Harmonia Village Dementia Care
Architect: Hazle McCormack Young LLP
Location: Dover, United Kingdom | View Map
Project Year: 2019
Category: Residential Landscape
多佛的Harmonia村代表了一种基于社会方法的护理新概念，鼓励痴呆症患者尽可能过上正常生活，在熟悉的环境中享受24小时护理。
The Harmonia Village in Dover represents a new concept in care based upon a social approach that encourages those living with dementia to lead as normal life as possible, engaging with a familiar environment whilst having access to 24 hours care.
该项目改造了12栋多余的半独立式房屋，为30名居民提供住宿。一座新的中心大楼为Harmonia村的居民提供公共设施，供当地社区和志愿者使用，还有6张床位的临时护理住宿。
The project remodels 12 redundant semi-detached houses to provide accommodation for 30 residents. A new hub building has communal facilities for the Harmonia Village residents and use by the local community and volunteers together with six bed respite care accommodation.
What were the key challenges?
资金
作为NHS信托机构，开发创新解决方案的直接资金很少或根本没有。客户与欧洲合作伙伴合作，获得了项目60%的资金，然后继续获得匹配资金。要做到这一点，需要大量的精力和对概念的热情，同时还需要满足出资人的各种标准，如定期报告、会议等。这些都是日常工作之外的事情。
Funding
As an NHS Trust there is little or no direct funding to develop innovative solutions. The client engaged with European partners and secured 60% funding for the project and then went on to secure the match funding. To do this requires an enormous amount of energy and enthusiasm for the concept along with the need to meet with the various criteria of funders such as regular reporting, meetings etc. This is all in addition to the day job.
利益相关者
这种性质的项目需要许多利益相关者的参与和同意，从出资者、地方当局、护理质量委员会到痴呆症患者和当地社区。
Stakeholders
A project of this nature requires the engagement and agreement of many stakeholders from funders, local authorities, Care Quality Commission to people living with dementia and the local community.
Condition of Buildings
The houses had been left empty for several years and were in various states of disrepair due to vandalism, and in one case arson.
Design
A project of this unique nature will be under scrutiny and therefore its design will need to follow best practice and latest research to support people living with dementia.
护理质量委员会（CQC）
对于这种类型的项目，目前还没有现成的模式或指南，因此在建筑工程完成并任命员工后，CQC将不接受该项目。
Care Quality Commission (CQC)
There is no existing model or guidance for this type of project and so there is always a risk that it will not be accepted by the CQC who will inspect after completion of the building works and appointment of staff.
技术
将目前在其他部门使用的医疗保健新技术进行整合，以帮助员工并降低与当前护理模式相当的成本，以创建可持续的解决方案。
Technology
The integration of new technology in healthcare currently used in other sectors to assist staff and reduce costs comparable with current care models to create a sustainable solution.
What was the brief?
该项目由东肯特医院大学NHS基金会信托基金（EKHUFT）战略情报总监亨利·奎恩（Henry Quinn）和痴呆症卓越中心临床领导Philip Brighton博士领导，看到了利用多佛多余住房和场地作为实现这一新护理理念的一种手段的机会。在2015年访问了荷兰著名的Hogeweyk痴呆村后，他们发展了自己的护理理念，并申请了欧盟赠款，部分资助了该项目，并成功获得了Interreg 2 Seas欧盟基金，涵盖了项目成本的60%。然后，他们着手从信托基金和其他项目合作伙伴那里获得剩余的40%。设计工作于2018年3月开始，2018年10月在现场开始，2019年10月移交。该设施将于2020年初投入使用。
The project, led by Henry Quinn the Strategic Intelligence Director at East Kent Hospitals University NHS Foundation Trust (EKHUFT) and Dr. Philip Brighton at Dementia Centre of Excellence Clinical Lead, saw the opportunity of using the redundant housing and site in Dover as a means of realising this new concept of care. Having visited the famous Hogeweyk Dementia Village in the Netherlands in 2015, they developed their concept for care and applied for an EU grant to part fund the project and were successful in securing Interreg 2 Seas EU Fund covering 60% of the project costs. They then went about securing the remaining 40% from the Trust and other project partners. Design work commenced in March 2018, started on site in October 2018 and the handover was October 2019. The facility will be operational early 2020.
从一开始，客户就有一份明确一致的简报，并辅以研究和访问。他们认为，就资本和收入成本而言，欧洲模式对英国来说是不可持续的。该信托公司开发了一种不需要至少60多个床位护理空间（标准英国模式）的模式，该模式的建设成本预算仅为260万英镑。信托基金的驱动力之一是让痴呆症患者出院，因为这对他们来说是不合适和不安全的，进入一个更合适的环境。这对信托基金会在急症护理中腾出床位有明显的好处。
From the outset the client had a clear consistent brief backed up with research and visits. The European model they had viewed was unsustainable for the UK in respect of capital and revenue costs. The Trust developed a model which did not require a minimum 60+ bed care spaces (standard UK model) to be financially sustainable and set a budget of only £2.6M for the construction costs. One of the drivers for the Trust was to get people with dementia out of hospital which is unsuitable and unsafe for them and into a more appropriate environment. This has obvious benefits for the Trust to free up bed space in acute care.
该项目改造了12栋多余的半独立式房屋，为30名居民提供住宿。一座新的中心大楼为Harmonia村的居民提供了公共设施，供当地社区和志愿者使用，还有一个6张床的招待所，提供休息护理。
The project remodels 12 redundant semi-detached houses to provide accommodation for 30 residents. A new hub building has communal facilities for the Harmonia Village residents, use by the local community and for volunteers, together with a six-bed guest house offering respite care.
考虑到当地社区利益最大化的目标，当地公司参与设计和施工，并融入项目精神，对客户来说很重要。该项目现已启动，将为医疗保健行业创造新的就业机会，包括当地的护理和管理人员。Harmonia村已经雇用了30多名工作人员，随着居民入住，这一比例还会增加。
Given the aim of maximising the benefits for the local community, it was important to the client that local companies were involved in the design and construction and that they bought into the project ethos. The project is now live and will create new employment opportunities for the healthcare sector, for both nursing and management staff from the local area. Over 30 staff are already employed at the Harmonia Village, and this will increase as the residents take occupancy.
该项目的一个重点是城市更新，因此多佛的Harmonia村已经开发，目的是使当地和社区的利益最大化。现场的房屋闲置了好几年，该项目使其恢复了活力，极大地提高了重建和改善周边地区美学的标准，同时积极与周围居民进行社交活动。它还旨在消除痴呆症的耻辱感，使社区中痴呆患者的存在正常化
A key focus of the project is urban regeneration and so the Harmonia Village at Dover has been developed with the aim of maximising benefits for the local area and community. The housing on the site was redundant for several years and the project has brought it back to life, vastly improving standards to regenerate and improve the immediate area aesthetically whilst actively engaging socially with the surrounding residents. It is also aiming to de-stigmatise dementia and normalise the presence of people living with dementia in communities
What were the solutions?
设计团队研究了老年痴呆症友好环境的最新思想，并将其应用于这一背景。这包括调整现有的住房，使之完全可以使用，并建立一个新的社区。从外部看，该网站的设计必须确保居民能够自由而安全地活动，同时又能接近当地社区。新的枢纽建筑是公共、半公共和私人空间之间的过渡点。该中心还提供了一个独特的“带护理的招待所”设施，使游客可以在安全的支持环境中过夜或看护人与伴侣短暂休息。
The design team researched the latest thinking in dementia friendly environments and adapted these for this context. This included adapting existing housing stock to be fully accessible and to create a new community. Externally the site had to be designed to ensure residents were able to move freely yet safely but at the same time be approachable to the local community. The new Hub building is the transition point between public, semi-public and private space. The Hub also provides a unique ‘guest house with care’ facility enabling visitors to stay over or carers to take a short break with their partners in a safe supportive environment.
该项目通过提供适当的支持设施，同时减少对NHS急性病医院资源的需求，解决了英国老年痴呆症患者的问题。他们的家人知道他们在这样一个环境中得到了很好的照顾，这使得住院医生能够活跃起来，这在医学上已经证明可以改善一个人的幸福感。
This project addresses the population in the UK who are living with dementia by giving them appropriate supportive facilities whilst reducing the demand on NHS acute hospital resources. Their families know they are being well cared for in an environment that allows the resident to be active, which medically has shown to improve a person’s wellbeing.
新的中心大楼已经被用来积极主动地与从当地慈善机构到与年龄相关的社区团体的广泛用户群体接触。它正成为一个具有活力的焦点，以创造真正的包容感和社区精神。
The new hub building is already being used to proactively engage with a wide array of user groups from local charities to age-related community groups. It is becoming a focal point with a vibrancy to create a true sense of inclusion and community spirit.
Key products used:
Innovare insulated panel system
Kingspan insulation
The Bespoke Brick Company
Apex Facades - timber cladding
Regal Balustrades - external metalwork
Sika Sarnafil roof system
Fermacell Dry Lining
Ecophon Ceilings
Prima Windows
Premdor internal doors
Becker sliding partitions
EmB Ironmongery
Polyflor vinyl floors
Altro vinyl floors
Howdens Joinery – kitchens
Venesta IPS duct panels
Sanitaryware Armitage Shanks/Ideal Standard
Orona Lifts
How is the project unique?
The Harmonia Village in Dover is an exemplar project with the intention the model can be rolled out across the country and indeed Europe.
The design demonstrates how standard housing stock can be retrofitted and adapted to meet the changing needs of the population and in particular those living with dementia. The designs included the integration of new technology.
Funding
The Harmonia Village at Dover is part of a European funded project called Community Areas of Sustainable Care and Dementia Excellence in Europe (CASCADE).
CASCADE is deploying two telemedicine systems in the project guesthouses. The aim here is to test cutting-edge technology in a controlled setting before it is installed in a person’s own home. A residential monitoring system helps people living with dementia to keep living independently while supporting care staff in their decision making. A video communications system allows a person to interact with their care providers, thereby avoiding unnecessary trips to hospital. The project team believes this is the first time that consumer and medical technology have been combined to benefit people with dementia. The ability to access professional services quickly ensures patient safety and reduces frontline staffing costs. Multi-lingual learning packs provide training to everyone who has contact with people with dementia.
What are the sustainability features?
The Harmonia Village in Dover sustainability objectives were to demonstrate the model of design and care could be used throughout the country to adapt redundant homes to be suitable for people living with dementia. The project has retrofitted 12 redundant semi-detached houses, one having been subject to an arson attack, thereby achieving the carbon savings that can be made over demolition and rebuilding. The timber frame houses had a fabric first approach to energy reduction with higher levels of insulation. By bringing these former houses back to life a neglected and vandalised part of the area has been reinvigorated and improved the quality of the local environment for residents.
The project is built on ecologically low grade land and some remedial contamination work was required. This enabled the established surrounding woodland to be maintained and the ecological diversity to be enhanced during the ongoing and future landscaping works by the residents, staff and volunteers.
What building methods were used?
The new Hub building utilised modern methods of construction. The Structural Insulated Panel System provides high levels of insulation and airtightness constructed off site minimising waste. It features a precast concrete floor which efficiently provides acoustic separation to the first-floor bedrooms and added thermal mass.
The existing houses are of timber frame construction and proved to be adaptable to their new use and to improve their thermal performance.
