Objectives: to determine the environmental quality of community-based residential and nursing care for population with dementia.

Objectives: to determine the environmental quality of community-based residential and nursing care for population with dementia. Design: survey of a stratified random sample of care abodes Settings: forty-six registered residential and nursing to one's homes in a single health district. Main consequence measures: scales for the assessment of environments for family with dementia, including care practices, social activities, social facilities, reality orientation hints physical condition and space availability. Results: athwart 90% of the homes had high quality scores forward at least two measures. Provision of reality orientation hints was usually poor. Nursing households catering specifically for 'the somewhat advanced in life mentally infirm' had more restrictive care practices, whilst local-authority residential domestic circles had a better provision of recreational facilities. Private sector abodes were in much better condition than public sector to one's homes but their care practices were more institutional - this may be related to the provision of nursing and somewhat old mentally infirm care almost exclusively by the agency of the private sector. Conclusions: the environmental quality of community-based residential care is generally useful but improvements could be made, particularly with reality orientation cues

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