Pre-Relocation Evaluation of the Physical Environment of a Traditional Care Home Before Transitioning to a Dementia Village.

Background And Objectives: The physical environment in long-term care homes is a critical component for providing quality care and support to residents with dementia. The first publicly funded "dementia village" model inspired care home in Canada, will offer a neighborhood environment for the residents. This study provides a baseline assessment of the physical environment's influence in a traditional dementia care unit before residents relocate to the new care village, as part of a pre and post transfer evaluation project.

Research Design And Methods: Multi-method evaluation approaches were used, including standardized physical environmental assessments, behavioural observations of residents and staff, and staff focus groups to generate findings for a comprehensive and in-depth understanding of the role of the physical environment on residents' functioning and engagement in the selected care setting.

Results: The pre-relocation baseline evaluation in the existing care unit revealed challenges arising from the unit's physical design, space use, and care practices. Three themes emerged from observations and focus group findings: "Main Common Area: Managing Environmental Stimulation", "Corridor: Wayfinding and Mobility Autonomy", and "Lack of Engagement Opportunities".

Discussion And Implications: The study provided evidence on how a large, institutional care setting can pose challenges to residents' well-being and staff practices. It also highlighted the interrelations among the physical environment, residents, and staff in both positive and negative aspects.