The Lorillard Group supports the renovation system for medico-social buildings through its technical expertise

Demographic change, increased life expectancy, improved living comfort, energy savings and more recently the COVID 19 epidemic have prompted, in turn, the legislator and the actors of the market to think of the building differently.

Healthcare establishments are an example of this and the systems of the Ségur de la Santé and Élan laws both converge towards construction and renovation methods which now focus on taking into account the needs of the patient and the conditions of exercise. of the medical act.

Lorillard, which over the years has built up a solid reputation as a renovation contractor, has used its experience, its know-how and its various entities to offer solutions that meet the challenges of the regulations in force and the needs of users.

The Group has just published an advice file, available to architects and project managers, this file reports on the challenges of rehabilitation in a medical environment with the example of the EHPAD in the city of Saint-Cloud: https://www.lorillard.fr/nos-realisations/ehpad-rehabilitation-usage-au-coeur-reflexion

Better understand the impact of carpentry in healthcare settings

In addition to the notion of responsible building or sustainable building, the notions that today necessarily fall within the framework of buildings are comfort, well-being and health.

Already taken into account in the construction methods of individual housing, it is now the devices of the Ségur de la Santé and Elan laws that demonstrate the need for this physiological approach. It is notably supported by analyzes and observations which unanimously show that physiological comfort contributes to the improvement of the quality of life as well as to the prevention of illnesses.

Joineries, by their functions of protection and opening to the world, are integrated into architectural proposals at the service of the user. But they are also a perfectly appropriate response to the sensory needs of beings. Indeed, the building does not stop transmitting sensory requests to organisms and invite them to perceive their living spaces in this way.

Because of their contribution in natural light, joineries play a fundamental role which goes well beyond a contribution of luminosity. They provide organisms with a temporal marker essential for spatial perception and orientation, and allow physiological functions to be synchronized (from hormonal secretions to mood, from sleep to memory, etc.).

The same is true for their acoustic capacities which promote a sound and sensory environment beneficial to hearing. The impact is naturally on the nervous system, blood pressure, heart rate, quality of sleep, etc.

In a medical environment, their function of use ensures both the confidentiality of exchanges, the intimacy of care, the securing of sensitive areas or even a framework for the circulation of people, light and air.

The chassis accompanies the approach of caregivers in its solidity, its modularity, its safety properties as much as it participates in the patient's convalescence.

Joinery is a vector of well-being that satisfies many essential physiological needs in medical environments: thermal comfort in summer and winter, acoustic comfort, indoor air quality through air renewal, visual comfort and natural light. , ergonomics, sociability.

Intervene in a medical environment

Interventions within health establishments necessarily require taking into account the impact that the activity generates on the environment and people, and taking measures aimed at reducing or eliminating this impact.

The entities of the Lorillard Group are experienced in this type of intervention and take into account the requirements of patients and caregivers. Thus, meticulous preparation upstream is necessary so as not to disturb the activity of the teams and to guarantee the well-being of patients or residents.

A weakened public must be protected, like everyone else, from the various nuisances. However, some pathologies require maintaining spatial landmarks and limiting the intervention in time.

The site teams apply a rigorous co-activity installation charter, measures are reinforced in the medico-social framework to rationalize interventions, establish dialogue with users in order to adapt as much as possible to the daily lives of staff and patients.

This vigilance has in particular become a selection criterion for certain contracting authorities.

In addition to the responsibility incumbent on the Group's entities to manage their own production of waste on site, they have, from experience, the greatest attention paid to the nuisances caused and are concerned with minimizing noise, dust or even the disfigurement of the site or disruption of car traffic in surrounding areas.

For example, this precaution led the contracting authority of the EHPAD de Saint-Cloud site to take particular criteria for selecting companies practicing environmental management of the site. And in this case in particular, particular attention has been paid to the fight against nosocomial infections. Any spread of dust in active areas was strictly prohibited as it was conducive to the spread of bacteria.

The example of the EHPAD of Saint-Cloud

Exemplary rehabilitation, the EHPAD de Saint-Cloud project is an achievement that was carried out over a year and which benefited from the intervention of various Group entities, in particular Lorillard Façades and Lorenove Major Accounts.

The project involved the rehabilitation of the "Laval Ancien" geriatrics pavilion in an EHPAD with the creation of 56 rooms on the ground floor / R+1 and R+2, training rooms and staff accommodation on the R+3, as well as as storage rooms in the basement.

Using their respective know-how, the Lorillard entities have carried out considerable work relating to various aspects such as the rehabilitation of the facades of the “Laval Ancien” building and the surrounding walls (according to delimitation on the architect's plan); the creation and replacement of all exterior joinery, sun protection, emergency doors, sunshades, pergola, railings, terrace dividers, planters, the structure for vegetation, the fire escape, work on exterior fences, interior handrails, exterior handrails and accessory works according to delimitation on the architect's plan.

Initially, all the metal and glazed structures applied to the facades as well as the shutters were removed.

Fire-resistant panels made up of a mineral wool core and a coating of pre-lacquered galvanized sheet metal were installed with, in addition, external thermal insulation of the rock wool type corresponding to R ≥ 3,7 m²K/W.

A white and brown cladding, made up of cassettes with invisible fixing, draws a vertical frame to the facade and connects the different layers of construction of the building.

The old hall has been transformed in favor of a concrete structure on a terrace which extends over all the floors and which is delimited by glazed railings. This pagoda structure covered with stainless steel ropes lets the vegetation rise from the ground or from planters specially designed for this project.

On the top floor, the interior-exterior border is attenuated by the installation of a metal pergola incorporating sunscreens as well as a coordinated handrail, a veritable breadcrumb trail for residents to walk through their unit and access the garden.

With the intention of offering a wide view to the outside, the joinery has been designed so that the opening part is arranged like a bellows on the transom. The aluminum carpentry with hidden opening ensures maximum daylight, including in the 2-leaf configuration present on the XNUMXth century facade.

Rated A+, they contribute to indoor air quality and also offer perfect thermal insulation with their 3 seals. On the south facade, solar-controlled glazing associated with a blind guarantees summer comfort for residents.

Opening up to nature obviously does not exclude offering different levels of security: the parapets forming a railing are equipped with security glazing, the doors on the floors are equipped with a key opening limiter and all the windows have a compass limiter. Guardrails, dividers and planters meet safety standards in manufacturing and installation.

Designed in such a way as to make the link between the design of spaces, their uses and the support objectives implemented in the daily life of the elderly, the renovation of the EHPAD de Saint-Cloud links joinery and materials to the concepts: break the isolation with a handrail to the outside; offer contact with nature through the ropes of vegetation; open up spaces with raised glass railings; ensure sustainability by integrating solar control glazing and external thermal insulation; promote smooth and safe travel through the ergonomics of ERP safety equipment; restore spatial cohesion to the building with unifying cladding, a new frame of openings and terraces; or even facilitate the work of caregivers with joinery combining robustness, ease of opening and flexibility of concealment.

This know-how in the renovation of medico-social establishments was born from a concern of the Lorillard Group, which goes beyond technical expertise and site engineering. This concern is based on a requirement driven by the satisfaction of the imperatives of ergonomics, performance and durability.

If today the legislative framework gives a societal dimension to this type of project, it is nevertheless one of the subjects that has always been at the heart of the Group's concerns, just as much as the sustainable aspect of these projects.

Offering relevant ranges and equipment, going beyond the expected performance: these are all opportunities to create a serene climate for users. The user is at the heart of the architectural reform of healthcare buildings. They have always been the focus of the Group's employees' concerns, whether in social housing, schools or medico-social establishments.