Housing With Care for Older People: A Scoping Review Using the CASP Assessment Tool to Inform Optimal Design

Area of Science:

• Gerontology
• Architecture
• Health Services Research

Background:

• Housing with care (HWC) is an emerging model for older adults, blending independent living with enhanced care services.
• The novelty of HWC schemes means established design frameworks are lacking.

Purpose of the Study:

• To synthesize and map existing evidence on HWC scheme design.
• To inform design decisions using data from previous research to ensure HWC schemes meet the needs of older people.

Main Methods:

• A scoping review methodology was employed.
• Thematic analysis and mapping techniques were used to synthesize evidence linking HWC design features to resident quality of life.
• Included studies were assessed for quality using a modified CASP checklist.

Main Results:

• 18 articles were included from 821 unique references.
• Key themes identified include design elements, accessibility, maneuverability, views, design process, and quality of life (QOL).
• A comprehensive map of critical design features for HWC schemes was developed.

Conclusions:

• This review presents an initial framework for designers and architects.
• The framework aids in understanding the impact of HWC design elements on older adults' QOL.
• The findings aim to guide the design of HWC schemes to enhance resident well-being.