Assisted living facilities are creating thoughtful environments for people with dementia and their loved ones.
As the number of Canadians with dementia increases each year, so, too, does the number of assisted living facilities that are incorporating dementia-friendly concepts into their architectural design, decor and programming — all with the aim of keeping residents safe and improving their quality of life. Here, we present three of these noteworthy facilities.
1 | United Active Living
Located in the community of Midnapore, United Active Living’s Fish Creek North Assisted & Memory Care residence takes a unique approach to supporting people with dementia. Rather than being segregated based on cognitive or physical abilities (which is common at other older-adult communities), residents with dementia at Fish Creek North Assisted & Memory Care occupy the same floors and shared spaces as everyone else, and they are actively encouraged to participate in the greater community.
Director Gail Hinchliffe explains that the aim at United Active Living is to get to know each resident personally, find out what their interests are and help them determine what programs and services might appeal to them. Through an additional service called United Minds, those with dementia or other cognitive conditions have the option of choosing from small group activities or one-on-one interactions, depending on their abilities and interests. Some of the options include Armchair Travel, Movement with Music, Baking and Journey through Art.
Hinchliffe says her staff could see a dozen residents with the same medical diagnosis, yet each will live differently with their disease, so it’s important to offer a variety of options — many of which emphasize creativity and the arts.
Asked about the benefits of this type of programming for individuals with dementia, Hinchliffe uses the example of an almost non-verbal resident who regularly attends the storytelling group. “If she is in our storytelling program, she absolutely comes alive, almost to the point you wouldn’t know she has dementia,” Hinchliffe says. Another resident, trained at the Royal Conservatory of Music, can no longer identify family members but can still play the piano without much difficulty.
“We do see the difference with people having the ability to be part of the overall community and engage with things they’ve always engaged in,” says Hinchliffe.
The community also offers a large outdoor space, complete with walking trails, raised garden beds, a putting green and a fruit orchard. All staff, including housekeeping and serving staff, receive specialized training in dementia care.
“It’s about finding those moments,” says Hinchliffe. “There is no cure for dementia, but knowing the resident well enough and having a staff trained in this [inclusive] philosophy gives [staff] the opportunity to build their tool kit of helpful approaches.”
2 | Auburn Heights Retirement Residence
Located in Auburn Bay, near the South Health Campus, the Auburn Heights Retirement Residence offers a 40-room memory-care unit on its second floor. The unit was designed to include several areas meant to evoke a sense of nostalgia and trigger positive memories for residents.
According to the Alzheimer Society of Canada, a familiar environment can help individuals with memory loss connect with the past and preserve a sense of who they are. As such, the memory-care unit features design elements that include a millinery with 1920s-style hats, necklaces and fashion magazines; an office with a manual typewriter, radio and coat rack; and a TV screen surrounded by sports memorabilia.
“I think all of us feel that we have made accomplishments, we have made contributions to society and to our families by the different things we do, and [the items throughout the unit] can trigger memories for [our residents] that are positive,” says Michele Bailey, director of care at the residence.
The unit also has a toy department with toys from long ago, and a laundry room with a non-functioning washer and dryer. “For those who are in that repetitive stage, they have something meaningful to do,” explains Bailey, who also points out the murals throughout the unit, which feature different scenes including mountains and a bus stop. “It’s quite realistic and memory-invoking.”
Bailey says the design of the unit can help redirect residents who might be having a bad day. “Maybe they’re emotional for whatever reason, or exhibiting more agitation. We as staff can utilize these vignettes and help pull them out of — or redirect them from — whatever they’re focused on,” she explains.
The unit offers a combination of single bedroom and studio suites, each with private bathroom. The residence also allows couples to live together. Individuals don’t need to be separated based on care needs — one couple on the unit recently celebrated their 71st wedding anniversary.
There is also a big emphasis on music in the unit, as well as other programming meant to stimulate cognition; participants in a recent session were asked to name as many cities as they could that start with the letter “K.”
Bailey emphasizes that all staff hired to work on the memory care unit must have a caring nature. “Many people can do tasks, but if you are not working from the heart, it shows,” she says. “Our team is very focused on resident-centred care, letting residents make the choices and maximize as much independence as they can, and then we support where they need the help.”
3 | Memory & Company Health Club and Overnight Respite Resort
In Markham, Ont., individuals with dementia (and their caregivers) who are looking for shorter-term support can turn to Memory & Company Health Club, which offers day programs as well as evening, weekend and overnight respite for people living with memory loss. According to owner and director of operations Ashley Kwong, the 11,000-square-foot facility is among the first of its kind. It can accommodate up to 50 guests at one time and incorporates dementia-friendly design principles throughout the property. This includes the use of soft colours to create a calming effect; bright but soothing lighting; the absence of reflective surfaces; and a circular, open-concept space that helps customers feel less confined.
Having worked in long-term care facilities for many years, Kwong would often see people with memory loss treated poorly or put in less-than-ideal surroundings. She would also come across families who didn’t want to place their loved ones in assisted living, but felt forced to do so. She vowed to do something to change that. “I knew a lot of caregivers who weren’t ready for institutionalization for their loved one, but didn’t really have many options out there in the community,” Kwong says.
So she decided to create a day-program facility, and was adamant about making it into a place where everybody felt comfortable and welcome. “I toured a lot of day programs that were available, and they weren’t necessarily places I would want to spend the day,” she says. “I wanted to create a place that people with dementia could feel good about, and that their families could feel good about, and that’s where the idea for Memory & Company came from.”
Opened in May 2015, Memory & Company offers extensive programming (yoga, tai chi, pet therapy, drawing, gardening, woodworking and baking are just a handful of activities available), and Kwong says some individuals taking part in the various programs have shown improvement in their cognitive assessments. Others have been able to reduce their antipsychotic and antidepressant medications.
The response from individuals and caregivers has been overwhelmingly positive. “It’s about keeping them engaged and active,” Kwong explains. “Families are quite happy.” [ ]