Seniors Housing Forum - Crisis or Opportunity

1. Seniors Housing Forum - Crisis or Opportunity Beyond Retirement Villages 29 May 2012 Kenny Annand, Principal Consultant, KGA Consulting Group Guiding your strategies to success

2. Beyond Retirement Villages Why are Seniors becoming a concern? • Baby boom cohort now ageing • By 2056, over 25% of Australians will be over 65 years of age • Metropolitan Perth • 13.2% over age of 65 and over in 2006 • +121.1% population growth to 2051 • +236.7% growth in group over 65 to 25.4% of population • 375.0% increase in prevalence of dementia to 109,000 (23,000 in 2010) • People are living longer • Prolonged periods with frailty and disability Guiding your strategies to success

3. Beyond Retirement Villages Some Common Misunderstandings: • Most older people live in some type of cared accommodation • When we get older we are frail and incapacitated • We need specialised accommodation in which we all need to live • Old people want to be separated from the rest of their community Guiding your strategies to success

4. Beyond Retirement Villages Some Common Misunderstandings: • The majority of older Australians (in 2006 92%) live in private dwellings living as members of family, group or lone-person households • Only 8% were usual residents in: • non-private dwellings, which include hotels, motels, guest houses, and • cared accommodation such as hospitals, aged care homes and supported accommodation offered by some retirement villages. • The rest live in the mainstream community Guiding your strategies to success

5. Beyond Retirement Villages Some Common Misunderstandings: • Not talking about a single homogenous group • Seniors are not different – they are just older • Being frail is not the same as being ill • Not all baby boomers are wealthy – most are “asset rich, cash poor” • Major asset is the family home • 75% receive some form of pension • Seniors are still active and capable of contributing to society Guiding your strategies to success

6. Beyond Retirement Villages Seniors’ requirements of their city are little different to every other age group Guiding your strategies to success

7. Beyond Retirement Villages Seniors’ requirements of their city : • Mainstream community inclusion • Strong desire to remain independent at home • Only 5 - 7% move to retirement villages • Require provision of services not facilities • “Age in Place” – remaining at home and in their community • Only 4% require intensive nursing home care Guiding your strategies to success

8. Beyond Retirement Villages

9. Beyond Retirement Villages Seniors’ requirements of their city : • Housing requirements in later stages of life are not dissimilar to those required in early stages of the family life-cycle: • smaller, • affordable, • easy to maintain • In later years, adults have built a quality of life that they want to maintain in their downsized housing options • Different stage of the cycle Guiding your strategies to success

10. Beyond Retirement Villages Guiding your strategies to success

11. Beyond Retirement Villages Seniors’ requirements of their city : As well as housing issues: • Mobility becomes more of an issue • Seniors rely more on public (community) transport • Recommended distances to services – 400m • Want reasonable access to: • Shops • Medical facilities • Libraries • Social centres • Keep in contact with friends and social activities Guiding your strategies to success

12. Beyond Retirement Villages Importance of location and neighbourhood to foster Community ties Guiding your strategies to success

13. Beyond Retirement Villages “Positive ageing seeks greater inclusion of older people in mainstream community life rather than deal with them as a separate group where needs are different, and possibly even incompatible, with those of the broader community ” Guiding your strategies to success

14. Beyond Retirement Villages Do we offer today what is needed for tomorrow? Guiding your strategies to success

15. Beyond Retirement Villages Segregated Communities: Guiding your strategies to success

16. Beyond Retirement Villages Birth of the Retirement Community: • General thought is that fear increases with age • Seniors tend to live alone therefore there is a higher awareness of their vulnerability • Less people living in a household the less defensible the space becomes • Segregated (gated) communities developed a certain appeal: • providing security and companionship • providing area seniors feel is “theirs” • removed from the mainstream community Guiding your strategies to success

17. Beyond Retirement Villages Guiding your strategies to success

18. Beyond Retirement Villages Gated Communities: Though they are called communities : • “there is no evidence to suggest that social capital [people's sense of trust and inclination to do things for each other -- things that characterise successful communities] is any higher within them than other forms of residential development”. • “they are spatially a type of enclave, they are more likely to have negative contributions to the overall social capital of the broader community” • “the dilemma seems to be one between personal security in the face of social breakdown and an almost feral youth culture. gated communities exist only for those who can afford them”. Guiding your strategies to success

19. Beyond Retirement Villages • Typical segregated community • Gated community • Distant from amenities • Rows of conjoined houses • Poor urban plan • Care facility on site Guiding your strategies to success

20. Beyond Retirement Villages • Semi-integrated community • Open community • Still distant from amenities • Individualised, separate houses • Good urban plan • Care facility on site Guiding your strategies to success

21. Beyond Retirement Villages Integration or Segregation? Guiding your strategies to success

22. Beyond Retirement Villages Integration or Segregation? • Housing developments for seniors can, and most believe should, be integrated into the broader community. • There are many thoughts on the strengths and weaknesses of integration however the overall view is that integration should be encouraged. • The concept of walled and gated ‘aged segregated communities’ is not regarded as good urban design or social policy. Guiding your strategies to success

23. Beyond Retirement Villages Research - Space, Privacy, Freedom: • Older Australians believe what is currently being provided for them is not what they want 1 • They want to remain in their current communities 1 • Housing options need to be developed to meet these needs 1 • Potential retirement village clients wanted “space, privacy and freedom” 2 • Saw their housing move as downsizing rather than segregation 2 1 – Flinders University 2 – Brightwater Care Group Guiding your strategies to success

24. Beyond Retirement Villages Overwhelming majority of older Australians desire :- • Housing that is located within the broader community • Rooted in the neighbourhood and the community in which they have spent their lives. • Affordable and provides an opportunity to live well, even if a person’s resources are modest • Appropriately designed in that the housing provides a sense of internal space • Provides security, but also enables a sense of neighbourliness and encourages social interaction • Is accessible to public transport, and particularly general practitioners, post offices, shops and hairdressers Guiding your strategies to success

25. Beyond Retirement Villages Housing models they desired were • Small lot style houses • Comparable to project homes • Choice of home styles • Smaller blocks for easier maintenance (200m2) • Up to 3 bed plus study • No common walls • Double garages • Two toilets/bathrooms • Generous mobility • Adaptive features Guiding your strategies to success

26. Beyond Retirement Villages • Fully integrated development • Open community • Still distant from amenities • Individualised, separate houses • Small cluster groupings • Intergenerational community Guiding your strategies to success

27. Beyond Retirement Villages Guiding your strategies to success

28. Beyond Retirement Villages Plan in areas where seniors already live Guiding your strategies to success

29. Beyond Retirement Villages Identify small lot development opportunities With lot sizes ranging from 200-400m2 or less, provision of this size of lot, accompanied by appropriately designed housing product would provide a means for current ageing residents to “downsize” while remaining in their community. Guiding your strategies to success

30. Beyond Retirement Villages Work with developers to locate small lots in appropriate locations Guiding your strategies to success

31. Beyond Retirement Villages Work with developers to locate small lots in appropriate locations Guiding your strategies to success

32. Beyond Retirement Villages Work with developers to locate small lots in appropriate locations Guiding your strategies to success

33. Beyond Retirement Villages Cottage lots a quality alternative While these may have a general appeal they can be particularly attractive to older people looking to downsize. Guiding your strategies to success

34. Beyond Retirement Villages Cottage lots a quality alternative Unfortunately, builders, when designing these homes, do not think about the implications these designs have on seniors and therefore unintentionally introduce barriers, such as standard door widths, door steps, standard corridor widths, limited mobility, particularly in kitchens and bathrooms and lipped recesses for the shower. While the appeal may be there for older people, these barriers become an impediment as frailty increases and may result in the older person having to move again at a later stage of life. While ideally all homes should be designed to limit these impediments, certainly small lot designs should be specifically targeted as having to meet the needs of Universal Design building standards. Guiding your strategies to success

35. Beyond Retirement Villages Adaptive features Universally designed: A universally designed home generally avoids barriers that may discriminate against people living in or visiting the home Universal housing is designed to be useable by most people over their lifetime without the need for major adaptation or specialised design. Guiding your strategies to success

36. Beyond Retirement Villages 12 Universal design guidelines: • Direct access • Space for car parking • Wide front door • Wide internal doors • Wide corridors • Main facilities on the ground level • Circulation space in the living room • Space in the bedroom • Bathroom designed for easy and independent access • Enough space in the kitchen • Enough space in the laundry • Low window sills Design all future homes this way Guiding your strategies to success

37. Beyond Retirement Villages If development space is an issue……………. Guiding your strategies to success

38. Beyond Retirement Villages Or even……………. Guiding your strategies to success

39. Beyond Retirement Villages Creating Communities for our Seniors Guiding your strategies to success

40. Beyond Retirement Villages Create communities for our seniors: • Casual socialisation rather than organised activity • Close to and accessible to important amenities • Business as usual  • Mixture of housing options • Mixture of affordability's • Small group comfort • Integrate with amenities Guiding your strategies to success

41. Beyond Retirement Villages Apartments and High Rise • Egress and safety • Parking • Overlooking • Adaptability • Loneliness Apartments for Life? Guiding your strategies to success

42. Beyond Retirement Villages Inner City Living Guiding your strategies to success

43. Beyond Retirement Villages Other Options? Guiding your strategies to success

44. Beyond Retirement Villages Intentional communities Guiding your strategies to success

45. Beyond Retirement Villages Cohousing communities Guiding your strategies to success

46. Beyond Retirement Villages Pocket Neighbourhoods • compromise between cohousing and conventional suburban living • have more privacy and less common property than a cohousing community • homes are still organised in a way to encourage community interaction Guiding your strategies to success

47. Beyond Retirement Villages Sheltered Housing (Ireland) • Self contained apartments • Caretaker on site • Call bells • Adaptability • Security and companionship Guiding your strategies to success

48. Beyond Retirement Villages Sheltered Housing (UK) • Self contained apartments • Caretaker on site • Call bells • Adaptability • Security and companionship Guiding your strategies to success

49. Beyond Retirement Villages Extra Care Housing (UK) Guiding your strategies to success

50. Beyond Retirement Villages “Green House” (USA) Guiding your strategies to success