Renovating the built environment for dementia care: lessons learned at the Lodge at Broadmead in Victoria, British Columbia.

Major renovations were carried out in occupied dementia care units at the Lodge at Broadmead, Victoria, British Columbia. A 32-bed lodge was divided into two, requiring the relocation of three sets of doors. Home-like kitchens and living and dining rooms were built and furnished in each unit. A silent resident call system was installed. Nursing stations were moved off the unit. Murals added atmosphere and camouflaged exit doors. The process, while challenging, was successful due to comprehensive planning, careful phasing, the contractor's daily presence, the education of construction workers about residents, constant communication among key people and cooperation of lodge staff. Preliminary results are positive.