Logo Header


About Culture Change

Characteristics of Culture Change


Many organizations and aging services throughout the country have been exploring approaches to care and services that honor people’s natural rhythms for daily life.  These characteristics of change can be important for well-being, peace of mind, sense of self and physical health.

  • Individuals have control over their own schedules and daily life decisions, such as rising at will and individualized medication or therapy times

  • Intergenerational programs bring community engagement

  • Staff works with a consistent group of people

  • Families are involved in resident’s life

  • Private rooms and personal spaces are the norm

  • Sense of security and “home” is respected

  • Accessible kitchens, dining and living rooms

  • Staff teams are self-led

  • Spontaneous socialization opportunities occur

  • Residents do laundry or other household activities as they desire

  • Group process used in decision-making

  • Food choices and “refrigerator rights” exist

  • Teams create work schedules

  • Living environments are personalized

  • Staff mix evolves toward “versatile workers”

  • All staff are leaders

Source:  A Place to Thrive, Promoting Person-Directed Living in Minnesota, Minnesota Health & Housing Alliance, with permission


“We have learned people thrive medically as well as emotionally when they are able to maintain their personal routines and have their individual needs and preferences accommodated.”

. . . Barbara Frank
B & F Consulting