Abstract
Although the ″Toyama type″ small-scaleand multi-functional service has been evaluated as a form of effective services for the people with dementia, its effectiveness has not scientifically been examined in welfare studies and architectural planning. This paper attempts to analyze care activities for people with dementia in ″Takurosho″ （small-scale nursing home for the elderly), which adopts ″Toyama type″ small-scale and multi-functional service, and to examine its effectiveness and problems. Taking two homes of ″Takurosho″ in Saga Prefecture as case studies, this paper focuses on ways of communication and conversation between staff with intellectual disability, regular staff without any disability and client elderly users of two homes of ″Takurosho″ on the basis of the intensive behavior observation research. It concludes that various support from regular staff for staff with intellectual disability enables them to communicate with client elderly users.
