Following discussions with Healthcare Management Trust, it became apparent that Marie Louise House had inefficiencies in staffing and general operations driven by the layout of the existing building. As a result, we proposed to extend the existing care home to increase the number of bedrooms and therefore the number of residents, we also proposed an internal reconfiguration of the existing home to improve the spatial layout, the addition of a 13-person stretcher lift that provide access to all floors, and to increase the size of the car park to reflect the additional number of bedrooms. Additionally, we wanted to improve the residents access to outdoor amenity space by providing terraces and balconies from communal areas as well as more suitable secure, sensory gardens. The existing care home is 3 storeys in height with a parapet roof that partially conceals a hipped pitched roof behind. The proposed extension is designed to be subservient to the main building and as such, is only two storeys in height. The floor levels are dictated by those of the existing building to ensure that each floorplate provides no obstacle to its residents in terms of a level change. The proposal utilises a contemporary appearance which allows for a flat roof arrangement to be used. This assists with keeping the scale and height of the extension to a minimum and ensuring it reads subservient to the existing building.