Low-rise healthcare facilities

Single-storey care unit

This design shows a care unit arranged on a single level. Rooms are set out in repeated bays around two circulation routes, while a central band groups various support functions. The reception and waiting areas appear at one end of the plan; the plant and service rooms are grouped at the other.

This arrangement may favour the repetition of certain panels, openings and sanitary fittings. It does not, however, constitute a standard facility or a medical solution ready to be reproduced. The care brief, the flows, the equipment, the ventilation and the regulatory requirements must be defined for each operation.

Building on a single level removes the stacking of storeys and part of the vertical circulation. It does not automatically simplify the services, the stability of the roof, the health requirements or the organisation of the accesses.

Schematic plan — single-storey care unit.

Key details of this design

Family
Low-rise healthcare facilities
Storeys
Single storey
Published documents
concept drawings

These details describe the design as presented. Floor areas, capacity and performance are not given: they are defined during the study of your project.

What this design shows

The rooms are grouped in regular bays. Certain separations, facade openings and wet-room walls can therefore be prepared from recurring geometries. The end zones, the accesses, the support rooms and the changes of width, by contrast, produce specific panels.

Repetition does not necessarily apply to complete three-dimensional volumes. In the construction system offered by Algeria Light Steel, it may apply to frame panels, roof components, openings and shared details prepared in the factory, then assembled in the configuration studied for the building.

The sanitary rooms are grouped between certain bedrooms. This arrangement can limit the length of the services and repeat several connections. The drainage, the supplies, the ventilation and the equipment must nevertheless be coordinated with the foundations, the slab, the walls and the roof before manufacture.

The central band brings together support rooms, staff spaces, storage and various service functions. Its width and its accesses affect the span of the roof, the position of the load-bearing walls and the penetrations the services require.

The long circulation routes serve a succession of doors. That number of openings reduces the portions of wall available for bracing. Stability must be organised by means of solid panels, cross walls, roof diaphragms and anchors placed according to the calculation of the complete building.

Structure, roof and equipment

In a single-storey building, the roof is a major part of the load-bearing system. Its trusses, joists or upper-floor components must span the bedrooms, the circulation and the central zones while carrying their loads towards clearly identified walls.

Equipment placed on the roof or suspended beneath it introduces loads and vibrations that do not necessarily appear on an architectural plan. Air handling units, services, cable trays, technical ceilings, suspended appliances and any care equipment must be identified before the final calculation.

A suspended load must not be carried by an internal lining alone. Heavy equipment, handrails, fixed furniture, sanitary appliances and wall-mounted devices call for reinforcement built into the panels at the intended location.

The roof penetrations required for ventilation and services must be coordinated with the load-bearing components, the falls, the upstands and the drainage. Adding them after manufacture may interrupt a truss, a joist or a waterproofing layer.

Flows and the organisation of the building

A care building brings several movements into relation: patients, visitors, staff, supplies, linen, cleaning and waste. The plan shows a general layout, but it does not allow the conclusion that these flows are separated or that they comply with a particular health brief.

The position of the accesses, the waiting areas, the support rooms and the exits must be defined according to the real activity. A residential unit, a consultation centre, an observation unit or a building intended for specialist care do not call for the same adjacencies or the same equipment.

The width of the circulation, the turning spaces, the doors, the sanitary facilities and the changes of level must be verified for the people, the wheelchairs, the beds and the equipment that will actually move through them. The fact that the building is on a single level is not, by itself, enough to establish its accessibility.

Ventilation, water and the internal environment

Ventilation needs depend on the use of each room. Air change, filtration, temperature, humidity and any pressure relationships must be defined by the competent specialists on the basis of the care brief.

The ventilation ducts and services occupy a volume that must be reserved in the ceilings, the walls or the plant rooms. Their dimensions may change the available height, the passages through the trusses and the position of the roof equipment.

The water points, drainage, hygiene provisions and waste management rooms must be connected to services that are accessible and maintainable. The passages through the slab and the foundations are coordinated before they are executed, so as to avoid remedial work around the anchors or beneath the load-bearing walls.

The internal materials must be chosen according to cleaning, humidity, impact and the use of the rooms. How easy a surface is to maintain depends on the facing, the joints, the corners, the thresholds and the connections; it does not follow from the steel frame behind that surface.

Envelope, acoustics and fire protection

The bedrooms, circulation, plant rooms and staff spaces may call for different levels of acoustic separation. Noise from equipment, from drainage, from doors and from circulation must be dealt with in the complete build-ups of the walls, the ceilings and the services.

Acoustic and fire protection performance depends on the facings, the insulation, the cavities, the fixings, the doors, the seals, the penetrations and the continuity between walls and roof. No performance must be attributed to the frame alone.

The facades are defined according to the climate, the orientation, the openings, the level of exposure and the requirements of the project. Their build-up must ensure the continuity of the insulation and of the water and air management layers around the windows, the doors and the many technical penetrations.

The exits, compartmentation, escape routes and safety provisions are established according to the use, the capacity and the applicable rules. The schematic plan does not constitute a validation of these provisions.

Layout

Schematic plans

These documents are there to make the layout and the envelope shown understandable. They are schematic plans: they constitute neither construction drawings, nor structural drawings, nor a building permit.

Schematic plan — single-storey care unit.
Schematic plan — dimensions and room labels as shown on the original document.

Possible adaptations and their technical implications

The number of bedrooms can be changed by adding or removing bays. Extending the length does, however, change the roof, the bracing, the foundations, the drainage, the circulation and the capacity of the technical services.

If a future extension is envisaged, it must be anticipated in the position of the end facades, the foundations, the services and the equipment. An existing external wall cannot always be removed to extend the building without taking over its structural function and the continuity of the envelope.

A bedroom can be enlarged, joined with another or turned into a consultation, treatment or diagnostic room. This change may alter the equipment loads, the wall reinforcement, the services, the ventilation, the acoustics and the width of the accesses. It must not be treated as a simple change of label on the plan.

Moving a shower room or a water point changes the drainage and the penetrations through the slab. Widening a door changes the panel that receives it, its lintel, its side studs and sometimes the length available for bracing.

The central band can be recomposed to receive other support functions. Modifying it nevertheless affects the roof structure, the technical passages and the organisation of the flows between the different parts of the building.

In a programme comprising several comparable units, industrialisation may apply to a limited set of standard bedrooms, panels, wet rooms and facade details. The buildings remain studied separately where their site, their capacity, their equipment or their activity differ.

A design becomes a project only after study

Site and geotechnics, planning, orientation, climate, structure, foundations, loads, wind, seismic action, envelope, performance, services, regulations and contractual scope are defined for the real case. None of these points is guaranteed by the original documents.

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