Library,  in volunteer service.  CCC  of the  such  stimulate, maintain  time  the  support  in  as  their  i t s unique  from  swimming p o o l and  auspices  social,  f a c i l i t y residents.  components, w h i c h  Crafts,  c l u b and  the  play  community"  run  Centre  Programs,  providing  give  Core  services  under  CCC  f o r the v i s i t o r s  care  organized  people.  the  fitness  the  components w h i c h would p r o v i d e s e r v i c e s  health  with  Centre  several  serve  r e s i d e n t s as w e l l as  For  social  exclusively  entitle  and  a  to  take  w i t h i n the  Core  Centre.  4.3.1. CORE  CENTRE  COMPONENT  I  -  LIFE  ENRICHING RESOURCES -  CULTURAL CENTRE As to more  already  expand  the  mentioned existing  comprehensive  i n Chapter  2,  there  i s an u r g e n t  B r o c k House S e n i o r C i t i z e n  programs  and  a  wider  range of  Centre  need with  amenities.  116  Brock by  House p l a y s  providing  3000  a  a significant variety  members.  However,  modate  bigger  Crafts  activities,  group  rehabilitation Care  various  would  be  the  seat  Theatre  Drama be  Core  life  and  and  educational  i s no  adequate  cultural  will  activities masters  such  etc.  providing  of  seminar  special  r e s i d e n t s and  cultural  bridge,  for personal  interaction.  o f w o r k s h o p s w o u l d be  dyeing,  weaving  listening listening For  and  rooms, to  music  the  will  provide  clubs  s u c h as  could or  for  this  those  with  who  language  activities  bowling, m i n i - g o l f , croquet  and  and  This  social toast-  component developing  component  reading  prefer  more a c t i v e e l d e r l y ,  recreational  200  a  woodwork p a i n t i n g ,  Library,  l e a r n i n g a new  y o u n g e s t and outdoor  be  The  f o r many  Crafts  Within  by  p r o g r a m s would  expression,  o f f e r e d such as:  pottery.  Music  sing along,  A r t s and  Day  rooms.  whole community.  trips,  the  a  include a  events,  other  and  component  meeting  opportunity  bingo,  would be  and  to the  an  and  as  &  needs  major  Programs, which would  couple  social,  health  to those  The  accom-  several Arts  respond  opportunity  and  events,  C e n t r e may  also provide  as:  space to  as w e l l  and  Then, t h e r e an  creativity number  could  programs f o r  services  club, classes f o r adult education  component  Community  health  concerts,  CCC  P o i n t Grey  enriching resources.  a  movies,  i n the  recreational activities,  and  Auditorium  o f f e r e d to the  time.  there  outdoor  The  providing  social  meetings,  programs  Program.  Lectures,  of  role  reading,  in their the  Core  in  the  gardening.  and  leasure Centre various  117  4.3.2. CORE  CENTRE  COMPONENT  II  - LIFE  SUSTAINING RESOURCES -  HEALTH CENTRE The  Core  ces.  The  Centre  which  spirit  and  tion  most  the  component  consist  speech  pathology  pool Core  Centre.  vices.  T h i s component may Grey  component, and  also  Pharmacy,  dispense  customers  Day  the  to  who  a  The  F i t n e s s and services,  medical,  community  Rehabilita-  Dancing while  Club  a large  i t  dental  may  elderly  would  serve  And  residents  require  integration not  the  the  CCC  The  facilities  but  not  maintain  an  the  least,  a  activities  older adults living  to  next  r e s i d e n t s and  a wide r a n g e o f  and  support  last,  with  only  t h e community.  supplies to t h e i r  the  counseling ser-  the Long-term care  community.  the  and  serve  from  place  component w o u l d be  enhance b u s i n e s s  since the  important  C a r e Program would o f f e r  programs  community  services.  kinestherapy  pharmaceutical  from  Seniors' and  providing  Community but  Rehabilitation  developing  services.  Another  Clinic  residents  in  the  s a u n a c o u l d become t h e most a t t r a c t i v e  Medical  Point  sustaining resour-  of Treatment U n i t s p r o v i d i n g p h y s i o -  e x e r c i s e and with  life  would be  instrumental  would  provide  swimming  be  provide  would p r o v i d e h e a l t h c a r e  and  would  would a l s o  sought  may  Centre  therapy  in  Centre  i n the  independent  lifestyle.  4.3.3. CORE  CENTRE  COMPONENT  III  -  SOCIAL  INTERACTION  AND  BUSINESS INTEGRATION The would  third create  group of an  functional  opportunity  components i n t h e C o r e  Centre  f o r i n f o r m a l community n e t w o r k  of  118  friends could  and be  relatives.  created  coffee-shop  and  may  a  become  Other  by  contacts  and  would  as  be  tions,  Designed  magnet  may  opportunity  providing  bar.  facilities,  An  facilities as  a  f o r a l l the  which  may  enhance b u s i n e s s  a b e a u t y s a l o n and  such as:  "Food F a i r " ,  r e s i d e n t s and  add  follows: a winter  for social integration  t o an  restaurant,  this  component  their  visitors.  opportunity  i n t e g r a t i o n with  garden with  for  the  social  community  occasional art exhibi-  a h a i r d r e s s e r , a bank and  small  retail  outlets.  4.3.4. SUPPORTING AND The the  fourth  CCC  Building Staff  4.4.  group  facility  of  only.  Services,  Support  MAINTENANCE COMPONENTS the  C o r e C e n t r e components w i l l  There w i l l  be  Plant Services  serve  Laundry, M a t e r i a l S e r v i c e s ,  as w e l l as A d m i n i s t r a t i o n  and  components.  OUTDOOR SPACES The  outdoor  landscape  element  in  creating  because  i t  has  great  For  most p e o p l e ,  pleasure. place  of  refuge,  growth. great  benefits  therapeutic nature  from  considered  from c o n t a c t  as  the  f o r the  principal elderly,  value  besides  holds  deep meaning: i t i s a  tranquility,  f i n d i n g s support  of p l e a s u r e  gained  be  s u c c e s s f u l environment  p e a c e and  Research deal  a  should  the with  n a t u r a l s c e n e s go  and  enjoyment  symbol  of  life  and  and  idea that people gain nature. beyond  Moreover,  simple  a  the  pleasure.  119  Recent  research  has proved  landscape  has  that  availability  as  the well  elderly  therapeutic  Carpman  significance.  1986) t h a t t h e  The s t u d i e s  o f n a t u r e , t h e form o f v i e w s  as a c c e s s i b l e a r e under  (Reinzenstein  outdoor  stress.  from  suggest windows  s p a c e s , c a n be r e s t o r a t i v e .  Reizenstein  said  Many  that:  A c c o r d i n g t o one r e s e a r c h e r , i f an i n d i v i d u a l i s s t r e s s ed, viewing an a t t r a c t i v e n a t u r a l s c e n e w i l l be s o o t h ing because i t can e l i c i t feelings of pleasantness, hold interest, and b l o c k o r r e d u c e s t r e s s f u l t h o u g h t s ( R e i z e n s t e i n Carpman 1987, p . 1 9 7 ) .  Many o l d e r p e o p l e i n t h e CCC e i t h e r tion  may spend  vision  of outdoor  balconies very  and  a  a  flowers  and  size  of  which  is  (Zeisel  of environment  space.  important  protected  patios or  Outdoor  spaces  a t hand, an a r e a t o grow  immediate  increase the  access to fresh a i r  f o r some t e n a n t s w i t h r e s p i r a t o r y  problems.  environments  f o r casual  socializing  with  others  1977, p . 4 4 ) .  The  part  Pro-  a r e a s c o u l d be  and t h e y c a n p e r c e p t u a l l y  They o f f e r  units.  i n form o f p r i v a t e  close  limita-  o u t d o o r e x t e n s i o n s o f p a t i o s c a n p r o v i d e s e c u r e and  4.4.1. OUTDOOR SPACE  and  dwelling  t o o u t d o o r common a c t i v i t y  personalize,  addition,  i n their  and a p p e a l i n g f o r t h e e l d e r l y .  change  living  time  landscaped spaces view  stimulating  provide  In  most o f t h e i r  by c h o i c e o r p h y s i c a l  outdoor  common of  areas  activity  each  COMPONENTS would areas.  Independent  consist  of private  The p r i v a t e Living  outdoor  spaces  o u t d o o r a r e a s would be  cluster,  as w e l l  as each  Long  120  Term  Care  patios,  residential  porches  cluster,  or balconies.  in  t h e form  These p r i v a t e  of private  spaces  yards/  will:  protect t h e d w e l l i n g as a secure t e r r i t o r y , provide outdoor extensions f o r expanding living spaces i n seasonable weather, and p r o v i d e an i n t e r m e d i a t e zone between public and private which allows social, neighbourly contacts t o be c a s u a l l y made (Shack 1977, p.55) .  The  CCC  common o u t d o o r  Firstly,  the  private of  a  common  outdoor common  Secondly,  create Activity along common  the  ball,  leading  would  be  Areas: places  Active nal  clusters  or  components,  the  to  Country  designed  to  Club, the  Center. That  Core  gazebo.  and P a r k  a d j a c e n t t o t h e Core the  Centre.  with  i n t h e form  a "gateway"  the Garden Centre  would be l o c a t e d  the a c t i v i t i e s 2.  be i n t e r l o c k e d  would  Outdoor  C e n t r e and The o u t d o o r  increase opportunities f o r  c h o i c e and t o accomodate t h r e e t y p e s o f a c t i v i t i e s :  Passive those  pathway  Areas,  two t y p e s o f a r e a s .  would  community O u t d o o r A c t i v i t y  pathway  area  space  central  Outdoor  CCC  include  i n the r e s i d e n t i a l  functional  Centre  individual 1.  spaces  four  the  outdoor  garden,  Rehabilitation  s p a c e s would  p l a c e s which permit which  these areas w i l l  activities  such  gardening,  cultural  or  offer  ( r e t r e a t ) and  an o p p o r t u n i t y f o r w a t c h i n g  of others.  Areas:  areas  will  solitude  in  events.  as m i n i - g o l f ,  social  the  offer  of r e c r e a t i o -  croquet, bowling,  gathering  outdoor  a range  Theatre  in  the  designed  volley-  picnic  and BBQ  for  special  121  3.  Connecting above  For  n o t e d two  more  active  amenities 4th  Areas  could  such  the  groups.  residents  the e x i s t i n g  be a v a i l a b l e  Outdoor  creating  the  a  where  place  Living  Activity  CCC  units  special  the  Jericho  P a r k and a l l i t s  through the proposed overpass  could  be  stimulating  very  more  take  an  climate  active  still  are  willing  their  peers.  many  play/game  Thirdly,  neighbourhood. integration  to  courts, Thus,  will  active  of a l l ,  residents  above  leisure  time t a k i n g  in  observe the may  advantage  and  can not  any  activities  but  s h a r e enjoyment  C o u n t r y C l u b component by be a p p e a l i n g  may  with a r e l a t i v e l y  create younger  of  S e c o n d l y , i t would  the r e c r e a t i o n a l games  be  Independent  f o r t h o s e r e s i d e n t s who  part  role i n  i t would  of the  and g a r d e n s e t t i n g .  area  i t  play a significant  environment. F i r s t  spend t h e i r  mild  a  centre  most  Vancouver's  to adults  providing  from t h e  an o p p o r t u n i t y  with  whole  for social  generation.  CONCLUSION In  conclusion,  ent  Living  and  the  a l l f o u r major  Housing,  Outdoor  Long  f o r the e l d e r l y .  Spaces  contribute  may  enhance  and e n c o u r a g e  the their  facility  components:  Term C a r e f a c i l i t i e s ,  Spaces w i l l  enviroment  may  link  Ave. The  4.5  as P a r k w i t h walkways would  create  a special,  the Core C e n t r e  continuum  However, t h e Core C e n t r e and  t o the unique atmosphere  residents  Independ-  dignity,  affairs.  care  Outdoor  o f t h e CCC,  support t h e i r  i n v o l v e m e n t i n community  of  which  independence  122  The  Core  Centre  1.  The  "Health  2.  which  physical  losses.  The  "Cultural  with  would  Fair,  "Leisure Winter  other  social  activity whole  clubs  the  serve  Centre" with  L i b r a r y w h i c h would  The  Side  embrace t h r e e d i f f e r e n t  Centre"  Pharmacy  and 3.  will  Clinic,  the  the  satisfy  Centre" with  hubs: R e h a b i l i t a t i o n and  elderly  to support  Auditorium, their  clubs. may  neighbourhood of Vancouver.  needs and  the Outdoor A c t i v i t y  The  Core  become but  A r t s and C r a f t s ,  cultural  G a r d e n , Swimming P o o l , D a n c i n g  an  also  Centre  Centre,  Food  and F i t n e s s and  with  attraction  their  its  outdoor  not only f o r the  f o r the e l d e r l y  from  t h e West  123  ©•••©•••o«ooo  • •  UVIN&CLUSTER. • .  • o o o o o A  OUTPOOR. SPACES  T  CARE CLUSTER.  1  OUTDOOR. SPACES  Jf«®» CARE  -  ™ CLUSTER. OUTDOOR. SPACES  LE&EK1D MA"30£ PEDESTRIAN CIRCULATION  • ••••  Fig.  MA^OR. SERVICE  ACCESS  MAJOR VEHICULAR ACCESS ENVI RON MENTAL OR. SECUfe-UV COKTROL  4-1 A c c e s s  and C o n t r o l Model  o f t h e CCC  Facility.  124  CHAPTER 5 -- GENERAL PROGRAM  Chapter  Summary  Chapter facility  5  to  facilities scribed Care  is  The  belong  in  to  Chapter  Core  facility  Centre  component,  activity  Independent  Living,  and  Common  there  are  Outdoor several  will  emulate  dent  living those  model. A l l  components d e -  i s t h e Continuum o f  Residential Spaces.  compo-  Dependent Within  each  p r o g r a m components and  Components  t o the greatest environment.  found  design 4, types  Cooperative (Market  h a s been  - INDEPENDENT LIVING CLUSTER  keeping with the o b j e c t i v e s  three  which  centres.  Functional  Chapter  entity  o f t h e CCC  i t , t h e r e a r e f o u r major f a c i l i t y  5.1.1  the  system,  follows a functional  The l a r g e s t  RESIDENTIAL HOUSING  to  and c o n s i s t s  one o f f o u r m a j o r f a c i l i t y  5.1.  In  synthesis  classification  4.  Within  Residential  Living,  thesis  d e v e l o p t h e program  Complex.  nents:  the  program.  adopted  REQUIREMENTS  in  criteria the  Housing  Housing).  possible  housing  e x t e n t a normal,  The u n i t s w i l l  contain  of  the  housing:  units  indepen-  spaces  o t h e r community h o u s i n g and w i l l  Independent  of  of the project,  similar  conform t o  BCMHC and CMHC. As p o i n t e d o u t i n  Living Rental  Cluster will Housing  be c o m p r i s e d o f  (BCMHC  (CMHC Program) and S t r a t a - t i t l e  Program),  condominiums  125  The  number,  ratio  Housing  (BCHMC)  will  Design  Guidelines  units  and  conform  for  elderly  of  comparative  housing  of u n i t s  and  strata  data  Co-operative housing  2.  Independent  f o r the  living  The  title  of s e l e c t e d  developments i n t h r e e  1.  i n the S o c i a l  to the requirements  S e n i o r s ' Housing.  i n the co-op h o u s i n g  analysis  size  o f t h e BCMHC  size  was  Rental  and  ratio  d e r i v e d from  examples o f  of the  existing  groups:  elderly.  dwelling  units  in  the  multi-level  facilities. 3.  Recently  built  P o i n t Grey  It  was  ences  also  ( s e e Appx.  acknowledged t h a t  of middle  tations  Area  condominiuums  f o r the e l d e r l y  i n the  i n the  5-1).  current housing  demands and  t o h i g h e r income o l d e r p e r s o n s  of e l d e r l y  people  differ  from  preferexpec-  1970's.  For example, evidence gathered by Laventhal and Horwath (1983) in l o n g i t u d i n a l and c r o s s - s e c t i o n a l a n a l y s e s o f Continuing C a r e R e t i r e m e n t C o m m u n i t i e s (CCRC) shows an i n c r e a s e in the p o p u l a r i t y of l a r g e r s i z e u n i t s . While the s t u d i o o r one-bedroom unit has been t h e most p o p u l a r u n i t c h o i c e i n the last 10 y e a r s , two-bedroom and even t h r e e bedroom u n i t s are becoming i n c r e a s i n g l y p o p u l a r f o r a f f l u e n t r e t i r e e s over t h e age o f 75 ( R e g n i e r , Pynoos 1987, p . 1 6 ) .  Therefore, dwelling the  in units  market.  the co-op h o u s i n g would  be  and  strata  title  programmed t o r e s p o n d  cluster  bigger  t o t h e demand o f  126 Table  5 - 1 . - - H o u s i n g Type #1 R e n t a l H o u s i n g Space Program  Component  Unit Area  Q-ty  Net  Total Area  Net  100 d w e l l i n g u n i t s ; t o t a l number o f r e s i d e n t s : 3 s t o r e y apartment b u i l d i n g . 1 BR  Single  86  46 m2  3956  m2  1 BR  Double  9  52 m2  468  m2  1 BR  Handicapped  5  52 m2  260  m2  2  30 m2  60  m2  Floor  Lounge  Main  Lounge  1  60 m2  60  m2  Adm.  Office  1  10 m2  10  m2  Maint. Storage  1  10 m2  10  m2  Common L a u n d r y  3  15 m2  45  m2  Communal S t o r a g e  1  23 m2  23  m2  H.Toilet  3  Approx.  82  m2  4974  m2  at  Lounge  Garbage(chute)rm.  3  Service  1  Mail Elev.  Rms  (M&E)  Room  110  2 Washers Dryers/each  Design  &  Space  1  Mech. Room  1  TOTAL GROSS AREA:  Remarks  4974 X 1.3  =  6466.2  m2  P r i v . o u t d o o r s p a c e s 100 x 5 m2 = 500 m2 Parking: 1 space p e r 4 u n i t s , 25 s p a c e s x 26.5 ground ( i n c l u d . a i s l e s )  Patios/balcon m2 = 662.5 m2 on  References: EM Architecture I n c . , 768 P r i o r S t . , S e n i o r C i t i z e n ' s Complex C h i n e s e F r e e m a s o n ' s S o c i e t y (BCMHC H o u s i n g ) 1989.  127 Table  5 - 2 . - - H o u s i n g Type #2 Co-op H o u s i n g Space Program  50 D w e l l i n g U n i t  Component  Q-ty  U n i t Net Area  T o t a l Net Area  1 BR+Den(30%) 2 BR (35%) Communal S t g . Communal L a u n .  15 35 1 1  84 87 25 15  m2 m2 m2 m2  1260 3045 25 15  m2 m2 m2 m2  1  10  m2  10  m2  Office  TOTAL  Remarks  2 Washers & 2 Dryers  4355 m2  GROSS AREA: 4355 x 1.3 = P r i v a t e o u t d o o r s p a c e s : 50 x 12 m2 = P a r k i n g : 1 space p e r u n i t 50 s p a c e s  Table  5661.5 m2 600 m2 x 26.5 m2 = 1325 m2  5-3.--Type #3 S t r a t a T i t l e 50 D w e l l i n g U n i t s Space Program  Component  Q-ty  U n i t Net Area  T o t a l Net Area  1 BR (10%) 1 BR + den (20%) 2 BR (70%) Lobby lounge  25 10 35 1  70 84 96 30  350 840 3360 30  m2 m2 m2 m2  Remarks  m2 m2 m2 m2  TOTAL  4580 m2  GROSS AREA: 4580 X 1. 3 = P r i v a t e o u t d o o r s p a c e s : 50 x 12 m2 = P a r k i n g : 1.5 s p a c e p e r u n i t , 75 s p a c e s  5954 m2 600 m2 x 26.5 m2 = 1987 m2  References: Outdoor private s p a c e s comply w i t h r e q u i r e m e n t s o f BCHMC D e s i g n Guidelines f o r S e n i o r s ' Housing; Green 1974, p. 14; C a r s t e n s 1985, p.105.  128  5.1.2. H o u s i n g People  P a t t e r n and  need  to  comfortable  in  their  provide  adequate  an  eventually  fulfill  (Alexander  1977)  pattern  the  one's  is own  Critical  identify  and  can  is  that  studies  the  and  most  on  to  will  housing  appropriate  homes i m m e d i a t e l y  be  feel  necessary  arrangement  that  land  pattern  i t  Research  indicated of  neighbourhood  housing  needs.  cluster That  the  Therefore,  of  their have  home.  with  houses. type  Issues:  implemented  around  using  Row  Houses. A  vital  which  becomes  creation the  most  units  function  of  one  of  of  elderly  such  the  most  housing.  appropriate  a cluster  size  important  The of  i s neighbourly contact objectives  i n the  same r e s e a r c h s t u d y s a y s  the c l u s t e r  i s 10 o r 12  that  housing  because:  this is a number of people that c a n s i t r o u n d a common meeting table, can talk to each other d i r e c t l y , face to face. With 8 or 10 housholds, people c a n meet o v e r a kitchen table, exchange news on the street and i n the gardens, and g e n e r a l l y , w i t h o u t much s p e c i a l a t t e n t i o n , keep in touch with t h e whole o f t h e g r o u p . When t h e r e a r e more than 10 or 12 homes forming a c l u s t e r , t h i s balance i s strained. We therefore set an u p p e r l i m i t o f a r o u n d 12 on the number of h o u s h o l d s t h a t c a n be n a t u r a l l y drawn i n t o a c l u s t e r ( A l e x a n d e r 1977, p.200). The  CCC  housing w i l l  number o f 12 The  dwelling units  critical  of the c l u s t e r , 5.1.2.1 Shape The  comprise  shape  i n each  issues within  cluster  identity  ( l a y o u t ) of the of  the  several  clusters  with the  average  cluster.  this and  p a t t e r n a r e : shape ( l a y o u t ) link  w i t h the Core  Centre.  cluster  cluster  affects  opportunities  for social  129  interaction. shared  It  space  outdoor  which  place  garden  front  the  the  units  sense  space. the  Access  enhance  cluster  access.  A  walkways  gather or  from  placing  semi-private  even  over  the  entries  leading t o u n i t s should  identity  access  from  promote a  Other  design  towards  common from  T h i s arrangement  will  and i n c r e a s e s r e s i d e n t s ' c o n t r o l  over  a n d a common l a u n d r y  a transition Small  a  be s e p a r a t e  walkway  space.  as  p r i v a t e areas i n  common s p a c e .  unit  and  patios will  walks t o the f a c i l i t y .  provide  as a s e m i - p u b l i c  socially  private  opportunities f o rsocial  will  role:  u n i t s (see F i g . 5-1). Equal  and c o n t r o l  shared  provide  a double  semi-private  walks  access  t o c r e a t e a common l a n d -- open  elderly  visibility  suggests  common  will  with  ownership  guidelines  play  the  dwelling  and  of  necessary  will  where  cluster's of  is  interaction.  Private unit  zone f r o m s e m i - p u b l i c  parking areas  enhance t h e s e n s e o f community  i n the centre  adjacent  area t o  to units  will  (see F i g . 5-2).  5.1.2.2 C l u s t e r I d e n t i t y Each  cluster  the  larger  it.  Natural  colour, allows one  project  scale people  another.  grouping laundry  should  the  site and  to  be a r r a n g e d  promote w a y f i n d i n g  elements materials  to realize  a s an i d e n t i f i a b l e  like  unify cluster visually.  This  t h a t a l l u n i t s i n one c l u s t e r identity  sitting  communal  area  with  (see F i g . 5-3).  with  form elements  Furthermore, c l u s t e r  o r storage  and t o i d e n t i f y  as w e l l as b u i l t will  part of  relate to  c a n be r e i n f o r c e d b y facilities  such as  130  Fig.  5-1 Common Space  i n the Cluster  as a Garden  COMMON SHARED  LAUNDRY WALKWAY  P R I V A T E U N I T W A L K WAV PACKING-  Fig.  5-2  Common Space  i n t h e C l u s t e r w i t h S h a r e d Walkway  131  Fig.  5-3  Cluster A r e a and  Fig.  5-4  Pedestrian Circulation Developed as a "Feeder" System. Based on Carstens, D. S i t e P l a n n i n g and D e s i g n for t h e E l d e r l y - I s s u e s , G u i d e l i n e s and A l t e r n a t i v e s . 1985, p.39.  Source:  Identity R e i n f o r c e d by a C e n t r a l S h a r e d S t o r a g e Shed.  Sitting  132  5.1.2.3 R e l a t i o n s h i p w i t h It  is  Centre  necessary  where  pedestrian site  a  major  hierarchy routes,  route  the  (See  provide  safety  walkways or  canopy.  of  The l a y o u t o f  and i d e n t i f y .  The g e n e r a l  s y s t e m may be d e v e l o p e d  leads  site  and  as  Walkways l e a d i n g f r o m u n i t s converge  t o t h e Core Centre. access  subsequently  A  walks t o primary and a s e n s e o f  plan. I t w i l l  the not  i t should provide should  pattern  m e e t i n g one a n o t h e r  and  with  should  to  overall  circulation"  opportunities  order  t o the Core  will  a l s o promote add t o o l d e r  sense o f s e c u r i t y .  enhance  however,  which  F i g . 5-4)  chance  walkway  located.  enhance p r i v a c y w i t h i n t h e c l u s t e r s  "shared  cross  1985).  access  systems w i t h i n t h e o v e r a l l  from p r i v a t e u n i t  maximum  not  are  to recognize  (Carstens  routes,  within  residents' The  be e a s y  access  will  wayfinding  services  easy  on a c l u s t e r walkway and c l u s t e r walkways  of  community  direct,  vehicular circulation  system  converge a  Centre  the pedestrian c i r c u l a t i o n  "feeder"  may on  and  of  to provide  a l l major  plan should  layout  the Core  for social security  will  give residents the  c a s u a l l y so t h a t i t w i l l  interaction.  In  the p e d e s t r i a n path  v e h i c u l a r routes  system.  system  should  The m a j o r  access  pass  directly  allow  f o r s u r v e i l a n c e from those  maximum c o m f o r t  through  order to  the a c t i v i t y  areas.  f o r r e s i d e n t s t h e main  be p r o t e c t e d f r o m r a i n  area;  o r sun g l a r e by a  In  access trellis  133  5.1.3  DWELLING UNITS  5.1.3.1 F u n c t i o n a l Components The ponent unit as:  principal of  the  will  CCC  embody  sleeping,  dining.  the  basic a c t i v i t i e s  and  components  kitchen,  personal are  bathroom,  Spaces i n a d w e l l i n g  of everyday  hygiene,  food  between s p a c e s  as  living  such  preparation  common t o a l l r e s i d e n t s and  character  such  I n d e p e n d e n t L i v i n g Com-  a dwelling unit.  relationship  equipment  include  be  activities  the  i n the  will  leisure,  These  determine shape,  form of s h e l t e r  an  bedroom(s),  of  the  as w e l l as space.  entry area, storage  the  space,  they size,  Each u n i t  dining/living and  and  will room,  balcony  or  patio. 5.1.3.2. C a t e g o r y Generally elderly two  or  live  twin  development two  the  i n the  or  users  relatives  two-bedroom  double  and  the  couple,  elderly  will  of u s e r s  range o f h o u s i n g  their  will  single or  needs  fall elderly  friends  into  suites beds.  with  earlier  space  offer  dwelling u n i t s i n order needs and  couples in  each of the  should  c a t e g o r i e s : the  ( u s u a l l y women) and  sharing a unit.  enough  However,  three  person  one-bedroom u n i t s w h i l e  described  bedroom  and  Singles usually i n one-bedroom the  bedroom f o r  3 Types of  housing  v a r i o u s forms of  t o accommodate a  life-styles.  These n e e d s can i n c l u d e e a s e o f m a i n t e n a n c e , f l e x i b i l i ty i n f u r n i t u r e a r r a n g e m e n t s f o r h o b b i e s , s p a c e f o r entertaining large g r o u p s o f f a m i l y and f r i e n d s , o p t i o n s for e a t i n g , a d e q u a t e s t o r a g e f o r v a l u e d p o s s e s s i o n s and convenient and s a f e a c c e s s between rooms w i t h o u t sacrif i c i n g p r i v a c y ( Z e i s e l 1987, p . 2 0 ) .  one  wider  134  Studies  have  conventional people.  housing  In  (Chapter  be  lity.  i n need  p r o v i s i o n s and t h e r e q u i r e m e n t s  keeping  3 ) . each  handicapped should  shown c o n s i d e r a b l e d i f f e r e n c e s  with  of  persons. designed  the  the units The  Co-op  Living  between  of disabled  Environment  objectives  s h o u l d be a d a p t a b l e  f o r u s e by  and  as o n e - l e v e l u n i t s  Strata-title  townhouses  to facilitate  accessibi-  The d w e l l i n g u n i t s p r o v i d e d b y t h e BCHMC P r o g r a m have t o  comply  with  t h e BCHMC D e s i g n  G u i d e l i n e s (5% o f u n i t s  wheelchair  accessible). One  of  physical and  the  environment  design  older  independence persons  and  life  older  should  special  aspects of the  o f equipment,  physiological  physical  because  persons  that  and s e n s o r y b a r r i e r s The  kitchen  design mistakes  can p o t e n t i a l l y  of  adequate  for older  i n the kitchen o r o r endanger t h e  ( R e g n i e r and Pynoos 1 9 8 7 ) .  bars,  The k i t c h e n  characteristics  light  support  and b a t h r o o m a r e  threaten safety  respect the anthropometric  grab  furnishing  needs o f t h e  Bathroom d e s i g n s h o u l d e m p h a s i z e c o n v e n i e n c e  (provision call  the  matching  implemented.  critical, layout  elderly.  reduce  be  bathroom of  to  y e t overlooked,  S a f e t y f e a t u r e s and d e s i g n s o l u t i o n s  should  expecially  critical, i s the  details  person.  design  most  levels  of the  and s a f e t y  and f i x t u r e s ,  buttons).  5.1.4  PRIVATE OUTDOOR SPACES - INDEPENDENT LIVING HOUSING  5.1.4.1 I n t r o d u c t i o n Landscape housing  design,  project,  although  only  plays a substantial  one role  o f many a s p e c t s o f a  i n creating high-quali  135  ty  housing  the  for  elderly  Firstly,  of  role.  units  the  the  rental  balcony or  able a  very  several  environment lives  and  reasons.  that  meets  improve  their  landscape that  encourages  in i t s creation/cultivation  the  Independent  have p r i v a t e  Living  outdoor spaces  building  for  plays  clusters (see  all  Fig.  each d w e l l i n g u n i t  a  5-5).  will  have  patio.  The side  elderly  apartment  5.1.4.2 E l e m e n t s o f a.  their  outdoor spaces  for  designed  "functional"  In  will  Designing  attention  enrich  Secondly,  participation  In  special  may  independence.  dwelling  people.  appropriately  needs  therapeutic  older  demands  an  elderly  the  front of  Private yard  should not  a dwelling  private This  between  neighbours  sion.  The  residents'  an  attractive,  but  also  unit  and  a very public  semi-private and  o n l y be  unit,  dwelling  route.  Spaces  s p a c e may provide  g a r d e n s may  a t r a n s i t i o n zone between  encourage  an  person-  social  opportunity serve  street  for  or  access  interaction self-expres-  for therapeutic  activi-  ties. b.  The  front  porch,  ter,  may  provide  tude  and  sociability.  sitting or the  to  spot  architectural  residents  the  the  with  This  i n o n e ' s own  chat with  elderly,  a s m a l l outdoor space w i t h a r o o f  features  easy h a l f  p l a c e may  territory  neighbours. front  an  In  to  s t e p between  s e r v e as  p o r c h becomes one  of  Record  soli-  comfortable  watch o u t d o o r  many r e c e n t  (Architectural  a  shel-  activities  developments  the  most  for  desirable  1988.Nov.,  p.120).  PUF3LIC  FRONT YAfc£>  n?ONT T-ORCH  fcESI&EVlTIAL CLUSTER  II BACK YAfct?  COMMON! SPAC^  L»l 2 > I I <  ^  I _J LU I  COMMUNITY I OUTPOOR | SPACES J  Fig.  5-5 I n d e p e n d e n t  Living  Outdoor  Spaces.  137  because  people  in  competition  the  atmosphere with  like  was  f o r an  eliminated  individuality  f o r every room-unit c_.  The  dwelling. room,  simply  grow  deration  yard/patio  as  may  home,  various  the  institutional  homelike u n i t  i s the informal be  a place  plants.  The  used  models porch  may  t o r e s t , read, e n t e r t a i n  serve  plants,  private  side  of a  i n many ways: a s a summer  However, t h i s p l a c e  Balcony  f o r growing  enjoying  by u s i n g  i n terms o f a c c e s s i b i l i t y ,  d_. spaces  old-age  In Finland,  ( K o t i l a i n e n 1987, pp. 5 2 - 5 6 ) .  space  or  area a c t i v i t y .  and o r i e n t a t i o n s u p p o r t e d b y t h e f r o n t  back  This  dining  t o watch common  require  guests o r  special  consi-  s e c u r i t y and p r i v a c y . similarily  having  social  as p r i v a t e gathering  outdoor  or simply  a v i e w and a l s o  A balcony w h i c h i s n o t t o o f a r removed f r o m t h e g r o u n d (one i s able t o g r e e t a f r i e n d ) and w h i c h i s n o t extremely e n c l o s e d , can c r e a t e a sense o f "connectedness" t o t h e o u t s i d e w o r l d (Shack 1977, p . 6 1 ) . 5.1.4.3 I s s u e s The  i n Designing Private  most i m p o r t a n t  spaces  are: accessibility,  outdoor  spaces  of  dwelling  the  sleeping planned order privacy  design  area so  to  (Green  i t can  provide  of  private  t o be d e v e l o p e d :  issues security  s h o u l d be d i r e c t l y unit.  easily  accessibility  Spaces  i n creating  accessible  The  private  and p r i v a c y .  T h e r e may a l s o 1974).  be  Outdoor  outdoor  The p r i v a t e  t o t h e L i v i n g Room  be d i r e c t a c c e s s t o t h e  patio  o r garden  s h o u l d be  m a i n t a i n e d by t h e r e s i d e n t .  In  and s e c u r i t y and t o p r o t e c t t h e  outdoor areas the f o l l o w i n g  guidelines  have  138  a. P r i v a t e o u t d o o r these to  area  those  spaces  should using  on  be  the  ground  floor  level:  a c c e s s i b l e to wheelchair  walkers  and  occasionally  residents,  to  bedridden  residents. direct  access  avoided  by  from  the  creating  an  public  outdoor  area  should  identity  f o r the  outdoor  be  private  areas. there  should  private in  outdoor  special  from  be  no  direct  areas  of separate  locations  adjacent  accessibility  walks  design or  dwelling  should  drives  by  between  the  units,  provide  for privacy  p r o v i d i n g berms  and  screens. views the  on  same t i m e  visual  of the  o f f the loss  outdoor  should  between  area  should  p r i v a t e outdoor  p r i v a t e outdoor  site  of p r i v a c y should  accessibility  general  b.  and  spaces  the  not  be  be  maximized, w h i l e  be  at  minimized,  living impaired  room by  and  the  the  design  area. above g r a d e - r a i s e d  terraces  and  balconies: balconies  must  not  o n l y be  s a f e , but  t h e y must a l s o  feel  safe. whenever main  face  p o s s i b l e balconies should of  the  building  enclosure,  p r i v a c y and  balconies  should  and  be  s p r i n g w i n d s , and  be  recessed  to provide  behind  a strong  sense  the of  security.  p r o t e c t e d from p r e v a i l i n g a l l o w maximum sun  cold  penetration.  autumn  139  provide  f o r p l a n t e r boxes o r p o t s .  be  a  of  incident have  lawn  mension  space w i l l  underside  to disperse  t o a l l o w easy  access  of  for  t u r n around  have a p a v e d p a t i o o f a t l e a s t  (9.2 m2). The r e m a i n i n g  planting  Guidelines) space  the  sounds.  private  feet or  on  from  unit.  grade  square  texture  a minimum t h r e s h o l d h e i g h t  the On  rough  beds.  no l e s s  than  Balconies w i l l 5m2  (CMHC  chairs  1983).  should  be d e s i g n e d f o r  have a t l e a s t  clear d i -  f o r one-bedroom u n i t s (BCMHC  o r be o f a minimum w i d t h several  area  o f 1500 mm  and a c c e s s  100  clear  Design  to provide  t o the wheelchair  and i t s  140  5.2  DEPENDENT LIVING - INTERMEDIATE CARE F A C I L I T Y  5.2.1  F u n c t i o n a l Components The  of  Intermediate  residential  their  own.  level  1,  the  3  Department  data  eventually  forced  health  assume the  However, Kerrisdale, transferred beds  of  that  average  of  current  remaining  has  shown that  10% Area  (231  into  14%  be  also  1,  live  of  the  facilities,  29%  elderly  long-term  care  of the  seeking elderly  on  the  for level  City  2,  extended Planning  population i s  facilities  elderly such  Health  i s a great  clients  p.7;  on  offered:  f o r p e r s o n a l and 1985,  form  when  t h e s i s we  can  population i n  long-term  in  will  be  With the e x i s t i n g  202  i n t h e West S i d e o f V a n c o u v e r we  can  Dunbar  care  residents  care.  living  and  Care  be  care  (694  for level  persons) be  who  eventually  facilities.  "typical"  three  beds  level  per  not  there  the purpose of t h i s  will  to long-term  30  F i g . 2-6)  (Priest  For  will  can  to the Vancouver  Care l e v e l s  10%  move  Kitsilano  a  2,  o f 37%  and  Intermediate  assume  who  i n the  of i n t e r m e d i a t e care w i l l  a ratio  to  there  developed  elderly  (Chapter  decline.  Grey  be  of Vancouver f o r l o n g term  1986)  t h a t about  Point  the  Intermediate  with  Research  their  1986  the  level  care).  for  will  (Appx.#0-1). A c c o r d i n g  City  at  list  for  3  Report  especially  20%  clusters  2 and  in  waiting  facility  Three l e v e l s  Department, demand  Care  level would be  care  facility  sufficient  with  t o meet  an the  needs.  Intermediate facilities  in  Care the  Facility  Core  Centre  residents such  will  be  u s i n g common  as: R e h a b i l i t a t i o n  Centre,  141  Clinic,  Auditorium  and P r o g r a m s , A r t s & C r a f t s ,  Main  Concourse with  will  be  care  and  (Nurses  i n t h e form o f s e p a r a t e treatment  Station  Storage, chair  residential  rooms p l u s c l u s t e r  with  Storage).  a  Medication  Living  care  and  washroom  toilet  The l i v i n g  but  mediate  no  Care  sections residents)  (which  will of  comprise  Staff  similar  basic  accessory  spaces  Shower,  Linen  Washroom, Wheeli n a l l levels of  private or semi-private, wash-basin  entrance  comprising  will  are  includes  bath-tub),  c l u s t e r s with  Room, W h e e l c h a i r  are e i t h e r  Components  each  units  q u a r t e r s o f t h e IC  support  J a n i t o r Room, R e s i d e n t s ' L a u n d r y ,  intermediate with  i t s services.  L i b r a r y and t h e  hall,  in  a v a n i t y and  clothes closet.  be s u b - d i v i d e d  into  three  28 rooms. The 84 u n i t  the functional  each  Internursing  c l u s t e r (90  components a s shown i n  t a b l e 5-4. The  living  clusters social  of  serve  also  units a a  arrangement  living  will  The  and  be  facility  comprised  outdoor  f o r mutual  each c l u s t e r  human  "residential will  will  be a r r a n g e d i n  Each c l u s t e r ,  ina  o f a lounge which  area  - open s h a r e d  by d i r e c t  area.  access  T h i s arrangement  s c a l e t o t h e whole f a c i l i t y  a l s o promote  social  awarness.  The areas.  interaction  space  from t h e will  and w i l l  neighbourhood" w i t h i n the f a c i l i t y .  and 3 s u p p o r t  will  t o t h e r e s i d e n t k i t c h e n and  activity  lounge/dining  smaller,  clusters  IC  a d i n i n g room l i n k e d  area.  provide  ties  area  as  the  create a large "voluntary family".  be i n c o r p o r a t e d i n t o  living  create  in  u n i t s a r o u n d common a r e a .  will  common  serving will  9-10  sense,  The  units  This  and o p p o r t u n i -  IC Component w i l l  comprise 9  142 Table  Component  Q-ty  5-4.--Intermediate Care Space Program  Net Area  C l u s t e r Type I T o t a l number o f r e s i d e n t s : 1 BR S i n g l e 1 BR D o u b l e Loung/Dining S.Kitch./Serv. B a t h i n g Room  8 1 1 1 1  18.0 25.0 30.0 10.0 8.4  T o t a l Net Area  1 BR S i n g l e Lounge/Dining S.Kitch./Serv. B a t h i n g Rm.  10 1 1 1  18.0 30.0 10.0 10.0  m2 m2 m2 m2 m2  144. 0 25. 0 30. 0 10. 0 8. 4  m2 m2 m2 m2 m2  3 m2/  person  217. 4 m2 1,304. 4 m2 10 m2 m2 m2 m2  180. 30. 10. 10.  0 0 0 0  m2 m2 m2 m2  Therap.  230. 0 m2 690. 0 m2  Total: TOTAL NUMBER OF CLUSTERS: 3 Cluster  Remarks:  10  Total: TOTAL NUMBER OF CLUSTERS: 6 C l u s t e r Type I I T o t a l number o f r e s i d e n t s :  Cluster  Support :  Nurse S t a t i o n Med. Room W . c h a i r shower Linen Storage Soiled U t i l i t y J a n i t o r Rm/St. Res. L a u n d r y S t a f f Washroom W.chair storage  1 1 1 1 1 1 1 1 1  10.0 5.6 3.3 5.6 11.0 3.0 10.0 3.0 12.0  Total: TOTAL NUMBER OF CLUSTER  10. 0 5. 6 3. 3 5. 6 11. 0 3. 0 10. 0 3. 0 12. 0  m2 m2 m2 m2 m2 m2 m2 m2 m2  SUPPORT: 3  TOTAL AREA:  m2 m2 m2 m2 m2 m2 m2 m2 m2  63. 5 m2 190. 5 m2 2,184. 9 m2  GROSS AREA (40 m2 x 90 r e s i d e n t s ) 3,600. 0 m2 504. 0 m2 P i r v a t e o u t d o o r s p a c e s : 84 x 6 m2 References: B.C. Reg. 536/80. Community C a r e F a c i l i t y CMHC. N u r s i n g Homes and H o s t e l s :  A c t . 1980.  Design G u i d e l i n e s .  1979.  Bath  143  5.2.2  LIVING UNITS -- PATTERN AND CRITICAL  Issue  #1 Sense  The to  of residency  general  create  a  despite  often  on  the  the  "home-like"  objective  a  because  attempts  own  those  1.  Mobility in  the  2.  are  in  a  levels  setting:  with  canes  full  and  Personalization.  The a b i l i t y  within  his  objects,  to  surroundings  in  a  the  were  dining  a sense o f  control  way  that  ambulatory,  of the over  facility  a r e found disabled  semiambulatory  (bedridden).  of the resident  physical affect  of mobility  walkers),  and n o n a m b u l a t o r y  personal  provide  long-term care  ( w h e e l c h a i r bound),  artifacts  those attempts  factors:  care  (walk  not  within  Four d i s t i n c t  long-term  rooms  t o K o n c e l i k (1976) c o n t r o l  environment  status.  for  many d e s i g n e r s t o a c h i e v e a  do  not  According  upon f i v e  ambulatory  space  form o f h o t e l - l i k e  Indeed,  feature  they  physical  depends l a r g e l y  adequate  I n most o f t h e e x i s t i n g  a  of  facilities i s  main l o u n g e s , e n t r y a r e a s and common  patients-residents. one's  have  long term  and  basis.  and a t m o s p h e r e .  in  However,  residency,  units  dramatic quality  quality  spontaneous  living  addressed  spaces.  i n designing  "residential"  socialization facilities  ISSUES  environment, the  character  is  sympathetic  to manipulate to  bring  in  of h i s or her to  personal  preference. 3.  Socialization. in  public  regulation,  The a b i l i t y areas  threat  in  t o communicate w i t h o t h e r s b o t h  groups  or interference.  and  in  privacy,  without  144  4.  Privacy. to  T h e r e must be  or r e t r e a t  to, that w i l l  consultation,  5.  intimate  rest.  The  resident  room.  most  in  T h i s can  physical  environment  resident  in  factor  ing  the  "Designing  the  in  a  typical  space  in  a  facility  create physical be  by  the  Pastalan  access. of  the  also  and  i s the  or  she  belongs  to  in  the  including  is  the  staff  and  the  factor  home ( s e e  one,  and  used  w i t h i n the  the in  overall determin-  facility.  into  with  the  two  Primary  most i m p o r t a n t  accessibility The  Resident  to  areas.  Rooms,  second,  is a  In order  a home-like atmosphere, A c c e s s Group s p a c e s  issue.  a  A c c e s s Group w h i c h  C o r r i d o r s . The  Therapeutic and  to  groups a c c o r d i n g  i s a Primary  Room and  In  d i a g r a m : F i g . 5-6).  neighbourhood":  surrounding of  determining  Home" K o n c e l i k makes r e f e r e n c e  divided  first  Group  arrangement  important  (1974) w h i c h d i s c u s s e s t h e  Dining  a residential  as  by  surroundings  of people  "corridor  Bathroom,  considered  he  through devices  most  personal  nursing  The  the  Access  that  facility  aided but  activities  capability  feel  the  meditation,  d e c i s i o n making a t t h e  is  Open N u r s i n g  model  Secondary  and  segregations  done  Lounges,  o n l y be  however,  study  comprises  must  M o b i l i t y s t a t u s i s o f t e n the various  resident  for this  and  itself,  personal  go  level.  controlling  facility.  not  planning  status, in  resident  facility  him/her.  Mobility  place  r e s i d e n t can  seclusion for  discussion,  The the  administrative  permit  logical  Identification. belongs  a p l a c e where e v e r y  to the  should  145  F i g . 5-6 Source:  Long Term C a r e F a c i l i t y A c c e s s M o d e l K o n c e l i k , J o s e p h . D e s i g n i n g t h e Open N u r s i n g Home. 1976, p. 46.  146  The  CCC I n t e r m e d i a t e C a r e r e s i d e n t i a l  primary  access  residents. and  group  space  Each u n i t w i l l  n o t onto a c o r r i d o r ,  tions.  Their  private  space  vate  spatial  in  the  form  which  i s typical  hierarchy w i l l  i n the r e s i d e n t ' s  orientation  entrance  of  will  one's  be  room,  making  rooms o f d i f f e r e n t  patios  will  be  of  create a  "homes" f o r t e n  open o n t o a s h a r e d l o u n g e / d i n i n g of i n s t i t u t i o n a l  resemble  a normal  room.  f o r example,  another feature  solu-  home w i t h  The i n d i v i d u a l i t y  s u p p o r t e d by g i v i n g  shape.  room  room and washroom and s e m i - p r i -  area i n the shared " l i v i n g / d i n i n g "  and  clusters will  identities  to the  by s m a l l p o r c h e s , and b y  The i n d i v i d u a l of t h i s  private  "home-like"  outdoor  environment  (See F i g . 5-8) .  Issue  #2  The cluster clusters  Flexibility principle  o f space  f l e x i b i l i t y h a s been  approach  to  facility  of  use  in  the  actual  time of  to care,  ture of  the  9-10 u n i t s  terms  of required  needs.  decide  patients residents units,  from  facility, one  condition  so l o n g  Residential  common a r e a s , a l l o w  level  of care  on t h e number o f beds  w i t h o u t any need  CCC  programming.  by a  f o r change o f  (3 l e v e l s )  d e p e n d i n g on  The management h a s t h e o p t i o n a t any g i v e n  of the buildings. the  around  implemented  o f change i n t h e p h y s i c a l  This p r i n c i p l e which  level will  and c l u s t e r s  follows  i n any l e v e l infrastruc-  the o v e r a l l  policy  i s b a s e d on a smooth t r a n s i t i o n o f  of not  care t o another. require  moving  A change i n t h e them f r o m  a s t h e n e c e s s a r y c a r e c a n be p r o v i d e d .  their  147  Issue  #3  Link CCC  The with be  the very  Rehabilitation  people's  has and  of  an  of  impact  facilities  perceptual  access,  open  clusters  among  (Regnier  1987) o f  c r e a t i o n of  legibility  sense  of  reduced  signs  well  residents. which in  and  the  spaces. as  will  of  of control,  t h a t the problem o f  residents  long-term  level  care  o f competence  have  Pynoos  legibility In  the  providing  views t o f a m i l i a r  locations  within  the  the  Core  exterior  building  such  features to  There are f o u r c l a s s e s potential  1987, of  a  CCC  impact  upon  environment: s i g n s ,  p.445). setting  facility  and  plan  The use o f by p r o v i d i n g  there w i l l  be  components as w e l l as i n  The p e r c e p t u a l a c c e s s to  of design  differentiation  i n a l l functional  as  evaluation of several  the e l d e r l y  architectural  information.  graphic  shown  the e f f i c i e n c y  wayfinding  impact  directional  the  post-occupancy  variables,  and  the  have  among  assessed  wayfinding  can  particularly  and M a i n C o n c o u r s e ,  on g o a l s a t i s f a c t i o n ,  The  orientation  large  Clinic  environment,  Studies  homes.  configuaration  within the  f u n c t i o n i n g as w e l l as t h e new u n f a m i l i a r s e t t i n g  environmental  signs  the Core C e n t r e ,  because of the e l d e r l y ' s  nursing  facilitate  Centre,  increases  cognitive  elderly  with  accessible  disorientation  and  finding  S e v e r a l s t u d i e s ( R e g n i e r and P y n o s s  safety.  facilities,  -- Way  e n v i r o n m e n t s have shown t h a t b e s i d e  barrier-free  stress  Core Centre  connection  important.  settings  the  facility.  functional  elderly a  with  t o t h e l o n g term  Centre  will  care  be enhanced by  landmarks o r views t o o t h e r as a c e n t r a l  atrium  (Winter  148  Garden)  or  clusters.  a  common  Since  component  will  Finally, their  way-finding. the  the a r c h i t e c t u r a l  be d i f f e r e n t  way-finding. buildings,  lounge/dining  shape  The l o n g - t e r m  form o f r e s i d e n t i a l  which  will  within  residential  c h a r a c t e r o f each  functional  i t can a l s o c o n t r i b u t e t o e f f e c t i v e  the or  area  overall  layout care  clusters  plan  may  influence  facilities connected  l e a d t o the Core C e n t r e .  This  configuration  will  of  t h e ease o f  be d e s i g n e d i n  t o t h e main walkways, "feeder  system" o f t h e  circulation  pattern  will  promote w a y - f i n d i n g .  as  walkway  with  a glass wall instead of the sterotype  a  main  institutional (trees in  or surrounding  orienting.  sleeping also  cues the  around  spatial  area w i l l  to  a  wall,  settings.  views t o e x t e r i o r  a r e a s ) , which w i l l  common  to  perception.  also  clustering areas,  will  access  t o t h e open  of disorientation  cluster,  there w i l l  and may  to  the  At  be l a t e n t  c o l o u r scheme i n f u r n i t u r e contribute  will  increase  f u r t h e r parts of the f a c i l i t y .  each r e s i d e n t i a l  will  areas,  areas  landmarks  help residents  lounge/dining  The v i s u a l  diminish the e f f e c t s  as p l a n t s , d i f f e r e n t which  shared  T h e s e open s o c i a l  desire to explore  entrance such  provide  activity  promote w a y - f i n d i n g .  central  the  will  The l a y o u t o f t h e r e s i d e n t i a l  units  residents'  lead  corridor  The "promanade"  and on  l e g i b i l i t y of  TO CORE CENTRE  LEGENDc s - C L U S T E R . supporeT CT1 CT2 OS -  CLUSTER T Y P E 1 CLUSTER T Y P E Z OUTDOOR S P A C E S  Fig.  5-7  I n t e r m e d i a t e Care  Facility  150  TO CLUSTER. SUPPORT  LEGEND1& ZB BTH D/L K OS P  -  1 BEDROOM Z BEDROOM BATHROOM DINING/LI VI NO K-lTCHEN/SERVlrAGr OUTDOOR. SPACES PATIO  Fig.  5-8  Intermediate  Care C l u s t e r  Type 1  151  TO C O R E  CENTRE  WC MP  CU  NO  CH  NS  LS  CT1  CT1  LEGEND  C-H NS KIO HP WC CU  VJ/6  RL  CT2  :  MEDITATION QVCMAPEL NUfeSE 5TAT10H HEAbM.OH=ICE MEMCJIME PfcEPAKATiOVi STAFF WASHfcOOH CLEAN UTILITY  Fig.  5-9  Intermediate  Vv/S WHEELCHAIR. STORAGE L 5 UN EH SUPPLY 3 lANlTOt? ROOM RL *E£\D£U LAUNDRY CT1 CLUSTER- TYPE 1 CTZ CLUSTEe TYPE 2  Care C l u s t e r  Support  152  5.3  DEPENDENT LIVING - EXTENDED CARE  5.3.1. F u n c t i o n a l The  The  Components  Extended  Design  Care  Guidelines  Extended  Facility  Care  Facility  The  Care  Extended  emotional  conditions  assesment  and  dietary, will  and  serve  require  The  the  Extended  and  occupant units  that  E.C. by  (Appx.  elderly  with  nursing  Care  living  four-bedroom will  will  washroom  be and  be  f o r 36  patients  many d i s c i p l i n e s  # 0 - 1 ) . The a "high services  on  will  ongoing nursing,  Care  facility  o f dependence  a  (Appx.  provide  #0-1).  private be  one,  single  The  Living  living-sleeping  f o r the r e s i d e n t ' s c l o t h i n g  or  for a  of a l l r e s i d e n t s .  c o m p r i s e d o f an e n t r y a r e a ,  who  t w e n t y - f o u r hour  e a c h w i t h washroom. T h e r e w i l l  a minimum o f 60%  or  e.g.:  Extended  level"  mental  require  wards. However, accommodation  a closet  Programs).  the p h y s i c a l ,  residents  component  units,  the  from t h e I n t e r m e d i a t e  regular continuous medical supervision  semiprivate two  medical  professional  b a s i s and  the  intervention  programmed  differs  of the f a c t  of  b a s e d on  units.  component  because  has been  of H e a l t h ( H o s p i t a l  has been  i n the observation  component  Program  of the M i n i s t r y  p l u s 6 beds  Care  FACILITY  and  area,  personal  belongings. 5.3.2. Issue  Living #1  Units Pattern  - Cluster  Groups  o f 9 - 10  dining  area,  and C r i t i c a l  Issues.  be  w i t h a lounge  approach rooms w i l l  thus  creating  clustered  a "neighbourhood  o f 12  space  and  residents".  153  There  will  will  be  include  a  Storage  Room;  Utility  Rooms;  and  three  clusters  Nurses  with  two  Nurse's  Office;  Linen  Storage;  J a n i t o r Room; R e s i d e n t s ' (see F i g s .  area  P r e p a r a t i o n and  Head  achieving  a  important  cluster's  residential  functional  Washroom;  Clean  Laundry;  5-11, 5-12, 5-13).  lounge.  Older  people  Therefore,  of  configurations.  living-unit a  sense  extends  of  and  living-unit features  as  and  independence, "friendly" extent, furniture  as  details  personalize other  factor  mobility.  The  accessible  throughout.  One  of  they  their  lounge.  This area w i l l  leisure  and a c t i v i t y  need  an e n v i r o n m e n t  that  will  able, with  is will  some  their  own  the  most  limited  wheelchair  be t h e c l u s t e r ' s  play a multifunctional role:  a r e a . As r e s e a r c h h a s shown  o f t h e EC w i l l  to  their be  stay i n t h e i r  their  hand-rails,  However,  Facility  design  t o improve  be  elderly  i n each  special  sources,  living-units  spaces  a variety look  i n order  will  living  the e l d e r l y  facility  light  the  in  Therefore,  belongings.  Care  choice  and t h e  has t o p r o v i d e  whole  residents  affecting Extended  a  Furtheremore,  be p r o v i d e d  t h e most i m p o r t a n t  residents  design  the  personal  important  living-unit  desire  supplementary The  a  independence.  in  will  furniture.  and  and  their  well  e.g.:  to  the  autonomy  enhances  c h a r a c t e r f o r t h e EC t h e r e a r e  elements:  accommodations.  many  Staff  That  #2 - R e s i d e n t i a l c h a r a c t e r  In  for  Area.  S t a t i o n with Medication  F u r n i t u r e / w h e e l c h a i r Storage  Issue  one S u p p o r t  main  as a d i n i n g ,  ( K o n c e l i k 1976)  rooms w i t h o u t  being  154  willing 20%  to  participate  of the p a t i e n t s  be  unable  to  remaining  i n any  i n an E x t e n d e d  participate  80%  of  common a c t i v i t i e s .  in  patients  any  will  programs  developed  the  majority  of the p a t i e n t s w i l l  the  it  is  and  main l o u n g e important  proceed  approachable used.  This  normal  area  area  should  act  house.  Core  will  are  It  i n the c l u s t e r ' s  as  leisure/dining  a  Occupational (basically the  EC  Issue  those  The  assistance  Therefore, get dressed  a r e a e a c h day.  more  frequently  a substitute provide  a  that  i n getting  1988).  t o g e t up,  in  The  more  i t will  be  living  room o f a  normal,  inviting  issues  i n designing  services w i l l  be  such  space.  available  i n the  lounges. This but  Area  for  who  don't  space w i l l  also  be u s e d n o t  as P h y s i c a l  a very small like  supplementary only  Exercise  group  of  and  residents  t o mingle with the r e s t  of  community). #3  Home l i k e  Critical in  for  recognized  be n e c e s s a r y t o p r o v i d e a  space  Therapy  program.  residents.  critical  also  space  the as  main t h e r a p e u t i c  Centre i t w i l l  activity  should  appeal to  several  the  require  residents  lounge  lounge  ambience w h i c h  Although  the  the  family  There  them. I t s h o u l d be  encourage  are expected to  capable of p a r t i c i p a t i n g  (BCHP EC D e s i g n G u i d e l i n e s  to  into  facility  type of a c t i v e  be  the  to  for  Care  Approximately  design  the r e s i d e n t i a l  1. S c a l e The  of the way  environment issues  for creating  a home-like  environment  clusters:  cluster  space  i s enclosed, i t s size  and  shape,  the h e i g h t  of  155  the  room,  plays  an  important  environment  in  the  residential  or  institutional  residential a.  providing alcoves  b.  sky  lights rest,  with  living area.  3.  with  All  living  space. shared Issue  The  Critical 1.  Proper  a  s c a l e i n the  divided  into  functional  of c e i l i n g  h e i g h t s by p r o v i d i n g  a r e a and  lower  ceiling  in  other  equipment,  details  will  be  railings, designed  in  antropometrics.  units will  outdoor  have  direct  access  to  the  activities  have d i r e c t area  access  will  to p r i v a t e  have  connection  outdoor to  the  space.  design in  territory). provide  area  elderly's  units will  Resident  privacy  the  give a f a c i l i t y  by:  furniture,  and  lounge/dining  outdoor #4  the  of  units  lounge/dining Connection  shape  living  home-like  cluster.  switches  Proximity to  achieved  lounge/dining  p a r t of the  accordance  can  a  activities.  the  and  creating  atmosphere.  have v a r i e t y  in  size  All  be  in  Scale  lounge/dining  will  electrical  2.  facility.  for various  space  the  can  the  the  the c.  cluster  EC  part  Living  Unit.  i s s u e s i n the two All  one's  and two  resident unit:  four and  resident  bed  f o u r bed  rooms  (setting  rooms w i l l  territory  by  be  up  one's  designed  biaxal  to  ownership  arrangement. 2.  view  from  the  bed:  windows  and  ceiling  become  important  156  space the  elements  of  residents'  bedridden resident's  rooms w i l l  have a s i l l  view  through  the  door  space).  Ceilings will  interior pended  design  h e i g h t which  window t o t h e o u t s i d e w o r l d  features  be  will  as p a i n t i n g s  allow a  (see p r i v a t e  e n h a n c e d by p r o v i d i n g  such  Windows i n  out-  stimulating  or sculptured  sus-  ceilings.  5.3.3  Private  outdoor  Term C a r e At  the  of  determine  care.  There  tively design  some  different  Parkwood  Manor,  dwelling  units  Intermediate University direct spaces.  of  levels  from  Although  t h e r e i s no  guidelines,  - Long  care  of outdoor  and  spaces,  However, t h e r e i s r e l a -  spaces  approaches of  or  Hollyburn  studies  I found  that  patios. House  Site  Extended  Care  individual  sleeping  units  units  Unit  to the  dependency.  i n the case  (Appx. #5-2)  a l l I n t e r m e d i a t e Care  of  i n the  Design G u i d e l i n e s  of v a r i e t y  balconies in  speci-  level  h o u s i n g i n C o q u i t l a m , B.C.  private  UBC  Care  i n the h i g h e r l e v e l s  of  which  f o r each  regarding specific  outdoor  specific  common r e q u i r m e n t s  conditions.  facility  Hospital,  n o r any  terms  congregate  Care  access  in  residents  with  thesis  Act, Extended  information  analysis  this  i n f o r m a t i o n and  physical  for elderly the  the Dependent L i v i n g  landscape requirements  Facility  little  In three  the  Guidelines  and  in  Columbia  i s basic  Care  Design  privacy  writing  in British  fically  Community  spaces  Facility  time  legislation  CMHC  environment.  and  of  only  provides In  the  in  the  t h e r e i s no  t o open  outdoor  i n H o l l y b u r n House  157  are  located  shared  on  patio  Extended balconies. patio and  access to the  i s through the e x i t of the f a c i l i t y .  The UBC S i t e  Unit  not  easily  floor  small  level  b u i l d i n g without  (too small  any p r i v a t e  f o r a l l residents)  t o t h e common s p a c e s on t h e g r o u n d accessible  to  the r e s i d e n t s .  outdoor  floor  level  Therefore,  this  i s underutilized.  The  nursing  Woodland  Hills  approach  to  facility  four  patient  geometry (see  home  at  the  rooms  opportunity  mobile, spaces  will  direct  outside chance  for  people  care  o f a new  spaces i n a long-term  level.  interior  The c l u s t e r i n g o f  vestibule  creates  a  l i n k e d t o each  unit  rooms t h e r e s i d e n t s  have  interaction  in  i n L o n g Term C a r e  an  adjacent  from t h e i r s l e e p i n g  f a c i l i t i e s are l e s s units  a s v i e w s from t h e i r u n i t w i l l  to the outdoor  keep them i n t o u c h  world. term  r e s i d e n t i a l clusters a l l sleeping  d i r e c t access t o the outdoor spaces. unit  f o r privacy  residents.  an  social  access  well  each  common  i n t e r e s t i n g example  of outdoor p r i v a t e extended  C o u n t r y House i n  space.  t h e CCC l o n g have  an  Picture  While having p r i v a t e  elderly  with the outside In  is  around  outdoor  as  Motion  accommodates s h a r e d b a l c o n i e s  F i g . 5-10).  Since  the  California  that  semi-private  in  the design  care  also  ground  i s a s i xstorey  The o n l y  i s adjacent  patio  an  the only  Care  the  outdoor These  will  define  invasion. space,  personal  A planting  territory  arrangement w i l l  area  and m i n i m i z e  However, a l l r e s i d e n t s which  units  claimed  will  may  be  give  the residents  share  by s e v e r a l a  choice  158  F i g . 5-10 Source:  P r i v a t e O u t d o o r S p a c e s i n N u r s i n g Home Bobrow/Thomas A r c h i t e c t s , Motion P i c t u r e Woodland, C a l i f o r n i a .  Country  House  159  to  be  in private  residents  territory,  o r have an  to  watch  an  activity  who  are  unable  and  o p p o r t u n i t y t o meet  other  i n t h e n e a r e s t common open  areas. For  those  outdoor Views  spaces from  connected relief  dent's  the  be  the  rest  pleasure.  et sense  of  for pain-relief  important  important  of the  There  a l . 1986)  o u t s i d e views of  especially  windows a r e  with  and  Carpman  will  t o go  ( K o n c e l i k 1976).  ways f o r r e s i d e n t s t o  world.  i s evidence  Attractive  views  feel  provide  i n research (Reizenstein  t h a t p l e a s a n t v i e w s can  w e l l - b e i n g and  attractive  decrease  i n c r e a s e the  r e c o v e r y time  and  resi^ need  medication.  Outdoor views remind the e l d e r l y o f the season, time of a day and w e a t h e r . These a r e i m p o r t a n t " r e a l i t y c u e s " for long-term, critically i l l residents (Reizenstein Carpman e t a l . 1986, p. 2 1 1 ) . The  flow  of  phenomena.  time  The  and  bed  resident  ing. to  night  has can  Therefore, provide  the  effect  seasons  of  Therefore, with units  a  view will  residents  see  rhythm  of  continuous  dawn,  this  i t should  rhythm o f moving on,  be  essential  i n the  p l a n t s which b r i n g out  changing  shadows,  of n a t u r a l  daytime,  marked t h e r a p e u t i c a l v a l u e .  lose  t r e e s and  o f the  t h e most b a s i c and  repetitive  sunset a  is  and  colours  will  be  Confined of  new  this  evening, to  progress-  development  rhythm  through  i n the  various  year. the  CCC  open s p a c e s  of a c t i v i t y have out  window  i n the sill  t h e window  surrounding heights  easily.  visually stimulating areas. A l l sleeping  which  allow  bedridden  160 Table  Component  Cluster Total  5-5.--Extended Care Space Program  Q-ty  number o f r e s i d e n t s : 8 1 1 1 1 1  Total: T o t a l number o f c l u s t e r s : Cluster  Remarks:  12  18 47 48 10 26 11  m2 m2 m2 m2 m2 m2  144 47 48 10 26 11  m2 m2 m2 m2 m2 m2  4 m2 p e r bed 3 bath f i x .  286 m2 572 m2  2  Type I I  number o f r e s i d e n t s • 12  1 Bedroom 2 Bedroom Lounge/dining S a t e l l i t e Kitchen Bathing f a c i l i t i e s Soiled u t i l i t y  8 2 1 1 1 1  18 30 48 10 26 11  m2 m2 m2 m2 m2 m2  Total: Cluster  144 60 48 10 26 11  m2 m2 m2 m2 m2 m2  299  m2  38  m2  Support  Nurses s t a t i o n : Control Clean u t i l i t y & Medicine prep. Head N. O f f i c e Staff'washroom Medit.Rm/Chapel Linen Supply J a n i t o r Rm Resid. Laundry W.chair Store  Total:  T o t a l Net Area  Type I  1 - Bedroom 4 - Bedroom Lounge/dining S a t e l l i t e kitchen Bathing f a c i l i t i e s Soiled u t i l i t y  Total  U n i t Net Area  Cluster  38  m2  30 m2 14 m2 6 m2 6 m2 22 m2  30 m2 14 m2 6 m2 6 m2 22 m2 112  m2  3 bath f i x .  161 Table  5-5.--Extended Care C l u s t e r Space Program  Component  Q-ty  Observation Unit  U n i t Net Area  4 1 1 1 1 1 1  18 30 24 10 11 23 10  m2 m2 m2 m2 m2 m2 m2  Total:  72 30 24 10 11 23 10  m2 m2 m2 m2 m2 m2 m2  180  m2  2 fix.  1, 153 m2  Total:  Gross Area:  Remarks:  f o r 6 beds  1 Bedroom 2 Bedroom Lounge/Dining Linen Supply Soiled U t i l i t y Bathing f a c i l i t y Storage  Grand  T o t a l Net Area  (Cont'd)  36  m2 x 42  beds =  1,512  m2  References: BCHP. E x t e n d e d  Care  Design Guidelines.  1988.  CJP Architects Calberg Jackson P a r t n e r s . St. Vincent's C a r e H o s p i t a l - Space Program. 1987. Gardiner Thornton P a r t n e r s h i p . and Space Program. 1977.  St. Michael's Centre -  Extended  Functional  162  LEGEND • CS CLUSTER SUPPORT CTi CLUSTER TYPE 1 CT2 CLUSTER. TYPE 2 OS OUTDOOR. SPACES OBSERVATION UNIT SECURITY CONTROL  Fig.  5-11  Extended  Care  Facility  163  LEGEND: 1B 1BEDROOM 4B TyL K  BTH SU P OS Fig.  4 BEDROOM DINING/LIVING S.KlTC^r^/SERVIUG-  BATHING feOOH SOILED UTILITY PATIO OUTDOOR SPACES  5-12  Extended Care C l u s t e r  Type 1  164  TO C O R E C E N T R E  RL  LS  W5  CT1  CT1  CT2  LEGEND • CT1 CLUSTER TVPE1 CTZ CLUSTER TYPE2. W/6 WHEELCHAIR STORAGE NS NURSE STATION MR MEDICATION PJDOM WC STAFF WASHROOM RL RESIDENTS' LAUNDRY LS LINEN STORAGE WS WHEELCHAIR SHOWER 3 JANITOR ROOV1 SU SOILED UTILITY Fig.  5-13  Extended Care C l u s t e r  SU  Support  165  5.4  CORE CENTRE  In  keeping  provide  w i t h the o b j e c t i v e s  services  extent  for  o f t h e CCC,  the r e s i d e n t s  the Core C e n t r e  of the f a c i l i t y  and  will  t o some  f o r t h e e l d e r l y from t h e Community o f t h e West P o i n t  Grey  area. The  Core  components centres. 1.  2.  Centre  and  will  each  There w i l l  of  be two  serving  Services,  Maintenance  S u p p o r t and  Laundry;  Components  which w i l l  community:  Administration, Arts  and  will  types of  the  CCC  include  facility  Services,  serve  functional  several  activity  components: only  Plant  the r e s i d e n t s  Rehabilitation  Main  Crafts,  c o m p r i s e d o f 15 m a j o r  them  Components  entire  be  Concourse,  e.g.:  Services,  o f t h e CCC  Centre, C l i n i c , Food  Material  Services,  L i b r a r y , A u d i t o r i u m and I n d o o r  Staff  and  the  Pharmacy, Food  Fair,  Recreation  Programs; The  Core  group  Centre w i l l  activities.  around parking,  the  require  There  will  large have  open  spaces f o r a v a r i e t y of  to  be  also  ample  grounds  b u i l d i n g f o r important supplementary f u n c t i o n s  s e r v i c e & d e l i v e r y and  recreation.  like:  166  ^EfeVE  C C C ONLY  .FOR  C C C R E S I D E N T S -AND COMMUNITY  OUTLOOK.  ACTIVITY AREA  — I o  < >U a  ui  0 z _j  MATERIAL SERVICES  o  MAIN  PHA£N\ACY  FOOD SERVICES  coNcouesa-r  FOOD FAIR  STAFF SUPPORT  APMlNlST.  _ "PARKIN&  LEGE ISPMAlOfc P E b E S T R l A N CIRCULATION MAJOfc V E H I C U L A R ACCESS MA30R SERVICE ACCESS  Fig.  5-14  Core  Centre  /It  167  5.4.1. MAIM CONCOURSE  A complex o f b u i l d i n g s w i t h no c e n t e r i s l i k e a man w i t h o u t a head. A l e x a n d e r , A P a t t e r n Language 1)  Purpose One  will  of  be  (Public meet  the  the  major  Main  Place)  functional  Concourse, which w i l l  f o r the f a c i l i t y .  each o t h e r , t o c h a t with  new  acquaitances  also  be a p l a c e  components o f t h e C o r e create a central  There o l d e r people  close friend  i n an a t t r a c t i v e ,  forum  may come t o  or casually  comfortable  f o r b a s i c commercial  Centre  talk  setting.  with  It will  services.  2) F u n c t i o n a l D e s c r i p t i o n a.  Winter  The  landscape  can  be  bad  weather  build  human tional  similar  They  may be b r o u g h t  interior  the  benefits  needs,  against  the b u i l d i n g  so t h a t i t  Although atrium,  initial  would be d e c r e a s e d ,  atmoshpere.  soothing  represent l i f e ,  i t may be v e r y c o s t l y t o i t would be w o r t h w h i l e  to  i t b r i n g s f o r r e s i d e n t s i n terms o f t h e i r the  psychological are  inside  d u r i n g t h e w i n t e r months and d u r i n g t h e t i m e o f  landscaped  like"  Conservatory  ( G r u f f y d d 1967).  feeling  "home  Plants  enjoyed  a  compare  Garden -  cost.  The  institu-  because t h e p l a n t s p r o v i d e a  Bringing  benefits and  capital  to  restful,  hope and g r o w t h .  nature  indoors  accessing especially  nature  may  hold  outdoors.  f l o w e r i n g ones.  T h e r e f o r e , a green  interi  168  o r may  become a key  In  the  element i n the  Core Centre,  Conservatory  will  During  rainy  many  be  i n the  one  existing  b e a u t i f u l t r e e s can  will  play  panions  a  new  program the  CCC  Conservatory  to  start  problem  provide rain, as  mental only  many  the  creating  The  strong  area  also  inside  to create  route,  right  bond w i t h  at older many  age  the  place), fauna  a n i m a l com-  (Bustad  facilities been  fish  are  the  introduced.  planned  s t i m u l a t i o n and  1983;  for  therapy  Although  another observer.  in  they  the will  opportunities  Loneliness  is a  Nonverbal communication deprivation.  i n the the  a  this  Especially a live  T h e r a p y " has  and  sensory  garden  a cheerful, (some o f  within  physical health.  visual  with  be  p o s i t i v e e f f e c t s of pets  elderly's  green  Main  and  will  of p l a n t s ,  the  in  people.  winter  Mail  the  the  environment.  that  "Pet  birds  possible opportunities b.  birds.  older  the  but  and  more p r o f o u n d  a conversation  decrease  Main Concourse,  incorporated  shown  confirmed  provide  for  plenty  Therefore,  elderly's  nevertheless  be  program c a l l e d has  the  f o r the e l d e r l y .  most a t t r a c t i v e components.  role in this  and  1985).  by  fish  have  i s stronger  elderly  on  live  studies  Savishinsky  This  and  created  a significant  Recent  the  of  days i n Vancouver, t h e r e  atmosphere  feature  heart  of  pleasant  water  environment  The  C o r e C e n t r e was  idea  not  environment" with  of  only  f a c i l i t y to enjoy i t d u r i n g  "friendly  can  as  to the  much  for social interaction.  Boxes Concourse, in  the  being  heart  of  located the  on  a busy  facility, will  circulation be  an  ideal  169  location a daily  for  the  d e s t i n a t i o n f o r almost every  c.  Commercial  Commercial Bank  Annex  environment business  d.  will  for of  example "an  provide  Dining  areas,  tation  Centre,  a  It will  be  habitant.  Day  the  General  P o i n t Grey  i n the  Seniors'  Clinic  and  as B e a u t y and Store  Hair Salon, will  Royal  create  as w e l l as w i l l  an  enhance  Community.  Care  living  Food  such  action taking place"  i n t e g r a t i o n with  Seniors  residents.  Components  components  Seniors'  For  M a i l Boxes f o r f a c i l i t y  Fair and  Day  neighbourhood, Care  the  Centre with  component, s p e c i a l outdoor a c t i v i t i e s  Main  Concourse  easy access  to  programs, R e h a b i l i areas.  Table  5-6.--Main C o n c o u r s e Space Program  COMPONENTS:  NET AREA  1.  Main  Entrance  10. 0 m2  2.  Coat  Room  26. 0 m2  3.  Conservatory  4.  Arts  5.  Bank  6.  Beauty  7.  Day  8.  Washrooms M&F&Hand'd  REMARKS:  100. 0 m2  Exibition  30. 0 m2 20. 0 m2  Salon  26. 0 m2  Care  60. 0 m2 40. 0 m2  9. S t o r a g e / M a i n t e n a n c e 10. M a i l  4 c h a i r s , 3 sinks with counters, hair dryers. for participants who require rest period d u r i n g t h e day  6. 0 m2  Boxes Rm f o r E C , I C , RC 12. 0 m2  11. G e n e r a l  S t o r e : 24 H r s  for  20. 0 m2  152 r e s i d e n t s  "Max"  o r "7&11"  350. 0 m2  TOTAL: GROSS AREA:  350 x 1.3 =  455. 0 m2  References: APRA. Facilities Program S o c i e t y . 1982, p.G41. Gardiner Thornton and S p a c e Program. Northwood  f o r the  Partnership. 1975, p.8.1.  Multi-Purpose  Centre,  George D e r b y Long Term  Care  S t . Michael's Centre F u n c t i o n a l Physical  Facilities  Data  List.  171  r""] r ^ ^ l nr-.l I  i  2  If  ^hLii  I $S  i  —  I  i  I  1  IS*,  1  j PHARMACY [ I  1  APMINISTR  -  Pig.  5-15  PARKINGr  Main Concourse  172  5.4.2. FOOD FAIR - DINING Without communal e a t i n g , no human g r o u p hold together. A l e x a n d e r , A P a t t e r n Language  can  Purpose In  keeping  with  community  network  component  will  the  of  objectives  friends  become  an  and  of  creating  relatives,  attractive  and  an  t h e CCC  useful  informal Food  Fair  p l a c e f o r the  elderly. Four  principal  components  activity  programs  programs,  meeting/classes  provides  festive  other  occasion (Jordan  While regular  1978,  most luncheon  breakfasts,  banquets  giving  or  enough civic  to  hold  group  including  are  or  Centres  Centres:  people  dining,  The and  Dining  group special  component  to share  pleasant  of the major programs of  scheduled  d i n i n g area  confine  program, and  and  around should  in  may  the  even  special  their  i t . I t can  reflect  dining  case  snacks holiday  the be  a  i t s impor-  activities t h e CCC  a l s o be  d i n n e r s , such  b r i n g a l a r g e t u r n o u t of  all  of the p a r t i c i p a n t s .  the  CCC or  of  will  often served banquet-style  a luncheon  scheduled  pp.62-63).  Christmas,  meals  the  arts/crafts.  t o meet new  the  dinners  Annual  Such  and  activities so  up  Senior  L u n c h o f t e n becomes one  with  tance.  most  opportunities  experience. day,  at  make  Board  dinner.  and  Food  to  a  Fair  available. as  Thanks-  participants.  need a room l a r g e  Monthly meetings of  o f D i r e c t o r s may  be  held  a  there  173  For of  the  purpose of  residents  occasional Beside  the  guests  that  visitors  in  the  residents  (high-rise  with  Carp  Senior  respondents  will  they could  on  life  Centre  to  Day  the  50%  Food  their  Services.  Care p a r t i c i p a n t s  and  to a study conducted  satisfaction  the  (100)  and  of V i c t o r i a  a p a r t m e n t b u i l d i n g i n San  on  and buy  a l s o be  up  Clusters  in  According  seniors  "strongly  Living  interested  community.  Francis  some p l a c e  be  number, t h e r e  from  t h e s i s I assume t h a t  Independent  will  professor  Texas  this  ground  persuasively  floor),  83  desired"  meals a t r e a s o n a b l e  by  Plaza  Antonio,  per  cent  of  inclusion  of  cost.  The most common improvement s u g g e s t e d f o r the S e n i o r Centre was a d d i t i o n o f c a f e t e r i a , c o f f e e shop o r c a f e . The provision o f a p l a c e t o buy m e a l s was s u g g e s t e d by 49 per cent of respondents while a d d i t i o n of food s e r vices was recommended by a b o u t 90 p e r c e n t ( C a r p 1987, P.74) . 2)  to  Functional  Description  The  Food  Fair will  be  the  Food  Services  component  course. since  There i t  will  neighbourhood. of may be  a  premeal come b e f o r e  plenty  waiting.  of  will be  be  located  easy  i n the and  access  Core Centre a r e a  adjacent  t o the  from t h e  visitors  a destination  f o r people  I n most s e n i o r s '  facilities  l i n u p . For  the  CCC  the  doors of  the  room  within  the  f r o m the there  close  Main  parking  Point  is a  Con-  Grey  problem  residents  and  their  restaurant  are  open, t h e r e  will  Conservatory  for  Main  Plaza  guests  who  174  a.  Restaurant  The ces.  Food F a i r A study  p.141)  tray  Villa  waitress  self-service  (55.6 p e r c e n t )  service, and  restaurant  environment avoid  11.1  (1.5  gangways  arrangements, more  at  <a  will  (Gutman 1983,  expressed  33.3  per cent  accommodate  f o r d i n i n g . Table  crowding  wide  per  a clear  cent  chose c a f e t e r i a  m2  to  table  will will  chose with  permit  will  tables  be  a c c e s s i b l e to wheelchair  will  be  banquet  will  be  colourful  cheerful having will  tables  ambience  in  linen in  users.  the  the alcoves.  restaurant  Some  r o u n d and w i l l  For larger  c l o t h s and f r e s h  of seating  interaction  prefer isolation.  rectangular; others  be  o f two, f o u r , s i x o r  c r e a t e p r i v a c y , encourage  ing  There w i l l  A variety  groupings  who  comfortable  be g e n e r o u s enough t o  wheel-chairs.  anonymity f o r those  tables  in a  1.6 m2 p e r p e r s o n ) .  t o accommodate which  125 g u e s t s  spacing w i l l  even p r o v i d e  to  while  servi-  service. The  are  waitress  residents preferences  t h a t about h a l f  for  cafeteria  include a restaurant with  of Seton  showed  preference  will  or  din-  include  groups,  there  On t h e t a b l e s , t h e r e flowers.  will  A pleasant,  a l s o be c r e a t e d by  a b r i g h t c o l o u r and p i c t u r e s on t h e w a l l s . The r e s t a u r a n t have l a r g e windows  eating. eat  outdoor  During on  f o r d i n e r s t o see t h e o u t s i d e w h i l e  good w e a t h e r , t h e r e w i l l t h e t e r r a c e and e n j o y  they  be an o p p o r t u n i t y  a view a t the  outdoor  activities. b.  Coffee-shop  For  those  who  like  t o drop  i n just  f o r a cup o f c o f f e e o r  175  tea,  there  looking will  will  the  have  watch  main an  the  world of  a  newcomer  to  the  many  c. The elderly, public provide  an  adjacent  activities  opportunity  identity  there  be  go  CCC  may  "sit still,  This place  community.  with  30  seats  w i t h i n the Main Concourse.  to  by".  coffee-shop  It will start  be  meeting  relax,  may one the  help  be  People view  and  to increase  the  of the people  on  over-  places who  where  have been  years.  Bar/Pub Bar/Pub w i l l as  well  place  and  seating  overlooking  provide  as, to  yet  visitors find  another from  i n the  the  companionship.  f o r f o u r to s i x people  activities  opportunity  central  f o r the  community t o be  in a  The  will  14  s e a t Pub  i n a s e t i n open  plaza.  CCC  alcoves  176  T a b l e 5- 7.--Food F a i r Space Program:  COMPONENTS  NET 125 s e a t s  AREA  1.  Restaurant:  2.  Service area  35 m2  3.  Cafe-shop:  30 m2  4.  Service area  10 m2  5.  Pub: 14 s e a t s  24 m2  200  30 s e a t s  TOTAL  REMARKS:  m2  299  min.  1.5 m2 p e r s e a t  min.  0.75 m2 p e r s e a t  m2  Parking requirements: A minimum o f one space f o r t h e f i r s t 111 m2 and one e x t r a f o r e a c h a d d i t i o n a l 37 m2 o f g r o s s f l o o r a r e a ( C i t y o f V a n c o u v e r P a r k i n g BY-law,1987) . Thus, 18 s p a c e s . However, most o f t h e s e n i o r s w i l l w a l k t o t h e CCC t h e r e f o r e we c a n r e d u c e i t t o 5 s p a c e s = 25% o f c l i e n t s may drive. References: De Chiara, J and C a l l a n d e r , B u i l d i n g T y p e s . 1980. Jordan,  Joe. Senior Centre  Northwood M u l t i - P u r p o s e  J.  Design.  Centre,  Time-Saver  1978,  Physical  Standards  p.62. Facilities  Data.  for  177  5.4.3. FOOD SERVICES  FACILITY  Objectives The  objective  of  prepare  wholesome  appetizing  with  safe, nutritious  special  diets  General  Concept  One  central  technical to  (e.g.:  the  establish  Food  exact  Feeding  Services  food.  accommodate  free;  kitchen  will  serve  t h e whole CCC.  and  I n terms o f  i n the Design  Dietary Specialists  s p a c e and e q u i p m e n t  Requirements:  low c h o l e s t e r o l ) .  be n e c e s s a r y  Stage  i n order to  needs.  Number o f R e s i d e n t s :  Extended Care R e s i d e n t s  42  2.  Intermediate  90  3.  Day C a r e  4.  Respite  5.  Visitors,  6.  Staff  Care  36+6  20 Care  10  Independent L i v .  & volunteers  TOTAL a p p r o x i m a t e l y  7.  food which w i l l  sugar  Services  be t o  be p r o v i d e d  free;  i twill  will  will  salt  1  ...and  facility  Residents  and a t t r a c t i v e  requirements  consult  Food  150  flexible  80  flexible  392  also:  Therapeutic  diets  a s needed by t h e E x t e n d e d  and  Intermediate  Care r e s i d e n t s 8.  Dietary diets, ling  counselling such  as  required  as d i a b e t i c s ,  for  those  on t h e r a p e u t i c  plus general n u t r i t i o n a l  f o r t h e r e s i d e n t s , day c a r e  clients  counsel-  and v i s i t o r s .  178  Functional The  Description  Kitchen  area  which w i l l  ties  and  served  the  at  building will serve  Food F a i r  satellite  restaurant  within  Receiving,  Storage,  Goods in  the  central  kitchen  and  baked  will  be  before  In  the china,  will  be  the  be  soiled  to  the to the  kitchen,  in  receiving platform  and  stored  i n the  servery  kitchen  area  satellite  i f required  vegetables,  satellite  lounge/dining linen  the  in  salads,  production  area  or coffee-shop dishes  for cleaning  and and  the  baked of  s e r v e r i e s i n food  the  carts  (desserts utensils holding  areas.  food  carts  and  c a r t s and  washed  then returned  areas tables w i l l  c l o t h s and  servery/kitchen.  and  be  Dining  d e l i v e r e d by  dish  prepared  t o the  silverware,  satellite  and  Meals w i l l and  A f t e r meals, c o n t a i n e r s ,  cluster,  with  E.C  c o o l e r s , and  restaurant  returned Care  area.  facili-  I.C.  Soups, e n t r e e s ,  the  returned  Intermediate  a t the  freezers,  will  goods).  being  Extended Care  Core C e n t r e i n the  preparation  Fair.  received  room.  to  and  central  Preparation  for dispatching  directly  i n the  Food  stores,  desserts  Intermediate  d i n i n g areas  the  be  store  goods,  or  will day  the  c o n s i s t o f one  to the  prepared  fresh flowers.  served  from  Dishes w i l l in  be  steam t a b l e s  be  dishwashers  Meals in  collected into i n the  central  Tray Preparation/Cart  Loading  area. There sidents  will in  one  be  an  emergency n i g h t  of the  satellite  nourishment  kitchens.  The  service for redining area  will  179  be  of  sufficient  the  same  size  t o accommodate  6 wheel-chair  residents at  time.  Extended  Care  Patients similar  to  Dining will the  be  fed  I.e.  or  in  the  cluster  lounge/dining  by u s i n g i n d i v i d u a l  trays  areas  f o r bedside  f e e d i n g where r e q u i r e d . Respite As Staff  Care i n t h e I.C. and E.C.  Meals  Meals central Day  facilities.  for  staff  will  be s e r v e d i n t h e a r e a a d j a c e n t t o t h e  k i t c h e n on a s e l f - s e r v e  basis,  but with  staff  on  duty.  Care Since  and  will  will  take  the  Day  be l o c a t e d  Care  component b e l o n g s  close  t o t h e Main  t o t h e Food F a i r ,  p l a c e i n the Restaurant's  specially  dining  Concourse  f o r Day  allocated  Care  alcoves.  180  Table  5-8.--Food S e r v i c e s F a c i l i t y Space Program  COMPONENTS  NET  AREA  11.0  1.  Manager  Office  2.  Dietician,  3.  Staff  4.  Staff  5.  Preparation  6.  Production  7.  Tray Prep/Cart  8.  Dishwashing  9.  Pot  10.  Cart  Washing  4.5  m2  11.  Cart  Storage  19.0  m2  12.  Waste  2.0  m2  13.  Cooling  Storage  46. 0 m2  14.  Freezer  Storage  46.0  m2  15.  Dry  Storage  25.0  m2  16.  Day  Storage  Clerk Office  Changing  Rms F&M  Lounge/Dining  REMARKS:  m2  9.5 m2 12.0  m2  50.0  m2  25.0  m2  1 m2/person E.C.  and I . C .  134. 0 m2 Loading  44. 5 m2 30. 0 m2  Washing  6.0 m2  9.0 m2 473. 5 m2  TOTAL Comparison: BCHP E x t e n d e d St.  Care  Design G u i d e l i n e s -  f o r 75 b e d s :  140 m2  Michael's Centre  - f o r 120 p e o p l e :  168 m2  George D e r b y L.Term C a r e  - f o r 300 p e o p l e :  412 m2  Jordan,  - 500 m e a l s a day:198 m2  Senior Centre Design  181  REFR. STOR..  DRY  eooi>s  STOR.  STOrX-  FOT WASH  TlOU  STAFF CHANG.  STAFF CAFET.  tRAY PREP CARTS  WASH R00V6I  DELIVERY  PISH WASH  ' WASTE  — ^  CART STOR. £  CART WAs.fi  A  SUFPOfl  RESTAURANT MAIN COMC.  V C> SOILED PISHES  Fig.  5-16 F o o d  Services  Dispell SAL BUD. S  182  5.4.4.  REHABILITATION CENTRE  1) P u r p o s e One will  of  be  the  the  most  Rehabilitation  centralized  facilities  offered  the  at  residents hood.  of  This  services tional  attractive  and u n i q u e  Centre.  T h i s Centre  for rehabilitation  Cluster  Support  f e a t u r e s o f t h e CCC  level.  will  c o n s i s t of  s e r v i c e s which are not It will  serve  t h e CCC and r e s i d e n t s o f t h e P o i n t G r e y Centre  will  programs.  operate  However,  area without  neighbour-  w i t h i n the Core Centre  i t may be s i m p l y u s e d  any s p e c i a l  both the  health  as a r e c r e a -  medical s u p e r v i s i o n .  2) F u n c t i o n a l D e s c r i p t i o n The Main for be  Rehabilitation  the  with  Swimming  outdoor  activities  adjacent with  i s also  areas  the C l i n i c an e a s y  and  access  The C e n t r e  will  (bowling, m i n i - g o l f ,  environments  be  Facilities Centre  will  s a u n a . The swimming p o o l w i l l  a major s k y l i g h t ,  outside  walking  Pool  main f e a t u r e o f t h i s  comfortable  will  There  with  and o t h e r s ) .  The  the  be l i n k e d  r e s i d e n t s o f t h e IC and EC f a c i l i t i e s .  connected  a.  area  will  Concourse o f the Core C e n t r e .  croquet  an  Centre  evergreen  "beach" f u r n i t u r e . will and  pleasantly give  around, while shaped  many  be a swimming p o o l be p l a n n e d  plants inside  as a b r i g h t and  Large  wall-windows with  link  the  an  outdoor  opportunity  to  colorful a view t o  and t h e i n d o o r watch  people  e n j o y i n g t h e warm w a t e r . The swimming  purposely  to  allow the e l d e r l y  with  pool  t o move s l o w l y  183  from  shallow  will  be  will  be  to  no  diving  will  encourage  the  will  nona  zones.  Even p e r s o n  able to e n t e r the pool without  lighting  there  deeper  boards  improve timid  be  w h i c h may  the  drinks.  s a u n a o r gymnasium o r even go  of  adjacent  W i t h i n the  wheel-chair  a s s i s t a n c e . There  create hazards. the  participate.  a whirpool with  alcoholic  special  ambience  to a c t i v e l y  using a  Underwater  pool  and  will  C l o s e to the p o o l ,  "Bar"  which w i l l  same f a c i l i t i e s ,  one  serve  can  o u t s i d e t o e x e r c i s e and  go  take  to the  fresh a i r . b. F i t n e s s The and  and  Fitness  therapy  Dancing  and  for  with outdoor  during  sunny  their the  dancing  dancing  is  serve  often their  Area. be  the  may  (Jordan  the  swimming  for  the  administrative  programs  will  workers.  It will The  The pathology  accommodate have v i s u a l  Treatment  Treatment treatment  t o promote  be  will  fitness  for  popular.  square  dancing  1978). The  work  and  access to the  be  activities f o r p a r t of  physiotherapy i n t h e more "While and  active  ballroom  folk  dancing  C h a n g i n g Rooms  related  f o r the  Club w i l l  come h e r e  However,  pool f a c i l i t i e s  spaces  The  expanded by  especially  favorite,  fans"  provide physical exercises visitors.  residents  which  will  areas  both  Office  c.  The  Treatment  elderly  have  r e s i d e n t s and  program  Centre's  Club w i l l  activity  days.  daily  also  Dancing  the  linked  Club  Fitness to  the  therapists treatment  Club.  will An  activity  and  program  area.  Unit Unit,  provides  physiotherapy  f o r t h e r e s i d e n t s and  t h e Day  and Care  speech clients.  184  Wheel-chair area. and  Occupational EC  while  facilities for  programs will  accessible  be  more  and  therapy will  active  services  available.  washroom w i l l  be l o c a t e d a d j a c e n t  f o r more f r a g i l e  be p r o v i d e d residents (e.g.:  in their  to t h i s  r e s i d e n t s o f t h e IC respected  and v i s i t o r s  A r t s and C r a f t s ,  lounges,  the Core games,  Centre  library)  185 Table  5 - 9 . - - R e h a b i l i t a t i o n Centre Space Program  COMPONENTS  NET  AREA  REMARKS:  1.  Physiotherapy  2.  Washroom  3.  Office  4.  Fitness  5.  C h a n g i n g Room F  40.0 m2  6.  C h a n g i n g Room M  40. 0 m2  7.  Swimming P o o l 12.5 x 25 = 2.5 x 12.5 + 3.0 m x 25 =  8.  Equipment  9.  Sauna  17.0 m2  10.  Gymnasium  20. 0 m2  11.  Staff  10. 0 m2  30.0 m2  6  stations  2.8 m2 14. 0 m2 and D a n c i n g  60.0 m2  Ballroom  312. 5 m2 106. 2 m2  Storage  +  pool-surround  10. 0 m2  Room  TOTAL  662. 5 m2  Parking r e q u i r e m e n t s : A minimum o f one s p a c e f o r e a c h 18.6 m2 o f G r o s s F l o o r A r e a ( C i t y o f V a n c o u v e r , P a r k i n g BY-law, 1987). 36 p a r k i n g s p a c e s x 26.5 m2 = 954.0 m2 References: De Chiara, J . and C a l l e n d e r , B u i l d i n g T y p e s . 1980. APRA. Facilities Program S o c i e t y . 1982, p.G58-63. Patric, States.  J.  f o r the  Time-Saver  George D e r b y Long Term C a r e  Thomas. S e l e c t e d R e h a b i l i t a t i o n 1971, p.53.  CMHC. N u r s i n g E l d e r l y Design  Home and H o s t e l s G u i d e l i n e s . 1979.  Standards f o r  with  Facilities Care  i n the United  Services  f o r the  186  |440RnCULj I THERAPY  I  J  MAl N  I  I CONCOORSEl I 1  Fig.  5-17  Rehabilitation  Centre  187  5.4.5.  1)  ARTS AND  CRAFTS  Purpose A  need  satisfied  of by  Rooms.  some o l d e r p e o p l e a  variety  Faced  loss  of  many  older  w i t h the  job,  income  people  their  self-image.  pants  a  and  The  CCC  be  will  environment range  be  sizeable,  together  on  be  from  to  located  will  or be  a  the  pursuits  may  and  be  Crafts  strength,  a spouse or f r i e n d s , i n order  C r a f t s programs g i v e  to  reinforce  their  develop  partici-  creativity,  others.  Crafts activities  a  in  the  regular  able  to  10  to  bright  25  protect be  rather  connection  a  and  great  Those  deal  of  all  rooms w i l l  i n case of  in  programs  tend  rooms  will  be  grouped  w i t h the  hallway  Core Centre  c r a f t s rooms. The  showplaces.  However, t h e r e  i n the  Main  an  will  changing c l a s s  r e s t of the  and  time i n  p a r t i c u l a r p r o g r a m component the  the  residents  rewarding. Classes  g e n e r a t e d by than  included  Thus,  cheerful. Crafts  uses. This  d u s t w h i c h may workshops  basis.  flexibility  to  be  participants, therefore  and  provide  will  Core Centre.  spend  i s supportive  aside  visual  Arts  of d e c l i n i n g p h y s i c a l  new  and  programs  different craft  noise,  be  and  that  to  be  Arts  offered  visitors  and  to  expression  Description  education  will  turn  in  perhaps death of  compete w i t h  Functional  adult  reality  and  Arts  programs  c h a n c e t o engage i n a g r o u p e f f o r t ,  cooperate  2)  of  for personal  sizes will from rooms will  Concourse.  188  This at  feature work  works  of  will  until  they  the  dyeing,  Arts  p o t e n t i a l p a r t i c i p a n t s to observe  decide  to  participants will  Arts Exibition The  allow  take p a r t  and  weaving,  Crafts  area  pottery,  and  work  tables  that  some o f t h e rooms c a n be c o n v e r t e d  photography, will  to provide  handcrafts,  c o n s i s t s o f s i x rooms: woodwork,  However,  room,  -  area.  arts  equipment  Finished  be e x i b i t e d i n t h e main p l a z a  creative  as  themselves.  others  ceramics  be s t o r e d  or  as w e l l  china  needlework,  painting/sketching. to other  painting.  on open s h e l v e s ,  accessibility.  as,  include  crafts  such  Materials  and  i n an a d j a c e n t  storage  Table  5 - 1 0 . — A r t s and C r a f t s Space Program  COMPONENTS  UNIT AREA m2  1.  Office  2.  Staff  3.  Dyeing  35.0  4.  Weaving  40. 0 m2  5.  Pottery  50.0  m2  6.  Worktables  40.0  m2  7.  Woodwork  30.0  m2  8.  Painting  30.0  m2  9.  Storage  34.0  m2  10.0 Washroom & Chg. rm.  REMARKS:  m2  12. 5 m2  & Sketching  m2  TOTAL:  281. 5 m2  GROSS AREA: 281.5 X 1.4 =  393.0 m2  References: Jordan,  Joe. Senior Centre  APRA. Facilities Program S o c i e t y . 1982, p. G75-87. Northwood M u l t i - P u r p o s e Seton  Villa,  Design.  1978,  f o r the  Centre,  M u l t i - l e v e l Care  G e o r g e D e r b y Long Term  Physical  Facility  p.64.  Facilities  Data.  i n B u r n a b y , B.C.  Care  190  WOOD-  stor.  work  WEAV 1 NET-  POTTERY  STOR. WORK TABLES  PAINT 5TU01O  T  TMAIKI  VISUAL ACCESS TO P E D E S T R I A N CIRCULATION  ,I  ICONCOURSEI  Fig.  5-18 A r t s  and C r a f t s  5.4.6.  1)  AUDITORIUM AND  SPECIAL PROGRAMS  Purpose The  Auditorium  information This  and  embraces  including  will  a  such  diverse  develop  bridge  and  to a l l users  concerts, classes,  meetings  diverse  will  interests  writing,  History,  G r e e n h o u s e workshop and many  Sing-a-long,  and  provide  activities,  programs f o r group parties,  b i n g o and  a d u l t e d u c a t i o n and  preferences,  Choral  facility.  group,  f o r example:  Typing,  Local  others.  Functional Description The  Auditorium  easy  access  will  be  200  the  This drawn  an  Auditorium  be  well  torium chair  the  with  equipped  of  be  Auditorium strumental,  Main  accommodate  as  fully  be  theatre  time,  frequent  Therefore,  and p r o j e c t o r b o o t h  will  f o r seniors i n the Audi-  a c c e s s i b l e space f o r wheel-  Here, a l l a c t i v i t i e s free  component  be  t h e P o i n t G r e y community. back stage  w i t h an  approximately  assumes t h a t t h e r e w i l l  a stage,  designed  In will  which w i l l  Thesis from  C o n c o u r s e . The p r i n c i p a l  as w e l l as f o r h e a r i n g . F u r t h e r m o r e ,  residents. place.  l o c a t e d i n the Core Centre  t o c r e a t e the best environment  seeing  will  be  Assembly H a l l  people.  terms  will  from  participation  take  education,  o f t h e CCC  card  and  Poetry  2)  provide  group o f a u d i e n c e - r e l a t e d  movies,  as  Classes  S p e c i a l Programs w i l l  entertainment  lectures,  activities others.  with  as l i s t e d  earlier,  between t h e s c h e d u l e d  will  events, the  u s e d by r e s i d e n t s f o r r e h e a r s a l s o f t h e i n and c h o r a l g r o u p s . C l o s e  to the Auditorium,  192  there  will  access  be  to  equipment Washroom  located  outdoor  will  be  in  the  other  organizations  number o f c l a s s r o o m s  activities. located  facilities  close  a  Main  Storage  conveniently  also  near  that  f o r men and women and a c l o a k - r o o m Concourse. as  well  This  The A u d i t o r i u m in  may  order  to  feasible.  relationship  between t h e CCC and t h e b u s i n e s s  NET  will  UNIT AREA m2  1.  Auditorium  224. 0 m2  2.  Stage  24. 0 m2  3.  Backstage  32. 0 m2  4.  Storage  30. 0 m2  5.  Projection  6.  Classroom  25.0  7. 8.  area.  w i l l be  facility  factor  i n the  community.  Programs  REMARKS 1.12  m2/person  m2  5-10  persons  Classroom  40. 0 m2  10-20  persons  Meeting  60.0  20-40 p e r s o n s  Booth  6.0 m2  Rm/Game Rm  TOTAL:  m2  441. 0 m2  References: Jordan, Joe. Senior Center Burris-Mayer, 1975.  and  be l e a s e d t o  keep t h i s  be an a d d i t i o n a l  5-11.--Auditorium and S p e c i a l Space Program  COMPONENT  a v i e w and  f o r furniture  financially  Table  with  Harold  and  Design. E.  1978,  Cole.  p.60.  Theatres  and A u d i t o r i u m s .  PROX E.O0TH BACK STAGE  STA&E  AUDl-1  TORIUM^ ™ ^" 1  1  STOR.  CLASS RM.  MEET. GAME RM. PRO&. JDIR.  T M A I N ~j [CONCOURSEj  Fig.  5-19  Auditorium  and S p e c i a l  Programs  194  5.4.7. 1.  ADMINISTRATION  Objectives The  for  main o b j e c t i v e o f  the  unit  overall  will  staff,  be  numerous  this  stage  terms of  the  The  the  general  liaison  u n i t s of the  to c a r r y out  CCC  their  i s to  provide  facility.  This  s u p e r v i s i o n of  with  the  CCC.  duties  p r o g r a m I assume o n l y  the  public  The  staff  and will  efficiently.  general  At  guidelines  in  quantity.  Description  Administrative to  the  administration activities  tionships  are  public  and  to the  to  c l o s e t o the and  Director  of  senior hub  volunteers. will  have an  Programs.  of The  the  staff.  Long  need  i n the  to the little  Main  Centre,  Concourse.  contact  with  direct  The  an  easy  to the  The  Programs D i r e c t o r w i l l  access  The  and  Clinic  general  have an  and  Term C a r e D i r e c t o r w i l l  to  access  Director have an  need  partici-  Rehabilitation  Support w i l l Facility  Executive  staff,  t o P r o g r a m s D i r e c t o r and  the rela-  executives.  activities,  Term  Core  nevertheless  of a l l d a i l y  access  Long  adjacent  the  need  D i r e c t o r o f Home C a r e and  Director  located  facility,  for  will  be  offices  the  necessary  Director-Coordinator  be  Suite w i l l  main e n t r a n c e and  day-to-day  The  major  f u n c t i o n and  general  pants  for  Suite  Access  The close  all  the  c o n t r o l of the  finances,  offices  of  Functional a.  of  Administration  and  responsible  among  need  2)  monitoring  management  coordination  the  Centre Clinic. to  the  of  Social  easy  access  195  to  the  Intermediate,  Food  Director  Fair  units.  to  the  will  Extended have  access  The A d m i n i s t r a t i v e  General  sufficient  Office  enough,  washrooms, and l o c a t e d b.  and R e s p i t e  and  Care  f a c i l i t i e s . The  t o t h e Food S e r v i c e s  Supervisor  Coordinator.  with  a  direct  close  t o t h e main  will  be l o c a t e d  Waiting  access  and F o o d close  s p a c e w i l l be  to  the  visitors  i n t o three  parts i n  entrance.  Privacy  The  Administrative  Suite  will  be d i v i d e d  terms o f p r i v a c y . Planned Long  as P r i v a t e  Term  Support  Director,  Director,  Director, Planned  Care  O f f i c e s a r e those of the:  Accountant,  Food S e r v i c e s as  Program  Custodians,  Home  Clinic  Open  Receptionist,  Home  Supervisors,  Care  Office  Director, Care  and R e h a b i l i t a t i o n  and  Centre  Director.  Supervisors,  Room-Newsletter O f f i c e , D i r e c t o r  General  Director,  Semiprivate O f f i c e s are those of the:  Assistant,  Mail  Programs  Executive  Space:  Volunteers.  Administrative  Nutritionist, Home of  Support  Bookkeepers, Supervisors,  Volunteers.  Secretaries,  Clerical  Assistants,  196 Table  5-12.--Administration Space Program  A C T I V I T Y CENTRE  NET AREA  1.  Coordinator  15.0  m2  2.  Executive Secretary  12.0  m2  3.  Administrative supervisor  12.0  m2  4.  Long Term C a r e  12. 0 m2  5.  Programs  6.  Home C a r e  7.  Reception  8.  General  9,  Accounting  10.  Records  11.  Clinic  12.  M a i l Room  13.  Volunteers'  Coordinator  14.  Volunteers*  Room  15.  Volunteer Clerk  16.  Staff  Lounge  17.  Staff  Washrooms  18  Visitors  19.  Board  Director  Director  12.0  m2  and S u p p o r t D i r .  12.0  m2  and W a i t i n g  20. 0 m2  Office and P e r s o n n e l  m2  REMARKS  36. 0 m2  3 x 12. 0 m2  19.0  2 x9.5  m2  8.5 m2 & Rehab.Centre D i r .  12.0  m2  12.0  m2  8.0 m2 12.0  8.0 m2 22.0  Washrooms  Room  m2  5.0 m2 5.0 m2 20.0  TOTAL:  m2  m2  262.5 m2  References: Jordan,  Joe. Senior Center  Gardiner Thornton  Design.  1978, p.68;  P a r t n e r s h i p 1970, p. 43.  m2  197 STAFF  LOUNGE  STAFF WASH.  ADMIW. SUPERVf  MAIL  EXEC. SECRE  BOARD RM.  COORD RM.  DIR..  RM  L.T CARE  DIR. h i .SEN • CEHTR.  VOLUN RfA.  Fig.  5-20 A d m i n i s t r a t i o n  Suite  VOL. COORD  VOL. CLERK  198  5.4.8  1)  CLINIC  Purpose An  ambulatory  dental from  and the  provide  counseling Point  health  This  dental  dietician  2)  will  Clinic an  the the  a v a i l a b l e by  the  r e s i d e n t s and principal  Core CCC  medical,  the  elderly  objective  Centre  i s to  activities.  programs w i l l  s u c h as  scheduled  Clinic  tests,  an  be  making  counseling,  optometrist  and  appointments.  main a c t i v i t y  non-professional  easy  include:  minor procedures,  The  will  will  consultation, undressing,  be  planned  access  for  Community a r r i v i n g  by  In  to achieve  the  CCC  to  the  needs o f h a n d i c a p p e d  thus to provide  of  p r i v a c y of  regrouping  space  of  flexibility.  of  examination,  g i v i n g advice  of  pa-  involve these  and  profes-  activities  following objectives:  p r i v a t e or p u b l i c  d i g n i t y and  possibility  any  patients  the  satisfy  physical  sequences w i l l  staff.  the  reception  dressing,  to respect  the  provide  promotion.  Other s p e c i a l i s t s  in  instructions.  the  will  Description  doctors'  and  health  within in  The  CCC  here f o r medical examination,  a l s o be  Activities  sional  come  work.  diagnostic  community.  participants  Functional  tients,  Grey  to  i n the  s e r v i c e s f o r the  functions  or  appointments and  centre  m a i n t e n a n c e and  unit  Residents  care  or  those  from  the  transportation.  the  patient.  patients.  functions within  the  clinic  199  to  make  sure  that  the  building  be  of  non-institutional  character. a.  Access  The the  receptionist's  counter  M a i n C o n c o u r s e as w e l l as  Care  facilities.  Centre The  and  welfare  to  located  will  and  be  from the  be  easily  a c c e s s i b l e from  Intermediate  connected  Pharmacy U n i t s , t h u s  social  access  It  will  with  c r e a t i n g one  counseling office  will  the  and  Rehabilitation  h e a l t h care have a  p a t i e n t s from the w a i t i n g / r e c e p t i o n a r e a ,  away  entrances  from  for  zones i n t h i s public  the  other staff  Unit w i l l  zone  -  activities. and  public.  There  Extended  convenient but  will  block.  be  Generally, three  will  be  separate  functional  be d i s t i n g u i s h e d :  the  entrance  lobby,  waiting  area, p u b l i c  washrooms, shared staff b.  use  zone - s t a f f  staff  stores  and  samples; the types and  offices  waiting  cross  reception area,  examination  washrooms, workrooms,  rooms,  storages  Privacy  Doctor the  zone - t h e  and  area.  Patients'  routes staff  and rooms.  instruments  public  view.  of  patients.  acoustically.  examination  and There The  will  room w i l l  be  routes w i t h i n the not  allow  will  be  clinic  f o r views i n t o  Documents f o r f i l i n g , sterilizers  grouped  will  blood  will  be  not  offices, and  remain concealed  a s e p a r a t i o n of  waiting area w i l l  around  urine from  incompatible  screened  visually  200  Table 5 - 1 3 . - - C l i n i c Space Program  ACTIVITY  CENTRE  NET  UNIT AREA  1.  Waiting/reception  25 m2  2.  Doctor  56 m2  3.  Examination/treatment  4.  Dentist  5.  Dental laboratory  6.  Social  7.  Counselling  8.  P u b l i c washrooms  9.  Staff  offices  4 x 14  m2  18 m2 8 m2 14 m2  office  office  washroom  10. L i n e n  supply  11. C l e a n  utility  12 m2  F&M  10 m2  F&M  5 m2  m2 e a c h  2 toilets wash-basin  wit:  12 m2 12 m2  storage  10 m2  TOTAL: GROSS AREA: 203 m2  2 x 5 toilets  3 m2  utility  13. E q u i p m e n t  REMARKS  18 m2  room  worker  12. S o i l e d  room  m2  203 m2 X 1 .4 =  284 m2  References: Putsep, Ervin. Modern Hospital t i c e s . 1979, pp. 606-630; APRA. F a c i l i t i e s Program S o c i e t y " 1982, pp. G66-74.  for  the  Inernational Planning George D e r b y Long Term  PracCare  DEWT. LABOL DEtfT. OPER.  CLEAW UTILITY  RECEf i WAIT.  EXAM  £  WASH RMS.  50ILED UTILITY  FIRST AID II DOCT OTP  1—^—I  MAIN JCONCOURS^  Fig.  5-21 C l i n i c  202  5.4.9  PHARMACY  1) P u r p o s e To the be  provide pharmaceutical  Point  Grey  area r e s i d e n t s .  responsible  physicians and  f o r ensuring  are  efficient  services  available manner.  This functional  that  to the  f o r t h e CCC r e s i d e n t s and  medications  component prescribed  residents/patients  The b a s i c  function  will by  i n a timely  o f t h e Pharmacy  will  be: to  control  Term  Care  medications  i n a l l M e d i c a t i o n Rooms o f t h e L o n g  facilities:  from  receiving  through  s t o r a g e and  distribution; the  requisition,  and  dispensing  s t o r a g e , compounding, p a c k a g i n g , of pharmaceutical  t h e c u s t o m e r s from  items  labelling  t o t h e r e s i d e n t s and  t h e Community.  2) F u n c t i o n a l D e s c r i p t i o n The  CCC  systems. Long  Pharmacy  The  first  Term C a r e  system one w i l l  facilities--in  will  be  consist  divided  of medication  C l u s t e r Support  usage  system  f o r d i s p e n s i n g and d i s t r i b u t i n g  used.  Daily  delivery  necessary of  ward  medications stock  Pharmacist's and  supplying  will  office of  to  medication  are be k e p t in  available.  will  i n the  monitored  medications  However,  Centre  two s u b -  rooms  areas. A  rooms  i n medication  the Core  into  w i l l be  ensure  a limited  that amount  rooms. T h e r e f o r e , t h e  will  t h e m e d i c a t i o n s . The s e c o n d  carry out ordering one, w i l l  consist  203  of  the  all:  Pharmacy  the  will  close  Clinic,  -  the  Material  to  the  access b.  residents  Services.  Main  areas:  adminstration,  The ADMINISTRATIVE  and t h e C e n t r a l this,  location  to the C l i n i c  and w i t h  dispensing, production  area w i l l  and  storage.  consist of:  within sight  of the the p r o d u c t i o n for  and c o n t r o l  Waiting  area,  for  designed  f o r r e s i d e n t s and  preparing,  required orders  of  requisitions,  of waiting  employees w a i t i n g  area f o r drugs  visitors  be d e s i g n e d  labelling,  to allow a free  r e c o r d i n g , and  flow of  distributing  or prescriptions.  STORAGE a r e a w i l l  ceuticals  activity  washrooms  PRODUCTION a r e a w i l l  receiving,  of  area  receipt  t o t h e component  within  f o u r main f u n c t i o n -  P h a r m a c i s t ' O f f i c e , away f r o m t h e s t r e a m  Employee's  The  adjacent  Receiv-  a  visitors  and  of  accommodate  t o be d i v i d e d i n t o  Retail-control-reception,  The  and v i s i t o r s ,  To  Concourse,  Pharmacy i s g o i n g  but  3.  storage.  to M a t e r i a l Services i s necessary.  Chief  2.  component  Function  The  1.  s m a l l l a b o r a t o r y and  This  Pharmacy must be c o n v e n i e n t l y l o c a t e d t o C e n t r a l  the  Supply  al  space,  customers.  available to  Access  The ing,  i n the Core C e n t r e  r e s i d e n t s and Community  include: r e t a i l a.  easy  CCC  and D i s p e n s i n g  be l a r g e enough t o accommodate  i n a volume t h a t i s e c o n o m i c a l  a given p e r i o d of time.  It will  t o buy and  pharmadispense  be open d i r e c t l y  into  204  the  working  storage for  area  and  and  contain  a walk-in  drawers f o r i n s i d e  loading, storage  n a r c o t i c s and o t h e r c o n t r o l l e d  Table  NET  UNIT AREA  1. P r o d u c t i o n  18 m2  2. S t o r a g e  30 m2  3. R e t a i l  Space  4. P h a r m a c i s t ' s 5. W a i t i n g 6. S t a f f  Office  Dispensary  m2  REMARKS  12 m2 15 m2  Washroom  3 m2  TOTAL:  86 m2  GROSS AREA: 86 m2  * Area  vault  8 m2  Area  7. M e d i c a t i o n  and a  with  substances.  5 - 1 4 . — P h a r m a c y and Space Program  COMPONENT  refrigerator  x 1.3  =  112 m2  Room *  accommodated  37 m2 i n C l u s t e r Support  5 x 7.4  m2  components.  References: Gardiner Thornton P a r t n e r s h i p . Burnaby G e n e r a l f o r E x p a n s i o n . 1970, v o l . 2 . APRA. Facilities S o c i e t y . 1982.  Program  Discussions with Broadway S t .  Pharmacy  for  the  Staff  H o s p i t a l Program  G e o r g e D e r b y Long Term i n London D r u g s S t o r e ;  Care  600  W.  205  MEDIC. , RM |XC$.ECj  T  DELIVERY  : i  —I MATERIAL I SERVICES I  I  5T0R. . PUAfc. OFF.  LABOL  , MAIN  DESPENMCONCOURSE i  CERY  I  J  PUBLIC  Fig.  5-22 Pharmacy  IW>EF UVIKI6  5.9.10.  1)  LIBRARY  Purpose Reading  i s an  ly.  Current  the  Main  library.  time,  so  seriously listen  m a g a z i n e s may  Concourse  separate one  important  music  be  kept  sitting Only  a  does  not  interested  to  designed  i t  leisure-time activity  in  i n the  lounges  or i n  a r e a . More s e r i o u s r e a d i n g needs a few  residents will  need  music  be  space  use  large. For  there w i l l  c a s s e t t e s (headphone  Reading/Listening  clusters'  f o r the e l d e r -  be  an  listening)  this  space  those  who  are  opportunity in a  at  to  specially  i n the L i b r a r y .  2) F u n c t i o n a l D e s c r i p t i o n The  Library will  Stacks, 1.  books  minimize  will  have  be  shadows and  tables acoustic  the  outdoor  The  Work  out,  receiving,  will  have  Library  insulation,  will  visual  Stacks.  space f o r storage provide  system w i l l  flexibility be  power s o u r c e s  recreational Area  lighting  will  centres: Library  Area.  T h i s space w i l l  to allow  space  with  Work  a semi-public  cassette tapes.  Reading/Listening  of 3 a c t i v i t y  Space and  between s h e l v e s . The  modate  3.  Stacks  or  access  2.  comprised  Reading/Listening  Library  to  be  wheelchair be  designed  i n layout.  spacious  enough t o  f o r tape  decks.  wheelchair  of  access  and  accom-  Room  will  a view  to  areas.  be  repairs access  the and  staff  workstation  monitoring  for signing  of a c t i v i t i e s .  t o the R e a d i n g / L i s t e n i n g  Space  It and  207  a.  Access  The in  Library  the Core  will  Centre.  v a t o r y as w e l l  be s i t u a t e d  There  a s from  will  close  t o t h e main a c t i v i t y  be an e a s y  access  o t h e r Main Concourse  from  area  the Conser-  components.  Table 5-15.--Library Space Program  COMPONENT 1. L i b r a r y 2.  NET UNIT AREA m2  Stacks  55 m2  Reading/Listening Area  20 m2  3. Work A r e a  REMARKS  12 m2  TOTAL  87 m2  GROSS AREA: 87 m2 x 1.3 =  113 m2  References: APRA. Facilities S o c i e t y . 1982.  Program  for  the  G e o r g e D e r b y Long Term  D i s c u s s i o n s w i t h t h e Woodwards' L i b r a r y  Staff,  UBC.  Care  i  r  i o u r DOOR i  ] AREA  j  ^  READ/ h-rUSTEU AREA  MAIM ICONCOURSEJ  Fig.  5-23  Library  LIBRSTACK  209  5.4.11.  1)  STAFF SUPPORT F A C I L I T I E S  Purpose To  provide  used  by  from  residents,  ing  2)  the  facilities  staff  f o r changing, visitors  and  storing clothes  other s t a f f  lounges) to  and  during  as  a  be  respite  breaks  i n work-  will  provide  hours.  Functional The  Description  Staff  facilities Staff,  Support  for  the  following  for  the  program  Services  - Building  Services  A.  the  tely  55  full  time s t a f f  - level  1  40%  - level  2  30%  - level  3  professional Mrs.  Health In  majority  of  and  Male  Male S t a f f . L o c k e r s w i l l  staff  but  I n t e r m e d i a t e Care f a c i l i t y ,  30%  from  Female  Female and  decentralized  for  be the  Services  In  Total  component  components:  - Material  - Plant  functional  Medical S t a f f , Professional  Non-professional  centralized  B.  ( l o c k e r s , washrooms and  staff  with  =  5  the  there  following  (9%  of  the  will  be  approxima-  subdivision:  entire  staff).  Barbara Parson, R e h a b i l i t a t i o n Consultant,  Data  Vancouver  Department). the  staff  Extended Care  facility,  (data  Ms.  from  June  there  will  Nakamoto,  be  aproximately  Director  22  Nursing  210  Services, Note:  Long Term C a r e , U n i v e r s i t y H o s p i t a l ,  at  staffing  the  present  time there  Extended Care U n i t s  Nursing Consultant, M i n i s t r y a.  Staff  convenient  Support  to  staff  of Health,  functional parking  Professional and  Male  Lounge  Pharmacy  will  and  Intermediate B.  f r o m Ms. L e a h H o l l i n s ,  Victoria).  component  and t o p u b l i c  will  be  located  transportation.  It  areas.  of  located  the  Care  D.  staff  as Generally,  locker  as w e l l  registered nursing staff  proximity  Female  as, tothe  staff;  facilities,  to  will  Staff  be l o c a t e d Male  the  a l lare will  be  I n t e r m e d i a t e and  a s , t o t h e C l i n i c and  facilities  as i n p o i n t  Staff  facilities  for  Nursing  for  Nursing  B.  and o t h e r male p e r s o n n e l w i l l  be l o c a t e d  B. rooms  will  be d e s i g n e d  a r r a n g e m e n t s o f banks o f l o c k e r s . with  to the C l i n i c ,  Centre.  staff  i n point  close  facilities.  f a c i l i t i e s , as w e l l  Non-professional support  in  S t a f f L o c k e r Room, Shower/Washroom  centralized  Non-professional support  Room, Shower/Washroom  R e h a b i l i t a t i o n Centre,  close  Rehabilitation C.  Locker  located  f o r the  in  Extended  be  Female  Lounge  part  Staff  and E x t e n d e d C a r e  Professional and  high  (information  Facilities  A.  by  a r e no o f f i c i a l g u i d e l i n e s f o r  have an e a s y a c c e s s t o a l l work b.  Site)  Access  The  will  UBC  a s open a r e a s  divided  L o c k e r s t o be 12"x 21"x 72"  s p a c e between f o r a b e n c h f o r c h a n g i n g  shoes.  211  Table  5 - 1 6 . — S t a f f Support Space Program  COMPONENTS  Professional  NET AREA m2  REMARKS  Male:  L o c k e r Room Shower/Washroom  10. 0 12. 0  Lounge  20. 0  Professional  Facilities  Female  1 shower, 2 lava tories + toilets.  Staff:  L o c k e r Room Shower/Washroom  10. 0 12. 0  Lounge  20. 0  N o n - p r o f e s s i o n a l Female  2 showers + 2 l a v a tories + 2 toilets Common.  Staff:  L o c k e r Room Shower/Washroom Lounge  10. 0 12. 0 20. 0  N o n - p r o f e s s i o n a l Male  Staff  L o c k e r Room Shower/Washroom  10. 0 12. 0  Lounge  20. 0  TOTAL:  168. 0 m2  GROSS AREA: 168.0 X 1.2  201. 6 m2  2 showers, 2 l a v a tories + 2 toilets Common for al staff.  References: APRA. Facility S o c i e t y . 1982.  Program  f o r the  George  Derby  Gardiner Thornton P a r t n e r s h i p . Burnaby G e n e r a l f o r E x p a n s i o n . 1970, v o l . 2 .  Long Term C a r e  Hospital  Program  5.4.12  LAUNDRY  SERVICES  1) P u r p o s e To  provide  Extended of  f o r Laundry  Services  f o r t h e I n t e r m e d i a t e and c l e a n i n g and d i s t r i b u t i n g  Care  clusters  by r e c e i v i n g ,  residents'  personal  clothing.  monitor  the  processing  collection  of  which  and  will  L a u n d r y s e r v i c e s and w i l l  Laundry  distribution  services of  a linen  cart  also  ward l i n e n s , t h e  be c o n t r a c t e d o u t t o o t h e r  utilize  will  Commercial  system.  2) F u n c t i o n a l D e s c r i p t i o n Clean Clean  linen  Linen  Rooms.  Area  Soiled  Utility  carts  awaiting  linen  Rooms  from t h e L o a d i n g  Dock w i l l  distribution  will  be  f o r pick-up  collected  be h e l d  i n the  to  the  Clean  Supply  in  designated  Soiled  and d e l i v e r e d t o t h e S o i l e d  Holding  Area  i n t h e Main Laundry near t h e Loading  Dock. R e s i d e n t s '  will  be  resident  clusters,  then  be washed and d r i e d i n  picked  processing the  and  laundry  Care  to  personal  clothing  The Centre  minor  there  available  Support  a.  from  provide by  the  repairs,  facilities  residents  facilities  up  on will  (1 an  site. be  washer  will  However,  an  1  for  f o r the Intermediate  additional  and  sorted  items  personal  dryer)  laundry  i n each C l u s t e r  o p p o r t u n i t y f o r r e s i d e n t s t o wash  their  themselves.  Access Laundry with  Services  an e a s y  access  facility  will  be l o c a t e d i n t h e C o r e  to a l l Intermediate  and E x t e n d e d  Care  213  clusters ing  as  w e l l t o M a t e r i a l S e r v i c e s w i t h S h i p p i n g and R e c e i v -  Area.  Table  5-17.--Laundry S e r v i c e s Space Program  COMPONENT  1. C l e a n L i n e n 2. S o i l e d  m2  REMARKS  32. 5 ra2  Holding  Linen  3. R e s i d e n t 4. C a r t  NET UNIT AREA  Holding  16. 5 m2  Laundry  65.0  Cleaning  m2  10. 0 ra2  TOTAL  124. 0 m2  GROSS AREA: 124 m2 X 1.3 = 161.0 m2  References: APRA. Facilities S o c i e t y . 1982.  Program  for  the  G e o r g e D e r b y Long Term C a r e  214  5.4.13  1)  PLANT SERVICES  Objectives;  1.  To  provide  operation 2.  4.  and  to  maintain  c o n d i t i o n and  Responsiblity  for  a l l buildings  for  the  operation  of  the  for  ground-maintenance,  pumps,  parking  fans,  control,  s a f e t y and watchman s e r v i c e ;  2) F u n c t i o n a l  description  Basically 1. P l a n t  t h e f u n c t i o n s may  be  subdivided  i n t o two  groups:  Maintenance  2. P l a n t  Operation section  (office  please  and e q u i p m e n t i n  boilers,  Responsiblity  only  maintenance,  functioning;  m e c h a n i c a l equipment;  this  the  CCC:  e l e v a t o r s and o t h e r  fire  In  required  s e c u r i t y o f t h e whole  Responsiblity good  3.  facilities  the P l a n t Maintenance F a c i l i t i e s  space  refer  to  and  the  workshops).  Building  and  For  the  are  described  Plant  Operation  Material Services  Sections  respectively. b. A c c e s s The Centre  Plant in  facilities. ent  who  reports tain  Services  close proximity It will  will  be  Lockers,  an o f f i c e  responsible  t o and works w i t h  Lounge  will  be  located  i n the Core  t o t h e M a t e r i a l and B u i l d i n g  provide  plant efficiency.  shops.  facility  for  f o r the  This  office  Plant-Superintend-  the Maintenance  the A d m i n i s t r a t i o n will  Services  Department;  Department  be a d j a c e n t  and Washroom F a c i l i t i e s  t o main-  t o t h e work-  which w i l l  serve  215  all  maintenance  space paint,  f o r lumber, while  the  maintenance care  general  tasks.  Staff  s t o r e d i n Grounds f o r the enclosed  be p r o v i d e d  M a t e r i a l Storage  electrical  and m a i n t e n a n c e , w i t h  being area  personnel.  within this  Table  supplies,  workshop will  plumbing  will  provide  equipment  Maintenance Storage. and w a s h i n g  functional  accommodate s u p p l i e s and  space f o r a l l  a l s o be i n v o l v e d i n t h e g r o u n d s  a l l necessary  storage  will  and m a t e r i a l s  The V e h i c l e  Holding  of vehicles w i l l  component.  5-18.--Plant S e r v i c e s Space Program  COMPONENT  NET UNIT AREA m2  REMARKS  12.0  m2  2. L o c k e r s  10.0  m2  up t o 10 l o c k e r s  3. Washroom/Shower  12.0  m2  2 T, 2 S, 2 W6  4. G e n e r a l  Workshop  46. 0 m2  Storage  28. 0 m2  1. P l a n t - S u p e r i n t e n d e n t  5. M a t e r i a l  also  Office  6. G r o u n d s M a i n t e n . S t o r a g e  35. 0 m2  7. V e h i c l e  46. 0 m2  Holding  189. 0 m2  TOTAL  References: APRA. Facilities S o c i e t y . 1982.  Program  f o r the  George  DerbyLong  Term C a r e  216  5.4.14  1)  BUILDING  Purpose To  maintain  Continuum served  2)  SERVICES  of  clean  The  Also,  conditions  throughout the  (The I n d e p e n d e n t L i v i n g c l u s t e r s a r e  to collect  and d i s p o s e  of a l l refuse.  Description  Building  facilities  sanitary  C a r e Complex.  separately).  Functional  and  Services  f o r storage  facility will  and  cleaning  utilize  the c e n t r a l i z e d  equipment w i t h  satellite  J a n i t o r s Rooms t h r o u g h o u t t h e f a c i l i t y . a.  Access  This area  facility  ( i n the  Services shift  to  the  Office will  in  may  be  area  located turn  adjacent will  access to the Material a t t h e b e g i n n i n g o f each  to  receive  i n s t r u c t i o n s and p i c k up  There w i l l  be s t o r e s  to the A s s i s t a n t  store  will  arrange  there  will  Garbage w i l l  c l u s t e r s and t r a n s p o r t e d be  Housekeeper's  and C l e r i c a l  located  adjacent  Office  t i m e s c h e d u l e s and  be M a t t r e s s and Bed S t o r a g e  s p a r e o r b r o k e n m a t t r e s s e s and b e d s . repairs.  f o r supply  t h e housekeeping program. I t  p r e p a r e work s c h e d u l e s ,  to  central  report  d i r e c t and c o - o r d i n a t e  Room  will  easy  h o u s e k e e p i n g u t i l i t y c a r t s . The E x e c u t i v e  In the v i c i n i t y ,  It  an  i n the Core Centre  will  required.  reports.  residents  located  with  Staff  central  as  will be  which  a  be  basement)  facility.  equipment and  will  Housekeeper  be c o l l e c t e d by j a n i t o r s a t  by c a r t s t o I n c i n e r a t o r  Room.  t o t h e m a i n t e n a n c e w o r k s h o p s and  217  conveniently  f o r garbage  Throughout at  the  t h e Core Centre a r e a ,  rate  of  Intermediate  collection.  and  one  per  Extended  Table  550 m2 o f f l o o r Care  J a n i t o r Room i n e a c h C l u s t e r  be J a n i t o r Rooms  a r e a minimum. I n t h e  facilities,  there  will  be a  Support.  5-19.—Building Services Space Program  COMPONENT  NET  1. E x e c u t i v e H o u s e k e e p e r ' s 2. A s s i s t a n t  there w i l l  and C l e r i c a l  Office Office  UNIT AREA m2 10. 0 m2 15. 0 in 2  3. H o u s e k e e p i n g  S u p p l y Room  10. 0 m2  4. H o u s e k e e p i n g  Equipment  20. 0 m2  Room  5. M a t t r e s s and Bed S t g . Room  20. 0 m2  6. I n c i n e r a t o r Room  20. 0 m2  TOTAL: GROSS AREA: 95 m2 X 1.3 =  REMARKS  95. 0 m2 123. 0 m2  References: Gardiner Thornton Partnership. for Expansion. 1970, v o l . 2 .  Burnaby  General Hospital  Program  218  5.4.15.  1)  MATERIAL  SERVICES  Purpose Generally  disposal  to  of  provide  facility.  all  supplies ordered  and  uncrate  and  dispose done  the  receipt,  a l l s u p p l i e s , e q u i p m e n t and  CCC  be  for  Specifically: by  to review,  by  the  latter;  CCC  equipment  and  functional  components.  s e r v i c e s f o r the a p p r o v e , buy  and  t o s t o r e new  to arrange  maintenance;  supplies  in  and  deliver weigh,  obsolete  goods  f o r r e p a i r s which can  to maintain  stores;  and  entire  a l l f a c i l i t i e s ; to r e c e i v e , s o r t ,  a l l goods d e l i v e r e d ; of the  distribution  not  an  i n v e n t o r y of  to d i s t r i b u t e  goods t o a l l  2) F u n c t i o n a l D e s c r i p t i o n All  deliveries  and  pick-up  o f s u p p l i e s and  through  t h e M a t e r i a l S e r v i c e s f a c i l i t y . The  Manager  will  supplies,  be  will  maintain  General  Store,  Central  Receiving  vices will  and be  and  and  Central  Stores  Stores  will  storage.  As  a  control  supply  close a relationship  with  L i n e n S e r v i c e s . A l l goods w i l l and  Pharmacy. opened  monitoring  and  and  Shipping with  checked  provide  before  access  Shipping storage  and for  from  Receiving. a l l  service, the  through Ser-  shipments  It will  the Loading Central  non-dietary  this  Pharmacy,  pass  incoming  distribution.  t o and  of a l l  e x c e p t i o n of Food  In the S h i p p i n g Counter  controlling with  the  be  M a t e r i a l s Management  r e s p o n s i b l e f o r c o - o r d i n a t i o n and  purchasing  Department  equipment w i l l  have Dock,  General supplies  219  goods.  In  proximity  Services  Facility,  Perishables Used  will  There  will  Pharmacy  also  and  these  provide  The  storage  belongings  such  will  the  have  be  adjacent  Store  to  space  large  Food  w i t h i n the Food S e r v i c e s  Facility.  space f o r used  furniture  functional  Liquid  Storage  and  components. u s e d by  the  f o r flammable m a t e r i a l s . L o c a t i o n  comply w i t h  for  Bulk  the  Storage.  provide  the  to Food  Volatile  Resident  o r s t o r e d i n the  and  from the Core Centre  be  as  will  stored  Flammable  will  Regulations.  kept  be  primarily  receiving  there  Equipment Storage  equipment  of  to  Stores the  Fire  Code  ( a c c e s s i b l e to residents)  will  IC  t h e B u i l d i n g and  and  suitcases,  l o n g term c a r e  EC  residents' personal  furniture  residential  which c a n ' t  clusters.  be  220 Table  5-20.--Material Services Space P r o g r a m  COMPONENTS  NET  1. M a t e r i a l Management 2. P u r c h a s i n g A g e n t ' s 3. C l e r k  Office  Office  4. S t o r e k e e p e r s 5. D i s p a t c h e r s 6. R e c e i v i n g 7. S h i p p i n g 8. G e n e r a l 9. B u l k  Manager's O f f i c e  Office Office  Area  Liquid  8.0 m2 8.0 m2  180.0 m2 95.0 m2 Storage Storage  Store  TOTAL GROSS AREA:  15.0 m2  9.0 m2  Store  10 .Used E q u i p m e n t  12 .Flammable  15.0 m2  28.0 m2  Stores  11 . V o l i t i l e  m2  15.0 m2  Counter  Food  UNIT AREA  90.0 m2 27. 0 m2 9.0 m2 499. 0 m2  499.0 m2 x 1.3  648.0 m2  References: Gardiner Thornton P a r t n e r s h i p . Burnaby G e n e r a l f o r E x p a n s i o n . 1970, v o l . 2 .  Hospital  Program  5.5.  1)  F A C I L I T Y COMMON OUTDOOR SPACE  Purpose  In nice weather many o l d e r people take advantage o f opportunities f o r outdoor activities p r o v i d i n g them with fresh a i r , e x e r c i s e , and change o f e n v i r o n m e n t . These activities include socializing, game p l a y i n g , and b e i n g s e e n ( Z e i s e l 1977, p . 7 6 ) .  More  healthy  contributed more  to  mobile  activities The  the  creation  elderly.  to  residents.  the  For  communities.  and  "go-go"  similar  care  have  o f a c t i v e and and  social  t o those  interaction  and i n t e g r a t i o n  l e s s mobile  designed  to  meet  who  interested exercise,  and  elderly,  abilities  an  opportunity  the P o i n t Grey  there w i l l  horticulture  contact  with  the  there  retirement  for social  community.  be a " t h e r a p e u t i c frail.  the garden p l o t s  nature  CCC  s t i m u l a t i o n , enhance  t h e needs o f t h e p h y s i c a l l y in  activities  of  i n the e x i s t i n g  provide  create  with  of outdoor  r e s i d e n t s and v i s i t o r s ,  These f a c i l i t i e s w i l l self-esteem  provide  medical  recreational  a variety  preferences  residents'  are  them,  provide  active  facilities  For  improved  o f a new g e n e r a t i o n  For  CC Complex w i l l  be  and  are appealing.  responding  will  life-styles  and p e r s o n a l  park"  F o r those area  will  r e w a r d and  satisfaction. 2)  Functional Description The  functional  facility  common  components:  the  space  will  Country  be  Club,  comprised the  of  four  Rehabilitation  222  Outdoor will  Areas,  form  shrubs,  a  the Garden C e n t r e continuous  perennials,  diversity a.  trees  at a l l times The  Country main  Auditorium  and  Special  Those  (active  (passive  b.  be  be  Centre)  will a  be  gymnasium  space.  The  rose  herb  organize near  gives also  provides  interaction. absorbing some  of  croquet,  courts  with  sheds  within  for  the  The  outdoor  First  recreational  therapeutic  therapy  sessions.  residential (Taylor  with  life  park  does  - gymnastic  lawn  Centre  Core  (the  of the f i t n e s s  be  planters.  specially  designed  These g a r d e n s and Both  will will  and  will  help to  be  located  horticulture  therapy  clusters.  1978) and  For those with v i s u a l  the e l d e r l y  outdoor  extension  with r a i s e d  that  s p e c t a t o r benches  Rehabilitation  that  a sense  an o p p o r t u n i t y f o r p h y s i c a l  activity  shuffleboard.  Areas  components.  the  a link  and  mini-golf,  nearby.  Outdoor  shown  lawn,  shaded  S e c o n d component w i l l  gardens  has  bowling  badminton  an  t h e Long Term C a r e  patients  be  of  horticulture  Research  Programs Component, v a r i o u s games w i l l  two  component  developed  to  provided  as  be  visual  year.  Storage  designed  and  water f e a t u r e s to ensure  supplemented  Rehabilitation  There will  be  areas).  equipment w i l l  of f l o w e r i n g  access  ball,  will  with v a r i e t y  components  p e d e s t r i a n walkway, w i t h an e a s y  areas)  volley  areas  A l l these  Club  the  horseshoes,  Park.  space  and  of the  Along  located:  open  and  activities  impairments,  not s t r a i n  need a s s i s t a n c e  o f b e i n g needed.  their  i n working  and  It  social  i t p r o v i d e s an eyes.  Although  with plants,  the  223  pleasure For  of working  example,  with p l a n t s i s not  i n the Extended  horticulture  therapy  interest  gardening  does n o t  on  window  have  in  plants  course  in  an  interest  c.  gardening  can  The  For  to end  sills  in  p.113),  elderly  California,  provides  500  h o u s e s and The  dropping  i s over.  The  People  t a b l e s and  create a  Moreover,  and  of  homelike  the  the  learning  1978).  there  more  garden  and  visitors  interested  an o p p o r t u n i t y t o m a i n t a i n a  garden  centre.  Research  i s a growing  has  interest  i n L e i s u r e World  retirement recent  plots  garden  community  one,  in  "working"  shown  (Carstens  i n gardening  among  - Laguna H i l l s has  approximately  in addition  centre  activities off  objective  successful.  setting.  (Taylor  Hospital  to p o t t i n g  in  two  garden  five  acres,  sheds,  green-  restrooms." CCC  main  be  active  "The  Site  bedside  P l a n t s do  hospital  residents  F o r example,  the  centres.  however,  the  people.  and  disability.  Centre  will  that  -  very  when c l a s s  with others  active  there  be  i s mentally stimulating  shared  Garden  atmosphere  to  be  more  gardening  ment  proved  institutional  in  experience  the  their  U n i t a t t h e UBC  t h e c a r e o f them i s o n g o i n g .  touch  85,  has  Care  l e s s e n e d by a  of  allow  materials this  decide that  to  50  future  expansion  centre  will  give  and  thesis  on  the  the  be  be  for  better  at t h i s  size  garden will  will  located easy  sun  some d i s t a n c e  vehicular  exposure.  stage  plots  o f t h e Program  10'xl5' with  sufficient  residents  an  access f o r  I t i s not  o f t h e G a r d e n C e n t r e . We  at  from  the  develop-  can  assume  a possibility  the b e g i n n i n g .  for This  o p p o r t u n i t y t o manage i t s  224  affairs  by  garden  themselves.  plots  may  cover maintenance d.  be  Minimal  charged  rental  to purchase  fees  f o r t h e use  community t o o l s  of  and  to  costs.  Park  A  Park  will  time  will  nice  weather  link  other a c t i v i t i e s  provide additional  performances  special or  meetings w i l l  f o r 100  those  need more q u i e t  who  c h o i c e s f o r the  cultural  designed  events  such  park  secluded  will  a t the  residents.  same  During  as c o n c e r t s , drama  take p l a c e i n the  s p e c t a t o r s . The and  t o g e t h e r , but  also  outdoor be  theatre  a retreat  for  areas.  They o c c a s i o n a l l y r e t r e a t t o t h e s e a r e a s when t h e y a r e in a contemplative mood, want t o t a k e a w a l k w i t h o u t meeting o t h e r s , o r need a change o f s c e n e r y from t h e i r small apartment u n i t . An i m p o r t a n t a s p e c t o f r e t r e a t s is that they o f f e r a d d i t i o n a l choices to older r e s i dents. W h i l e t h e g o a l o f r e t r e a t may be a q u i e t n i c e place, the process of getting t h e r e may be j u s t as i m p o r t a n t t o o l d e r r e s i d e n t s ( Z e i s e l 1977, p. 9 0 ) . The  CCC  want  site  just  housing, natural nale  offers  to  walk  somewhat vista  is  that  the  meet t h e  of the  r e s i d e n t s the offer  garden,  the  to the North  to  will  on  herb  of o p p o r t u n i t i e s f o r r e s i d e n t s grounds  removed from  order  1.  a variety  a  park  who  would  Shore Mountains.  be  social,  sight,  a t some d i s t a n c e from  designed  The  like  the  to enjoy  program  a  ratio-  as a t h e r a p e u t i c p a r k .  p s y c h o l o g i c a l and  who  environmental  In  needs  park: variety garden,  of nature picnic  w a t e r f e a t u r e s , d u c k s and  as  rose  a r e a s w i t h g a z e b o , ponds  with  geese.  environments  such  225  2.  will  maximize, p h y s i c a l  variety  of  walkway  surfaces  example,  well-textured  surfaces  concrete  under  slipping.  will  provide  within  with A  wooden  for  therapy.  Recent  found  Living  interest grounds roe-deer,  suggest  a  Long  At  or  In  movement and a t t h e  will  be b a s i c a l -  be a c o n n e c t i o n  to review b r i e f l y  need  in  contact  objective  could  my  research  Institutional  i n t h e model  facility.  rabbits of  as  i spet  to the b e n e f i t s  paper  S t u d y on E f f e c t i v e n e s s  Care  stage  of  the a c c o u s t i c a l  of the contact  on  "Pet  o f Use o f  Environments", I  management d i f f i c u l t i e s ,  Term  this  providing  as  but there  draw a t t e n t i o n  elderly residents  peacocks  residents.  to f e e l the  possibility  The P a r k w i l l  like  within of  For  1985, p . 1 1 0 ) .  of p h y s i c a l  would  Research  spite  among a  design).  residents the  providing  Park.  1982).  outdoors  in  of  I  by  o f companion a n i m a l s w i t h o u t any d i r e c t  Preliminary  that  allow  may h e i g h t e n  (Carsten  freedom  studies  (watching)(Katchner Therapy:  (prosthetic  secure p r o t e c t i o n .  issue  presence  Animal  bridge  the e x i s t i n g J e r i c h o  stimulation  reducing  t h e CCC f a c i l i t y ,  supplementary  simple  while  of walking  same time w i l l ly  foot  A  stimulation 3.  and m e n t a l  there  was an  "zoo i d e a "  on t h e  One r e s i d e n t  companions  of  suggested  the e l d e r l y  program development I can o n l y  t h e next phase t o r e v i e w t h e p o s s i b i l i t y o f  with  animals.  A  design  be, f o r example, a pond w i t h  response fish  to  and b i r d s  this such  ducks o r geese. The  summarized  area  requirements  i n the table  f o r t h e CCC F a c i l i t y  5-21.  Common A r e a s a r e  226 Table  TYPE OF ACTIVITY  5 - 2 1 . - - F a c i l i t y Common Space Program  DIMENSIONS IN F T .  FT.SQ.  Space  m2  AVERAGE No.OF PARTICIPANTS  1. C o u n t r y C l u b  -  B o w l i n g lawn (eight alleys)  120 X 120  Clock  30'  Mini  golf  (circle)  golf  14,400  1,234  706  65  2-8  87,120  8,015  2-8  32-64  Croquet  30 x 60  1,800  165  2-8  Horseshoes  12 x 50 (x2)  1,200  110  2-4  Volley  50 x 80 (x2)  8,000  736  12-16  Shuffleboard  10 x 54 (x3)  1,620  58  Badminton  25 x 60  1, 500  149  2.  ball  2 or 4 2  Rehabilitation  Herbs Rose  garden  1,600  150  1,600  150  1,600  150  10 x 15  10,000  920  for  3 acres  130,680  150  several retreats. w i t h i n park  1,600  150  1.5 m2/  garden  Gymnastic  lawn  3. G a r d e n  Centre  Garden  plots  4. P a r k Picnics-BBQ Outdoor  theatre  TOTAL:  260,300  =  References: C a r s t e n s 1985, p.113 De C h i a r a , J o s e p h and L e e E. Koppelman. S i t e 1978.  50 r e s .  pers  6 acres  Planning Standards.  227  INDEP  2.  XNTERM. CARE  fcEHABIL TATION  GYN\. LAWN  EXTEND CARE  GARD4 HORTTHER.  3. GARDEN CENTRE  LIVING*  ;=LIREHAB1UTI CENTRE I I T I  h  j AUDITOR,  I  -{PROGRAMS  j  I MAIN I CON COURSE i -t 1  PUBLIC  PICK BBQ. caoa. EXPL.  BOWL.  MINI GOLF  1. C O U N T R Y  RETR.  VOLLEY BALL CLUB  OUTbOOt THEATRE  4.PARK  Fig.  5-24  Common O u t d o o r  Space  BA>M.  228  5.6.  PARKING AND ROAD NETWORK WITHIN THE F A C I L I T Y  Purpose To dating and  provide  an o r g a n i z e d  and c o n t r o l l e d  system  f o r accommo-  t h e v e h i c u l a r movement and p a r k i n g demands o f t h e h o u s i n g  long  service  term  care  parking  clusters  f o r cars,  staff  and  visitors.  Short  v a n s , t r u c k s making d e l i v e r y  term  to the  facility. Functional Description: All use into  parking  areas  will  and e a s e o f a c c e s s .  be c l e a r l y  Residential parking w i l l  t h e Independent L i v i n g  cluster  area.  separated  and l o c a t e d c l o s e t o a s t a f f  ing  provide  will  parking area  will  a  direct  provide  i n t h e Core  Centre.  identified  access  a direct  Staff  f o r designated be i n c o r p o r a t e d p a r k i n g w i l l be  main e n t r y .  P u b l i c Park-  t o t h e Core Centre.  access  Service  t o the s h i p p i n g / r e c e i v i n g  229  Table  5-22.—Parking  COMPONENT  NO OF PARKING SPACES  Ind.  Housing  Living  Areas  Program  AREA  REMARKS  1 space each 6 units 1 s p a c e e a c h dw. unit 1.5 space each dw. u n i t  a. R e n t a l H o u s i n g  16  424.0 m2  b. Co-op H o u s i n g  50  1,325.0 m2  c.  75  1,987.0 m2  50 19 18  1,325.0 m2 503.5 m2 477.0 m2  50  1,325.0 m2  253  7,366.5 m2  Strata-Title  Visitors I.C. F a c i l i t y B.C. F a c i l i t y Core C e n t r e Staff Approximately TOTAL:  25% of required number o f s p a c e s  References: City  o f V a n c o u v e r P a r k i n g By-Law:  1 s p a c e p e r 6 u n i t s i n BCMHC H o u s i n g . 1 s p a c e p e r 1 S t r a t a T i t l e o r Co-op H o u i s n g 1 s p a c e p e r 37 m2 s l e e p i n g a r e a i n t h e IC f a c i l i t y 1 space p e r 2 beds o r f o r each 93 m2 g r o s s a r e a i n t h e EC facility. 1 s p a c e f o r e a c h 18.6 m2 o f a s s e m b l y a r e a i n t h e C o r e C e n t r e .  230  CHAPTER 6 - F E A S I B I L I T Y  OF  PROGRAM  IMPLEMENTATION  ON  THE  SELECTED S I T E : THESIS CONCLUSION:  Chapter  Summary:  Chapter  6  the  Facility  has  been  the  test site  lines  Program on  b a s e d on  and  and  on  the  could  presented  opportunities how  be in  feasibility  and  are  met. the  The form  constraints  f i n d i n g s and  EVALUATION #1:  Site Location  listed housing  of  the  implementing  The  evaluation  associated  implementation. as  t o how  the  patterns.  The  with  Guideprogram  development o p t i o n s  four  Thesis  and  of  test site.  t h e y a f f e c t program  concludes with  6.1.1  the  selected  recommmendations  objectives been  concentrates  have  Chapter  Conclusion.  Size.  RATIONALE  Studies  have  elderly's older  shown  happiness,  people  services outcome  that  may or  the  the  mental  l o c a t i o n of  facilities  well-being  and  availability  make t h e  (Lawton  elderly's  psychological  criterion  for  evaluating  services  and  studies  (Lawton  even h e a l t h .  neighbourhood  facilities. 1986)  1986, and a  p.51).  In  order  to  site  accessibility  6-1  provides  indicates  the  most  data  becoming  satisfy  needs t h e  is  For  negative  community and  physical  Table and  i n the  the  supportive  d i f f e r e n c e between a p o s i t i v e and  e v e n between r e m a i n i n g  institutionalized  of  affects  the  important to  desired  from  several  variety  of  life  T a b l e 6-1  Uses o f R e s o u r c e s , T r a v e l Resources. Modal frequency of use (users)  Time and D i s t a n c e t o  Modal frequency of use (all)  Modal travel time (users)  Modal use 1 distance "  Modal nearest distance"  Resource  Median % using  Grocery  87  2/week  1 or 2/week  7 min.  1-3 blocks  1-3 blocks  Physician  86  several/year  several/year  IS min.  >20 blocks  4-10 blocks  Visit one or more children  98-  1/week  1/week to never  20 min.  < 10 blocks  Shopping other than grocery  70  1 or 2/month  never  Church  67  1/week  1/week  12 min.  4-6 blocks  Bank  64  1/month  Visit friends  61  2 or 3/weck  never  7 min.  Visit relatives other than children  57  several/year  never  35 min.  Beauty/barber shop  40  4-6 blocks  1-3 blocks >20 blocks  several/year  Restaurant  31  Park  30  Clubs, meetings  29  1/month  never  15 min.  >20 blocks  Entertainment  19  1/month  never  20 min.  >20 blocks  Library  4-10 blocks  4-6 blocks  1-3 blocks  1-3 blocks  18  > 11 blocks > 11 blocks  •Data derived from estimates by Bourg (1975), Cantor (1975). Carp( 1974,1975c). Lawton and Nahemow( 1975), and Nahemow and Kogan (1971) unless otherwise noted. •"Cantor (in press). New York City poverty-area residents. 'Newcomer (1976), public housing tenants. From Handbook of the Psychology of Aging, edited by James E . Birren and K. Warner Schaie. O 1977 by Litton Educational Publishing, Inc. Reprinted by permission of Van Nostrand Reinhold Company.  Source:  Lawton, P o w e l l M. E n v i r o n m e n t and A g i n g . 2-6. p. 41.  1986, T a b l e  232  supporting, majority  life  of  two-thirds visit and  enriching  independent  and  older  social people.  o r more shop a t a g r o c e r y  children over  and a t t e n d c h u r c h .  40%  never v i s i t  resources It  c a n be s e e n  s t o r e , do r e g u l a r Almost a l l v i s i t  friends,  u s e d by t h e  b u t those  that  shopping,  a physician  who do, v i s i t  very  frequently. For with  most  o f these  distance.  car  or  can  expensive  means  critical the  not  community  frequency  Since  many e l d e r l y  drive  one,  of  factor.  Elderly"  resources  people  walking  1983, p.32  facilities  t o data  there  and  Distance provided  is a  critical  may no l o n g e r own a  i s the easiest  transportation. According  o f u s e was a s s o c i a t e d  and l e a s t  i s therefore a by CMHC  "Housing  s c a l e o f importance f o r  d i s t a n c e s p e r c e i v e d by o l d e r  people: 1.  Grocery  2.  Store  - 2-3 b l o c k s  (240-360 m)  Bus S t o p  - 1-2 b l o c k s  (120-240 m)  3.  Church  - 400-800 m  4.  Drug S t o r e  - 3 blocks  5.  Clinic  6.  Bank  7.  Social  8.  Library  o r H o s p i t a l - 400-800 m - 400 m Center  Studies location venient level  (360 m)  - 360 m -1600 m  have  shown  for elderly to  community  of t r a f f i c  (Lawton  living  1988; CMHC 1988) t h a t t h e b e s t  i s a central  urban  s e r v i c e s and a m e n i t i e s  and c i t y  noise.  site  t h a t i s con-  and a l s o h a s a low  The main f a c t o r  i n location of  233  housing  for  shops, ly,  the  health  the  e l d e r l y i s proximity  and  elderly of  location  features  visiting  friends  being active  6.1.2  acres an  site  land  is  Avenue;  to  Jericho  Hill  subject  of  Vancouver  the  east  School. many  by While  for  an  elderly facility  w h i c h can  reducing  up 2.  site  useable  residents  Lands" s i t e the  good  to  to  trans-  continue  4th  Grey area  to J e r i c h o  Avenue;  to  Street  and  p o t e n t i a l future  maintain  51.47  the to  and  Beach.  The  s o u t h by  8th  the  the  west  by  site  is a  development.  The  i t has  this site  a potential  livability,  privacy  as for  and  a  by: c o v e r a g e when an and  of  opportunity  e x i s t s to  v i s u a l l y i n t e r e s t i n g open s p a c e o r  enclosure  portion  A  comprises  West P o i n t  t h e s i s becouse  q u a l i t y v i e w s f r o m the  providing the  allows  P l a n n i n g D e p a r t m e n t , however, recommended  community  walking  being accessible  z o n e d a t p r e s e n t RS-1,  f o r my  more  by  Highbury  i d e a l background  1.  block  Easy access to p u b l i c  within  an  sense of  advantage of  Defence  north  ideas  two  Ideal-  transportation.  s e t t i n g i n Vancouver c l o s e the  interest.  6-1)  i s located  bounded t o  action i s " :  community.  National  and  unique  Fig.  within  public  amenities the  "where t h e  areas of  live  relatives.  members o f  (see  and  further  and  "Federal of  the  and  should  centers  downtown  LOCATION The  has  activity  and  services  residents  distance  portation  social  to  the  CCC  to  open  Community.  e l e m e n t s s u c h as subject  provide  site  walls  with  and  planting  lower s i t e  for  coverage  234  Fig.  6-1  Location  and  Size  235  where t h e r e tion,  emphasizing  4.  providing  create  in  there  open  has  to the  clusters,  neighbourhood  useable  need  Vancouver,  for  which  neighbourhoods, suitable. older  when  and  creates  of  allow  that  are  compatible  maintain  street  neighbourhoods,  people  need  on  to  the  stay  family  population  new  discussions  housing  single  the  a  defini-  with  rhythm  space.  their  Moreover,  Centre.  character,  forms  would  street  Core  been c o n s i d e r a b l e  new  and  Avenue.  preserve Vancouver's s i n g l e f a m i l y  growing  care  8th  main e n t r a n c e  buildings  Although to  the  overall  and  f o r continuous walls  f o r example a l o n g  3.  the  i s a need  of  of  is a  West S i d e  of  their  own  houses are  f o r a supply  a need  there  in  this  on  area  no  longer  i s growing  necessary  health  services.  6.1.3  OPPORTUNITIES The  subject  development  of  seniors.  area  that  park U.B.C.  new  in to  and  the  Department  basically This core  shopping public  housing  d e v e l o p m e n t be  housing.  location access  Planning  influenced  family  would make a p e r f e c t p l a c e  multi-family  The  requires  site  and  by  site of  the  as  well  as  f o r the  a facility  w i t h the  offers several  advantages  Grey r e s i d e n t i a l  s e r v i c e s , walking  recreational f a c i l i t i e s  as  well  as  and  surrounding  a p a r t m e n t d e v e l o p m e n t s and  community  for  s u g g e s t s F.S.R. = 1.00  compatible  Point  future  single such  area,  as  easy  distance  to  proximity  to  236  6.1.4  CONSTRAINTS  Existing  heavy  pollution. program impact  traffic  development  in  Avenue  causes  noise  order  to  and  stage of  minimize the p o t e n t i a l  noise  f r o m 4 t h Avenue, as f o l l o w s :  Locating residential  2.  Using  landscape b u f f e r zone.  Using  material  Locating  p a r t o f CCC away from t h e n o i s e  treatment  green  transmission 4.  4th  S e v e r a l m e a s u r e s may be recommended a t t h i s  1.  3.  on  to  help mitigate noise  construction  such  areas  as l a m i n a t e d not  methods double  affected  source.  by  that  impacts-  limit  noise  glazing.  noise  such  as c o r r i d o r s  -"promenades" t o c r e a t e n o i s e b u f f e r .  6.1.5  CONCLUSION  The facility variety  beautiful may of  setting  maintain space  multiple-unit  vast  livability  options  housing  and  from  and  land ensures  and single  privacy family  commensurate  open o u t d o o r  areas.  development  affect  site-planning pattern.  the  recommendations  should  the  City  and N o r t h ) .  (see  F i g . 6-1)  housing  of the s i t e  Planning  be a l o w - r i s e d e v e l o p m e n t c o m p a t i b l e  neighbourhoods East  of  by p r o v i d i n g a  sufficient,  interesting  the  The s i z e  t h a t t h e CCC  to the  visually  and t y p e o f  In keeping  with  D e p a r t m e n t , t h e CCC with  the surrounding  (RSI - on t h e S o u t h ; RM  - on t h e  237  EVALUATION #2: 6.2.1  L a n d Use  Available  On  Fig.  6-2)  the  services  corner  of  recently  built  Grocery,  Drug M a r t and  that,  in  The  which  first:  and  sections  of  des  a  new  the  Bank  which  other r e t a i l  of  there  service  are  two  Avenue t o  with  outlets.  s h o p p i n g and  4th  the  Bank o f M o n t r e a l ,  the  east  large Beside  services  o f Alma  restaurants,  Street several  around  the  inter-  Alma S t r e e t  and  Broadway and  Avenue. I t  inclu-  mall  and  Nova S c o t i a  a v a r i e t y of and  Alma S t r e e t ,  Recreational  Amenities  to  the  variety  of  Jericho  Tennis Club,  the  Seniors within  V a n c o u v e r West  amenities  retail  including  Near the  corner  Canadian Legion  living  is  outlets  i n that  Jericho  of  Building  area.  Beach P a r k and  the  R o y a l V a n c o u v e r Y a c h t C l u b , Museum,  and  Point  including Jericho  a  Beach,  Centre,  the  i s the  there  10th  office.  currently  north,  recreational  a post  there  seniors  population  and  Mall  is  second: developed  and  House  Jericho  there  The  retail  Further  -  on  s e r v e s many o f  b.  Brock  complex  Highbury S t r e e t ,  shops.  of  Broadway  Avenue and  proximity,  i s comprised  boutiques  4th  commercial  close  areas.  6.2.2  (see  OPORTUNITIES a.  the  Context  which  s e r v e s the  Grey communities  and  growing  seniors'  those  living  in  for  extensive,  Side.  CONSTRAINTS Although  specially  the  designed  Facility Outdoor  Program Spaces  provides within  the  subject  site,  238  »•»/»««  ^faprm: DGODOOOO  3DODDDQDCDDOD  ' hbDODobbbaD'abl * > i . . *:  4th A v e .  "iSCHCW  ! \S  Fig.  6-2  L a n d Use  Context  239  nevertheless  the  Beach  affect  would  proximity  CCC  residents.  the  independently  their new  This  units.  could  be  (both of course  Option 1.  2.  #1;  the  a  Wide b r i d g e  with  It  most  successfully  CCC  t o J e r i c h o Beach.  It  appears,  two  parts.  from  I t allows  4.  I t i s a s a f e and  5.  Traffic  Option  #2:  1.  The  2.  There was  f o r viewing  be  provided  on  J e r i c h o Beach.  should area  willing  to  for  purchase  between  only f o r p e d e s t r i a n s or a  the This  tunnel  accessible).  landscaping  road,  the  t o be  visual  pedestrian  4 t h Avenue a r e  c o n t i n u i t y of  a substantial  t h e m o u n t a i n s on  the  North  link  to  the  the  Shore.  connection.  unaffected.  Tunnel  tunnel could create a security would  being  The  the  feature, specially  a link  convenient  v o l u m e s on  p s y c h o l o g i c a l need o f  and  extends  the  Jericho  seniors, able  bridge  handicapped  Beach P a r k and  important  recreational  wide  3.  3.  i s a very  living  and  Jericho  p h y s i c a l and  Therefore,  facility  link  the  of  be  an  interruption  problem.  to t r a f f i c ,  while  the  tunnel  constructed.  feeling  of connection  between two  p a r t s would n o t be  so  apparent. 4. The  Viewing less  p o t e n t i a l s while expensive  solution  walking  are  would be  eliminated.  a p e d e s t r i a n c r o s s i n g , but  240  very  inconvenient  f o r t h e e l d e r l y i n w h e e l c h a i r s and h a n d i c a p p e d  persons.  6.2.3.  CONCLUSION  Availability distance Beach  and  will  CCC  proximity  term  for  services  surgical within  as or  to  the  Day  EVALUATION  facility, will  will  to  potential  this  housing  visitors  Care w i l l  f o r the  f a c i l i t y by  a l s o be  required  laboratory  f o r acute  medical,  The CCC f a c i l i t y l o c a t i o n  neighbourhood  activities.  Public  admissions  conditions.  residential  oriented  to  areas,  t o the e l d e r l y ,  p a r t i c i p a t e i n the Core  The l o n g  be v e r y  p a r t i c i p a n t s and t h e i r  #3:  University  r a d i o l o g i c a l e x a m i n a t i o n s and  surrounding  and  to  be an a s s e t  form o f t r a n s p o r t a t i o n  as f o r p a t i e n t  C a r e and R e s p i t e  residents,  Proximity  to  distance  programs  and p h y s i c a l needs o f t h e CCC  Transfer  psychiatric  encourage  Centre  care  residents.  as  well  walking  specially will  other  the walking  t o t h e r e c r e a t i o n a l a m e n i t i e s on J e r i c h o  acute  care  or  procedures  services within  independently.  ambulance such  basic  psychological  living UBC S i t e ,  long  several  satisfy  residents Hospital  of  term care  convenient  facility,  f o r the future  families.  Transportation,  Vehicular  and  Pedestrian  Access. 6.3.1 a.  OPPORTUNITIES Public Transportation  There  are  (see F i g .  6-3)  two e a s y a c c e s s e s t o p u b l i c t r a n s p o r t a t i o n ,  which  241  provide  connection  Dunbar,  Kerrisdale,  Avenue  with  a  second  access  with  the  Downtown  surrounding  and  UBC.  bus s t o p on t h e n o r t h is  located  further  areas, The  Kitsilano,  first  i s on 4 t h  boundary of the s i t e . to  the  The  south,  on Broadway  to the subject s i t e  i s provided  Street. b. V e h i c u l a r A c c e s s : The from  present  Highbury  entrance), (two  ( s e e F i g . 6-3)  v e h i c u l a r access Street  and  (three  entrances),  from 4 t h Avenue,  f r o m 8 t h Avenue (one  i n the western p a r t of the s i t e  entrances). c. P e d e s t r i a n A c c e s s :  ( s e e F i g . 6-4)  Pedestrian  from  directions: stops  and  Broadway site  first,  shopping  Avenue.  will  the  the  be  area  amenities  and bus s t o p s .  provided  Since  subject  t o t h e 4 t h Avenue  Jericho recreational  should  8th  movement  will  be i n two  and s e r v i c e a r e a , bus and t h e s e c o n d , t o t h e  Pedestrian access  from 4 t h Avenue  the e x i s t i n g  site  (The Core C e n t r e )  area  overpass) should  access  to  be the  between  the  provided  as i n d i c a t e d  Core Centre  and  v e h i c u l a r t r a f f i c on 4 t h Avenue  o b s t r u c t p e d e s t r i a n movement t o J e r i c h o P a r k a l i n k  trian  to the  new f a c i l i t y  should  (pedes-  and t h e r e c r e a t i o n a l  i n E v a l u a t i o n #2.  be e a s i l y  identified  Public from 4 t h  Avenue.  6.3.2. CONSTRAINTS: HEAVY VEHICULAR The Avenue  subject with  very  site  is  TRAFFIC  bounded by a m a j o r a r t e r i a l  h e a v y t r a f f i c and l o c a l  distributors  route 4th Highbury  tjoJTTinrinrTai p MOULD D D T j x n p o n g . QLIGOLTjq <l  I'll I I I I I I I I I  Fig.  1  ' I  6-3  I ILLMLLU  I I I i i I I I ! ' 1 i I—1  i i : . ! • IrPI ; LQ_  |J|TinT I i-J_'_!_l_L.I  1  1  1  1  Public Transportation  LLLUO  K  and V e h i c u l a r  Access  243  ''ttEJoOpa  d=-  • i: i M F H ,  ;  in'.  !»4W I I I I I I I I I  » I I I I ' I I I ! i I : I  Fig.  6-4  1 I ~l  '  1  I I I " I I ' I I I Tl  Pedestrian  h^J^JjP  Access  T  in rnoDonrCxn  ; !11 11 »  244  Street  and 8 t h Avenue.  have  recent  1981  and  great  1982  In  data  the  outbound  vehicles volumes  in  towards  Other  data.  For  volumes  away  maximum  of  the  morning  maximum  in  the  1045  maximum  o f 808 v e h i c l e s , to  the  maximum  tremendous  traffic  data  the  from  problem West  with  4th  as  well  appear In provide access  the  in  as  easy to  to  the  in  This  the  other  vehicles.  to  subject  outbound  UBC amounted t o a  hand, t h e i n b o u n d  These  the d i r e c t i o n  because  The  data  o f UBC Campus. indicate  is  Other  a serious  extremely congested  o f i t s a c c e s s t o t h e beach  problem  with l e f t  turn  o f 4 t h Avenue and H i g h b u r y the  heavy  the  site  site  indicate  t u r n s made f r o m Alma S t r e e t t o  intersection  UBC.  reduce  access  towards  E n g i n e e r i n g Department  on t h e i n t e r s e c t i o n order  On  number o f l e f t  the  1976-1985  c e n t r e between 7-9 A.M. amounted t o a  summer t i m e ) ,  to  Counts:  w h i l e i n r u s h h o u r s between 4-6 P.M  2380  flow  City's  inbound  w h i l e i n r u s h h o u r s between 4-6 P.M. i t  of  Avenue.  (especially  city  and 6  c o m p r i s e d 1000  h o u r s between 7-9 A.M. centre  vehicles.  towards  along 4th  between 4 P.M. centre  has a  d a t a ) p r o v i d e s e v e n more d r a m a t i c  rush  vehicles,  volumes  amounted  i n t h e development  Automatic T r a f f i c  city  traffic  c o m p r i s e d 800 v e h i c l e s .  adjusted  example, from  does n o t  between 7 A.M. and 9 A.M.  centre from  daily  2095  of l i f e  the vehicular  away f r o m t h e c i t y  the c i t y  &  that  r u s h h o u r s , f o r example,  information  (seasonally  only  indicated  volumes  and  E n g i n e e r i n g Department  d a t a on 4 t h Avenue; however, t h e a v a i l a b l e  i m p a c t on t h e q u a l i t y  Avenue. P.M.  traffic  The C i t y  can a l s o  Street.  traffic  on 4 t h Avenue and  the C i t y  h a s recommended an  from Highbury S t r e e t  through  Sixth  245  Avenue.  Moreover,  balance  the  i m p a c t on  properties. either the  All  on  the  side,  or  housing,  6.3.3  ingress  the  arterial  existing  rear  issue  v o l u m e s and  parking  abutting  i n the  f r o n t yards,  yards.  of p a r k i n g  e g r e s s t o the  parking  s t r e e t s , i n the  must  residential  neighbourhood  occurs  or garages l o c a t e d  When c o n s i d e r i n g often  area  seniors  on  oriented  arises.  CONCLUSION Easy access to p u b l i c  dents and  to continue seniors  program  to  visitors tion  as  be  to the  own 4th  tion  4th to  through  Six  This  and  avoid  site  Avenue  the  CCC  resi-  community.  Staff  attending  on-site  transporation,  therefore  an  easy  be  It is likely  that  an  will  asset. rely  on  public  transporta-  In  the  CCC  will  have  order  to  reduce the  heavy  congestion  of  traffic  the  intersec-  main  vehicular  Highbury  should  (left turn),  be  according  provided to  on  the  traffic  from H i g h b u r y  recommendation  of  Street  the  City  Department.  access  Centre  access.  Avenue and  the  Engineering  clude  will  but  A c c e s s - E a c h m a j o r component o f  Avenue  access  Parking  public  allow  i n the  community,  elderly residents  external  of  Core  active part  the  service  will  well.  Vehicular its  in  using  this  transportation  t o t a k e an  living  may  access  on  and  should  be  provided  f a c i l i t i e s i n conjunction  should visitors  be from  situated entering  close the  to  as  a s e r v i c e access to  with parking the  for  main e n t r a n c e  f a c i l i t y through  the  visitors. to  pre-  unauthorized  246  routes.  Space  expansion The  of the CCC  access  from  clusters. an  parking  8th  to the  Avenue existing  the  connection  Site  provided  f o r the  future  access  employ a l s o e x i s t i n g v e h i c u l a r independent housing  the  residential  from 4 t h Avenue s h o u l d  l o n g term c a r e with  be  area. should  to  EVALUATION #4:  should  development  The  access  easiest  provision  facilities  H o s p i t a l and  the  keeping UBC  remain  i n mind  as the  Campus.  Physical Characteristic.  6.4.1. OPPORTUNITIES: S I T E NATURAL RESOURCES a.  Topography  The is  site  site.  ever,  the  where  there  site and  the  is  a 120  f o o t change  s t e e p e s t p a r t of the is  almost flat  slope doesn't  b.  Vegetation  The  subject  and  Jericho there  provides  intersection  is  is  Hill  of  feet  t o 230  There  the  sub-  feet.  i s l o c a t e d i n the  How-  southwest,  n o r t h e a s t p a r t of  elevation rises  approximately  the 20'  2%. (see F i g .  a v a s t , green  site,  there  provide School  existing  a barrier  110  s l o p e . The  Landscaping:  which  an  from  8%  exceed  site  trees,  an  northeast.  i n e l e v a t i o n across  site  where t h e  western p a r t of the  Avenue,  southwest to the  elevation rises  the  adjacent  that  The  almost  deciduous  6-5)  s l o p e s from the  approximately  ject  (see F i g .  4 t h Avenue and  i n P o i n t Grey.  i s a substantial  Justice  green  Institute.  b u f f e r with  Along  deciduous  n o i s y 4 t h Avenue.  In  q u a n t i t y of  a n a t u r a l b u f f e r zone from  and  from t h e  area  6-6)  Close  Highbury S t r e e t , there  the 4th  trees to  the  i s a beau  247  • *ACH  PARK  B  DOULIULIDp  I >IIII I I I!! I  i  WEST PART  •QDD'DD  • i i i i i i i i i •  UIA11  L.  3  M  • D O ' O D D 'E  1  /Vo'obbbbb I ' 1i i I I »• I I I I «I!  UCOO  *  JCbGDODOCODDO  ODJDDUDO  r-r-. • ! i i i . i i [^•^•.••OCJDpOD I i tIIi i  •JLTODci  1 H ^ o c f a b D q g ^ ' i [i—innr.  4th A v e .  Mv.it  rouunt AV  C IC HT M  AVI  •b|Dp|p|D|ab|rj| j i  l  i •c  EEEEB •TWO*  tnrn*  : u ^ r . i t u - u _ i i . . ' j - m . i j . u _ ' i.u  Fig.  6-5  trvn*  J i l l i 11111 i i i H  Site  I  Topography  .  Tf»T»  ,  111 L.-i. i I L  TTJ  I  i:I  ^  »  U.JT'l ' l  248  ^ era. o| [opoauiaoq lumrmrmai pcodii & ^  BEACH  'I'll  n  PARK  »*t  spaoppapa  U  (kl/OII  tICCMC * v t  •CDDDDOD!  s  imo^cSoCT fctcraQpa: :  ODDODDDDDDDOD[* • DDDoprjD f • • • • • • U U L  4th Ave  ' SCHCJ  i M  V  A.  1  oojrJdQd^  jggrjJrJL^U! S3  . F T LTTTTT ,...  mm  L  Hi  lDXDDtlrCDOQ I I I I I  "1  ( I I I I I I  Fig.  6-6  I : I  nl  1  i 1 1 I ' t i LLLLL 1  l-l  I r a'oiaoc ~^jPCO  n! ^TTTl  mt in  II.  in m r t r r m l  V e g e t a t i o n and L a n d s c a p i n g  DCTJQOC3,  ,!HI1!! XODDD:  249  tiful ly  a l l e y with  on  the  potential  east-west to  landscaping be  2.  of the  4.  existing  i n t e r s e c t i o n of  with the  with  development  of  the  i n t e r e s t and  a  the  has  site  a  through  identity.  pattern  variety  t o be  mature  This  can  and  character  flowering  shrubs,  a t t r a c t i v e i n a l l four  seasons  of  arches,  t r e e s e s p e c i a l l y i n the  4 t h Avenue and  special  open  arbours  lighting  night-time  walkways t o a l l o w  ty  diagonal-  Highbury  space  at  Street.  features  to create  alley  s u c h as  visual  ponds,  i n t e r e s t along  s t r e e t edge.  attractive  "Green O a s i s "  Federal  large  visual  trees;  Incorporating  The  beauty  site  landscaping.  and  Incorporating  c.  CCC  the  year.  Retaining  the  new  i n t e g r a t i n g with  landscaping  fountains,  5.  and  existing  Provide  the  cross  by:  perennials  3.  The  natural  creates  Reinforcing of the  trees that  axis.  emphasize that  achieved  1.  many f e a t u r e  safe i n the  National  g r e e n open s p a c e  will an  transform  the  into  landscaping  a p p e a r a n c e and use  at  Point  land  the  Grey  Area as  Community. The  can  public.  The  proposed  bourhood  identity  by:  be  as  open s p a c e s s h a l l  a  s e e n now  p r o p o s e d CCC  i n t o a medium d e n s i t y  neighbourhood  an  i l l u m i n a t i n g a l l major  abundance o f open s p a c e s a c c e s s i b l e t o  facility,  create  night.  Defence Lands s i t e i n the  to  whole  is a  facili-  development  a l l : residents and  contribute  the  to the  but of  general neigh-  250  1.  Creating smaller  large isolated  2.  L i n k i n g the  3.  Creating street  4.  a  gradual  to the  Providing  edge.  6.  unit  open  open s p a c e 7.  On  the  should  by  p u b l i c realm  individual  residents)  of  high,  solid  of  the  unit.  open s p a c e  fences  f e n c i n g or landscaping  spaces  i n the  between  shall  be  sloped  be  d e f i n e d by  p a r t of the  terraced  to  the  street allow  clusters.  directly  a c c e s s i b l e from Ground  screening or  site  along  screening should  form o f a p a t i o o r b a l c o n y .  shall  be  from t h e  of the  (shared  o f open s p a c e s  i n the  of  J e r i c h o Park.  transition  use  Privacy  Private  a series  yards.  the  continuity  with  p r i v a t e realm  common  Minimizing  open s p a c e r a t h e r t h a n  spaces.  open s p a c e s  form of c o u r t 5.  continous  along  complement  each  level private  landscaping.  8 t h Avenue open  existing  space  topography  and  landscape.  6.4.2  CONSTRAINTS The  very  south-west  steep  barrier-free concentrate tate  6.4.3  slope design in  the  p o r t i o n of the approx.  8%,  f o r the north  r e s i d e n t s walking  site  which  elderly.  along  8 t h Avenue shows a  affects The  CCC  residential,  development  e a s t e r n p o r t i o n of the  without  any  site  to  should facili-  hazards.  CONCLUSION The  site  provides  an  opportunity to create a large c o n t i n  251  uous  open  central  space,  open  facilities  which  space  and  should  Park.  important feature  future  development  existing  visual  and common open  Park.  This  f o r the Country Club  trees,  especially  i n the  s h o u l d be p r e s e r v e d  i n the  interest  and enhance  quality  space.  C h a r a c t e r and V i e w s  OPPORTUNITIES  a.  Massing Scale  In  keeping  Department, with  with Jericho  designed  of the s i t e ,  to create  EVALUATION #5: Space 6.5.1  be  The  alley,  o f t h e CCC p r i v a t e  c a n be l i n k e d  the  and H o u s i n g  with  the  the  Character  recommendations  CCC s h o u l d be a l o w - r i s e  surrounding neighbourhoods  of the C i t y  Planning  development c o m p a t i b l e  (RS-on  t h e S o u t h ; RM-on t h e  e a s t and n o r t h ) . South West  of  Point  Highbury which  Grey  includes  an  single  Street,  adults. is  8 t h Avenue and west  there a  family  i s a multi-family  new  development  11-storey To  residential the  north,  RM-3A, w h i c h c o m p r i s e s a l s o b. P u b l i c There to  private  neighbourhood.  of  of the  To t h e e a s t o f  h o u s i n g zoned RM-3A1,  condominiums  f o r older  On t h e c o r n e r o f 4 t h Avenue and H i g h b u r y S t r e e t ,  oriented).  due  o f H i g h b u r y i s t h e edge  and P r i v a t e  are the view  only  on  the  there  under c o n s t r u c t i o n  i s multi-family  the r e n t a l  Views;  limited  topography  building  there (adult  h o u s i n g zoned  housing f o r the e l d e r l y :  ( s e e F i g . 6-7)  public  and p r i v a t e  and  existing  subject  site  trees is  only  views i n the area on t h e s i t e . available  The  i n the  252  piqirimj.Di pcorfuu  —n „ —————  rr*v  =PLT:  C  id!  -  TTTTT  1 1 !1 1 1 1  scna  .pnxiai  •  ,_.  1  i !  •  m  PublliCr V I •XrVL j i i - • . , — 3 , r  'III I . . . , DaDt±ttEDQDc  11  i  11  ii  11'  ~i  i l i i i i i i ' iTn—I  Fig.  6-7  (  1  Public  n l.i3:::EBy  •TTT. oocrDC  ! i I I' n i  t-,,  im  and P r i v a t e  •• JJPJI  Views  1  OqXP=  !1111 ' I  "nxiJ *roan in  rroctrrcal  253  the  southern  northwest Jericho  part  1.  The  Street,  ensure t h a t  of  these  the  site  (the  highest  point)  and i n t h e  where i s a v i e w o f t h e m o u n t a i n s and  major  looking  public north.  view The  corridor exists  CCC  development  along should  views a r e p r e s e r v e d .  c a n be a c h i e v e d Siting  the  of the s i t e  Park.  Highbury  This  part  by:  building  mass  away  from  the  potential  view  significant  views  corridors. 2.  Limiting from the  adjacent  Linking  4.  Locating with  where  buildings  -  i t blocks  e s p e c i a l l y i n the south part of  open s p a c e s t o e x t e n d landscaped  open  t h e new d e p t h .  spaces  limited opportunities  close  for distance  t o windows i n u n i t s  views.  CONSTRAINTS: COMPATIBILITY WITH NEIGHBOURHOOD The  existing  Highbury  Street  architectural storey  6.5.3  older  apartment are  3  merit.  buildings  storey Along  houses b u i l t  along  4th  Avenue  and  b u i l d i n g s , w h i c h have no s p e c i a l 8th  Avenue, t h e r e  as s i n g l e f a m i l y  a r e one o r two  homes.  CONCLUSION In  #2,  mass  site.  3.  6.5.2  building  keeping  the  visual overall options  new  with  development  compatibility massing, from  t h e community o b j e c t i v e  a  single  on  with new  the  subject  ( C h a p t e r 3 ) , N.D.O. site  should  the surrounding housing. development  family  should  achieve  I n terms o f  provide  massing  homes t o m u l t i p l e - u n i t h o u s i n g . The  254  following 1.  guidelines  Single  family  family 2.  a r e recommended: housing  forms  detached houses,  Apartment  building  with  new  the  While  some  ings,  the  character  new by  1-2 s t o r e y  forms  roofs  buildings  adjacent  now u n d e r  exist  should  pitched  area  Highbury S t r e e t  buildings  already  providing  the  t o one  high.  along  apartment  flat  in  compatible  construction.  i n the apartment  build-  r e i n f o r c e the "house-like"  roofs,  d o r m e r s , c h i m n e y s and  porches. 3.  Emphasizing Alma S t r e e t  The  heights  Street  Highbury  vary  from  Independent  building, Street.  townhouses  objective  4th  Avenue  N.D.O.  streetscape  3 storey  development  north-west part of  southern  story  height  co-op  along  keeping place  i n the north be  given  with  the  North  Shore  part  of the s i t e  east  to  t o take  long  along  strata  title  In keeping  with  be l o c a t e d on  to maintain part  the  objective  residential  of the s i t e  and  should  i n order  housing  be l o c a t e d  8 t h Avenue.  t h e Core C e n t r e  Highbury  8 t h Avenue.  (BCHMC)  should  should  should  rental  height  #3,  character of  along  along  storey  character  In  buildings  buildings  to Highbury S t r e e t  Consideration  the commercial  corner.  Living  be l o c a t e d  close  development.  3 One  should  the  view  of  and t h e 4 t h Avenue  should  CCC  apartment  the  continuity  and 4 t h Avenue t o 2-1 s t o r e y  The  urban  the  a more  of the s i t e .  v i e w s f r o m t h e new N.D.O.  #4, t h e CCC  term care  cluster i n  advantage o f a wonderful  M o u n t a i n s and J e r i c h o  Beach.  the Independent L i v i n g c l u s t e r s  In the should  255  p e r m i t b u i l d i n g mass t o p r e s e r v e  the  EVALUATION #6:  (see  6.6.1  based  of Housing w i t h i n  on  residents  either  with  facilities. According favor of 1.  2.  view.  F i g . 6-8,  6-9,  6-10,  6-11)  RATIONALE: Patterns  be  Housing Patterns  private  to the  People  separation  different Both  of  ability  separation  (1985)  the  on-site  level  several  or  to mingle with  Integration  care  promote  an  for such  disadvantages. can  n a t u r a l l y to group themselves.  of  facilities  i n t e g r a t i o n of  points  may  be  noted  in  pattern:  dents p r e f e r not  may  C o n t i n u u m o f C a r e Complex  s o l u t i o n s have a d v a n t a g e s and  Carstens  tend  the  the  facilities  less  with  "institutional"  More a b l e  resi-  competent.  more i n d e p e n d e n t  image r a t h e r  than  living  "residen-  tial". 3.  The  social  policies In  favor  cost  that  of  of  separation  may  be  r e d u c e d by  management  encourage v o l u n t e e r i n t e r a c t i o n .  integration  pattern  there  are  some  supportive  factors: 1.  A financial  2.  Integration  promotes  and  provides  also  rationale favors  shared  sharing, a  s e r v i c e s and  facilities.  mutual a s s i s t a n c e , s e l f - h e l p  powerful  opportunity  for  social  the  movement  learning. 3.  Segregate  facilities  residents  and  move  have  can  health.  the a  often  separation very  require of  eventual  s p o u s e s and  negative  effect  friends.  upon t h e  Such  of a  residents'  256  Therefore, facility  the  decision  to create a separate  must be c a r e f u l l y w e i g h e d .  arrangements  (based  P a t t e r n No. 1:  on C a r s t e n s  o r i n t e g r a t e d care  P a t t e r n options f o r housing  1985) i n c l u d e t h e f o l l o w i n g :  Separating  living  zones  for  intermediate  and d e p e n d e n t l i v i n g  independent, - nursing  care  (see F i g . 6-8). P a t t e r n No. 2:  Clustering  intermediate  facilities  P a t t e r n No. 3:  and  support  providing  living  r e s i d e n t s (see F i g . 6-9).  Shared  meeting  a separate  and  areas  and  facilities  of care  A  arrangement w i t h  social  areas  but separate suitable f o r  ( s e e F i g . 6-10).  as  the  Services  and f a c i l i t i e s  of  create separate  care  care  zone f o r i n d e p e n d e n t  common s p a c e s ,  each l e v e l radial  extended  services together  while  residential  P a t t e r n No. 4:  also  and  common f a c i l i t i e s and  central  core  element.  common t o v a r i o u s housing  zones  levels  (see F i g .  6-11).  6.6.2 PATTERN No. 1: OBJECTIVES: 1.  Separate level  2.  identities  and  independent  functioning  f o r each  of care.  Complete  separation  of  the  extended  Independent  housing  juxtaposition  to  psychological  associations  intensive nearness  care t o death  facilities and d y i n g .  of  care  facility  attempts  physical associated  to  proximity with  and i t s  a  reduce t o more  personal  257  Fig. Example Source:  6-8  P a t t e r n No.  1  - Existing Site at the Motion P i c t u r e and Television I n d u s t r y Fund C o u n t r y House and H o s p i t a l , C a l i f o r n i a . Carstens, D. S i t e P l a n n i n g and D e s i g n f o r t h e E l d e r l y - I s s u e s , G u i d e l i n e s and A l t e r n a t i v e s . 1985, p~. 44~!  258  Fig.  Example Source:  6-9  P a t t e r n No.  2  Knoll Village, Ohio. The G r u z e n P a r t n e r s h i p - Maple A r c h i t e c t s and P l a n n e r s , New Y o r k . Carstens, D. S i t e P l a n n i n g and D e s i g n f o r t h e E l d e r l y - I s s u e s , G u i d e l i n e s and A l t e r n a t i v e s . 1985, pT 3&~.  Fig. Example Source:  6-10  Pattern  No.  3  - Prototype of the E l d e r l y Housing. Oskar Newman A r c h i t e c t / P l a n n e r , New Y o r k . Rush, R. The Age of the Aging. Progressive A r c h i t e c t u r e . 1981, No. 8, p. 60.  260  Fig.  Example Source:  6-11  P a t t e r n No.  4  - Regents Point. Neptun and Thomas Associates A r c h i t e c t s , Pasadena, C a l i f o r n i a . Carstens, D. S i t e P l a n n i n g and D e s i g n f o r E l d e r l y I s s u e s , G u i d e l i n e s and A l t e r n a t i v e s . 1985, p. 48.  261  3.  Shared  activity  interaction This  pattern  Motion  space  ( t h e Core  between i n t e r m e d i a t e was  Picture  employed  and  affords  and i n d e p e n d e n t  Fund  some  living.  i n the proposed master  Television  Los Angeles i n C a l i f o r n i a  Centre)  plan  f o r the  C o u n t r y House and H o s p i t a l ,  (see Chapter 1 ) .  6.6.3 PATTERN No. 2: OBJECTIVES 1.  Promote  the  image  of  independent  complex o f t h e I n d e p e n d e n t 2.  Provide and  opportunities  Extended  residents 3.  space  association Care This 1985,  pattern p.38)  the  can Core  separate  B.C.  a  separate  cluster. f o r the Intermediate  with  independent  ( t h e Core  living  Centre).  from t h e I n t e r m e d i a t e C a r e by  Core  Centre  to  reduce  psychological  w i t h n e a r n e s s t o d e a t h and d y i n g i n t h e E x t e n d e d  was employed and  in  be c l u s t e r e d Centre,  Extended  Facility  Ohio  Living  (Carstens  B.C.  As an  and I n t e r m e d i a t e  C a r e C l u s t e r may r e m a i n as a Independent  are clustered  B.C. and S o u t h G r a n v i l l e  (see Chapter 1).  Village,  t o g e t h e r w i t h t h e common s h a r e d s p a c e s i n  F o r example,  Care  Vancouver  the Independent  while  entity.  i n Maple K n o l l  S t . M i c h a e l ' s C e n t r e , Burnaby,  arrangement  Intermediate North  the  Care  in  facility.  alternative Care  -  residents  shared space  Separate the Extended shared  residential  for interaction  Care  i n common  living  Living  H o u s i n g and  i n H o l l y b u r n House i n  P a r k Lounge,  Vancouver,  262  6.6.4 1.  PATTERN No. Integrate Core  all  Centre  access to 2.  3:  Promote  OBJECTIVES levels  -  in  services a  sense  residents  by  of  one  care  and  building  and  a sense of  of  safety  locating  shared  common s p a c e -  together security  and  to  among  security  independent  promote  living  The  direct  residents.  for  close  more to  frail  dependent  living. 3.  Reduce when  stress one's  services stay 4.  of  health  can  in t h e i r dwelling  Reduce  stress  of  pattern  was  (multi-level highrise dent  6.6.5 1.  Maximize  2.  access  a  six  and  same while  site  building they  can  of  s p o u s e and  friends  if  i n Seton V i l l a 1).  care  i n Burnaby, Different  (seven top  f l o o r s - board  B.C.  f l o o r s of  floors -  residents,  the  this  Indepen-  bottom  four  residents).  OBJECTIVES to  separate  residential pattern  continuum provide  the  the  the  common f a c i l i t y  from each  level  of  i n r e s i d e n t i a l areas.  Create  This  4:  residents  separation  d i f f e r e n t i a t e l e v e l of  PATTERN No.  Within  zone on  necessary.  employed  next  separate  units.  the  accommodate PC-IC  care  the  f a c i l i t y ) ( S e e Chapter  Living,  floors  to  deteriorates.  move e a s i l y t o  movement w o u l d be This  relocation  of an  clusters was  e n t i t y of to  promote  partially  each l e v e l of  " m i n i community  employed  c a r e e n v i r o n m e n t community alternative  care  arrangement  by  in (see  the  in  separate  feeling". Regents  Chapter  lengthening  1). for  Point It  can  example  263  juxtaposition physical ing  of  independent  care  form Independent L i v i n g  as w e l l  units  t o promote  Patterns of  situation,  decisions  regarding  This  would  the  feasibility  Committee case  have  been  a general  real-life  i t would  be  the  moment  with  the  issue,  which  phase  actual  City  Development  ings held For own  usually  undertaken  have  of  to  Vancouver  District,  the  personal  the  by  the  resolved  zoning,  usually  the c i t y  be  or the Developer ( i n would be  planners  at that  probably  developed  Building  starting Another  time, i sthe  CD-Comprehensive  and  approved a f t e r a  i n v o l v e m e n t and p u b l i c  hear-  i n the s u b j e c t neighbourhood.  evaluated, see  when t h e m a j o r  S c h e m a t i c D e s i g n and D e s i g n D e v e l o p m e n t .  of  process  I f i t was a  from the f a c i l i t y program t o  of Non-Profit Society)  would  #6 f o r  d e v e l o p m e n t would have t o be made.  be a t r a n s i t i o n a l study  i n Evaluation  o v e r v i e w and c o m p a r i s o n .  project  ( i n case  presented  o f M a r k e t H o u s i n g ) and t h e n t h e A r c h i t e c t  long  image o f  CONCLUSION  purpose  off  a s by p r o l o n g -  living.  Housing the  Extended Care f a c i l i t y i n o r d e r t o reduce  p r o x i m i t y t o more i n t e n s i v e  a distance  6.6.6  the  purpose point  which next  of t h i s  thesis,  I would  like  to present  o f v i e w on how t h e h o u s i n g p a t t e r n s pattern  step  in  I  s h o u l d be  would p r e f e r m y s e l f and a l s o  terms o f a d e s i g n  three  issues:  Issue  #1 - S t e p s f o r h o u s i n g p a t t e r n s  my  how I  a r c h i t e c t involvement  evaluation.  264  Issue  #2  - Housing p a t t e r n  Issue  #3  - Next s t e p s  Issue  #1:  Steps  Pattern the that  the  all  future  city  also  local so  The  It  planners;  is  not  process, One Facility recommend  the  subject  b a s e d on  on  team  clearly  representfacility  financing institutions;  develop-  be  (Long-Term C a r e )  to  easily be  should  be  based  and on  arrived at.  used  Chapter 3 of  i n the  this  evaluation  t h e s i s - the  CCC  groups). this  t h e s i s to  of housing p a t t e r n s u s e d by  Patterns  following  understanding  based  evaluating  Evaluation  i n t e n t i o n of  be  the  but  evaluating  citerion  i s the  develop d e t a i l e d  only  to  indicate  i n the  steps  the  team. evaluation  Q u a l i t y Environment.  evaluation  w h i c h would  of  CCC  I would appraise  issues:  opportunities  physical setting.  I t i s my  decision in  of the  citeria  A Q u a l i t y Environment  Increased  most i m p o r t a n t  p r o j e c t : users  could  most i m p o r t a n t  Housing the  of  following c r i t i c a l  S t e p #1: 1.  cirteria  of  the  Leaders.  (five  the  w h i c h may  Evaluation.  aimed a t the  conclusion  be  Objectives  evaluation  the  final  to  Design A r c h i t e c t .  governmental agencies  Community  has  the  choice.  would have t o be  management);  development  process, Facilty  process  i n the  staff,  the  be  own  p r o j e c t development.  involved  ers;  rating  would  methodology,  (residents,  t a k e n by  f o r Housing Patterns  evaluation  structured ing  t o be  selection  entire  s e l e c t i o n , my  i n terms for  of:  individual  choice  i n the  CCC  265  2.  Improved  comprehension  environment 3.  Encouraged  4.  Provided  S t e p #2: 1.  2.  orientation  - w a y f i n d i n g has been  in  the  new  promoted.  social interaction.  opportunities  Safety  and  to  which  Level  and  been  enclosed  How  successful  for individual privacy.  Security o u t d o o r common a r e a s u s e d by r e s i d e n t s  have  within clusters. a clear transition  from n e i g h b o u r h o o d  public  s p a c e t o p r i v a t e s p a c e has been a c h i e v e d . 3.  How  effective  defined S t e p #3: A  A V a r i e t y of  combination include:  1.  'home-like'  levels 2.  A  of  'social  The  site  planning  s u c h as  in  terms  of  clearly  fences.  Environments  of  different  environment  environments  in  for  the d w e l l i n g  the e l d e r l y  c l u s t e r s at a l l  care. community*  outdoor a c t i v i t y  S t e p #4:  the  edge c o n d i t i o n s  should A  is  environment  i n the amenity  areas  and  centre.  S o c i a l Needs potential  feeling facilitate  by  of  providing  a  pattern a  social interaction.  to  physical  create  a strong  environment  community  which  will  266  Issue  #2:  It  Housing P a t t e r n  is  separation the ed  personal  own  belief,  Pattern  that  of the independent l i v i n g  choice.  quarters  I n t e r m e d i a t e and E x t e n d e d C a r e q u a r t e r s , i n t h e p r o p o s e d Continuum In  making  point ed  my  S e l e c t i o n - my  o f view)  below  C#l  own  This  (note:  and  this  implementGrey.  i s only a r c h i t e c t ' s (C=Criterion)  list-  issues:  has  the  environment  Increasing  be  i n Point  I used the f o l l o w i n g c r i t e r i a  pattern  representing  i n t e g r a t i o n of  should  o f C a r e Complex  evaluation  as t h e c r i t i c a l  quality 1.  my  #2  greatest  potential  to  create  a  by:  opportunities  for  individual  choice  i n the  CCC  physical setting. For  example,  opportunities  a  separate  to  create  townhouses  or  diate  Extended  and  increase  change  Core  Centre)  community"  very  in living  dwelling  units.  Care  facility  easily  their  L i v i n g zone would  a choice  also opportunities  would  2.  multiple  Independent  with  arrangements  The  clustered  relatively  "home-like"  such  short  environment  as  Interme-  the Core C e n t r e  f o r i n d i v i d u a l choice. (a  provide  would  Its residents  distance for  a  to the "social  environment.  Improving  comprehension  and  orientation  (to  promote  wayfinding). The ment the  a  separate  Independent  c l u s t e r pattern  clustered  L i v i n g zone would  which promotes  long-term  care  allow  a wayfinding.  facilities  with  to  imple-  Similarly,  the Core C e n t r e  267  may  significantly  environment.  A  facilitate  a  residents,  but  pattern  improve direct  connection  wayfinding also  may c l e a r l y  comrehension  not  and o r i e n t a t i o n i n t h e  with  only  the Core Centre  f o r long-term  care  would  facility  f o r Independent L i v i n g r e s i d e n t s , as t h i s absorb a 'feeder  s y s t e m ' - t h e CCC  circulation  network. 3.  Encouraging  social  interaction  between  residents  and  visitors. This  housing  cluster  pattern,  residents. outdoor and  option,  It  by p r o v i d i n g  would would  common a r e a s  consequently  promote  also create  possiblity  social  interaction  an o p p o r t u n i t y  i n close proximity provide  for residential  further  between  f o r designing  to the r e s i d e n t i a l  opportunities  for  zones social  interaction. 4.  Providing The  al 5.  cluster pattern  privacy  The  could  would p r o v i d e  opporunities  for individu-  spaces.  s a f e t y and s e c u r i t y .  o u t d o o r common a r e a s u s e d by r e s i d e n t s would be safe be  residents  C#2  f o rindividual privacy:  e.g. p r i v a t e o u t d o o r  Providing  within  opportunities  residential  easily  laid  and s t a f f  This  pattern  objectives  clusters. out  (feeder  to allow  for visual  walkways  s u r v e i l l a n c e by  system).  would e a s i l y  to create  The main p e d e s t r i a n  enclosed  achieve  a strong  one o f t h e m a j o r t h e s i s  community  feeling.  268  1.  The  site  plan  community  2.  feeling. care  people with  the f e e l i n g  The  clustered  may  components may be e a s i l y  interaction  as  a  which  This  very  may  be  pattern  may  environment  i n t h e e n t i r e CCC  clustering a  at  the  the  reduction  in  may  be  operating  cost  reduction  pattern  care  residents,  services  i n t h e Core  Neighbourhood Chapter  3,  satisfactory Pattern  well  home-like  facility. care  This  facilities,  and t h e C o r e  services,  staff,  and  i n t u r n , would l e a d t o t h e  f o r easy access as  a l l supportive  maintain  o f t h e e n t i r e CCC  allow  as  time,  supportive  expected.  would  centralize  same  long-term  services  This  environment. A  f o r many r e s i d e n t s from t h e  easily  but  Centre,  c o u l d be  community.  services,  By  architectural  appealing  designed  character.  t h e M a i n C o n c o u r s e component, attractive  older  and a l s o t o d i m i n i s h t h e  Centre with  Core  provide  from  t o t h e CCC community.  The  C#3  1.  clusters,  of belonging  social  t o t h e Core C e n t r e  o f " o l d - f o l k s home" i n s t i t u t i o n a l  P o i n t Grey  C#4  residential  p a t t e r n would f o s t e r  stereotype  place  2.  housing  proximity  residential  facilitate  designed  1.  this  The  long-term  to  3.  implementing  staff,  to  facility. f o r the long-term a l l centralized  Centre.  Development of t h i s  thesis,  Objectives could  as  discussed  be a c h i e v e d  in  i n t h e most  manner.  #2 would a l l o w  to maintain  livability,  p r i v a c y and a  269  sense  of  community.  clusters, provide  as high  facilities,  2.  well  The as  levels  of  This  pattern  of  would  care  livability.  residential  facilities,  The  the Core C e n t r e ,  easily  character  with  the  surrounding  with  one  storey  comply  with  housing  may  would  long-term  would  located is the  with  for creation  achieve  single-family  with  compatability  and  housing.  housing  facility,  allow  townhouses may  be  multiple-unit care  long-term  Living  care  reinforce  a  community.  neighbourhood  to  the  combined w i t h  sense  Independent  The be  visual  compatibility  located along while  Highbury  dominat.  The  Core Centre,  existing  cohesive  Independent L i v i n g  homes,  along  of a  8th  Avenue  BCMHC  rental  Street,  where  clustered  long-term  would p r o v i d e  housing  zone,  located  visual  along  4th  Avenue. 3.  This  pattern  character at  the  create  than  of  The  4th  o f an  development,  while  residential  Avenue  or  on  easily  development  on  and  existing  building  adjacent  sites  The  streetscape  w h i c h may  be  located  S t r e e t , would  commercial  long-term  Street.  to  Highbury  character further  Highbury provide  better  Core C e n t r e  Avenue  extension  create  very  contribute  others.  corner an  service  would  shopping  and  facilities  may  t o t h e West, a l o n g  4th  care  Independent L i v i n g  treatment and  that  would  would  complements  create  visual  rhythm. 4.  This  housing  existing  p a t t e r n would t a k e  views.  For  example, t h e  the  b i g g e s t advantage of  Independent L i v i n g  the  clusters  270  located  on  private  view  care  the of  facility,  the  southern  northern  This  as w e l l part  housing  project  in  future space Core  Issue  site  would have  the  Beach  stages,  extension.  as o u t d o o r common s p a c e s ,  of  pattern  flexibility  #3:  Next  a  site  allow  for  as,  would  well  In a d d i t i o n , within  have  a  view of the  Park.  would as  may  located i n  this  development of the allow  pattern  long-term  care  f o r an e a s y  would  allow f o r  clusters  and t h e  s t e p s t o be t a k e n by t h e D e s i g n A r c h i t e c t .  facility  presented  as  Although  a  this  Point  program  developed  Hypothetical  Model  in  this  of  a  is  process  - The  suggest  any  thesis  theoretical.  The  Client/Sponsor  major  site, Part  i s missing.  has  programming  M o d e l has been d e v e l o p e d i n t h e r e a l  G r e y Community, on a s e l e c t e d  purpose  of  the  Centre.  The  the  of  t h e m o u n t a i n s and Downtown w h i l e l o n g - t e r m  m o u n t a i n s and J e r i c h o 5.  part  been  system.  situation  of  nevertheless, i t s i n any  development  Therefore,  i n order to  s t e p s t o be t a k e n by t h e D e s i g n A r c h i t e c t ,  a number  a s s u m p t i o n s have t o be made. These a s s u m p t i o n s a r e n e c e s s a r y ,  because project  i t ' s not  the  Architect,  but the C l i e n t ,  who  makes t h e  reality.  Assumptions: 1.  The  Client's  Society" Directors,  organization  e.g.:  has been e s t a b l i s h e d , Building  Committee,  "The  CCC  by c o n s i s t i n g and C l i e n t s '  of P o i n t  Grey  of the Board of  Representative.  The  Client  project for  has  which  arranged includes  for  the  financing  purchase of property  of the e n t i r e  and a r r a n g e m e n t  finances.  The  Client  Team,  has  made-up  obtained  the  of diverse  Housing  Patterns  Evaluating  u s e r s and p r o f e s s i o n a l s  (see Issue  #1) . The  Client  major  has  f o r the f e a s i b i l i t y  study with the  objectives:  to  determine  of  a  and  project  need  for  the a c t u a l  specific  clearly  and  ( a t the time  t h e y e a r 2000) and  range o f f a c i l i t i e s  the  building  demand  and u n t i l  i n t h e CCC f a c i l i t y  identify  services  confirm  construction  the  stipulated to  arranged  and s e r v i c e s  program.  target  forms  population,  for  each  level  of  type of e l d e r l y  group. to  analyze  options  construction; building to  project  the  construction)  actual  of  preferences/needs  and  construction  the  (phased  management  regarding  consolidate of  actual the  V a n c o u v e r and p r o v i n c e  time  of  and  elderly  f o r m s and on s i t e  growth  (at  socio-economic  characteristics  to  or  d e l i v e r y methods  and  forms).  analyze  building  of a p r o j e c t  a  health  population combination  and of  project care their tenure,  services.  demographic target wide.  information  population  of  on t h e s i z e Point  Grey,  272  to  identify  and  independent Chapter to  living  a  operating  structures  Step  of  the  proposed  comparing BCHMC  that  rental  Step 2 - Schematic Step 3 - Design  (see  the  the  existing  and  long-term  has  been  above  to  proper start  Facility  selected been  and  the  Design  appointed.  major  organizational  major e x e c u t i v e  time,  work i n t h e  Program  arrangements.  listed  at t h i s  option,  f o r the  i n c l u d i n g funding  the  i t w o u l d be  1 - Predesign  to  housing,  of each  been e s t a b l i s h e d , and  his Consultants  facilities  costs  feasibility  Pattern  have  facilities  population,  ( o r A r c h i t e c t u r a l F i r m ) has  Assuming  between  care.  staffing  Housing  Architect  and  target  make d e t a i l e d r e c o m m e n d a t i o n s  The  reached,  the  care  gap  and  housing,  implementation, 5.  long-term  of the  costs  seniors'  t o compare  size  capital  patterns,  institutional  the  c o s t e f f e c t i v e n e s s a n a l y s i s of the  housing  to  and  1 - 1.2.1) w i t h  provide  and  determine  decisions  f o r a Design A r c h i t e c t  following  sequence:  Stage Design  Development  Step 4 - C o n s t r u c t i o n  Documents: W o r k i n g D r a w i n g s and  Specifica-  tions . Step  5 - Bidding  or  Step 6 - Contract actual Step 7 - Post  Negotiation Administration  on  behalf  of  Construction  Construction  Project  Inspections  the  Client  at  the  273  FINDINGS AND This  THESIS CONCLUSION  thesis  3-phase  has  been d e v e l o p e d  scientific  methodology  evaluation  (Introduction,  Phase  the  1 of  Scope o f  Thesis  at  directions.  multilevel an  Finding  analysis,  synthesis  an  was  carried  overview  for  the  of  out  i n two  the  existing  elderly  with  (General Background of  of  West s i d e  elderly  housing  in general  Background of  on and  the  and  the  distinctive trends  e m p h a s i s on Thesis).  options  and  the  Second-  services  West P o i n t G r e y i n  in  in  particular  Thesis).  #A1:  "Time" and  becomes  this  should  reflect  design  not  will of  on  the  of  care.  the  design process  in  point  based  7).  phase  facilities  analysis  (Specific  who  this  approach  Vancouver  thing  cycle  Analysis  Firstly,  contemporary  ing  of  a research  Research:  Research  ly,  -  p.  as  process this  for have  paramount f a c t o r f o r the is  elderly.  phenomenon.  The  time. principle  variety  of  Therefore, of  s t a t i c and  Architect  people, but  needs d i f f i c u l t the  flexibility,  entire  "time"  programm-  Time means t h a t  dynamic, not  a s p e c i f i c group of a  i n the  factor  adaptability  to  every-  the, p r o g r a m  should  plan  f o r the  and  elderly  c l a s s i f y at  one  must be  addressed  and  continuum  the  274  Finding  #A2:  The to  notion  of  g a i n momentum. A c c o r d i n g  the  provision  blending  Finding  is  delivered  Finding  a  real  be  the  the various  underlying  elements  principle  in  (Ch. 4, 4 . 2 . ) .  in  with  West  Point  graduation  (Ch.2,  of  Grey care  area  for a  organized  and  2.3.6).  #A4:  of  seniors  quality  recreation, cultural  Finding  expect  lifestyle.  attractive,  i n their natural  health  activities  more t h a n  their  predecessors i n  T h e y a r e more e d u c a t e d , expectations.  environment  protection,  and c o m p a n i o n s h i p  They a r e l o o k i n g f o r  where  security,  h e a l t h y and  they  leisure  can  enjoy:  and r e t r e a t ,  (Ch.2, 2.1.5. F e a t u r e #4).  #A5:  The  major  his/her a  need  i n one s e t t i n g  sophisticated  from  should  facility  Contemporary  an  continues  #A3:  multi-level  more  of the e l d e r l y  t o the Canadian Medical A s s o c i a t i o n ,  s e r v i c e s f o r the e l d e r l y  There  terms  of care  o f a continuum o f c a r e , with  together,  planning  is  multi-level  constraint  home t o t h e f a c i l i t y  traumatic  negative  resulting  experience  psychosocial  (Ch.3, C O . #1).  and  i n moving t h e e l d e r l y i s relocation  stress.  i f done i n v o l u n t a r l y ,  c o n s e q u e n c e s and d e c r e a s e  person Moving  may have  physical  health  275  Finding  #A6:  Seniors facility of  could  their  services  The  would  lifestyle  analysis the  have  based  been Group  major  2 -  Living  and  program.  They  Hypothetical  Objectives  have  which  address the  q u a l i t y environment. which  tenure  the  concentrate  choice,  health  on  three  care  and  services,  of  which  although  centralization  nevertheless  of  s t r e s s a l s o the  i n d e p e n d e n c e , p e r s o n a l i z a t i o n and  varied  environment.  Community  Objectives  smooth  e x p l a i n a need  r e l a t i o n s h i p s between  Neighbourhood important  Objectives  importance  and t h e P o i n t G r e y 5 -  i n C h a p t e r 3 by  Facility  Objectives  Management  for  physical  Group  CCC  2.2.2.).  needs.  Facility  and  (Ch.2,  care  groups:  issues:  supportive  4 -  The  Objectives  emphasizing  Group  choice  s t r u c t u r e d to the  Environment  Residents'  need  quality, health  t h e s i s concludes  program.  i f such a  of c o n t i n u a t i o n  o b j e c t i v e s f o r the f a c i l i t y  of a safe  social 3 -  of t h e i r  of t h i s  into five  basic  Group  the p o s s i b i l i t y  on f i n d i n g s and  issue Group  network  of the f a c i l i t y  1 -  them w i t h  part  consolidated  t o move t o t h e f a c i l i t y  i n terms o f r e s i d e n t i a l  and a s o c i a l  been  willing  provide  developing  Model  be  for successful  t h e CCC  facility  Community.  Development  Objectives  f o r the a r c h i t e c t u r a l  are  concept of the  very CCC  276  facility  and  have  been  presented  in  the  form o f  design  quidelines. Research  and  ing  conclusions:  major  Conclusion In facility 1.  findings in this  Phase gave g r o u n d s t o t h e  follow-  #A1:  order has  to to  Increase  satisfy  create  the  elderly's  unique  a q u a l i t y environment which  opportunities  for  individual  needs the  CCC  will:  choice  in  the  CCC  physical setting. 2.  Minimize  dependence  independence 3.  Reinforce  i n use  the  Compensate  5.  Foster  6.  Encourage  of  the  individual  environmental 4.  and  instead  CCC  encourage  personal  facility.  level  o f competency by  providing  support.  f o r s e n s o r y and  comprehension social  and  perceptual  changes.  o r i e n t a t i o n i n the  interaction  new  between  environment.  residents  (and  visitors). 7.  Stimulate  8.  Provide  9.  Improve t h e  Conclusion In the  participation in  opportunities public  activities.  for individual privacy.  image o f  the e l d e r l y .  #A2:  terms  residents  of  continuation  have  needs: r e s i d e n t i a l ,  t o be health  of  the  provided care  and  e l d e r l y person's with  choice  social.  to  lifestyle,  satisfy  their  277  Conclusion The Point  #A3:  CCC  facility  Grey  residents  Community  2 of the T h e s i s  Scope  of F a c i l i t y  which  but  this  on  "facility  Extended  "architectural  programming"  assumed had  of  care  of l i v i n g  an o p p o r t u n i t y  a. l i v i n g  arrangements  b. p e r s o n a l  for i t s  two  for  (Ch.4  investigation" an  innovative  & 5).  distinctive  features:  social  sensitive Clusters,  provides system  progressive  from  care:  Independent  Living  to  environment  ("home  f o r a choice - tenure,  like").  i n terms o f :  p h y s i c a l environment  s e r v i c e s - the Core C e n t r e  s e r v i c e s - the Core Centre  d. h e a l t h c a r e 3.  island  Care,  b. c o n t i n u u m provide  an  of Care F a c i l i t y  w h i c h means t h a t t h e CCC  c.  isolated  Approach:  a. c o n t i n u u m  2.  an  Synthesis  I continued  a p p r o a c h I have  Alternative 1.  as  Programming  phase  focused  -  a p p r o a c h t o a Continuum  The  not  a p a r t of the  only.  Phase  In  has t o be programmed as b e i n g  s e r v i c e s - t h e Core C e n t r e  design  i.e.:  living  issues: wayfinding,  u n i t s i n t h e Long  community  feeling.  Term  Care  278  Innovative A  new  Approach:  methodology  has  been  introduced  into  the  programming  process: 1.  space  flexibility:  mediate  and  a dynamic  Extended  Care  not s t a t i c portion  model i n t h e  by  assuming  Inter-  a cluster  arrangement. 2.  the  Core  changed Arts  &  to the a c t u a l  Crafts  (different  or C l i n i c  may  be  new  cluster  Care  f o r Alzheimer's patients.  needs  easily  of the e l d e r l y , i . e . :  activities),  Auditorium  and  Care F a c i l i t y  for additional  may  be  patients  expanded  by p r o v i d i n g  a  o r by p r o v i d i n g  special  a q u a l i t y environment  through  #S1:  CCC  major  facility  Conclusion  may  functional  community-services  The  components c a n be  expanded.  Long  The  Term  i t s program  the  Conclusion  four  with  according  Programs 3.  Centre  and  create  components:  r e s i d e n t i a l , long-term  outdoor a c t i v i t y  care,  spaces.  #S2:  underlying  for  the contemporary  care  including  1.  Residential  2.  Cluster  3.  Sense  principle  planning  h o u s i n g and  services  e l d e r l y has t o be b a s e d on t h e c o n t i n u u m  the f o l l o w i n g  features:  cluster pattern  i d e n t i t y (Ch.5,  of s e c u r i t y  in  (Ch.5,  (Ch.5,  5.1.2.2.). 5.1.2.3.).  5.1.2.).  of  279  4.  Opportunities  for social  5.  Accessibility  to a l l f a c i l i t i e s .  6.  Privacy  7.  Home-like  (Ch.5,  atmposphere  Sense  of r e s i d e n c y  9.  Space  Flexibility  10. W a y f i n d i n g (Ch.5,  were  in  supportive care  Core  principle  to provide  in  and  which  terms  #3).  f o r housing the  a quality  be a c o n t i n u a t i o n  far  elderly of  Centre  component  the  significant  Core  #2).  elderly  environment f o r  of the environment  will  of s o c i a l ,  provide  they  a l lnecessary  e m o t i o n a l and  health  #S3:  functional  and  #1).  need.  The  rest  5.2.2., I s s u e 5.2.2., I s s u e  briefly:  so  #3).  5.1.2.3., 5.2.2., I s s u e  facilities  Conclusion  the  (Ch.5,  facilities:  Introduction).  5.3.2., I s s u e  (Ch.5,  which w i l l  living  5.1.2.3.).  5.2.2.)  noted underlying  summarized  the , e l d e r l y  (Ch.5,  (Ch.5,  8.  be  (Ch.4,  Care  Extended Care  can  i n a l l types of  Living  Intermediate  above  (Ch.5,  5.1.4.3.).  Independent  The  interaction  friendly Centre  and  with  services  in creation  also  community. role  its  which  of the q u a l i t y  paramount  environment f o r  an i m p o r t a n t and n e c e s s a r y l i n k  with the  I t i s the Core C e n t r e , which p l a y s  i n the c r e a t i o n  atmosphere  becomes t h e  in  of a c h e e r f u l ,  the  has t o s e r v e  CCC  pleasant,  environment.  the r e s i d e n t s  secure  Also,  o f t h e CCC  the  i t is  and  the  280  entire  community:  Concourse,  Food  Auditorium The each  Services,  Core C e n t r e comprised  of  them i n c l u d i n g to  elderly's  Main  Library,  centres,  by c r e a t i n g  components,  has t o r e s p o n d  s p e c i f i c ambiance. to achieve  this  are:  Location  3.  Food F a i r - D i n i n g  4.  Rehabilitation  of Mail  Fitness  5.  Arts  and C r a f t s  6.  Auditorium  7.  Library  Conclusion  Boxes  (5.4.2) with  & Dancing Club  Swimming P o o l ,  Sauna,  Whirpool,  (5.4.4)  (5.4.5)  and S p e c i a l  Programs  (5.4.5)  (5.9.10)  #S4:  specially  significant  designed F a c i l i t y  contribution  p r o g r a m component  self-esteem  (5.4.1.2.a)  (5.4.1.2.b)  Centre  Bar,  and  and C r a f t s ,  s p e c i a l l y important  2.  This  activity  needs  W i n t e r Garden - C o n s e r v a t o r y  a  Pharmacy,  o f 15 m a j o r f u n c t i o n a l  1.  The  Clinic,  Programs.  several  o f the program f e a t u r e s  objective  Centre,  Food F a i r , A r t s  and I n d o o r R e c r e a t i o n  effectively Some  Rehabilitation  and  integration  a  "therapeutic  ly  frail  provides  creates with  to  an  and g a r d e n p l o t s  well-being  stimulation,  opportunity  the Point  park" designed  the  Common O u t d o o r Space  brings  of the e l d e r l y .  enhances  residents"  for social interaction  G r e y Community.  I t provides f o r  t o meet t h e n e e d s o f t h e p h y s i c a l -  f o r those  interested  in horticulture.  281  Phase 3 o f Scope of In  the  the  last  elaborated  have  and  and  Design  concluded in  Conclusions  Finding  implementated  could  be  and met  providing  patterns.  r e f e r to the  on  the  exists.  Guidelines  by  four  be  phase I have i n v e s t i g a t e d how  constraints  Objective  Options  Evaluation  final  Program can  opportunities  Program  -  Investigation the  fully  Thesis  test site  i n a given  alternative  feasibility  and  what  I  have  Furthermore,  Recommendations  Findings  success-  real  the  o f Program  how  the  situation.  Housing  r e f e r to  on  I  Development  Site  Analysis.  implementation.  #E1:  The  "Federal  provides  a  National  number  of  Defence  Lands",  opportunities  for  the  test  site,  successful  program  Vancouver  Planning  implementation:  1.  Complies  with  the  area  plan  p o l i c y of  the  Department. 2.  E n s u r e s a b e a u t i f u l s e t t i n g and  3.  Is  located  vast  close  to commercial  close  to  land.  o u t l e t s : 4th  Avenue, Alma &  Broadway. 4.  Is  located  Jericho 5.  Is  6.  Is close  7.  Has  r e c r e a t i o n a l amenities:  Tennis Club, Royal Vancouver Yacht  i n proximity  to the  t o p u b l i c bus  a varied  Jericho  Club.  U n i v e r s i t y H o s p i t a l , UBC  Site.  transportation.  topography p r o v i d i n g  magnificent  views.  Beach,  282  8.  Is  a  "green  quantities  Finding  o a s i s " i n the P o i n t Grey Area with s u b s t a n t i a l  o f t r e e s and  shrubs.  #E2:  The  test  overcome  site  i n order  1.  Heavy t r a f f i c  2.  Steep  3.  Need  slope  poses  some  constraints  The  have  t o be  t o implement t h e p r o g r a m s u c c e s s f u l l y : and n o i s e  from 4 t h Avenue.  of the s i t e  i n the southwest  f o r a p e d e s t r i a n overpass  Conclusion  which  area.  t o J e r i c h o Beach  Park.  #E1:  subject  development  site  of  would make a p e r f e c t p l a c e  a facility  f o r seniors. This  site  f o r the future offers  several  advantages such as a l o c a t i o n  i n the core  o f the P o i n t Grey  dential  area,  to shopping  and community s e r v i c e s ,  walking  distance  well  easy  as p r o x i m i t y  Conclusion The  access  to  resi-  p a r k and p u b l i c r e c r e a t i o n a l f a c i l i t i e s  as  t o U.B.C.  #E2:  site  successful  area  (51.47  program  acres)  implementation  is  an  now  excellent and  place f o r  f o r the  future  expansion.  Conclusion The achieve  #E3:  site  and i t s l o c a t i o n  architectural  neighbourhood.  has a g r e a t  character  compatible  potential with  f o r easy t o  the surrounding  283  General Thesis This  Thesis  Continuum real  Conclusion  of  defined social  and  terms health  subject  hypothetical  model  of  program  the  i n the  G r e y Community on t h e s e l e c t e d  test  o f C a r e " e n v i r o n m e n t f o r t h e e l d e r l y has  been  of  a program  care  environment, which c o u l d the  a  i n terms of a f a c i l i t y  of the P o i n t  A "Continuum in  developed  C a r e Complex  situation  site.  has  of housing  services be  site,  as w e l l  as  a v a i l a b l e on one  s u c c e s s f u l l y d e v e l o p e d and  ed  on  may  satisfy  the  e l d e r l y : p h y s i c a l , p h y s i o l o g i c a l and  personal,  site.  That  implement-  a b r o a d r a n g e o f needs f o r sociopsychological.  284  REFERENCES A G e n t l e Echo.  Architectural  Record.  1980, Nov., p.120.  Advance P l a n n i n g and R e s e a r c h f o r A r c h i t e c t u r e , APRA. 1982. F a c i l i t i e s Program f o r t h e George D e r b y Long Term C a r e S o c i e t y! ! V a n c o u v e r , B.C. A g i n g P o p u l a t i o n I n c r e a s e s H o u s i n g P r e s s u r e . The C o u r i e r . V a n c o u v e r : A p r i l 2, 1989. A l e x a n d e r , C h r i s t o p h e r e t a l . 1977. A P a t t e r n L a n g u a g e. York: Oxford U n i v e r s i t y P r e s s . B.C. B.C.  H o s p i t a l Program. 1988. E x t e n d e d l i n e s . V i c t o r i a , B.C.. Regulation  Care Design  New  Guide-  536/80. 1980. Community C a r e F a c i l i t y A c t .  B e r g e r , E . , R. G o d i n , and A.C. H a r v e y . 1986. O l d e r C a n a d i a n s : H o u s i n g M a r k e t C h a r a c t e r i s t i c s and Demand. I n G.M. Gutman and N.K. B l a c k i e e d . A g i n g i n P l a c e Housing A d a p t a t i o n s and O p t i o n s f o r R e m a i n i n g i n tfTe Community. B u r n a b y , B.C. G e r o n t o l o g y R e s e a r c h C e n t r e . Simon F r a s e r U n i v e r s i t y , pp. 49-69. B u r r i s - M a y e r , H a r o l d and E. C o l e . 1 9 7 5 . T h e a t r e s and A u d i t o r iums. New Y o r k : R o b e r t E. K r i e g e r P u b l i s h i n g Co. B u s t a t , L e o K. 1980. A n i m a l s , A g i n g , and Aged. M i n n e a p o l i s : U n i v e r s i t y of Minnesota Press. Canada M o r t g a g e and H o u s i n g C o r p o r a t i o n . f o r O l d e r C a n a d i a n s , NHA 6009.  Housing Choices  C a n a d a M o r t g a g e and H o u s i n g C o r p o r a t i o n . S e l e c t i o n Guide. NHA 5179 83/11  1983. A Home  Canada M o r t g a g e and H o u s i n g C o r p o r a t i o n . Homes and H o s t e l s w i t h C a r e S e r v i c e s D e s i g n G u i d l i n e s . NHA 5267.  1979. N u r s i n g f o r the E l d e r l y :  C a n a d i a n M e d i c a l A s s o c i a t i o n . 1987. H e a l t h C a r e f o r t h e E l d e r l y : T o d a y ' s C h a l l e n g e s , Tomorrow's O p t i o n s T D e p a r t m e n t o f C o m m u n i c a t i o n s and Government R e l a t i o n s , Canadian Medical A s s o c i a t i o n .  285 C a r p , F r a n c e s . 1987. The Impact o f P l a n n e d H o u s i n g . I n R e g n i e r , V. and J . Pynoos. e d . H o u s i n g t h e Aged: D e s i g n D i r e c t i v e s and P o l i c y C o n s i d e r a t i o n s . E l s v i e r S c i e n c e P u b l i s h i n g C o . , I n c . pp"! 57-79. C a r s t e n s , D i a n e Y. 1985. S i t e P l a n n i n g and D e s i g n f o r t h e E l d e r l y - I s s u e s , G u i d e l i n e s and A l t e r n a t i v e s . Mew Y o r k : Van N o s t r a n d R e i n h o l d Co. C e n t r e f o r C o n t i n u i n g E d u c a t i o n . 1986. H o u s i n g I n f o r m a t i o n f o r t h o s e A p p r o a c h i n g R e t i r e m e n t . V a n c o u v e r , U.B.C. Champagne J.R., and S. B r i n k . 1985. B u i l d i n g P r a c t i c e D e s i g n i n g Homes f o r t h e Aged. N a t i o n a l Research C o u n c i l , Canada.  Note:  City  P l a n n i n g Department. 1979. U n d e r s t a n d i n g V a n c o u v e r ' s H o u s i n g , P a r t I V ( a ) : " A f f o r d a b l e H o u s i n g " Who R e q u i r e s Assistance? Vancouver C i t y H a l l .  CJP  A r c h i t e c t s C a l b e r g J a c k s o n P a r t n e r s . 1987. S t . V i n c e n t ' s E x t e n d e d C a r e H o s p i t a l - Space Program.  C l u f f , Pamela. 1978. H o u s i n g f o r t h e E l d e r l y . In Carter N o v i a e d . A g i n g i n Canada. E a t o n H a l l , K i n g S e n e c a College, Ontario, Oct. De C h i a r a , J . and J . C a l l a n d e r . 1980. Time S a v e r f o r B u i l d i n g T y p e s . New Y o r k : M c G r o w - H i l l .  Standards  De C h i a r a J . and Lee Koppelman. 1978. S i t e P l a n n i n g S t a n d a r d s . New Y o r k : M c G r o w - H i l l . E r n s t & Whinney. 1987. C o n t i n u i n g C a r e R e t i r e m e n t C o m m u n i t i e s : An I n d u s t r y i n A c t i o n T W a s h i n g t o n , AAHA P u b l i c a t i o n s .  DC:  G a r d i n e r T h o r n t o n P a r t n e r s h i p , The. 1975. S t . M i c h a e l ' s C e n t r e F u n c t i o n a l and Space Program. . 1970. B u r n a b y Expansion.  General Hospital  Program f o r  Gaskie, Margaret. 1988. A l i t t l e H e l p : H o u s i n g f o r t h e A g i n g . A r c h i t e c t u r a l R e c o r d , A p r i l : pp. 98-106. G r e e n , I s a a c e t a l . 1974. H o u s i n g f o r t h e E l d e r l y D e v e l o p ment P r o c e s s . The M i c h i g a n S t a t e H o u s i n g D e v e l o p m e n t Authority. G r e e n , K e v i n W. Technology,  1985. D e s i n g f o r A g i n g . pp.34-37.  Architectural  286 G r u f f y d d , B o d f a n . 1967. L a n d s c a p e A r c h i t e c t u r e f o r New H o s p i t a l s . K i n g Edward's H o s p i t a l Fund f o r London. Gutman, G l o r i a M. 1976. S e n i o r C i t i z e n ' s H o u s i n g S t u d y R e p o r t No.2; A f t e r t h e Move - A S t u d y o f R e a c t i o n t o M u l t i and U n i - L e v e l Accommodation f o r S e n i o r s . V a n c o u v e r , B.C.: U n i v e r s i t y o f B r i t i s h C o l u m b i a . . 1983. The Long Term Impact o f M u l t i - l e v e l , M u l t i - s e r v i c e Accommodation f o r S e n i o r s . SFU: Gerontology Centre. . 1988. Continuum o f C a r e R e t i r e m e n t C o m m u n i t i e s i n t h e C a n a d i a n C o n t e x t : a Note o f CautionT P a p e r p r e s e n t e d a t t h e CMHC N a t i o n a l Conference "Options: Housing f o r Older Canadians" H a l i f a x , O c t o b e r 17-20 . 1988. F o c u s Group S t u d y o f S e n i o r s ' R e a c t i o n s t o New V i s t a ' s Community C o n c e p t . SFU: G e r o n t o l o g y Research Centre. , e d . 1982. Canada's C h a n g i n g Age S t r u c - t u r e : I m p l i c a t i o n f o r t h e Future"! B u r n a b y , B.C.: Simon Fraser University. Gutman, G l o r i a M. and Norman K. B l a c k i e e d . 1986. A g i n g i n P l a c e , H o u s i n g A d a p t a t i o n s and O p t i o n s f o r R e m a i n i n g i n t h e Community. B u r n a b y , BC: G e r e n t o l o g y R e s e a r c h C e n t r e , Simon F r a s e r U n i v e r s i t y . Gutman, G., S. M i l s t e i n , and V. D o y l e . 1987. A t t i t u d e s o f S e n i o r s t o S p e c i a l R e t i r e m e n t Housing, L i f e Tenancy A r r a n g e m e n t s and O t h e r H o u s i n g O p t i o n s ! Canada M o r t g a g e and H o u s i n g C o r p o r a t i o n , November. GVRHD, E x t e n d e d C a r e Subcommittee. June 1987. Regional G e r i a t r i c Care P l a n n i n g Model f o r t h e G r e a t e r Vancouver Regional Hospital District"! H a u s j a r v i H e a l t h C e n t r e and O l d P e o p l e ' s Home D e s i g n C o m p e t i t i o n . A r k k i t e h t u u r i k i l p a i l u j a . 1987, 2, pp. 17-18. H o g l a n d , D a v i d J . 1985. H o u s i n g f o r t h e E l d e r l y : P r i v a c y and I n d e p e n d e n c e i n E n v i r o n m e n t s f o r t h e A g i n g . New Y o r k : Van N o s t r a n d R e i n h o l d Co. J o r d a n , J o e . 1978. S e n i o r C e n t e r D e s i g n . W a s h i n g t o n D.C.: The N a t i o n a l C o u n c i l on t h e A g i n g . K a t c h n e r , A a r o n H. 1982. A r e Companion A n i m a l s Good f o r Y o u r H e a l t h . A g i n g , ( S e p t . - O c t . ) , Nos 3 3 1 — 3 3 2 , 2-8.  287 K o n c e l i k , J o s e p h A. 1976. D e s i g n i n g t h e Open N u r s i n g Home. S t r o u d s b u r g , P e n n s y l v a n i a : Dowden, H u t c h i n s o n & Ross Inc. K o t i l a i n e n , H e l i . 1987. More Human H e a l t h F a c i l i t i e s . R e s u l t s o f an A r c h i t e c t u r a l C o m p e t i t i o n . World H o s p i t a l s , v o l . X X I I I , Nos. 3 & 4, O c t o b e r . L a w t o n , P o w e l l M. 1986. E n v i r o n m e n t and A g i n g . York: Center f o r t h e Study o f Aging.  A l b a n y , New  McAfee A., and L. D o n e g a n i . 1985. E l d e r l y Homeowners and Family Housing. Q u a r t e r e l y Review ( 1 2 , 4 ) , O c t o b e r , pp.6-8. Mecca V e n t u r e s I n t e r n a t i o n a l L t d . 1988-1989. Community Resource D i r e c t o r y f o r S e n i o r s . Westbound P u b l i s h i n g House L t d . M u r r a y , C h a r l o t t e . 1989. S u p p o r t i v e H o u s i n g f o r S e n i o r s : the E l e m e n t s and I s s u e s " f o r a C a n a d i a n M o d e l . R e s e a r c h D i v i s i o n Canada M o r t g a g e and H o u s i n g C o r p o r a t i o n . Northwood M u l t i - P u r p o s e C e n t r e , P h y s i c a l F a c i l i t i e s L i s t . H a l i f a x , Nova S c o t i a . P a l m e r , M i c k e y . 1981. The A r c h i t e c t s ' gramming. The A m e r i c a n I n s t i t u t e York.  Data  Guide t o F a c i l i t y Proo f A r c h i t e c t u r e , New  P a s t a l a n , L e o n A. 1984, e d . R e t i r e m e n t C o m m u n i t i e s : An American O r i g i n a l . New Y o r k : The Haworth P r e s s . P a t r i c , Thomas. 1971. S e l e c t e d R e h a b i l i t a t i o n F a c i l i t i e s i n the U n i t e d S t a t e s . W a s h i n g t o n D.C.: U.S. D e p a r t m e n t o f H e a l t h , E d u c a t i o n and W e l f a r e . P r i e s t , Gordon E . 1985. L i v i n g A r r a n g e m e n t s o f Canada's E l d e r l y : C h a n g i n g Demographic and E c o n o m i c F a c t o r s . B u r n a b y , B.C.: G e r e n t o l o g y R e s e a r c h C e n t r e , Simon Fraser University. P u t s e p , E r v i n . 1979. Modern H o s p i t a l - I n t e r n a t i o n a l P l a n n i n g P r a c t i c e s . London: L l o y d - L u k e L t d . Rebalski, Nick. 1988. Z o n i n g f i g h t s p a r k s f e a r o f s e n i o r s ' h o u s i n g s h o r t a g e . The V a n c o u v e r Sun, S e p t e m b e r 17. R e g i o n a l G e r i a t r i c Care P l a n n i n g Model f o r t h e G r e a t e r V a n c o u v e r R e g i o n a l H o s p i t a l D i s t r i c t . 1987. E x t e n d e d C a r e Subcommittee o f t h e GVRHD, J u n e .  288 R e g n i e r V i c t o r and J o n Pynoos. 1987. H o u s i n g t h e Aged: D e s i g n D i r e c t i v e s and P o l i c y C o n s i d e r a t i o n s . New Y o r k : E l s e r v i e r S c i e n c e P u b l i s h i n g Co. R e i z e n s t e i n Carpman, J a n e t e t a l . 1986. American H o s p i t a l A s s o c i a t i o n .  Design that  R o g e r s , Maureen H. 1987. Northwood I n c o r p o r a t e d A S t u d y i n Community D e v e l o p m e n t . R e s e a r c h P a p e r - E d u c a t i o n 7974B. D a l h o u s i e U n i v e r s i t y , March. Rush, R i c h a r d . The Age o f t h e A g i n g . t e c t u r e , No. 8, 1981, pp. 59-63.  Progressive  Cares. Case  Archi-  S e a t o n , R i c h a r d W. and M i r u n l i n i R a j a n . 1987. Review o f age - sex - s p e c i f i c c h a r a c t e r i s t i c s o f t h e C a n a d i a n population. Unpublished d r a f t . Shack, J o e l and G. F r i e d m a n . 1977. R e s i d e n t i a l Open Space D e s i g n Manual. P r e p a r e d f o r the C i t y of T o r o n t o Housing D e p a r t m e n t , November. T a t e , Jeremy. 1987. Long Term C a r e F a c i l i t i e s O v e r v i e w and Trends. Prepared f o r Retirement Housing Course H e l d O c t o b e r 29,1987. The U n i v e r s i t y o f B r i t i s h C o l u m b i a , Centre f o r Continuing Education. T a y l o r , S y l v i a , ed. 1978. H o r t i c u l t u r e as T h e r a p y . T e c h n i c a l B i u l e t y n No. 9, O c t o b e r . The B o t a n i c a l G a r d e n : The U n i v e r s i t y o f B r i t i s h C o l u m b i a . Unger, H a r l o w . 1988. U n i v e r s i t y towns show b u i l d i n g C a n a d i a n B u i l d i n g , J a n u a r y - F e b r u a r y , p. 3.  boom.  Welch, P o l l y , V. P a r k e r and J . Z e i s e l . 1984. Independence Through Interdependence Congregate L i v i n g f o r O l d e r P e o p l e . Bostolil Department of E l d e r A f f a i r s . Vancouver 1986.  H e a l t h Department, C o n t i n u i n g Care D i v i s o n . Annual Report. Vancouver C i t y H a l l .  Z e i s e l , J o h n . 1977. Low R i s e H o u s i n g F o r O l d e r P e o p l e . W a s h i n g t o n D.C.: U.S. Government P r i n t i n g O f f i c e . Z e l v e r , A l v i n . 1976. Model f o r P l a n n i n g a S p e c i a l N e i g h b o u r hood. I n Lawton, P o w e l l e d . Community P l a n n i n g f o r an A g i n g S o c i e t y . P e n n s y l v a n i a : Dowden, H u t c h i n s o n & Ross I n c . pp. 200-220.  289  APPENDIX #0-1 P r o v i n c e of B r i t i s h Columbia, M i n i s t r y of Health C o n t i n u i n g Care D i v i s i o n Long-Term C a r e P r o g r a m Care L e v e l  Definitions  L e v e l s o f Care The c l a s s i f i c a t i o n s y s t e m u s e d by t h e Long-Term C a r e p r o g r a m t o describe individuals with similar t y p e s o f h e a l t h c a r e needs consists o f t h r e e major groupings - P e r s o n a l Care, Intermediate Care, and E x t e n d e d Care. W i t h i n these groupings, Intermediate Care h a s been f u r t h e r d i v i d e d i n t o l e v e l s I , I I , and I I I . T h e s e care levels move i n a p r o g r e s s i o n from l i g h t e r c a r e r e q u i r e ments o f P e r s o n a l Care, through the I n t e r m e d i a t e Care l e v e l s t o the heavier care requirements of Extended Care. Briefly summarized, t h e c a r e l e v e l s a r e : P e r s o n a l Care This l e v e l o f c a r e r e c o g n i z e t h e i n d i v i d u a l who i s i n d e p e n d e n t ly mobile, with o r w i t h o u t m e c h a n i c a l a i d s , and whose p r i m a r y need i s f o r minimal non-professional s u p e r v i s i o n and / o r assistance with the a c t i v i t i e s of d a i l y l i v i n g f o r the purpose of achieving or maintaining maximum p e r s o n a l i n d e p e n d e n c e i n everyday activities. Intermediate Care The three Intermediate C a r e l e v e l s b u i l d on t h e P e r s o n a l C a r e level and r e c o g n i z e a need f o r c a r e p l a n n i n g and s u p e r v i s i o n under t h e d i r e c t i o n o f a h e a l t h c a r e p r o f e s s i o n a l by i n t r o d u c ing a combination o f p r o f e s s i o n a l and n o n - p r o f e s s i o n a l ( l a y ) supervision. This professional supervision i s r e q u i r e d on a daily rather than a t w e n t y - f o u r hour b a s i s . I n d i v i d u a l s a t t h e Intermediate Care levels are ambulant with or without mechanical a i d s . Intermediate Care I T h i s l e v e l o f c a r e r e c o g n i z e s t h e i n d i v i d u a l who i s i n d e p e n d e n t ly mobile with o r w i t h o u t m e c h a n i c a l a i d s , r e q u i r e s moderate assistance with the a c t i v i t i e s of d a i l y living, and who r e q u i r e s d a i l y p r o f e s s i o n a l care and/or s u p e r v i s i o n . Intermediate Care I I This level o l care recognizes heavier care r e q u i r i n g a d d i t i o n a l care time.  and/or s u p e r v i s i o n  Intermediate Care I I I This level of care primarily recognize t h e i n d i v i d u a l who exhibits severe b e h a v i o u r a l d i s t u r b a n c e s on a c o n t i n u i n g b a s i s  290  and who p r e s e n t s a s i g n i f i c a n t mangement p r o b l e m . This level also recognize t h e i n d i v i d u a l who h a s v e r y h e a v y care requirements which reqire significant staff time to manage. In both instances, this level of care requires considerable supervision and/or a s s i s t a n c e under the d i r e c t i o n of a health care p r o f e s s i o n a l . Extended Care This level of care recognize the person with a severe chronic disability which has u s u a l l y produced a functional deficit which requires twenty-four hour a day p r o f e s s i o n a l n u r s i n g services and c o n t i n u i n g medical supervision, b u t does n o t require a l l the resources o f an a c u t e c a r e h o s p i t a l . Most persons at this level of care have a l i m i t e d p o t e n t i a l f o r rehabilitation and o f t e n require institutional care on a permanent b a s i s .  291  APPENDIX #0-2 Analysis of the e x i s t i n g f a c i l i t i e s f o r the e l d e r l y d i f f e r e n t l e v e l s o f dependency.  with  The  f a c i l i t i e s are:  1.  PARKWOOD MANOR - C o n g r e g a t e House ( H o t e l Type) - P e r s o n a l C a r e , C o q u i t l a m , B.C. - c a s e s t u d y .  2.  HOLLYBURN Facility,  3.  EXTENDED CARE UNIT OF UNIVERSITY HOSPITAL, UBC S I T E , V a n c o u v e r , B.C. - c a s e s t u d y .  4.  SOUTH GRANVILLE PARK LODGE, V a n c o u v e r , B.C. - P e r s o n a l and I n t e r m e d i a t e Care F a c i l i t y - case study.  5.  MOTION PICTURE AND TELEVISION COUNTRY HOUSE AND HOSPITAL i n Woodland H i l l s , C a l i f o r n i a - M u l t i l e v e l C a r e F a c i l i t y .  6.  REGENTS POINT, S o u t h e r n C a l i f o r n i a P r e s b y t e r i a n Homes M u l t i l e v e l Care F a c i l i t i e s .  7.  SAN RAPHAEL COMMONS, San R a p h a e l , C a l i f o r n i a Independent L i v i n g Housing.  8.  ST. MICHAEL'S CENTRE, B u r n a b y , Extended Care F a c i l i t i e s .  9.  NORTHWOOD MULTI-PURPOSE COMPLEX, H a l i f a x ,  HOUSE - P e r s o n a l C a r e and I n t e r m e d i a t e C a r e N o r t h V a n c o v u e r , B.C. - c a s e s t u d y .  10. KOPERNIK LODGE - P e r s o n a l B.C.  B.C. - I n t e r m e d i a t e a n d Nova  Scotia.  and I n t e r m e d i a t e C a r e ,  11. SETON V I L L A , N o r t h B u r n a b y , Personal Care. 12. SUNNY MANOR, White mediate Care.  - the  B.C. - I n d e p e n d e n t  Rock, B.C. - I n d e p e n d e n t  Vancouver,  L i v i n g and  Living  and I n t e r -  292  APPENDIX List  of people  Interviewed  on  the  #0-3 s u b j e c t o f my  thesis:  1.  C i t y of Vancouver, Vancouver Health Mrs. B a r b a r a P a r s o n , R e h a b i l i t a t i o n Care D i v i s i o n .  Department: Consultant Continuing  2.  C i t y of Vancouver, P l a n n i n g Department: Mr. K e r i H u h t a l a , S e n i o r P l a n n e r Mr. J o h n W i n s o r , S e n i o r P l a n n e r .  3.  C i t y of Vancouver, T r a n s p o r t a t i o n Branch, E n g i n e e r i n g Mr. Ron S l e t t ,  4.  I n t e r n a t i o n a l Care C o r p o r a t i o n - I n t e r c a r e Mr. W a l t e r S t e i n i n g e r , V i c e P r e s i d e n t .  5.  BC L o n g Term C a r e A s s o c i a t i o n : Mrs. L i l i a n M o r e t o n , E x e c u t i v e D i r e c t o r .  6.  V a n c o u v e r West S i d e H e a l t h D e p a r t m e n t : Ms. L e s l i e T y l o r , C o o r d i n a t o r .  7.  West End H e a l t h S e r v i c e C e n t r e : Ms. Bev M a r s h a l l , N u r s e i n r e s i d e n t i a l T o w e r s , 1655 B a r c l a y S t r e e t ) .  care  8.  S o u t h G r a n v i l l e P a r k Lodge - PC and Mr. Ed Z i n k e v i c h , A d m i n i s t r a t o r .  9.  S t . M i c h a e l ' s C e n t r e - IC and EC F a c i l i t y Mr. G e r a l d H e r k e l , E x e c u t i v e D i r e c t o r . Mr. M i c h a e l G a r r e t t , A r c h i t e c t - G a r d i n e r Architects.  facility  IC F A c i l i t y  Dept.:  (Sunset  i n Vancovuer:  i n Burnaby: Thornton  10.  B r o c k House S o c i e t y - D a y - t i m e A c t i v i t y C e n t r e P o i n t Grey: Mrs. I r e n e Ovenden, E x e c u t i v e C o o r d i n a t o r .  11.  H o l l y b u r n House - PC and IC F a c i l i t y i n N o r t h V a n c o u v e r : Mr. A l e x C o r u t h - L a i n g P r o p e r t y L t d . , Mr. J . D o l l , A r c h i t e c t - N e a l e , S t a n i s z k i s , D o l l A r c h i t e c t s Mr. Kim P e r r y , L a n d s c a p e A r c h i t e c t .  12.  Parkwood Manor - C o n g r e g a t e House i n C o q u i t l a m : Mr. S t u L y o n , A r c h i t e c t - Waisman Dewar G r o u t C a r t e r Architects. Mr. R a n d a l l S h a r p , L a n d s c a p e A r c h i t e c t .  13. K o p e r n i k L o d g e : Ms. I r e n a D o n l o n , A d m i n i s t r a t o r . Mrs. Hanna Freyman, R e s i d e n t .  for Seniors  in  293  APPENDIX 14.  #0-3  U n i v e r s i t y H o s p i t a l , UBC S i t e , E x t e n d e d C a r e U n i t : Ms. Rose Murakami, A s s i s t a n t A d m i n i s t r a t o r and C h i e f Officer. Ms. June Nakamoto, D i r e c t o r N u r s i n g S e r v i c e s . Mrs. K a r e n V a g e l a t o s , L a n d s c a p e A r c h i t e c t .  15. S e t o n V i l l a - PC Mrs. Donna K e r r ,  and I L F a c i l i t y Administrator.  i n North  16. S u n n y s i d e Manor - IC and I L F a c i l i t y Mr. J . W h i t e , Owner.  White  Nursing  Burnaby: Rock:  17. Mr. & Mrs. L e o n and D i a n e K o w a l c z y k - s e n i o r r e s i d e n t s i n t h e P o i n t G r e y a r e a and s e v e r a l s e n i o r c i t i z e n s i n V a n c o u v e r . 18. B r i t i s h C o l u m b i a H o u s i n g Management Mrs. Donna M c R i r i c k , Coordinator.  Commission  294  APPENDIX  and  #0-4  Existing  Legislation  Guidelines:  1.  B.C.  Reg.  2.  Hospital Hospital  3.  O c c u p a t i o n a l Environment Board of B r i t i s h Columbia,  4.  Housing the t i o n , 1983.  5.  N u r s i n g Homes and H o s t e l s w i t h C a r e S e r v i c e s f o r t h e E l d e r l y Design guidelines, Canada M o r t g a g e and H o u s i n g C o r p o r a t i o n , 1979.  6.  Housing Advisory  7.  Housing for Corporation,  8.  BCMHC Design A p p e n d i x 2.  536/80 Community C a r e F a c i l i t y  Act.  f o r Extended Care: A Program and D e s i g n P r o g r a m s , M i n i s t r y o f H e a l t h , V i c t o r i a , B.C.,  Elderly,  R e g u l a t i o n s , Workers' Richmond, B.C. 1974.  Canada  Mortgage  Compensation  and H o u s i n g C o r p o r a -  an A g i n g P o p u l a t i o n , Government o f Canada, C o u n c i l on A g i n g , 1987. Elderly 1987.  People,  Guidelines  for  Canada Family  Guide, 1989  Mortgage and  and  Senior  National Housing Housing  APPENDIX  #2-1  1.  HOUSING CONDITIONS The s t a t i s t i c a l d a t a r e p o r t e d below i s b a s e d on t h e r e s e a r c h paper "Review o f age - sex - s p e c i f i c c h a r a c t e r i s t i c o f t h e Canadian population" R.W. S e a t o n and M.Rajan, 1987 ( u n p u b l i s h e d draft). CANADA (1982) S e n i o r C a n a d i a n s a r e homeowners: 65% o f t h e h o u s e h o l d s heads aged 65 and o v e r own t h e i r homes 75% o f a l l men aged 65 and o v e r own t h e i r homes 50% o f a l l women aged 65 and o v e r own t h e i r homes As t h e age i n c r e a s e s p a s t 65 homeownership d r o p s : 56% o f s e n i o r s aged 80 and o v e r own t h e i r homes B u t a mortgage d e c l i n e s a s age a d v a n c e s : 95% o f heads aged 80 and o v e r had p a i d o f f t h e i r m o r t g a g e s . B. D w e l l i n g T y p e s : 75% o f a l l homeowners have a s i n g l e f a m i l y d e t a c h e d home. 60% o f a l l s e n i o r s l i v e i n s u c h above n o t e d homes 12% o f t h e e l d e r l y l i v e i n a p a r t m e n t s (5 s t o r e y s and more) 25% o f t h e e l d e r l y l i v e i n m u l t i p l e d w e l l i n g s 3% a s above i n m o b i l e homes C. C o l l e c t i v e H o u s i n g : (1981) 20% of" women aged 75 and o v e r : s i n g l e women t h e l a r g e s t group 13% o f t h e men as above P a s t t h e age 65: 79% o f women and 73% o f men l i v i n g i n c o l l e c t i v e d w e l l i n g s l i v e d i n n u r s i n g homes P a s t t h e age 75: 80% of both sexes l i v i n g i n c o l l e c t i v e dwellings l i v e d i n n u r s i n g homes BRITISH COLUMBIA: (1981) A. Home O w n e r s h i p : 66% o f t h e e l d e r l y owned t h e i r homes As t h e age i n c r e a s e s past 65 - home o w n e r s h i p d r o p s b u t even then 56.5% o f s e n i o r s 75 and o v e r own t h e i r homes. B. D w e l l i n g Types: 56% of household headed by p e r s o n aged 65 and o v e r have a s i n g l e f a m i l y detached d w e l l i n g 22% a s above l i v e i n a p a r t m e n t b l d g ( l e s s t h a n 5 s t o r e y ) 11% a s above l i v e i n a p a r t m e n t b l d g ( h i g h r i s e ) 5.5% a s above: i n m u l t i p l e h o u s i n g 5.5% a s above: i n m o b i l e homes Note: i n t h e p e r i o d 1971 t o 1981: t h e % o f BC e l d e r l y p o p u l a t i o n 65 and o v e r l i v i n g i n s i n g l e d e t a c h e d d w e l l i n g s d e c r e a s e d from 64.6% t o 56.2%. One o f t h e r e a s o n s was t h e i n c r e a s e i n t h e s t o c k o f m u l t i p l e and a t t a c h e d d w e l l i n g s ( c o n d o m i n i u m s ) .  A.  2.  INCOME LEVELS  296  CANADA (1980) V a r i a t i o n o f income l e v e l s between m a l e s and f e m a l e s : 65-69 age group: t h e median income f o r m a l e s was more t h a n twice that f o r females 70 and o v e r : medium income f o r m a l e s : $ 3,792 as above f o r f e m a l e s : $ 2,659 However, considering the flow of non-cash b e n e f i t s per person ( e . g . h o u s i n g ) i t i s much g r e a t e r t o f e m a l e s t h a n m a l e s . Result: money income a l o n e do n o t p r o v i d e an a d e q u a t e b a s i s f o r comparison. B. F a m i l y Incomes: (1981) 50% o f f a m i l i e s h e a d e d by p e r s o n aged 65 and o v e r had income under $ 15,000 (median income for this g r o u p ) Non-cash benefits, such as senior citizen d i s c o n t s and s u b s i d i z e d housing and health care, contribute to the economic well-being o f many s e n i o r c i t i z e n s , however o l d e r u n a t t a c h e d individuals (those l i v i n g alone) are e s p e c i a l l y i n d i f f i c u l t financial position: 57%of them had income l e s s t h a n $ 7,000. BRITISH COLUMBIA: (1980) 54% of families headed by person aged 65 and o v e r had i n c o m e s u n d e r $ 15,000 69.3% of older unattached p e r s o n s had incomes l e s s t h a n $ 8,000 75% o f above g r o u p a r e f e m a l e s A.  3.  RESOURCES AND SERVICES AVAILABLE TO THE SENIORS. In" o r d e r to depict the full p i c t u r e of the contemporary elderly, i t is necessry to review briefly the available resources and services as a suplement to the previously d e s c r i b e d : H o u s i n g c o n d i t i o n s and income l e v e l s . As an example, I have s e l e c t e d t h e e x i s t i n g s e n i o r p r o g r a m s , a v a i l a b l e t o t h o s e living in West S i d e V a n c o u v e r (Community R e s o u r c e D i r e c t o r y f o r S e n i o r s , Summer 1988-1989). A. H e a l t h R e s o u r c e s and H e a l t h A s s i s t a n c e : T~. Medical Services Plan o f BC: c o v e r s most m e d i c a l , s u r g i c a l and d i a g n o s t i c s e r v i c e s 2. Hospital Care: in-patient, out-patient, day and emergency treatment 3. Pharmacare: seniors pay 75% o f d i s p e n s i n g f e e s ; P h a r m a c a r e card i s u s e d t o o b t a i n : p r e s c r i p t i o n d r u g s , ostomy s u p p l i e s , i n s u l i n , permanent p r o s t h e t i c a p p l i a n c e s 4. - Long-Term C a r e P r o g r a m : p r o v i d e s f o r c a r e i n : - own home - intermediate care u n i t - a d u l t day c a r e c e n t r e - extended care u n i t service include: Homemaker Service: in senior's own home ( a s s i s t a n c e w i t h daily activities) Respite Care: r e l i e f s e r v i c e f o r care g i v e r A d u l t day C a r e : s u p e r v i s i o n o f h e a l t h needs r e s i d e n t i a l Care S e r v i c e s : care f a c i l i t i e s  297 5.  6. 7. 8. B. T~.  2.  3. 4. 5. 6.  7. C. T"! 2. 3. 4. 5. 6. 7. D. T~.  Home C a r e : Nursing S e r v i c e s - p r o f e s s i o n a l nursing care P h y s i o t h e r a p y S e r v i c e s : due t o c h r o n i c h e a l t h c o n d i t i o n O t h e r e.g. : S p e e c h T h e r a p y Home S u p p o r t S e r v i c e s : Meals-on-wheels S h o r t S t a y A s s e s s m e n t and T r e a t m e n t C e n t r e s V e t e r a n s I n d e p e n d e n t Program Housing Resources: Social Housing resources: (average r e n t s l e s s t h a n 30% o f g r o s s h o u s e h o l d income) A f f o r d a b l e Housing Advisory A s s o c i a t i o n B.C. H o u s i n g F o u n d a t i o n B.C. H o u s i n g Management C o m m i s s i o n Canada M o r t g a g e and H o u s i n g C o r p o r a t i o n Co-operative Housing: members owing s h a r e o f t o t a l p r o j e c t not i n d i v i d u a l u n i t s Access B u i l d i n g A s s o c i a t i o n A f f o r d a b l e Housing Advisory A s s o c i a t i o n Canada M o r t g a g e and H o u s i n g C o r p o r a t i o n Columbia Housing Advisory A s s o c i a t i o n Inner C i t y Housing S o c i e t y Lowermainland Community Housing Registry Society non-profit society helping people find reasonable accomodation Residential Tenancy Branch - P r o v i n c i a l agency housing provincial jurisdiction over rented r e s i d e n t i a l premises i n B.C. Shelter A i d f o r E l d e r l y Renters - t o a s s i s t e l i g i b l e seniors with high rents Programs h e l p i n g s e n i o r t s t o s t a y i n t h e i r own homes: a. Home Equity Plans: homeowners can r e c e i v e monthly income b a s e d on a s s e s s e d v a l u e o f t h e i r house b. Property Tax D e f e r r a l : u n t i l p r o p e r t y i s t r a n s f e r r e d o r sold c. RRAP ( R e s i d e n t i a l R e h a b i l i t a t i o n Assistance): grants o r loans t o low income seniors requiring residential repairs d. Home S u p p o r t S e r v i c e s Senior Citizen's Repair Services: Low-cost minor home repairs F e d e r a l Government Income R e s o u r c e s : O l d Age S e c u r i t y P e n s i o n : a l l C a n a d i a n s o v e r 65 G u a r a n t e e d Income S u p p l e m e n t : i n a d d i t i o n t o ( 1 ) . S p o u s e ' s A l l o w a n c e t o O l d Age S e c u r i t y P e n s i o n C a n a d a P e n s i o n P l a n : f o r t h o s e who c o n t r i b u t e d t o t h e P l a n . Unemployment I n s u r a n c e . Government o f BC: G.A.I.N. Guarnateed Available Income f o r Need: age b e n e f i t s t o s e n i o r s l i v i n g i n BC (age 60 & o v e r ) . S.A.F.E.R. - S h e l t e r A i d f o r E l d e r l y R e n t e r s ( s e e 1 3 . 5 ) . Organizations for Seniors: B.C. S e n i o r s ' Games: organizing t h e s e n i o r s ' games on an annual b a s i s .  298  2. 3. 4. 5. 6. E. 1. 2. 3. 4. 5. 6. 7.  B.C. Old Age P e n s i o n e r s O r g a n i z a t i o n : p o l i t i c a l and s o c i a l activities. British Pensioners A s s o c i a t i o n (Canada): B r i t i s h p e n s i o n e r s r e s i d e n t i n Canada. C o u n c i l o f S e n i o r C i t i z e n O r g a n i z a t i o n s (COSCO). S e n i o r C i t i z e n s A s s o c i a t i o n o f B.C.: s o c i a l & business. Royal Canadian Legion: a c t i v e i n the w e l f a r e of i t s s e n i o r members. Senior Centres: 411 S e n i o r ' s C e n t r e S o c i e t y ; 411 Dunsmuir S t . The B r o c k House S o c i e t y : 3875 P o i n t G r e y Rd. DERA S e n i o r C i t i z e n C l u b : 9 E. H a s t i n g s S t . The E l d e r s ' Network: #105-2182 W. 12th Ave. K i t s i l a n o N e i g h b o u r h o o d House: 2325 W. 7 t h Ave. South G r a n v i l l e Seniors Friendsip C e n t r e S o c i e t y : 1420 W. 12th Ave. West Point Grey Community C e n t r e a t A b e r t h a n : 4397 W. 2nd Ave.  299  APPENDIX #5-1  Independent L i v i n g  NAME OF HOUSING | No. OF 1 UNIT 1 TOTAL Group 1: AVONDALE CO-OP /SURREY/ CEDAR CO-OP /SURREY/ G r o u p 2: REGENT POINT /CALIFORNIA/ HOLLYBURN HOUSE /WEST VANCOUVER/ SUNNYSIDE MANOR /WHITE ROCK/ PARKWOOD MANOR /COQUITLAM/ SAN RAFAEL COMMONS / C A L I F . / SETON V I L L A /BURNABY/  T a b l e 5-1A H o u s i n g -- C o m p e r a t i v e A n a l y s i s Type o f U n i t s | UNIT TYPES,NUMBER AND MIX PER CENTAGE  1  1  1  j BACHELOR j 1 BED | 1 BED+DEN  --  70 84  136 66  8(12.2%)  36(26%) a 58(43%) b 42(63.6%) 31(41.9%)  74  81  36(44.4%)  45(55.6%)  77  14(18%)a 28(36% )b 7(10% )c  14(18%)a 14(18%)b  Group 3: MAYFAIR HOUSE 81 CONDO /P.GREY AREA/ THE CUMBERLAND 50 CONDO /P.GREY AREA/  --  35(44%)  | 2 BED  18 ( 2 5 % )  52(75%)  34 (405)  50(60%)  42(31%) 8(12.2% ) 2 7 ( 3 6 . 5 % )a 16(21.6% )b  115(93%)  123  1  --  —  — — 8(7%)  46(56%) 50(100%)  300 APPENDIX  Independent  Living  Table 5-1B H o u s i n g -- C o m p a r a t i v e Size of Units  1  NAME OF HOUSING  AVOHDALE CO-OP CEDAR CO-OP Group  ||  BACHELOR  |  1  m2  |  49  PARKWOOD MANOR SAN RAFAEL  46. 5  SETON VILLA  33 36 44.5  Group  3  THE CUMBERLAND  1 BED  | 1 BED+DEN |  m2  m2  1  a b c  48 57 58 45  a b  57 58 55 54 60 50 63  a b c a b a b  71  |  84 83  —  —  2  MAYFAIR HOUSE  Analysis  SIZE OF UNITS  REGENT POINT HOLLYBURN HOUSE SUNNYSIDE MANOR  #5-1  2  BED m2  87 84 86  62  64 60  a b  80 "*** "~~  61  106 144 108 133 156  a b a b c  301 APPENDIX  The  Extended  C a r e U n i t o f UBC  #5-2  Health  Science  Hospital  A r c h i t e c t - Paul Smith A s s o c i a t e s Landscape A r c h i t e c t - T o r r e n c e / V a g e l a t o s L t d . Paul Smith A s s o c i a t e s . 1.  Site  and  context  The Extended Care Unit i s l o c a t e d i n the group of m e d i c a l buildings in the central p a r t o f t h e UBC Campus. The m e d i c a l facilities are bounded from East by W e s t b r o o o k M a l l and f r o m North by the main entrance route - U n i v e r s i t y Boulevard. The facility is located i n t h e s o u t h e r n p a r t o f t h e complex and t o the north there i s an adjacent Acute Care U n i t , t o the E a s t there i s a neighboring Psychiatric Unit. To t h e S o u t h t h e f a c i lity looks to a huge open s p a c e w h i l e t o t h e West t h e r e i s a Health Science M a l l . 2.  General  Space  Concept  The five s t o r e y b u i l d i n g c o m p r i s e s t h r e e ward w i n g s and t h e central part with t h e main common s p a c e i n c l u d i n g n u r s i n g s t a tion, l o u n g e s , and t h e a u x i l i a r y f a c i l i t i e s . On t h e G r o u n d f l o o r level there are lounges and a space f o r p h y s i o t h e r a p y which o v e r l o o k a s m a l l but a v e r y p l e a s a n t garden to the South. Between Extended Care and A c u t e C a r e b u i l d i n g s t h e r e i s a 1.3 acre park w h i c h was o r i g i n a l l y c r e a t e d f o r t h e p a t i e n t s o f b o t h f a c i l i t i e s by two d i f f e r e n t a r c h i t e c t u r a l and l a n d s c a p e a r c h i t e c tural firms. The P a t i e n t P a r k was d e s i g n e d by L a n d s c a p e A r c h i tect K a r e n V a g e l a t o s w h i l e t h e s m a l l S o u t h G a r d e n - p a t i o was des i g n e d by A r c h i t e c t s P a u l S m i t h A s s o c i a t e s . South Garden - P a t i o 3.  4.  Design  D e c i s i o n and  Objectives  a.  provide patients  a small but a t t r a c t i v e (wheelchair a c c e s s i b l e )  b.  provide special features for the activities of the elderly s u c h as r a i s e d p l a n t e r s , sunny g r o u p a c t i v i t i e s a r e a - c h e c k e r b o a r d and s h u f f l e b o a r d  c.  c r e a t e g a r d e n on  a slope  rich  outdoor  open s p a c e  for  in plant material  A n a l y s i s of F i n d i n g s The Architect has created on a p r o x 16000 s . f . a r e a a v e r y pleasant open space - p a t i o f o r the p a t i e n t s from Extended Care Unit.  302 In s p i t e o f a d i f f i c u l t l o t c o n f i g u r a t i o n and a c l i f f - - l i k e steep slope, the a r c h i t e c t has p r o v i d e d a p a t i o - g a r d e n w h i c h is an e x t e n t i o n o f t h e b u i l d i n g ' s g r o u n d f l o o r a r e a . The s o u t h ern e x p o s u r e and s y n c l i n e c h a r a c t e r o f t h e s l o p e c r e a t e a m i c r o climate which helps to p r o v i d e o u t d o o r a c t i v i t i e s f o r t h e patients even during the w i n t e r . The s p a c e i s s m a l l , bounded by two foot h i g h wood r e t a i n i n g w a l l s w h i c h a t t h e same t i m e s e r v e as r a i s e d p l a n t e r s . The patio area is finished w i t h 12" x 12" c o n c r e t e p a t i o pavers. In the central p a r t of the p a t i o , t h e r e i s a checkerboard. Close to the entrance, there are s e v e r a l s m a l l r a i s e d wood p l a n t e r s . E a c h o f them i s two f o o t h i g h and 4'x 6' i n s i z e . However, the recommended width i s 3"4" i n o r d e r f o r p e o p l e t o r e a c h t h e c e n t e r o f t h e bed. The architects' idea was t o p r o v i d e a p l e a s a n t e n v i r o n m e n t as well as outdoor a c t i v i t i e s f o r the e l d e r l y . U n f o r t u n a t e l l y , there i s not much space f o r s h u f f l e b o a r d b u t a number o f t h e elderly p a t i e n t s who a r e c o n f i n e d t o w h e e l c h a i r s can p a r t i c i p a t e in a h o r t i c u l t u r e t h e r a p y program. B e s i d e s the r a i s e d beds, the patio has been r e c e n t l y e n r i c h e d by a c i r c u l a r g r e e n h o u s e , s p e c i a l l y designed f o r the w h e e l c h a i r p a t i e n t s . The p l a n t m a t e r i a l on t h e s l o p e i s d e s i g n e d f o r t h e f o u r - s e a son c y c l e ; however, t h e most a t t r a c t i v e p l a n t s a r e a n n u a l s p l a n t ed by t h e r e s i d e n t s t h e m s e l v e s . The 5.  P a t i e n t Park Design  D e c i s i o n and  Objectives  a.  create outdoor open s p a c e f o r p a t i e n t s o f t h e C a r e U n i t and A c u t e C a r e U n i t  b.  provide many semi-private mon open s p a c e  c.  c r e a t e a w a t e r f e a t u r e as v i s u a l  d.  provide  a loop around  e.  utilize  an  f.  provide  barrier-free  design  g.  reduce Mall  impact  vehicular traffic  h.  connect the Park Acute Care U n i t  i.  provide  area  the  of the  of  spaces  to the  com-  interest  waterfall  park i n t e n s e l y  area with  p l a n t e r s with  connected  Extended  raised  throughout  the beds  on  Health  Science  Extended Care U n i t  and  303 6.  A n a l y s i s of  Findings  The Patient Park is located on 1.3 west elevation o f t h e A c u t e C a r e U n i t and Extended Care f a c i l i t y .  acres adjacent to the n o r t h p a r t of  the the  To t h e west, t h e p a r k i s bounded by H e a l t h S c i e n c e Road. The landscape architects' objectives have been i m p l e m e n t e d , e x c e p t for the loop around t h e w a t e r f a l l . P a t i e n t P a r k i s one o f t h e most pleasant p l a c e s t o e n j o y o u t d o o r e n v i r o n m e n t a t t h e U.B.C. Campus. The t a s k f o r t h e l a n d s c a p e a r c h i t e c t was c h a l l e n g i n g b e c a u s e of the s m a l l a r e a , s l o p e d g r o u n d s and v a r i e t y o f u s e r s . The r e sult is impressive, s i n c e the park i s a wonderful r e t r e a t , not only f o r t h e p a t i e n t s and t h e i r v i s i t o r s , b u t a l s o f o r t h e s t a f f and passerby. The whole open a r e a s t r e t c h e s a l o n g t h e N o r t h - S o u t h a x i s w i t h t h e w a t e r f a l l on t h e c l o s u r e o f t h e l o n g v i s t a . The general idea of t h e l a n d s c a p e a r c h i t e c t was t o c r e a t e maximum opportunities for social interaction as w e l l as f o r privacy w i t h i n a s a l u t a r y environment. T h e r e f o r e , the landscape architect has created a park which s e r v e s b o t h : as a common space for p a t i e n t - r e s i d e n t g r o u p a c t i v i t i e s and as s e m i - p r i v a t e s p a c e s f o r i n t i m a t e g a t h e r i n g w i t h f r i e n d s and f a m i l i e s . However, the principal theme o f a whole c o m p o s i t i o n was a water feature. The l a n d s c a p e a r c h i t e c t has p r o v i d e d a movement to e n l i v e n s t a t i c e l e m e n t s o f t h e d e s i g n and t h u s p r o v i d e s t i m u l a t i o n f o r t h e p a t i e n t s . By t h e same t o k e n she has c r e a t e d a symbolic place where a w a t e r f e a t u r e s y m b o l i z e s " l i f e " . The w a t e r fall, designed as a s c u l p t u r e d w a l l w h i c h g l i t t e r s i n s u n l i g h t , provides a v i s u a l magnet as w e l l as t r a n q u i l i t y t o t h e p a r k and relates harmoniously w i t h the t o t a l space. Above t h e w a t e r f a l l there is a s m a l l p l a t e a u w i t h e v e r g r e e n s h r u b s w h i c h a l s o symb o l i z e c o n t i n u i t y of l i f e . The open space comprises four small semi-private enclaves with sunny e x p o s u r e w h i c h a r e s u r r o u n d e d by t r e e s , r a i s e d p l a n ters and a c e n t r a l p l a z a . The f l o o r o f t h e open s p a c e i s paved with exposed aggregate. The aised bed p l a n t e r s are a l s o i n concrete. D u r i n g t h e summer t i m e t h e r e i s w h i t e g a r d e n f u r n i t u r e which p r o v i d e s a v e r y r e c r e a t i o n a l c h a r a c t e r t o t h e p l a c e . Above t h e w a t e r f a l l as w e l l as a r o u n d t h e whole p l a z a , t h e r e a r e p l a n t ed slopes w i t h ( f o u r s e a s o n ) e v e r g r e e n t r e e s and s h r u b s . I n t h e southern p a r t of the park, t h e r e i s a c u l - d e sac f o r the Extended C a r e U n i t p a t i e n t s f o r p i c k up and d r o p o f f w h i c h i s v e r y gent l y e m p h a s i z e d by t h e a r r a n g e m e n t o f t r e e s . The connection ties, a difficult paved walkway and  between t h e p a r k and two h e a l t h c a r e f a c i l i problem, was s o l v e d by p r o v i d i n g a c o v e r e d , hedges of s i m i l a r p l a n t m a t e r i a l . Since the  304 park i s a j a c e n t t o H e a l t h S c i e n c e Road, t h e l a n d s c a p e a r c h i t e c t reduced the impact of noise by c r e a t i n g a p l a n t e d mound and putting a row o f t r e e s a l o n g t h e r o a d . The r a i s e d p l a n t e r s a r e very important features f o r t h e e l d e r l y and a r e u t i l i z e d f u l l y by a h o r t i c u l t u r e t h e r a p y p r o g r a m . Summary Both outdoor open spaces, t h e P a t i e n t P a r k and t h e S o u t h Patio, p r o v i d e a t t r a c t i v e and u s e f u l e n v i r o n m e n t s f o r t h e e l d e r ly patients. The o r g i n a l i d e a s o f t h e a r c h i t e c t s and l a n d s c a p e architect have been a l m o s t f u l l y i m p l e m e n t e d and have e m p h a s i z e d the function o f the spaces i n which c e r t a i n a c t i v i t i e s can take place comfortably and e f f i c i e n t l y . Moreover, the P a t i e n t Park fulfills a strong need f o r b e a u t y and a e s t h e t i c e x p e r i e n c e by providing scenic, beautiful landscape w i t h t h e w a t e r f a l l as a main f e a t u r e .  305  PARKWOOD MANOR - C o n g r e g a t e Architect:  Waisman, Dewar, G r o u t ,  Landscape A r c h i t e c t :  Randall  l.Site  House Carter Architects  Sharp  Context  The site o f Parkwood Manor i s l o c a t e d i n h e a r t o f C o q u i t l a m on 5 acres o f t h e b e a u t i f u l l y landscaped grounds a d j a c e n t t o a well-preserved n a t u r a l park. The f a c i l i t y i s e a s i l y a c c e s s i b l e from a l l parts o f t h e Lower M a i n l a n d and t h e F r a s e r V a l l e y by the Barnet a n d L o u g h e e d H i g h w a y s . The C o q u i t l a m S h o p p i n g C e n t r e is only one b l o c k away. C h u r c h e s , m e d i c a l , l i b r a r y , a n d o t h e r community s e r v i c e s a r e a l s o i n c l o s e p r o x i m i t y t o t h e s i t e . 2.  General  Space  Concept  The building i s s i t u a t e d i n C o q u i t l a m on t h e c u l - d e - s a c o f Pacard Avenue, parallel to Dufferin S t r e e t . The t h r e e - s t o r e y building comprises four residential wings and a c e n t r a l p a r t with t h e main s o c i a l s p a c e . The main e n t r a n c e , w i t h c e r e m o n i a l driveway and two a d j o i n g parking lots with separete s e r v i c e access t o t h e k i t c h e n f a c i l i t i e s , f a c e D u f f e r i n S t r e e t . On t h e ground floor level, i n the core of the b u i l d i n g , there are: dining room overlooking the front yard, lounge and s o c i a l activities area overlooking formal g a r d e n . The l o u n g e a r e a i s connected with the garden by a huge t e r r a c e . The g r o u n d f l o o r level dwelling u n i t s i n e a c h o f t h e f o u r r e s i d e n t i a l w i n g s have d i r e c t e x i t t o t h e grounds.  3. a. b. c. d. e. f. g.  Design  D e c i s i o n and O b j e c t i v e s  Create a walkway loop around t h e whole f a c i l i t y with a r e t r e a t p l a c e c l o s e t o Holy Creek area. C r e a t e a f o r m a l g a r d e n on t h e r e a r y a r d Provide b a r r i e r - f r e e access Create flat game areas on g r a s s s u c h a s c r o q u e t , p a d f o r shuffle-board Provide special feature f o rthe a c t i v i t i e s f o rthe e l d e r l y such a s r a i s e d p l a n t e r s - h o r t i c u l t u r e t h e r a p y , sunny g r o u p a c t i v i t i e s a r e a - B.B.Q. Provide screened patio f o r e a c h u n i t on t h e g r o u n d l e v e l , w h e e l c h a i r a c c e s s i b l e from p e r i m e t e r walk Provide orientation - signage along path f o r the v i s u a l l y impaired r e s i d e n t s  306 4.  A n a l y s i s of F i n d i n g s  The Landscape architect has c r e a t e d an a t t r a c t i v e e n v i r o n ment f o r the elderly r e s i d e n t s o f Parkwood Manor by p r o v i d i n g spaces for social interaction, s e n s o r y s t i m u l a t i o n as w e l l as s a f e t y and s e c u r i t y . Although not a l l h i s i d e a s were i m p l e m e n t e d , t h e main c o n cept of a l o o p e d walkway a r o u n d t h e whole f a c i l i t y was c a r r i e d out. The d e v e l o p e r r e j e c t e d t h e o r g i n a l i d e a t o c o n n e c t t h e main walkway w i t h t h e H o l y C r e e k a r e a w h i c h c o u l d have been an a t t r a c tive r e t r e a t d e s t i n a t i o n f o r r e s i d e n t s . Moreover, the l o c a l r e s t areas a l o n g t h e walkway w i t h b e n c h e s ( t h o u g h t t o s e r v e as s o c i a l outdoor spaces) were a l s o d e l e t e d . O r g i n a l l y , t h e f o r m a l g a r d e n was designed as two different terraces: the u p p e r one w i t h smooth t e r r a c o t t a paving o v e r l o o k e d a lower g r a s s t e r r a c e . Along the bank, at the end of the upper t e r r a c e a b a l u s t r a d e was planned and below i t b e n c h e s o v e r l o o k i n g r o s e beds f l a n k e d t h e grass mall. Far behind t h e r e s u p p o s e d t o be a g a z e b o w i t h i n a ring of c h e r r i e s b u f f e r e d by e x i s t i n g h e m l o c k s . U n f o r t u n a t e l l y , the whole i d e a was g i v e n up and now t h e r e i s o n l y a p l a i n u p p e r terrace with benches on i t and huge g r a s s s p a c e w i t h some r o s e beds. There are n e i t h e r r a i s e d p l a n t e r s s c r e e n i n g the p r i v a t e part of t h e open s p a c e , n o r t h e g a z e b o . A l l a t t r a c t i v e and v e r y important feature such as activities a r e a s w i t h s p e c i a l game constructions: chess/checkers t a b l e s , sand o f h o r s e s h o e s , p a v e d painted shuffboard, lawn's area f o r c r o q u e t t e , b a c i b a l l and others w h i c h c o u l d e n c o u r a g e c a s u a l p a r t i c i p a t i o n were abandoned also. However, the e x i s t i n g t e r r a c e p l a y s an i m p o r t a n t r o l e as an indoor-outdoor transition area which offer beautiful garden view, comfortable seating, e a s y and d i r e c t a c c e s s and s e n s e o f human scale. Moreover, t h i s a r e a a l l o w s v i s u a l s u r v e i l l a n c e by r e s i d e n t s and s t a f f . Although the designed outdoor s p a c e s promote s e c u r i t y and safety, as well as negotiability, the p r i v a c y i s s u e i s s t i l l critical one. The private p a t i o s were not carried out as planned. The wooden decks has been e l e m i n a t e d and o n l y s m a l l concrete pads a d j a c e n t t o p a t i o d o o r s were p r o v i d e d . The l a c k o f fencing or the other barrier i . e . s h r u b s and p a t i o - d e c k s on ground floor yards have diminished p r i v a c y and e x c l u d e d t h e possibility that residents could create their own private territories and use them as s u c h . I n f a c t , t h e s e p l a c e s become useless. Moreover, lack of shrubs has created monotony of e x t e n s i v e a r e a of g r a s s s u r f a c e i n f r o n t of the b u i l d i n g . Horticulture therapy i s another important aspect of appropriate landscape f o r the e l d e r l y . A l t o u g h the southern p a r t of the garden was the p o t e n t i a l space f o r garden p l o t s o r r a i s e d planters for horticulture therapy the developer r e j e c t e d t h i s idea. There are many proofs that gardening plays b e n e f i c i a l  307 role in therapy for the e l d e r l y . Moreover, a g r e a t e r l e v e l of detailing i n o u t d o o r s p a c e s may be p r e f e r e d by many o l d e r p e o p l e to open s p a c e s l a c k i n g d e t a i l . R a i s e d g a r d e n p l a n t e r s f o r use by people i n w h e e l c h a i r s o r g a r d e n p l o t s c o u l d have d i v e r s i f i e d t h e activities for the elderly by creating a d d i t i o n a l space f o r social interaction as well as creating v a r i e t y i n t y p e and location of g a r d e n a r e a s . U n f o r t u n a t e l l y , e v e n t h e BBQ a r e a has n o t been a p p r o v e d by t h e d e v e l o p e r . Parkwood Manor i s s p e c i f i c a l l y designed f o r the e l d e r l y . Therefore, any solution to provide attractive and useful environment in terms of a landscape i s v e r y d e s i r a b l e . The orginal design solutions presented by t h e L a n d s c a p e a r c h i t e c t could have enhanced t h e l i v e s o f t h e e l d e r l y a t t h e Parkwood Manor f a c i l i t y i f t h e y were f u l l y i m p l e m e n t e d .  308 HOLLYBURN HOUSE - I n t e r m e d i a t e  Architect:  Neale,  Landscape A r c h i t e c t :  Kim  1.  Site  C a r e and  Staniszkis,  Personal  Care  Facility  Doll Architects  Perry  Context  The site of Hollyburn House i s l o c a t e d i n an u p p e r - m i d d l e class neighbourhood i n West V a n c o u v e r on a s l o p e d 53,777 s . f . lot. Hollyburn House i s p e r f e c t l y l o c a t e d as i t c o m p l i e s w i t h all r e q u i r e m e n t s f o r s i t i n g a f a c i l i t y f o r t h e e l d e r l y . The s i t e borders the major public t h o r o u g h f a r e o f M a r i n e D r i v e and two local r e s i d e n t i a l s t r e e t s , 2 1 s t and 2 0 t h . The p u b l i c bus s t o p i s in front of the b u i l d i n g . A c r o s s the s t r e e t t h e r e i s a P u b l i c Library. Close to the site, t o t h e West, t h e r e i s a S e n i o r s ' Activity C e n t r e and R e c r e a t i o n a l C e n t r e w i t h A q u a t i c f a c i l i t i e s , Ice Arena and tennis c o u r t s . To t h e E a s t , t h e r e i s a M e m o r i a l Park with the Lawn Bowling Green. To the North, the lane separates t h e H o l l y b u r n House and A n g l i c a n C h u r c h . The shopping centre at Ambleside i s within 2 b l o c k s ; however, a c r o s s t h e street the new shopping complex i s under c o n s t r a c t i o n at present. To the South, within 2 blocks, there i s a Centennial S e a w a l k and r e c r e a t i o n a l a r e a . 2.  General  Space  Concept  The building i s d i v i d e d i n t o two f u n c t i o n a l p a r t s : P a r t one comprises Personal Care with 66 s e l f - c o n t a i n e d u n i t s on t h e second and third floors and R e c e p t i o n - A d m i n i s t r a t i o n a r e a as well as s o c i a l and d i n i n g s p a c e s on t h e Ground f l o o r l e v e l . P a r t Two I n t e r m e d i a t e C a r e I and I I i s l o c a t e d on t h e G r o u n d f l o o r level and comprises 36 single u n i t s w i t h a s o c i a l and d i n i n g space. The k i t c h e n and s t a f f f a c i l i t i e s a r e l o c a t e d i n t h e c o r e of t h e main f l o o r l e v e l and s e r v e t h e s e two p a r t s s i m u t a n e u s l y .  3.  Design  D e c i s i o n and  Objectives  a. Create a c c e s s i b l e ground floor l e v e l i n s p i t e of a site b. P r o v i d e as many o u t d o o r s p a c e s as p o s s i b l e c. U t i l i z e s m a l l s p a c e s i n t e n s i v e l y . d. Reduce i m p a c t o f t h e p r o x i m i t y t o l a n e and c h u r c h e. P r o v i d e West V a n c o u v e r v e r n a c u l a r f. Provide b a r r i e r - f r e e design throughout g. Reduce i m p a c t o f v e h i c u l a r t r a f f i c on M a r i n a D r i v e h. C r e a t e A c t i v e G a r d e n i . C r e a t e V i s u a l Garden j . Implement f o u r - s e a s o n p l a n t i n g m a t e r i a l  sloped  309 4. A n a l y s i s o f F i n d i n g s The t a s k f o r t h e L a n d s c a p e A r c h i t e c t was e x t r e m e l y difficult because of limitations: small area and s l o p e d grounds. Nevertheless, the r e s u l t i s impressive b e c a u s e a l l open s p a c e s support s o c i a l i n t e r a c t i o n , p r o v i d e s e n s o r y s t i m u l a t i o n , promote security and s a f e t y , utilze small s p a c e s i n t e n s i v e l y and a r e compatible w i t h H o l l y b u r n House a r c h i t e c t u r e as w e l l as w i t h t h e whole n e i g h b o u r h o o d . To reduce t h e i m p a c t o f v e h i c u l a r t r a f f i c on M a r i n a D r i v e a sloped green zone w i t h t r e e s and s h r u b s was c r e a t e d t o p r o t e c t t h e r e s i d e n t s f r o m n o i s e and p o l l u t i o n . Two s e p a r a t e e n t r a n c e s t o P a r t One and P a r t Two a r e d e s i g n e d as entry courts with shrub hedges, trees and p l a n t e r s w i t h annuals and p e r e n n i a l s . T h e r e a r e t h r e e main p a t i o - g a r d e n s w h i c h are incorporated into t h e main f u n c t i o n s o f t h e f a c i l i t y a t a Ground floor level.To t h e West, (Part One) there is a Patio-Garden a d j a c e n t t o t h e l o b b y , l o u n g e and d i n i n g a r e a . T h i s patio was created as a p a v e d p l a t e a u s u r r o u n d e d by s t o n e w a l l s as an "embankment" w i t h t r e e s and s h r u b hedges a l o n g t h e w a l l s . The entrance t o t h e l o u n g e i s e m p h a s i z e d s p a t i a l l y by t h e r o u n d shape of the garden. The main o b j e c t i v e o f t h i s p a t i o was t o create an open space as an e x t e n t i o n o f a s o c i a l s p a c e i n t h e facility and a t t h e same time t o p r o v i d e a summer d i n i n g o r outdoor room f o r t h e r e s i d e n t s o f P e r s o n a l C a r e l e v e l . To t h e West, of the p a t i o , there i s a v i s u a l f e a t u r e d e s i g n e d as a water feature s u r r o n d e d by a n n u a l f l o w e r b e d s , c h e r r y t r e e s and shrubs. The w a t e r f e a t u r e i n c l u d e s a w a t e r j e t and w a t e r f a l l , all done in a s t o n e w a l l , t h e same p a t t e r n w h i c h embraces t h e whole site. This feature i s visible from the entrance area because i t i s s i t u a t e d on t h e a x i s o f a c i r c u l a t i o n a r e a on t h e main floor o f t h e f a c i l i t y . To t h e N o r t h o f t h e b u i l d i n g , t h e r e is an u n o b t r u s i v e a c c e s s t o t h e p a r k i n g a r e a i n t h e basement and l o a d i n g a r e a a c c e s s i b l e from t h e l a n e . The second Part of f a c i l i t y - Intermediate Care has a separate entrance w i t h an e n t r y c o u r t a t t h e 2 0 t h s t r e e t . T h e r e are two l a r g e open s p a c e s - p a t i o s w h i c h a r e a d j a c e n t t o a d i n i n g room and l o u n g e . The northern patio i s designed as a V i s u a l Garden. Since i t i s adjacent to the lane, the landscape architect reduced t h e impact of unpleasant surrounding by providing an a r b o r with c l i m b i n g p l a n t s as a s e p a r a t i o n and a fountain as a focus point. The floor i s paved w i t h exposed aggregate concrete finish and s u r r o u n d e d by n a t i v e plant material. Although the p a t i o i s s i t u a t e d on t h e n o r t h s i d e o f the building there i s a v e r y p l e a s a n t "home l i k e " a t m o s p h e r e created by s m a l l human s c a l e , wooden f u r n i t u r e , v i s u a l f e a t u r e s a fountain, an arbor and p l a n t s . This Visual-Patio e n c o u r a g e s r e s i d e n t s t o u s e i t a s an o u t d o o r d i n i n g a r e a .  310 The s e c o n d p a t i o on t h e s o u t h s i d e o f t h e f a c i l i t y i s c a l l e d the Active G a r d e n . T h e r e i s a lawn w i t h a g a z e b o . The l a n d s c a p e architect's idea was t o c r e a t e an a c t i v e s p a c e f o r t h e e l d e r l y with shuffle-board on a lawn as well as raised beds for cultivating eating plants. However, t h e d e v e l o p e r d e c i d e d on a casual landscape, e a s y t o m a i n t a i n by t h e a d m i n i s t r a t i o n o f t h e facility. As a result, there is o n l y one f e a t u r e - a gazebo which plays a role as an covered outdoor space f o r meeting purposes. All three patio-gardens are barrier-free; unfortunately, there is no physical connection between them. The e l d e r l y , therefore, can not walk a r o u n d and p e n e t r a t e t h e i r t e r r i t o r y . Lack of r e l a t i o n s h i p between two p a r t s o f f a c i l i t y n e g a t e t h e whole idea of m u l t i l e v e l c a r e f a c i l i t y . M o r e o v e r , t h e r e i s no access from Intermediate Care units to t h e open s p a c e w h i c h could serve as s e m i - p r i v a t e a r e a s o f t h e d w e l l i n g u n i t w h i c h i s one o f t h e most d e s i r a b l e f e a t u r e i n t h e e l d e r l y h o u s i n g . Generally, Hollyburn House L a n d s c a p e i s a good example o f a site continuity and c o m p a t i b i l i t y with t h e n e i g h b o u r h o o d . By sensitive design the landscape a r c h i t e c t has created three valuable p a t i o s f o r t h e e l d e r l y r e s i d e n t s . The i d e a o f p r o v i d i n g special garden features for t h e e l d e r l y s u c h as r a i s i n g b e d s , shuffle-boards and implement h o r t i c u l t u r e as therapy i n the f a c i l i t y was an i n n o v a t i v e s o l u t i o n and o f g r e a t v a l u e .  A  S  E  M  A  P  I  I  R  R  O  Mkannukaan ylaiiluontaan w o w u t u i i n i " on "aikuttanut a l m n i t i H t i uueiuluva i t m y i noltoiyttn ltt»nt«Mta )a • l * » * a r l * t l . *HJ»MHIO }• * « * * , » • ahkltasv* tioito adatlyttivat t*tvayat«t*uka*lea auoiaauutta }a luontevmitta. Tarvaydanlwlto on oaa 1 Italian noraa*ll«ti catvltaaaia palvaluita, naktl palvalulta t > l ) » v n la itoata fiat • f l « t l t audita yhdyaliunnaita. vaan lan tulaa aakl a i a l l ISlUaaati alt) arkkltafttooniian ilaiaaunaa kautta totali yaplnatdnaa ooait l iviaana 2lain*. HauB]«fVBfi taivayakaaku* on ohjalaaliaan auun auntaaaaa yaHrittonaa ratannuaktntaan. T»aa on lontanut H 4 i i H u n halollatluun rattailuun, joka aiitakaavaltaan )• Buotowlaltlln hat** auialuaia p«fintalaaata l y l i a l l ) 6 6 * t * . ToiaaaUa aan tahta** on M l * * " * laaiaapaa aiuatta, aikH kohottaa aan H i l i i y t H l c I I n lahlyaaatntona* kotoa*a«ai doainantikai am Qttin >)ll<i aiaataan l i n i i i i i u . "yd* t M i taklUn on annattu loiaiai n i . n i i u i n i i I I M on yatavimnan. autt* ayoi arvokaa. KLaaataoivat f i i t t « * ( xlinaavat III««(iB«**n pickain akataaaiaaan par mtaaaaan, inmailllnan slotauua kartoo aodarntn ftoitotyttn luontaaata.  S  1 / 5 0 0  •akannutaan H J l M . t i piloiaata vantiainkoti on n Joitattu tonun itlpllhan, ]• nakamuu kanti i l t * - » u r i n k o a , Ylaiatan paWaluatan oaa )* tacvay*kaakukaan vuodaaaaato tyttntyva't torn in pohjotaraunaan latcian ataltpuolall* l**)an v«pa*-alu**n. Natannukaan a l l lan ksikiuaihailt* kulka* ylainan kavyan U l l m t i . n vayla, )ok* H t t t i * earvayakaakukean la Ottin * y l i « afiiakaaan t o i a n n i * . 5s pytfcli •uojautuaaan t]ontuvoliii*ntnn naitoilta. •utta kavyan l i l k i n t n n t m i i i l u n ottaa n kaatuctaaaan hoidokkiana* (okapuaoiit it. Siaatilolan catkaiaut luovai kodtkaac* ]• nialanvaiaiaavac auurat katiolyndyt, i i [ v i ) i i i i i g l i i n puolalla n« euovat valo* atyda alaman katcokaan adotuatiloihi*. « * y t » v l - , o l « i » U - ]« odotuatil o u t * avautuv naayaia vuorotn itJKn j * scaiaan, kaavaiaan katutiLan tavoin. Potilaanuonaiaaa t o n nUkyaaauunti* ayda vuotaaaaa o l . v a l l a . nut.kaikkunat avaavat u i i i i i n panoraaaana. Ehdotni (oroataa tatvaydan- ]a vannuacannoidon lahaiatl autidatt* yaparaivaln allaaani aikialaaa vapatol takannuat* 1* ] . t . lucntaMaad a*« tx• 1 1 U , aaaoln hum luopm lit kit laavtantaan i.n laiianaa l y d k a m t , l*ncina]oi><*. uu  

Cite

Citation Scheme:

        

Citations by CSL (citeproc-js)

Usage Statistics

Share

Embed

Customize your widget with the following options, then copy and paste the code below into the HTML of your page to embed this item in your website.
                        
                            <div id="ubcOpenCollectionsWidgetDisplay">
                            <script id="ubcOpenCollectionsWidget"
                            src="{[{embed.src}]}"
                            data-item="{[{embed.item}]}"
                            data-collection="{[{embed.collection}]}"
                            data-metadata="{[{embed.showMetadata}]}"
                            data-width="{[{embed.width}]}"
                            async >
                            </script>
                            </div>
                        
                    
IIIF logo Our image viewer uses the IIIF 2.0 standard. To load this item in other compatible viewers, use this url:
http://iiif.library.ubc.ca/presentation/dsp.831.1-0097730/manifest

Comment

Related Items