5 minute read

Inclusive Bathroom Design

Creating accessible bathrooms that can be used by all members of the household

The bathroom is one of the rooms in the house where privacy and dignity is craved more than anywhere else. The ability to independently use the toilet, bathe, shower and take care of any other personal hygiene matters behind closed doors is of vital importance to most people. Ill health and disability can hinder these abilities and the loss of independence in this area specifically, can have a hugely adverse effect on an individual’s mental wellbeing. Losing the ability to independently attend to your personal hygiene needs can drastically reduce a person’s quality of life, it is therefore of peak importance to ensure that a bathroom is designed with every detail thoroughly thought through to provide a comfortable, safe space that allows as much independence as possible. There are constantly new products and innovative solutions being developed for accessible bathrooms, and OTs need to be knowledgeable and up-to-date in these developments to ensure they can recommend adaptations and products that will suit their patient’s needs. As well as this, an in-depth knowledge of the Disabled Facilities Grant will also help you advocate for your client to ensure they get the equipment and adaptations they need to improve their quality of life. Style and taste should be considered at every step, ensuring your client has a bathroom that doesn’t feel too clinical and still reflects their style choices where possible. We take a look at some of the key considerations for creating inclusive bathrooms that offer safety, promote independence for users and also take the user’s style and taste into consideration.

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Depending on the user’s needs there are a wide range of toilets on the market; raised toilet seats, wash and dry toilets, and the particularly innovative Washseat that we featured last issue. The Washseat is an affordable and portable raised seat that incorporates a bidet, it offers independence and dignity in the home and when travelling. Folding toilet frames allow other members of the household to more easily access the toilet. A contrasting colour on the toilet seat can also be effective in helping patients living with dementia recognise the toilet more easily.

SHOWER

A level access shower allows access for everyone living in the home and it can look modern and stylish without appearing clinical. There are some amazing showers on offer that prioritise safety through thermostatic controls to avoid any risk of scalding. Contrast buttons and easyto-use levers are available too, as are showers with an auto-stop which turn the shower off after 30 minutes in case of flooding if the user has a fall. Plastic shower screens are a safer option than glass in case of a fall too.

SINK

Space under the sink is vital for wheelchair users, and the range of floating sinks or rise and fall sinks available nowadays is quite extraordinary. You can even purchase a sink with a vanity unit that opens up and doubles for storage and space for a wheelchair. The space around the sink area should be considered too as it can be useful for toothbrushes and amenities to be kept at a convenient distance. Some sinks have incorporated hand towel holders at the front to prevent reaching and straining. Easy turn taps with obvious colour markers for hot and cold will help patients living with dementia or visual impairment.

FLOORING

Anti-slip flooring or matting should naturally be considered in the bathroom, and not just in the confines of the shower area as the rest of the floor can get wet too. For patients living with dementia it is recommended to stick to light coloured flooring without any patterns or flecks as these can be seen as dirt or something that needs to be picked up, this can lead to falls or distress. It is also recommended to keep the same colour flowing into the shower area and also at the door exiting out, as contrasting colours can be mistaken for steps and cause trips or falls.

GRAB RAILS

These do not have to be clinical looking or obtrusive, even in smaller spaces. Grab rails can be permanently installed or you can acquire ones with strong suction cups that hold firmly onto bathroom walls and tiles. Luckily a few companies have recognised that grab rails are something that most people need in later life and have decided to expand the selection by offering modern, sleek grab rails that incorporate towel rails or mirrors, they look just like stylish bathroom furnishings but they have a practical nature too.

FALL PROTECTION

Preventing falls is a major priority and the bathroom layout and décor should reflect this. Consider reducing the number of furniture items or drawers, especially low level pieces, that are in the bathroom to avoid the potential of any trip or bump hazards. Radiators can be another concern for a person falling as they can cause substantial injury. If the option for underfloor heating is available this could be another safety precaution covered. Ensure you avoid any sharp corners or cover them appropriately to avoid injury, and limit the number of decorative items placed around the bathroom to avoid breakages or the risk of any confusion.

STORAGE

Look at using open shelves for storage, rather than cupboards, this will minimise confusion and naturally assist the user to see anything they require out in the open. Towels, shampoo, soap, toilet roll and other amenities can be displayed clearly for use and should be within easy reach for the user to help promote their independence and avoid any accidents reaching for something or distress in looking for something.

LIGHTING

Lighting should be plentiful, but not harsh or clinical. Look at spotlighting task areas to ensure there is enough light at the sink, in the shower and at the toilet. Ensure the light switch is placed at an appropriate height and is clear and obvious to all users.

For patients living with dementia it is recommended to stick to light coloured flooring without any patterns or flecks as these can be seen as dirt or something that needs to be picked up, this can lead to falls or distress

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