and “seniors” are non-existent. The community is purposefully multi-generational
providing opportunities for residents to naturally form inter-supportive relationships.
Some communities call the access and coordination of services a concierge
model—which means that there is a person available to coordinate each
resident’s unique needs. For example, if a resident needs transportation to an
appointment, the concierge assists with arranging and coordinating the transportation, which is an à la carte service for the resident. Another example is
a couple needing a sitter for their two children and the concierge assists with
finding a reliable service.
Most concierge models have built relationships within the community for
services, care, and amenities—all being vetted prior to connecting residents to
any specific service. The goal is for the services to match a person’s needs to
provide affordability and choice versus the CCRC life care model that requires
everyone to contribute toward services and amenities, even if they are not
utilizing everything that is available. The other difference is the majority of
concierge models are rental versus requiring a large deposit to be placed for
the use of housing and community space in addition to a monthly service fee.
The direction for designing healthcare includes designing the overall “
community of the future.” As we positively change terminology and apply
multi-generational and universal design to communities, spaces shall reflect
the integration of all people—no stigma, no prejudice, and all-inclusive.
Jane Rohde is the founding principal of JSR Associates, Inc.,
located in Ellicott City, Md. She champions a global cultural
shift toward de-institutionalizing senior living and healthcare
facilities through person-centered principles, research and
advocacy, and design of the built environment. Clientele
includes non-profit and for-profit developers, government agencies, senior
living and healthcare providers, and design firms. Rohde speaks internationally
on senior living, aging, healthcare, evidence-based design, and sustainability.
For more information or comments, please contact Rohde at
producing housing and amenities that are attracting both younger and older
populations. There are many opportunities to evaluate overall community fabric
for re-development to support multi-generational living focused on health and
wellness. Creating a supportive living environment includes coordination of services and amenities, but not specifically providing all the services.
One example, Stories, located in Rockville, Md., utilizes the Smart Living 360
model. The Smart Living 360 model includes the following three principles:
• Connection – creating community and promoting social connections
• Access – enabling access to services and amenities that enhance life
• Simplicity – delivering an experience that allows people to focus on
The housing at Stories is not only universally designed from the physical envi-
ronment perspective but also includes access and coordination of services and
amenities for a complete universal approach. Smart Living 360 includes a “life
ambassador” who is the coordinator of services and amenities, as part of the
property management team.
Shared community spaces are used by all residents and terms like “age restricted”
ABOVE AND LEFT
space at Stories,
a Smart Living