Debbie Carroll is a garden designer with a passion for ensuring gardens are well used and well loved, whether they are part of a domestic setting or a care environment. Her experience in designing for care homes and other health settings for residents with dementia identified the question of why gardens were not more actively used which became a major research project. Step Change Design Ltd was formed to share their research findings and their published ‘Care Culture Map and Handbook’ aims to help residents in care homes be able to use the garden as and when they wish.