We are developing a new community in Orange, Chatham or Durham county that is an inclusive, permeable, and playful arts village that includes continuing care for older adults.
We are creating a continuing care retirement community, a CCRC (based on the Household model), which commits to meeting its residents’ needs through the end of life, offering a combination of privacy, community, and organized support.
- We want to stay together and play together through old age.
- We don’t want to live in an age-segregated retirement community.
- We want to continue to practice our arts, enjoy our pleasures, engage with the world, and be useful until we take our last breath.
- We want healthcare that is resident-centered, not institutional.
The core of our vision is a continuing care retirement community (CCRC) that can include:
- Community center
- Individual cottages and apartments
- Pub, a café and other dining venues
- Household-model assisted living and skilled nursing
- Wellness center
- Accessible gardens and green space
- Library and studios for arts, crafts and music
- Adult day program and other enriched environments for people with memory loss
- Home care/home health agency
- Contract to help people stay at home longer
- Outpatient clinic
- Supportive staff with accountability and responsiveness to the wishes of the residents of the community
- A full operations team including social work to help with transitions and crises
We want to create a national or regional center featuring:
- Practice and teaching spaces
- Dance hall(s)/auditorium(s)
- Dining spaces
- Dormitories and/or motel-style rooms
- A lake or swimming pool
The Household Model
We embrace household living as the alternative to institutional assisted living and skilled nursing for those who need significant personal care and/or skilled nursing care. These small houses with dedicated teams of helpers will enable us to continue to lead normal lives with the same choices, comforts and pursuits that we have enjoyed in the rest of our lives, honoring our remaining abilities and personhood.
What Is It and Why Is It Crucial?
Non-institutional, residential group living for people who need a lot of nursing and personal care but can’t afford to stay home.
- Small households/cottages of 6 to 21 residents
- Private bedrooms
- Full kitchen, living room, dining room
- Normal daily life No institutional schedules or rules
- Small, dedicated staff that is self-led and cross-trained
The Household Model is a relatively new approach that we plan to implement. There are many reasons why this approach is appealing to us. Each household has decision-making autonomy and is consistently staffed. Residents get up when they want to get up. They bathe how and when they want to do so. There is also freedom to go to bed when they want, eat when and what they want, and decide how they will spend their day. Household life is “normal,” spontaneous and full of new experiences. Quality of care and quality of life are of the highest priority.