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The ageing and disabled population is fast growing, which emphasises the need to effectively modify current homes and environments to support healthy ageing and increasingly diverse health needs. This paper aims to bring together findings and analyses from three adaptations-focussed projects, drawing on perspectives from key stakeholders alongside the lived experiences of service users acquiring adaptations.

Following an Adaptations Framework developed from interviews and focus groups with older people and key stakeholders, the paper discusses barriers experienced by older people and front-line workers in receiving and delivering adaptations through all stages of the process.

This paper reveals how experiences around adaptations might diverge with unseen, hidden investment and need amongst individuals, and how conceptual and cost-focussed evidence gaps impact wider understandings of adaptations delivery. In so doing, this paper highlights how the adaptations process is perceived as a “fight” that does not work smoothly for either those delivering or receiving adaptations services.

The paper suggests a systematic failure such that the adaptations process needs to be rehauled, reset and prioritised within social and public policy if the housing, health and social care sectors are to support healthy ageing and prepare for the future ageing population.

The paper brings together insights from key stakeholders alongside service users' experiences of adaptations to highlight key policy drivers and barriers to accessing and delivering adaptations.

This study aims to explore experiences of the Framework for Integrated Care's team formulation process within a secure children’s home in northern England, from the perspective of care and education staff.

Four focus groups were facilitated, with a total of 25 participants. The focus groups discussed a number of key areas, including: staff experiences of team formulation; the usefulness of the process; the wider impact of the process; and ways the formulation process could be developed. The data set was analysed using Rapid Qualitative Analysis (Hamilton, 2013).

Six overarching themes and a number of accompanying subthemes were developed. The six themes were: (i) new ways of understanding; (ii) enabling communication; (iii) young person should be at the centre; (iv) practical considerations; (v) developing accessibility: a systemic lens; and (vi) developing the focus.

Ten implications for practice within secure children’s homes and wider establishments are outlined. These relate to various aspects of the formulation process, including the preparatory work, meeting attendance, the focus of the formulation and dissemination.

Research within the context of secure children’s homes is expanding and has included the direct involvement of young people. To the best of the authors’ knowledge, this is the first study utilising a qualitative, focus group method to consider the experiences of team formulation from the perspective of the wider care and education staff team in a secure children’s home.

The personalities of the design team members constitute one of the factors that influence team effectiveness. In this study, 223 members of the “American Institute of Architects” who are employed by the largest architectural design firms in the United States of America were categorized according to their personality types by using “The Enneagram Personality Type Model.” Also, the respondents’ opinions about eight team effectiveness outcomes were recorded in order to explore the relationship between team members’ personality types and team effectiveness outcomes.

The information was collected by a questionnaire where the first part included 144 pairs of statements that were used to identify respondents’ personality types. The second part sought designers’ opinions about the importance of eight team effectiveness outcomes rated on a Likert scale ranging from 1 to 5. The results were assessed by performing the Kruskal–Wallis test first and Dunn’s post-hoc test with Bonferroni adjustment subsequently.

The findings highlight the significance of personality types in effective design teams. While Type 6 (loyalist and skeptic) and Type 3 (achiever and performer) architects prioritize team effectiveness the most, Type 7 architects (enthusiasts and epicureans) assign the lowest importance. However, the presence of Type 1 (reformist and perfectionist) and Type 8 (challenger and protector) architects within the same design team may involve challenges or conflicts.

The primary contribution of this study is that it is the first study in the construction management literature that utilizes The Enneagram of Personality Test to understand the relationship between team members’ personality types and team effectiveness outcomes. This study is of direct relevance to practitioners and could be utilized in design team-building activities.