[Feedback from the homelike transformation of a special care unit].

Abstract

The article presents the entire project process of a residential transformation of a special care unit as well as the results of a post-occupancy evaluation. Initially, an ethnographic immersion and a consultation phase made has highlighted the various problems and issues which were the basis of the architectural project. Once the rehabilitation works was done and after a period of use of the new spaces, we wanted to assess the effects of this spatial transformation through a new immersion and a survey of users (residents, families, caregivers). Observation shows good appropriation of living spaces and participation of residents in daily life, as well as a reduction in behavioral disturbances. Caregivers expressed great satisfaction with their new work environment, better involvement and a change in their representations on residents. The families expressed great enthusiasm and satisfaction, especially because of the reduction of their feeling of guilt due to the placement of their loved one in the institution. It seems that all these improvements are linked to the fact that this new environment qualified of "beautiful", "homelike" is a source of well-being and appeasement. However, the creation of a domestic environment implies the acceptance of a risk-taking, not always assumed, which generates fear to some caregivers, what ends with prohibitions towards residents. Beyond architectural aspects, creating the conditions for people to feel at home involves thinking about values and support methods.