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To address the situation, the Quebec government announced in 2019 the so-called Maison des Aînés project, meaning major transformations in long-term care inspired by dementia villages (the Hogeweyk model), an innovative environment of residential care developed in Netherlands in 2009, that emphasizes on improving the quality of life for people with dementia by providing person-centered care at a smaller scale in more “home-like” environments (MSSS, 2019). The new care concept aims to improve and transform existing LTRCs, and build several new ones, creating 2600 new places across Quebec (MSSS, 2019). Three types are proposed; the Maison des Aînés (MDA) welcoming residents with moderate to major loss of autonomy. The Maison Alternative (MA) offering care to adults with specific needs, and the Maison des Aînés et Alternative (MDAA) targeting both populations within the same infrastructure. Each type follows the same principles established by the government (MSSS, 2019) :
 

▫ grouping residents with similar needs and interests in households of twelve

▫ more generous individual bedroom accompanied by a private washroom with an adapted shower

▫ common areas to gather and host stimulating activities

▫ a family room for caregivers to respite during the day or at night enabling more visits 

▫ safe and accessible outdoor spaces open to the community

▫ a design that avoid to the greatest extent similaritie to institutional settings
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