Mikado Horst General information: Name project: CAREfully designed A redevelopment of the Mikadoterrein Commissioning party: Stichting Dichterbij (a Dutch care institution ) Location: Horst, Noord Limburg Adress: Deken Creemersstraat 56, 5961 JP Horst Earth degree: 51°27’26.17”N; 6° 3’21.69”O Residents: 13069 residents Accessibility: A73, N556, nearby Germany
Site
Introduction Horst
Characteristic: An existing Dutch care institution Build in 1995 Current function “long-term health are” A lot of small rooms Shared kitchen and livingroom Everything is in connection In the middle of a residential area Tourist industry 22.000 square metre Well functioning city centre Huge garden Competition summary: Dichterbij (a Dutch care institution that supports children and adults with intellectual disabilities) is looking for a new design for the Mikado site. Where formerly the care institution cared for about a hundred clients under intensive care, the number has now dropped to under fifty. A variety of influencing factors in the healthcare field, the relocation of residents, and the increasing age of clients, are making the building more difficult to fill. In addition, the buildings have aged and no longer satisfy the residents’ needs, resulting in a preference for placing clients at other locations. The requirement for this location is as follows: to create a design that will accommodate long-term care. The basis of the design should be healthcare 2.0, also allowing space for other functions, and not a standard healthcare concept. One is free to interpret the healthcare 2.0 concept in one’s own way, with virtually everything being acceptable. But take care! The location is in the middle of a residential area and the residents place a high level of importance on the quality of life in the village. We want to guarantee the quality of life, which means that the new design should complement its environment. So take care with the design and design with care!
Horst Horst
Horst
Horst has a long history. Well before the first millennium, people made full use of the possibilities the location offers. The Meuse river, its riverbed, and surrounding fertile land make an enormous contribution to making the place so suitable for living. After the hunter-gatherers and the Romans, farmers settled in the region. They were ruled by various lords, and they called the location De Heerlijkheid Horst ( Horst Manor). In the Middle Ages, the area was relatively safe between the Peel wetlands and the Meuse, and it is therefore not surprising that places with city rights, ramparts etc. did not arise here. Although there were no actual city rights, there were independent communities with their own aldermen. The aldermen bore the responsibility for justice, both civil and criminal. And that led to Horst becoming the Municipality of Horst aan de Maas, in which the village of Horst serves as the administrative centre. Many villages in the municipality use facilities in the village, which means that Horst accommodates a variety of services and features a lively village centre.
Besides its centre and the surrounding villages, the municipality is characterized primarily by the livestock and other agricultural activities in the area. Where previously there were still small farms, space is now taken up by modernization. Landscape features have undergone changes, making way for large greenhouses and animal housing. Modernization has ensured that Horst has kept up with the times and has developed as a region with plenty of agricultural expertise, but it has also been the cause of a steady reduction in natural areas. Fortunately, people have reacted quickly and the existing natural areas are now protected and parts of the landscape have been returned to their natural state. This makes the landscape around Horst unique. There is in fact recognizable diversity of land use, from intensive agriculture, busy village centres, and an amusement park to rivers, moors, forests and a wide range of animal species. This diversity provides an enormous contribution to tourism in the area. Many cyclists, athletes and other recreational visitors are happy to use the area, where each type of land use makes its unique contribution. The village centres provide activities, the agriculture delivers local products, and the natural landscape ensures a wide range of flora and fauna. All in all, living is good in the municipality. And there are various transport and access route options for getting there, which makes the village’s accessibility outstanding. Using the A73, N556 or the Sevenum railway station, surrounding centres and cities are easy to reach quickly. In addition, the German border is only about a tenminute drive, and you can reach three different airports within 45 minutes. The strength of Horst lies in its distinctive identity. Horst has always retained its own identity and never measured itself against the bigger cities. Horst is in fact a well-connected settlement where buildings, agriculture, and nature come together, and its residents respect quality of living.
to Nijmegen
Schadijkerbossen walk & cycle area
Kasteelbossen cultural heritage
Mikado terrain
Horst centre
shopping, recreation, culture, food service
A73
to Maastricht
‘t Ham
walk & cycle area
Dichterbij & Mikado
Dichterbij Dichterbij, covering the Meuse river plain, supports people with intellectual disabilities (children and adults with guidable behaviour and adults with need for high levels of care), and their parents and relatives. We help them try to follow their dreams, because dreams give people direction for personal growth. We provide the materials, relationships, and the supervision that the client needs for handling challenges with confidence. And that helps us create opportunities for them to get satisfaction from daily life.
Dichterbij staff support people with intellectual disability to discover themselves and the world around them. They grab the chance – using professionalism and intuition – to take on and resolve the individual needs of each client. Through encouraging its employees to develop further, Dichterbij constantly reaches out to provide a better quality of service. You can only offer the best of yourself if you become the best you can be. Dichterbij strives for an undivided community, where people with an intellectual disability can participate freely and in full. We stimulate members of the community to discover and use their talents and possibilities. By creating a framework of conditions for encounters, Dichterbij invites everyone to celebrate the fullness of life together. Dichterbij sets its ambitions high in the belief that whoever pursues the ultimate, can realize the highest possible result. Mikado Before 1995, people with intellectual disabilities and strong behavioural and psychiatric problems were treated at the Nieuw Spraeland site in Oostrum, in the municipality Venray, as well as more than 150 people with intellectual disabilities who were resident there. With the desire to create a more normal living environment for the 150 people that were living in Oostrum, separated from society in two wings which then still had dormitories, the organization opted for a new building for 110 people (the Nieuw Spraeland annexe) in the new residential area, de Risselt, in the Horst municipality. Later, the name ‘Mikado’ was the winning choice of entries for a competition that ran among employees at the time. In addition to residential facilities with a private bedroom for everyone, a building was constructed at the head of site, which houses day care, a snoezel room (controlled multisensory environment, MSE), a playroom with toys, and a canteen. And other spaces were leased to the local doctor, an obstetrician, and a speech therapist in order to strengthen the integration. A petting zoo was also opened for local children. We now notice that the number of clients on the Mikado site has reduced, and continues to do so because the residential facilities do not reflect the contemporary needs of people. The old, cramped personal space and shared toilet facilities do not match contemporary clients’ expectations. Our present and potential clients want clustered individual living spaces. In other words, they want their own facilities in a place where there is proximity to others and the opportunity to meet them. A number of clients have moved to new residences in a residential care environment in Horst. And in the past, clients from all over the Netherlands were placed in this sort of accommodation. Now clients opt to live in their own regional environment.
Impression
D C B
E A F
G
Target group
Guidelines
sustainable
Target Group This request for design demands accommodation for at least 50 and a maximum of 65 clients at this location. They will be clients considered in need of intensive and long-term care. This means clients that are mainly dependent on supervision and will need it for the long-term. Often, these will be people with physical limitations as well as intellectual disabilities, and who live in their own world of experience. Despite the dependence on others, we notice that these people value their own space highly, which is why we advocate individual accommodation, while residents make use of a variety communal facilities. Buildings (see the previous page) What you can and cannot use - Buildings C, D, and G For these properties we are looking for a direction that will be part of the whole concept. Think of a new format regarding care or a completely new function. - Building A This building will be preserved and will not be demolished and/or converted for different use. It should be included in the vision for the entire site. Currently, the building houses: A meeting room, offices, reception, a restaurant/canteen, client day care room and a clinic. - Buildings B, E, and F These buildings, including the ground, may be completely changed. That does not necessarily imply replacement with new buildings. New-build or conversion are both acceptable.
residents
environment
Healtcare 2.0 Redevelopment
Care 2.0 A new way of providing care, that is Dichterbij’s goal! With Care 2.0, we are taking things a step further; we are diverting from the beaten path and pushing the boundaries. The care theme actually links closely to many other themes, for example the future, technology, the environment, housing, recreation, family, work, etc. Are there perhaps all sorts of different formats we can consider for Care 2.0? We are leaving the opportunity open to all designers to interpret these ideas in their own way. The local environment The site’s location in a residential area makes the relationship between it and the surrounding environment of great importance. The situation must guarantee the residents’ quality of living, while the site should be a positive addition to the neighbourhood, village, and municipality. (see attachement “Free download”) Feasibility Care 2.0 is required, yet it is a wide-ranging concept and one could interpret it in all sorts of ways. We ask participants to look into this in a realistic manner, and to ensure that their plans are achievable.
Target group Adults with guidable behaviour The age group will be eighteen plus. For this group one should consider people with a few physical impairments, autism, and clients with or without need of help for personal care and/or supervision. And there is subdivision in this group, distinguishing between high and low level needs. In the future, a shift will occur mainly towards lower levels of ability, where clients have high care demands. Adults with need for high levels of care Here, the age group will also be eighteen plus. For this group one should consider clients ranging from limited mobility to bed bound, medical care and nursing, and specialized care for the elderly (e.g. dementia, or patients with diminishing motor function). Within this group, there is still subdivision into groups of wheelchair users (approx. 50%) and bed bound patients (approx. 20%). Finally, one should pay attention to eyesight limitations (lighting and acoustics are important), and palliative care will be provided more frequently. Routines Adults with guidable behaviour: This group comprises clients with high and low levels of ability. High level of ability: These clients can get up independently, start their day and make their own breakfast. They can make their own choices, plan their day, and go to work/or daytime recreation locations. Besides wide-ranging independence, it is important that clients in this group know there is supervision available that they can fall back on. However, the care staff will give the medication. For most of these clients, it is important that care staff be present when they return home. It involves monitoring and continuously checking what happens in an informal setting. The care staff will prepare warm meals, and sometimes they will be microwaved meals. This group of clients cannot handle this autonomously. But they will plan their own evenings. Supervision is in the form of occasional contact. Sometimes clients will go to a club or association, or do their own shopping. The supervision also consists partly of assistance on finances and help concerning social matters. Clients care for their own personal hygiene, but it is sometimes barely up to standard. They occupy their weekends with meeting friends or going out on their own volition. Night care will always be on call. Low level of ability: The day starts at 7:00 AM with personal care in the bathroom (first those who go to school), which is done under care staff supervision and is similar to that of children. When supervisors are helping clients, they must maintain contact with those that they have already helped. Clients can only be left alone in the living room for short moments. Breakfast is communal for some and individual for others, but is always under supervision (food is prepared for eating, bread buttered, etc.). At around 9:30 AM, the clients go to day care (main Mikado building); some go to school. The odd exception goes to day care at 8:00 AM. A consistent rhythm with plenty of structure is very important for this group. They
cannot cope with empty moments. Most of this group cannot be alone in a room at all or only for a moment. The care staff must really keep up a lot of contact. You cannot leave them alone because of factors such as self-harm. Between 3:00 PM and 4:00 PM, they return from day care. The odd exception does not come home until 5:30 PM. It is important for the client that there is somebody to receive them when they come home. The clients will cook under supervision in a single group. This strengthens the experience of the daytime rhythm, for example, and involves the clients. Relatives or volunteers could also do the cooking. Most clients will eat communally and some individually or in their own room, but always under supervision. Clients mostly enjoy eating but there is little or no need for social gathering. The client experiences and sees it as a necessary thing that must be done. Eating is a central activity, followed directly by the next activity. Some clients will clear the table themselves. This group of clients live from one moment to the next. There is an effort to try to see daily things as activities. In the evening, clients often walk and watch TV. And there is an evening drink break. The clients go to bed between 7:30 PM and 10:00 PM. On average, they are all in bed before 10:00 PM. Often during the weekend, household chores serve as activities. Ideally, they would have day care seven days a week. A few clients go home at the weekend. Some clients go home during the week, but this number will slowly decrease. Many relatives come to visit on Sunday. Some go for a walk with their relatives. Some clients are happy that their relatives visit, but others have the opposite reaction. People coming into the home can trouble some clients. Members of the Mikado’s night staff implement checks on night care. Adults with need for high levels of care: This group gets up between 7:30 AM and 11:00 AM. They get up individually with care through supervision. Some breakfast communally while others eat alone. After morning care, most of these clients stay in the living room (e.g. watching TV or listening to music). Some return to their rooms. As a rule, in the current situation, their room is too small to stay in, or it is too isolated. In the new situation, it must be practical for clients to spend time in their room. In the morning, there is day care in the home, often with cooking and baking for lunch as an activity. Some clients go to the day care unit between 10:30 AM and 4:00 PM. Many of these clients have some bed rest in the afternoon (about 1.5 hours sleep) and subsequently they go to the day care unit. At 4:00 PM, volunteers prepare food. In general, cooking inspires calmness. Plenty of experience that includes daily chores such as folding washing. The hot meal is mainly communal. A certain number eat in small groups, and partly have a need for that; some will eat alone. This group does not need occupation with an activity at all times but the clients do like to have supervisors in sight. The activities are primarily experience oriented and they mainly get their experience through care. Care is also an activity. Bathing routines are also organized as activities during the evening. Occasionally, in the evening, there are activities arranged with help from volunteers. There is a coffee break. And the clients can watch TV or listen to music (primarily experiencing something). They go to bed between 8:00 PM and 10:15 PM, depending on needs. These clients can only move around under supervision. In general, the care staff supervise it and/or volunteers. The Mikado night staff provide night care. In some cases, there is provision of physiotherapy in the home and sometimes in the main Mikado building. Clients with a higher level of ability also find it important to see other people. Here, you should consider day care outside of the home. Sometimes, clients have no day care and can do their own thing, according to their needs.
Data
Fee “Early bird” registration “Standard” registration “Late” registration
€ 40,€ 50,€ 60,-
04 JUL 2016 11 SEP 2016
“early bird” registration - start “early bird” registration - end
12 SEP 2016 02 OCT 2016
“standard” registration - start “standard” registration - end
03 OCT 2016 17 OCT 2016
“late” registration - start “late” registration - end
17 OCT 2016
(h 23:59 GMT) material submission deadline*
Prize
NOV 2016 NOV 2016
jury summoning results announcement
1° PRIZE € 1.500,- + Chance to work with us on the project
28 NOV 2016
Workshop day
2° PRIZE € 400,-
After the results annoucement the winning team’s will be invited for a workshop. The 28th of November is going to be a special day for the winners of the competition CAREfully designed. The numbers one, two and three are going to discuss their vision about Mikado. Together with the local government, Dichterbij and Phidias Community Cooking we will have a look on what the plans can mean for the city centre and how we can turn these plans into reality. We’ll promise this day is going a to be an educative day with a lot of inspiring people. *Fulfilling an “early bird”, “standard” or “late” registration does not affect submission deadline. Submission deadline is unique.
3° PRIZE € 300,HONORABLE MENTIONS All the awarded proposals will be published on social networks All the finalist proposals will be published on www.phidias-cooking.com
Rules
Requirements
1. Competitors must respect calendar dates, procedures and fees; 2. Competitors must respect all the instructions regarding required material; 3. Competitors can be students, graduated, architects, designers or artists: it is not mandatory to be involved in architectural disciplines or enrolled in architectural associations; 4. Competitors can join the competition both individually and in team; 5. Teams must have at least one team member above 18 years old; 6. Teams can be composed by any number of team members; 7. Teams can be composed by any competitors belonging to different countries and universities; 8. Paying a single entry fee allows to join the competition with a single project; 9. Paying further entry fees allows to join the competition with further projects; fees to be determined by following competition’s calendar; 10. Prizes include bank commissions and fees; 11. Prizes are established regardless to the number of attendants a team is made of; 12. Committee’s verdict is incontestable. 13. It is forbidden to competitors to publicize their own proposal material before the conclusion of the competition; 14. Phidias Community Cooking can use the products of the competitors;
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Material
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Jury 1. Menno Slijboom
Architect/Urban designer | MSSA
2. Joop Petit Architect | Phidias 3. Marcia Adams Director | Dichterbij 4. Paul Oomen Real estate | Dichterbij 5. Hans v. d. Tillaart
Urban designer
6. TBA ...... 7. TBA ......
| Gemeente Horst aan de Maas
-Good Luck-
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