Foreword
This document is drafted in accordance with GB/T 1.1—2020 “Guidelines for Standardization Work Part 1: Structure and Drafting Rules of Standardization Documents”.
Please note that some contents of this document may involve patents. The publishing organization of this document does not bear the responsibility for identifying patents. This document is proposed and managed by the HuaiBei Civil Affairs Bureau.
The drafting units of this document include: HuaiBei Modern Social Affairs Service Center, HuaiBei Civil Affairs Bureau, Anhui Huaihai Industrial Group Xiangwang Modern Service Co., Ltd., HuaiBei Xiangshan District Chaoyang Nursing Home, HuaiBei Huilin Social Work Service Center.
The main drafters of this document are: Huang Huarui, Fan Tingting, Mao Beibei, Qin Xiaoyan, Song Li, Zhang Yan, Dong Deru.
Standards for the Construction of Community Embedded Elderly Care Institutions
1 Scope
This document specifies the basic requirements for the construction of community embedded elderly care institutions, including architectural requirements and functional area settings. This document applies to the construction of newly built and renovated (expanded) community embedded elderly care institutions.
2 Normative References
The contents of the following documents constitute essential clauses of this document through normative references in the text. Among them, for referenced documents with dates, only the versions corresponding to those dates apply to this document; for referenced documents without dates, the latest versions (including all amendments) apply to this document.
GB 3096-2008 Environmental Quality Standards for Noise
GB 50016 Code for Fire Protection Design of Buildings
GB 50763 Code for Barrier-Free Design
JGJ 450 Design Standards for Elderly Care Facilities
JGJ/T 484 Technical Standards for Intelligent Systems in Elderly Care Services
MZ/T 131 Common Graphic Symbols and Signs for Elderly Care Services
MZ/T 187 Norms for Job Settings and Staffing in Elderly Care Institutions
MZ/T 215 Configuration of Facilities and Equipment in Elderly Care Institutions
Jianbiao 143 Standards for the Construction of Community Day Care Centers for the Elderly
3 Terms and Definitions
The following terms and definitions apply to this document.
3.1
Community Embedded Elderly Care Institutions
Community embedded elderly care institutions
Institutions that enhance and transform existing community elderly care service facilities or stock resources to provide living care, basic nursing, psychological comfort, home visit services, etc., for elderly people in the community and surrounding areas.
4 Basic Requirements
4.1 Site Selection
4.1.1 Site selection should be scientifically based on factors such as the scale of the elderly population in the area, the demand for elderly care services, and service radius, integrating and utilizing elderly care service facilities built in residential areas, legacy facilities from industrial and mining enterprises, and various idle spaces. It can be co-built and shared with community party and service centers, and comprehensive community service facilities.
4.1.2 Priority should be given to locations that are convenient for transportation, making it easy for children to visit and for elderly people to travel. If conditions permit, it should be built near community health service centers and other medical institutions.
4.1.3 The project site should generally be an independent space with a separate entrance and exit. The building should be low-rise or located on the ground floor of a high-rise building. Buildings with more than two floors should generally be equipped with elevators and should not be located in basements. Access roads should meet the needs of emergency rescue and medical assistance.
4.1.4 Community residents’ opinions and demands should be widely solicited, and support should be given to community residents, social organizations, operating entities, and other social forces to participate in the project site selection, design, and other preliminary work.
4.2 Layout
4.2.1 A reasonable layout should be made based on functional characteristics, with scientific settings and separation of active and quiet areas.
4.2.2 The overall traffic organization should be convenient and smooth, meeting fire protection, evacuation, and transportation requirements, implementing separation of people and vehicles to avoid the impact of vehicles on pedestrian traffic.
4.2.3 Separate channels and entrances should be set for the transportation of goods, garbage, and corpses.
4.3 Configuration
The constructed area of community embedded elderly care institutions should generally not be less than 500 m², with a bed setting of no less than 10 beds and generally not exceeding 150 beds. The constructed area of newly built community embedded elderly care institutions should preferably not be less than 1000 m².
4.4 Operating Institutions
4.4.1 Operating institutions should be legally registered and recorded, and possess relevant service qualifications.
4.4.2 Institutions providing meal services should obtain a catering service license.
4.4.3 Internal medical and health institutions should obtain a medical institution practice license.
4.4.4 Institutions should meet the basic needs of the elderly in aspects such as institutional elderly care services, meal assistance services, integrated medical and nursing services, day care services, intelligent services, home visit services, and family care training for disabled elderly people. They should also develop and operate family elderly care beds, carry out age-friendly renovations, and provide on-demand intelligent elderly care services that combine online and offline services, ensuring appropriate scale, complete functions, safety, and sustainable operation.
4.5 Staff
4.5.1 Staff should be reasonably allocated based on the size and functional positioning of the community embedded elderly care institution, as well as the number of elderly people in the service area. Staff allocation should comply with MZ/T 187 requirements and can link external service resources to collaboratively carry out professional services.
4.5.2 It is advisable to establish a volunteer expert database that corresponds to the services, including medical rehabilitation, social work, legal, and psychological services.
4.6 System Construction
4.6.1 A sound system should be established for safety, fire protection, food, hygiene, financial, archival management, emergency response, and prevention of elder fraud, fulfilling safety responsibilities and implementing safety management systems.
4.6.2 Service standards and work processes should be formulated and made public.
5 Architectural Requirements
5.1 Facilities and Equipment
5.1.1 The configuration of facilities and equipment should comply with MZ/T 215 requirements.
5.1.2 The configuration of basic facilities such as water supply and drainage, heating and ventilation, electrical, communication, and anti-slip should comply with JGJ 450 requirements.
5.1.3 The configuration of fire protection facilities should comply with GB 50016 requirements.
5.1.4 Necessary living service, health rehabilitation, entertainment, security equipment, and transportation tools should be provided, complying with JGJ 450 requirements.
5.1.5 Public areas such as entrances, reception halls, duty rooms, corridors, and dining halls should be equipped with video surveillance facilities, and video surveillance records should be properly stored, with a retention period of no less than 30 days.
5.1.6 Rest areas, toilets, and public bathrooms should be equipped with emergency call devices.
5.2 Barrier-Free Facilities
5.2.1 The site and rooms should be designed to be barrier-free and comply with GB 50763 requirements.
5.2.2 Indoor and outdoor traffic spaces used by elderly people should have wheelchair ramps connecting them when there is a height difference, with a slope not exceeding 1/12. When the height of the wheelchair ramp exceeds 0.1m, barrier-free steps should also be provided.
5.2.3 Toilets, washrooms, public bathrooms, and other facilities used by elderly people should use convenient and barrier-free sanitary ware.
5.2.4 Toilets and bathrooms should meet easy cleaning and anti-slip requirements, with safety handrails that are easy for elderly people to use, and their form and position should be reasonable.
5.3 Interior Decoration
5.3.1 The selection of interior decoration materials should comply with the current national standards.
5.3.2 Interior decoration should consider the storage and usage needs of rehabilitation aids and reserve the necessary building space.
5.3.3 The interior color should mainly use warm tones, be simple and elegant, natural and harmonious, conducive to creating a warm and livable environment.
5.3.4 Living rooms for elderly people, public activity spaces, and dining areas should have windows that can be opened, and if ventilation conditions are poor, a fresh air system or air purification equipment should be installed. Public corridors, toilets, and bathing spaces should have windows that can be opened or mechanical exhaust facilities.
5.4 Building Signage
5.4.1 Unified and standardized signage should be set in easily recognizable locations such as building facades and entrances.
5.4.2 Building signage should have high recognizability, with warm and simple color tones.
5.4.3 The signage system should be clear, continuous, and unified, with obvious functional area signs in public areas that are easy for elderly people to recognize.
5.4.4 Safety evacuation indication signs should be set in living spaces for elderly people.
5.4.5 Protrusions and overhanging objects on the walls in elderly activity spaces should use eye-catching colors or patterns to distinguish and warn (collision) signs.
5.4.6 Signage should comply with MZ/T 131 requirements.
5.5 Hygiene Control
5.5.1 The design, construction, and layout of the building should help prevent the spread of infectious diseases.
5.5.2 Routes for transporting garbage, waste, and laundry should not cross food storage, processing areas, and dining areas for elderly people.
5.6 Noise Control
Should comply with Class 1 noise environment functional area standards in GB 3096-2008.
6 Functional Area Settings
6.1 Institutional Service Area
6.1.1 Care Area
6.1.1.1 Should be selected in a relatively quiet area, with full-time beds and day care beds configured in separate zones. Rooms should be equipped with beds, storage cabinets, televisions, air conditioning, and other furniture and appliances.
6.1.1.2 Rooms for nursing-type beds should have toilets, equipped with facilities that meet the needs of elderly people for washing, bathing, and toileting; rooms for non-nursing-type beds should preferably have toilets. Space should be left for cleaning, toileting, and bathing operations, with call devices configured at a height of 0.4m–0.5m from the ground.
6.1.2 Public Toilets
6.1.2.1 Should be located near the main living and activity areas of elderly people, with good ventilation measures, and should have barrier-free toilet seats, safety handrails, and emergency call devices.
6.1.2.2 The floor should be flat, anti-slip, and well-drained without standing water.
6.1.3 Bathing Room
When the rooms’ toilets and public toilets do not have bathing facilities, a bathing room or assistance bathing room should be set up, with at least one barrier-free shower for every 10 beds, equipped with shower heads, temperature control devices, bathing chairs, anti-slip mats, etc. If conditions permit, a bathing bed can be provided.
6.1.4 Living Room
6.1.4.1 The living room should be set in a relatively quiet and independent space, not located underground or semi-underground, and should not be adjacent to elevator shafts or noisy machine rooms.
6.1.4.2 The average usable area of beds in elderly people’s rooms should not be less than 6m², and single rooms should have a usable area of not less than 10m².
6.1.4.3 The living room setup should meet the living needs of elderly people requiring care, leaving enough space for wheelchair maneuvering.
6.1.4.4 The construction of doors and windows in the living room should take safety protection measures and measures to help elderly people identify them.
6.1.4.5 The floor of the living room should be flat and anti-slip.
6.2 Multi-Functional Area
6.2.1 Day Care Area
6.2.1.1 Functional configuration should comply with Jianbiao 143 requirements.
6.2.1.2 Should be equipped with living service, health rehabilitation, entertainment, security equipment, and necessary transportation tools.
6.2.2 Cultural and Sports Activity Area
6.2.2.1 Should be equipped with bookshelves, reading tables, chairs, and a certain number of books, newspapers, and magazines suitable for elderly people, as well as supplies needed for calligraphy and painting.
6.2.2.2 Should avoid interference with elderly people’s rooms and lounges, equipped with basic configurations suitable for elderly characteristics, entertainment, social interaction, and intellectual stimulation, such as chess and card games, televisions, projectors, audio-visual playback equipment, and equipment beneficial for training intelligence, fine motor skills, and strength.
6.2.3 Health Rehabilitation Area
6.2.3.1 Rehabilitation rooms should be equipped with exercise rehabilitation equipment and occupational rehabilitation equipment suitable for elderly people.
6.2.3.2 Assessment rooms should be quiet, clean, well-lit, and at a suitable temperature, equipped with tables, assessment steps (or using stairs within the institution), and assessment tools for daily living, washing, eating, vital signs measurement, and assessment scales.
6.2.3.3 Psychological counseling rooms should have good lighting and ventilation, a comfortable layout, and be equipped with good partition measures, soft-colored chairs, and psychological venting tools.
6.2.4 Medical and Health Area
6.2.4.1 Community embedded elderly care institutions with conditions can add medical rooms and nursing stations, which should comply with current national standards or sign medical cooperation agreements with other grassroots medical and health institutions.
6.2.4.2 The nursing station should be prominently located and appropriately centered, facilitating the nursing staff’s line of sight to elderly people’s rooms, corridors, and other public activity areas.
6.2.5 Elderly School
6.2.5.1 The planning layout should be reasonable, and the environment should be clean and beautiful.
6.2.5.2 Teaching equipment should meet normal teaching and training requirements, with complete supporting facilities and equipment.
6.3 Meal Assistance Area
6.3.1 Should meet hygiene and epidemic prevention requirements, designed, laid out, and constructed according to food business licensing regulations, and obtain a food business license.
6.3.2 Community embedded elderly care institutions with conditions can build elderly dining halls (elderly meal assistance areas) and elderly meal assistance points (dining areas) to provide dining and delivery services for elderly people in the area.
6.3.3 Community home-dwelling elderly people should have dining seats, and meal carts should be able to enter and exit the dining hall to provide delivery services.
6.3.4 The dining area should be equipped with movable and stable seating, and dining tables should be convenient for elderly people using wheelchairs, leaving space for caregivers to assist with meals.
6.3.5 The floor of public areas should be treated to be anti-slip, with handwashing basins and toilets set nearby.
6.4 Intelligent Service Platform
6.4.1 The construction of the intelligent service platform should comply with JGJ 484 requirements.
6.4.2 The intelligent service platform should realize functions such as internal management, service management, and health monitoring within the institution.
6.5 Other Spaces
6.5.1 Spaces for discussions and duty rooms for elderly services should be set in prominent locations, with clear signage for easy identification by elderly people.
6.5.2 Spaces for offices, meetings, staff changing, rest, and storage should be set according to local conditions, minimizing excessive occupation of elderly living space.
6.5.3 Conditions should be reserved for the installation, use, and maintenance of intelligent devices and systems.
6.5.4 Areas for the rental of assistive devices and displays for age-friendly renovations should be configured.
References
[1] Notice from the Anhui Provincial Civil Affairs Department on the “Implementation of Guidelines for the Construction of Community Embedded Elderly Care Institutions (Trial)” (Anhui Civil Elderly Letter [2023] No. 240)
Source: HuaiBei Market Supervision Administration
Note: This article is for reference only
