Step Change design is an award winning organisation supporting creating active and meaningful care home gardens within person-centred care practices.

Step Change design aims to support creating active and meaningful care home gardens within person-centred care practices. They recognise that creating sensory, well-being and dementia friendly gardens is both rewarding and challenging, with many often subtle aspects hindering active engagement by residents which prevents them from gaining the health benefits of being able to simply step outside.

Step Change Designs founders identified the key influence on ensuring residents can get out more within the organisation’s culture. They share what is required of care teams, and any garden designers working with them, to create care home garden designs that ensure they are used long after the novelty of a new space has work off.

Their ‘Relationship-Centred Design’ approach supports collaboration between Care Homes and their Residents, and where needed with Garden Designers, Landscape Architects and other therapeutic garden specialists. Their support is available through various self-help books and tools in their ‘Why don’t we go into the garden?’ series including a Garden Designer Handbook, Care Culture Map and Handbook and an Infographic Poster plus a range of thought-provoking workshops, presentation events and site specific tailored consultations.

If you would like more information on how we can support you then please get in touch or sign up for our newsletter below.

 

Upcoming events :

We are back out sharing our work with workshops and presentations scheduled in the coming months to support care settings, garden designers and those who support people living in care settings. You can find us at the following events:

DemFest 2026

Romsey, Hampshire, Dementia Awareness Group’s annual Festival and Dementia information day

  • Date: 13 September 2026
  • Time: 10am -4pm
  • Venue: Sir Harold Hillier Gardens, Ampfield, Romsey, SO51 0QA

This event has all the feel of a garden fete, with music, games for the children all alongside both national and local organisations providing advice and support to anyone living with or caring for someone living with dementia. We’ll be there sharing hints and tips on keeping the connection with the garden alive, plus a chance to see our publication if you a local care provider or garden designer working in this area.

For more information see  www.romdag.co.uk

Gardens that Care

  • Title: Gardens that Care
  • Event: FutureScape
  • Date: 13-14 October 2026, speaking on 13th
  • Time: 11-1145am, theatre tbc
  • Venue: Farnborough International Exhibition & Conference Centre
  • Theatre: Outdoor living and nurture theatre

I’ll be speaking at this event focusing on gardens that care. We all know that gardens can nurture people and the planet, and many of us set out to create spaces to bring these benefits into people’s lives. Yet all too often, these potentially beneficial spaces, fall out of use or don’t live up to expectations. Commonly the client may blame the garden while we may blame the organisation for not maintaining it or a lack of knowledge or that staff have no time to use it. Our award-winning study cuts through these and many other myths to help ensure the efforts we go to in creating these valuable spaces results in an actively used garden long after we have left.

Why not join me to hear more, register at https://www.futurescapeevent.com/register-attend

Transformative Aging – Global online summit

  • Montessori-Care.com
  • Date: 10-12 November 2026, speaking date TBC
  • Time: TBC
  • Venue: On-line

I have been invited to deliver a workshop at this Global Gathering for Innovation in Aging. Bringing together researchers, practitioners, innovators, caregivers, and thought leaders to explore new possibilities for aging, dementia, disability, and human flourishing.

For more information see   https://montessori-care.com/transformative-aging/

2026 UK Dementia Congress

  • Date: 17-18 November 2026
  • Venue: Doncaster Racecourse, Leger Way, Doncaster, DN2 6BB
  • Presentation Title: ‘When a pretty garden isn’t enough’
  • Presentation Date/Time: 18/11/26, 15:30-16:40
  • Parallel session 6.3 Cultivating Connections: Nature, Sport & Therapeutic Activity

We will be presenting at this amazing 2 day event exploring that while gardens are often beautiful restful places, we know are good for us so often even the prettiest and well-designed spaces are under-used? In Horticulture we have a phrase of ‘Right plant, right place’ to ensure they thrive. Our work identifies the need for the ‘Right garden, in the right care culture’ to ensure it is used long term and so benefits residents the way it should. We’ll explore how even the prettiest garden may not be the right one for you and guide you to understanding how to focus in on what really matter and find the right fit for your organisation and most importantly your residents.

For more information & to book your tickets see https://journalofdementiacare.co.uk/congress

National Activity Conference & Awards 2027

  • National Activity Providers Association annual conference and awards
  • Date: Time: 22nd January 2027
  • Venue: Hunton park Hotel, Essex Lane, Hunton Bridge, Hertfordshire, WD4 8PN

As a special adviser to NAPA I’ll be speaking alongside Hilary Woodhead, CEO, to get Launch their year of ‘The Great Outdoors’ and get it off to a flying start. With a wide range of speakers including Dementia Adventure and from overseas this will be an interactive and thought provoking event. If you are involved in activity provision or a manager leading on wellbeing this is a must attend event.

For more information & to book  Conference information & booking

We are proud to have been shortlisted as a finalist for a NAPA award for Activity Partner. This award recognises an outstanding external provider that delivers high quality activity services. The evening after the conference is awards night and will see a celebration of all the amazing work happening to across Activity Provision in the Care Sector, with awards for individuals and organisations who are transforming how care is delivered. The awards celebrate innovation, dedication and excellence.

Why not join the party and see who wins and support the amazing work of NAPA too. Book your tickets at https://napa-activities.org.uk/get-involved/national-activity-awards/

Why don’t we go into the garden? Workshops 2026

We are currently looking to schedule our next care team workshops and courses for garden designers; if you are interested in attending one of these let us know via our contact form and where you are located as this may help us decide our final locations.

For more details of outcomes of these events visit our courses page. We are also able to run these in house for care organisations, landscape design practices or academic settings.

2026 Winer for Research & Evaluation

2026 Winner for Research & Evaluation

2027 Activity Partner Finalist

2027 Activity Partner Finalist

garden designers
Step Change Design - Eden Alternative
Step Change - Gardens
garden designers

Debbie Carroll MBALI

The Alliance of Independent Authors - Author Member

Testimonial

“Incredibly interesting. Really liked the approach of assessing where the care home is in terms of culture so that you are not giving them something they are never going to use, plus having ideas about Health and Safety / Risk Assessments challenged.”

Designer focused workshop Bradford, Participant

Testimonial

“I was only discussing your workshops last week with [colleagues], as I can say undoubtedly your course gave those who attended a different approach – the attendees from the two northern homes put a lot of the ideas into practice and it really showed. Great examples of putting learning into practice!”

Care Group Manager

Step Change Design Ltd
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