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A Home with Heart: The Origins of Richmond Care Home

Richmond Dementia care home

On September 5th, 2000, John and Lilian Bosco opened the doors to Richmond Care Home, a small dementia care retirement home exclusively for women living with dementia. Tucked in the village of Richmond, Ontario in southwest Ottawa, it wasn’t just another care facility—it was a deeply personal and purpose-built response to a challenge John had spent much of his career studying: how to support people with dementia in a way that preserves their dignity, comfort, and autonomy.

John, a social worker and department manager at St. Patrick’s Home in Ottawa for two decades, became increasingly interested in alternative care models after hearing about a study from Australia. A psychiatrist, Dr. John Tooth, had unintentionally discovered the power of a home-like environment for people with dementia. When a psychiatric facility was temporarily closed for renovations, patients were moved into small, home-style residences. The results were profound—individuals previously labeled aggressive or uncooperative became calmer, more independent, and more responsive. Dr. Tooth concluded that it was the environment itself that was driving this change.

Inspired by that research, John envisioned something similar in Canada. At St. Patrick’s, he had managed multiple departments—including social work, volunteer coordination, and dementia care—and saw firsthand how traditional institutional environments could hinder, rather than help, individuals with memory loss. With this in mind, he and Lilian set out to create a small, secure home where women with dementia could live with purpose, routine, and peace.

They designed Richmond Care Home themselves, eventually hiring an architect and builder to bring their vision to life. The home was small by design—just 16 residents—and exclusively for women. This choice was based on demographics and practicality: most residents in long-term care are women, and in a small group, a mixed-gender population would have introduced additional staffing complexities.

The couple secured a business loan, and both their mothers contributed personal funds to support the project. It opened with just three residents and filled to capacity within six months, thanks to open houses, local newspaper ads, and word-of-mouth within the retirement and dementia care community.

But what truly made Richmond unique was its philosophy. Drawing from the “Gentle Care” approach by Moyra Jones, the Boscos believed in meeting residents where they were—using cues, not commands, to support activities of daily living. The home was warm and intimate: meals around one table, familiar routines, and a sense of family between staff and residents. John recalls one woman who, after being declared unable to live independently by a hospital, returned to Richmond and immediately resumed dressing, toileting, and caring for herself—proof, he says, of the power of home.

The Boscos ran Richmond Care Home for eight years before retiring and selling it to Carefor. Though no longer at the helm, John is proud of their legacy which continues at Richmond Care Home.

With September 5th, 2025 being Richmond Care Home’s 25th anniversary, we’re excited to be hosting a 25th Anniversary Open House for people to come and take a look at our home and see what John and Lilian Bosco believed for year: that it’s the best retirement home for people living with dementia in Ontario.

Join us Sunday, September 28 from 1:00 – 3:00 PM at Richmond Care Home at 27 Nixon Farm Dr. in Richmond. To RSVP contact info@carefor.ca or visit www.carefor.ca/anniversary

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