Older adults: the quiet crisis of housing

When economists, property developers, real estate agents and governments discuss housing issues, they are thinking of people in the workforce. Left behind are any discussions about people not of workforce age. According to Richard Duncan there is a worsening yet quiet crisis of housing for older adults. They are ageing in homes that put them at risk of injuries, reduced activity and social isolation.

“Without changes, our homes can impose restrictions on our lifestyle and hazards to our daily routines years before we might otherwise expect to see these kinds of activity constraints.”

A brick terrace house fronts the footpath and has lots of pot plants in front of it.

Key issues

Duncan lists the key issues for what is considered traditional housing design. He discusses steps and stairs, hallways, bathrooms, lighting and kitchens. As people age in their current homes they live smaller lives and do fewer daily activities. Caregivers are at risk as well – lifting, pulling and manoeuvring. This is especially the case with older couples helping each other.

Lack of planning

We all know we are going to grow older, but we do not plan for it when it comes to housing. Older people often wait until a crisis occurs before they think about it. And even then they shun a grab bar or a ramp to help them when the time comes.

Our culture does not encourage people to plan ahead or to do much about their existing home. In the United States the home remodelling industry is doing quite well. But there is no real sign of the housing industry taking the lead on this issue except for segregated housing and retirement villages.

In Australia we have the help of the Livable Housing Design Standard which aims to bring the housing industry on board with universal design. However, not all states and territories have adopted the Standard due to industry resistance. Nevertheless it is good to see community housing and state housing projects implementing the Standard.

Move house or stay put?

Moving house sounds like the perfect solution until you look more closely. Seeking out a home with a better layout requires stamina even when there are suitable properties. When there are few, if any, options the task becomes harder. And this is at a time when physical, mental and cognitive abilities are already stretched. Then there are the logistics of moving. It’s no wonder people prefer to take a risk to stay put.

The title of Duncan’s article is, The Housing Dilemma for Older Adults: The Quiet Crisis. Homes that are safe and convenient for later life are good for any age – that’s universal design. We should be designing out this quiet crisis.

Healthy ageing requires community thinking

The North Carolina Medical Journal has a policy brief on opportunities and barriers to healthy ageing. The articles highlight how individuals caregivers and government can address the wellbeing of all in a cost efficient way.

Authors highlight challenges, behaviours, and community infrastructure for people to live healthier, longer and more productive lives. This is the case both in Australia and the United States.

Front cover of the North Carolina Medical Journal special issue showing a montage of images of older people.

The introductory section of the publication gives an overview of the different articles which include:

  • Importance of social connectivity
  • Housing and transportation
  • Trips, falls and connection to safe housing
  • Food and nutrition security
  • Financial security
  • Long term care services
Image from the publication showing people walking over a footbridge. In the foreground an older man and woman walk together away from the camera. The woman is using a wheelie walker.

The title of the publication is, Opportunities and Barriers to Healthy Aging in North Carolina. Images from the publication.

Designing homes with dementia in mind

In most cases, designing homes with dementia in mind does not mean a special type of design.  It’s not news that people prefer to live at home as they age. So, universal design for dementia-friendly dwellings helps people live at home for as long as possible.

Once basic accessibility features are considered, as they should be in all homes, it’s about the details. The research that underpins the guidelines for dementia friendly dwellings found four key design principles:

  1. Integrated into the neighbourhood
  2. Easy to approach, enter and move about in
  3. Easy to understand, use and manage
  4. Flexible, safe, cost effective and adaptable over time

The graphic below shows the elements in the design process that emerged from the research project.

Graphic showing the design process.
The design process from a related article on page 12 of the Housing Ireland Journal

Dementia Friendly Dwellings Guideline

The Centre for Excellence in Universal Design has a great set of guidelines for Dementia Friendly Dwellings. People with dementia and their families and carers are considered in the designs. The Guidelines are founded on the research mentioned above. The online content is in four sections:

  • Home location and approach
  • Entering and moving about the home
  • Spaces for living
  • Elements and technology systems
Section of the front cover of the Universal Design guidelines for Dementia Friendly Dwellings.

The introduction provides a brief overview of dementia which is caused by many different diseases. Floor plans are included as examples of spatial layout and circulation space. Typical universally designed dementia friendly features provide the details.

Dementia friendly home ideas

Graphic showing the floor plan of a basic home.The Dementia Enabling Environments website has a page on home design ideas. Some of them are simple and cost nothing, but might not be obvious to the casual observer. The Adapt a House page has a floor plan of five rooms: living room, kitchen/dining, bedroom, bathroom and laundry. There are plans for houses and apartments.

It’s interactive, so clicking on a room brings up more detail. For example, in the kitchen they suggest see-through doors on wall cabinets.

If replacing an appliance, match it closely to the existing one. In the bedroom colour contrasts are important for finding the bed and other furniture. Block-out blinds on the windows help differentiate between day and night, especially in the summertime. There is lots more information and resources on the website.

The Dementia Enabling Environments web tool was developed by Alzheimer’s WA.  There are more resources on the Alzheimer’s Australia website on creating a dementia-friendly home

Home adaptations

A group of researchers in the UK wanted to find out the role of home adaptations in supporting people with dementia. They wanted to know what works, what doesn’t, and what more needs to be done. There were four key questions in their literature review:

  • Which housing adaptations are being implemented and used on an everyday basis?
  • How are decisions made to implement and use housing adaptations?
  • What are the barriers and enablers to housing adaptation and use?
  • What is the impact of housing adaptations on everyday life?
A kitchen in the middle of renovations showing stripped walls and a step ladder.

Results of the review

The review found that the most common adaptations were about physical limitations. The emphasis was on preventing falls. Clinical trials found that home adaptations have the potential to minimise falls. Safety relies on predictability of the environment for people with dementia. Nevertheless, this is the one area that is most lacking for people living in the community. 

Professionals and family members were good at coming up with ideas for adaptations. The study also found that carers were often inventive with novel solutions. However, some carers preferred their own trial and error methods when they thought professionals would not be helpful. A key issue here is that most useful information for families is online and not everyone has the ability to access this information.

“I’ll wait until the time comes” was evident in some of the literature. Some families were in favour of adaptations prior to need, whereas others wanted to wait until it was necessary. The type of housing also had an impact on this aspect.

Carers felt the adaptations made their caring tasks easier. They spent less time supervising and resulted in less burden and more sleep. The health and wellbeing of carers was the main gap in the literature. 

There’s a lot more information in this scoping review. The title is, Exploring the contribution of housing adaptations in supporting everyday life for people with dementia: a scoping review.

Australian housing quality in question

Research from AHURI found that 70 per cent of households reported one or more major building problems in 2022. Policy for housing quality standards is fragmented across governments and ministers’ portfolios. And industry lobbyists are getting the way of improving the quality of our homes. The Livable Housing Design Standard is a case in point.

Policy for housing standards is weak and overly reliant on voluntary measures. We need a national strategy to improve housing standards.

Image: front cover of the Australian Housing and Urban Research Institute (AHURI) report.

Image from the front cover of the AHURI report showing a street of new single storey homes.

The research report uses two case studies to show that change is possible, but takes persistent effort to overcome lobbyist resistance. They recommend that purchasers get a performance report at the point of sale or lease. The rental sector should also have minimum standards mandated.

Relative to other countries, housing standards are not only fragmented but in some cases ineffectual. Too many standards are voluntary. Without mandated standards we cannot expect improvements in decarbonisation or accessibility for our homes.

The report highlights the lack of national leadership, and a strong lobbyist influence in maintaining the status quo. Governance processes are less than transparent, and voluntary standards are ineffective.

Front of a new house with 12 steps to the front door.

Case studies: Healthy Housing, Livable Housing Design

The case studies focus on the Healthy Housing Standards in Aotearoa New Zealand, and the Livable Housing Design Standard in Australia. The Healthy Housing Standard was eventually watered down to just insulation and smoke alarms.

In Australia, the Australian Building Codes Board controls the National Construction Code. According to the researchers, compared to other rule-making agencies, “there is a lack of transparency in the ABCB”. Among other missing information on their website, there is no annual report of the Board.

The report charts the history of the Livable Housing Design Standard from the National Dialogue on Universal Housing Design to the final Standard. An interview with a property industry professional confirmed their stance on retaining the status quo. That is, they lobbied for no change to standards or regulation. Hence the whole process took 20 years and still the state governments are lagging behind in adopting the Standard. Industry has not given up on their position.

Review reveals weak governance processes

An independent review of the process taken to assess the economics of adopting the Livable Housing Design Standard outlined 8 recommendations. They were based on four guiding principles that the ABCB should follow: transparency, robustness, integrity and fairness.

AHURI researchers found the Livable Housing Design Standard provided important lessons for the ABCB. The processes were not fit for purpose for this Standard.

“When forced to take up the issue by the nation’s building ministers, the ABCB ran a very slow process. They were actively lobbied by the building sector to adopt a voluntary strategy despite the obvious failure of that approach.”

Front cover of the Livable Housing Design Standard showing a single storey home with garage.

The report is lengthy and is really about “why is it so difficult to get changes to the building code when those changes would benefit so many?”

The section on the case studies concludes with the need for significant policy changes. Without them, we are unlikely to address the issues facing the environment and the move to net zero by 2050.

The AHURI report is, A national roadmap for improving the building quality of Australian housing stock. There is a link to the full report, the executive summary, and a policy summary.

Homes for an ageing population in New Zealand

A report for FAAB Small Homes repeats much of what is found in Australia in relation to updating to housing design to suit the current and future population. Yet resistance by the housing industry to updating housing standards and codes remains. And older people are not seeking universal inclusive design in new homes either.

Although we, as individuals, know we are ageing, the concept of universal design and easier access to and throughout the home is not a selling point with consumers. In the report one builder-developer was surprised that older people were not interested.

“We didn’t get much out of it at all … it really surprised me, maybe clients don’t think they will ever be in that situation. … I bring it up with all my clients. But they’re, ‘oh, it’s not going to happen to me’.”

Aerial view of an expanse of a housing estate. Inclusive suburbs for mind and body.

The title of the report is Encouraging new-build small, affordable and accessible homes for an ageing population.

Jane Bringolf reported in 2011 the same issue of ‘selling’ universal inclusive features, even to older people. After all, ageing and disability is not an aspirational factor for one’s ‘dream home’. That is why we need regulation to suit the population into the future. The idea of getting old, even when people observe their parents, does not compute. Hence the market is not asking for it and housing industry stakeholders use this as a means of maintaining the status quo.

In more than ten years, nothing much has changed, particularly in terms of attitudes to ageing. The title of Bringolf’s paper is Hope I die before I get old: The state of play for housing liveability in Australia.

Home designs for living

Designs 4 Living is a magazine by Todd Brickhouse in the US with a focus on home designs for people with disability and older adults. The latest issue covers a wide variety of design solutions. They include home lighting, bathroom and kitchen trends, home workplaces and cognitive and sensory solutions.

Front cover of Designs 4 Living showing a sunset over a lake with birds flying above.

Lighting the home

As we get older our vision degrades and in many instances and higher levels of illumination become more important. However, it’s important to avoid glare and “pooling” of light. Indirect light sources such as recessed lighting under and over cabinets is good. LED lighting uses less power and lasts much longer.

Different scenarios for different rooms in the home are presented in the article along with a useful list of terms used for lighting and illumination. There is a link to a free guidebook to lighting the whole house.

Bathroom trends

Making a bathroom safe and accessible is just the beginning – why not make it look stylish too. That’s the content of the article by Mike Foti. While white tiles are still popular, light wood grains have gained popularity and come as tiles and panels. Flooring can provide the necessary visual contrast to the walls and fittings. Shower and bathroom treatments that don’t involve grout are a bonus. The article has more with links to useful solutions.

Cognitive and sensory solutions

Shelly Rosenberg is an interior designer with ADHD and her article is framed around 8 human senses. We all learned the five senses at school but we need to add Vestibular, Proprioception and Interoception. She begins with vision and the quality of light and level of visual ‘busyness’.

Smell is about air quality, fragrance, memory and mood. Building materials and furnishings can give off toxic gasses. Controlling moisture temperature and using air filters and purifiers are some of the solutions. Rosenberg goes through all 8 senses

Gen X and Baby Boomer needs

This article explores the divergent needs of Generation X and Baby Boomers as they age. Marketing professionals like to label different age groups, but the old labels for older adults don’t gel with Gen X. Indeed, why should older people wear a label at all? And terms such as Silver Tsunami present older people as a burden. An interesting discussion.

The Summer edition 2024 of Designs 4 Living also has items on pets, and workplaces.

Ageing communities: Policy blind spots


Policy makers have been talking about population ageing, ageing-in-place and age-friendly communities for several years. But has there been any progress? The focus is still on residential care homes and this is the policy blind spot. Most older Australians are living in their own homes. So how do policies support them? And what about renters?

Three housing researchers analysed 85 policy documents against the World Health Organization’s (WHO) guidelines on age-friendly cities. They found these policies reflected outdated views of older age. That’s because the policy focus in on care and support services. This means less attention to housing, transport, walkability and cultural diversity.

Most older Australians aren’t in aged care – they are living in the community.

Policy blind spots mean they live in communities that aren’t age-friendly.

Being age-friendly for older people means age-friendly for all ages.

A child is kneeling down by the side of a lily pond. Her mother on one side and her grandmother on the other, also kneeling down. Grandfather is standing behind watching them.

The research also reveals a failure to recognise the diversity and impact of the ageing process. In particular, is the lack of recognition of diverse cultural needs.

“There is almost a complete blindness to their impacts on ageing and other social determinants of health.” Regardless most older Australians want to live where they are.

Two women sit on a bird nest swing.

For more on this topic see Most older Australians aren’t in aged care. Policy blind spots mean they live in communities that aren’t age-friendly in The Conversation.

Stay put or go? Renters lack choice

In another study, researchers asked what motivates older homeowners and renters to age where they are or to relocate. It seems older renters are not given a fair choice. For homeowners, family ties matter.

Owners with children living nearby were more likely to want to stay. They might then have a reason to call on their housing wealth and become the “bank of mum and dad”. Renters, however, want the same choice but face the most disruption. Many had to move out of their neighbourhood to find a place to rent.

This is another area where policy change is needed and for many, social housing is the answer. However, social housing is in short supply.

A family room with a couch, cushions and a throw.

For more see Should I stay or should I go? Most older Australians want to retire where they are, but renters don’t always get a choice, in The Conversation.

There’s a glimmer of hope on the horizon with the new Livable Housing Design Standard. This mandated Standard in the National Construction Code provides for accessible features such as a level entry into the home. It will support many more people to age in place and reduce the need for costly home modifications.

While it will take many years for new accessible homes to make an impact, it does mean that rental housing will be included in mainstream housing stock. However, states and territories are showing reluctance to adopt this essential Standard in the face of industry lobbying. But none of us is getting any younger.

See CUDA’s short online course which provides all the technical detail for implementing the Livable Housing Design Standard.

Universally designed dream home

This is not your average home. This one goes beyond even enhanced features in the Livable Housing Design Standard. However, it shows what is possible with creative design thinking. Depending on where you live, the key features will be embedded in all new homes under the Livable Housing Design Standard. And it’s good for home renovations too.

Contrary to the many myths, introducing universal design features into a home doesn’t compromise aesthetics.

Exterior view of the top part of a two storey home showing a window in the gables of the house. Universally designed dream home.

The video below is from O’Shea and Sons Builders that showcases a high-end of the market home. The additional costs are in the automation, the elevator and some of the fixtures and fittings. However, the key features are possible in mainstream homes at little, if any, additional cost.

As Nick O’Shea says, “… an absolutely amazing home where functionality and style means absolute beauty”. A really great example of universal design in action dispelling the myth that accessibility and functionality are ugly.

Filming by Unveil Media

O’Shea Builders have built other accessible homes so this is not the first. The Independent Builders Network in Queensland has other members doing good work as well. Queensland is also the first state to implement the new Livable Housing Design Standard.

Online learning – Livable Housing Design

CUDA has the licence from the Australian Building Codes Board to run their course on the Livable Housing Design Standard. The course is based on the Handbook and the Standard. This is a technical course for home-building professionals. Find out more about this course.

It covers the various ways to create level entries, doors, circulation spaces, showers and toilets. If you are reading this, take advantage of $30 off with the coupon code NEWS40 at the checkout. Offer ends 10 August.

Front cover of the Livable Housing Design Standard showing a single storey home with garage.

Housing Adaptations Design Toolkit

The Housing Adaptations Design Toolkit comes from Northern Ireland and is focused on government departments collaborating for good social housing outcomes. The aim is to integrate services to promote independent living. As such it has application to government funded home modification services in Australia an elsewhere.

Housing adaptations are a key element in supporting independent living. The other three are assistive technology, social care, and health and wellbeing.

The diagram shows the links between the four elements required for independent living.

Diagram showing the integration of services: health and wellbeing, housing adaptations, assistive technology and social care leading to independent living.

The Department of Communities and the Department of Health collaborated in the development of the toolkit.

The toolkit covers housing adaptions that range from those not needing a referral to occupational therapy services to more complex projects. It has design formats that help service users to visualise the proposed adaptations. Electronic formats facilitate inter-agency communications for the recommended adaptations and specifications.

The toolkit has seven sections. They include design principles for different rooms, space standards for different users, and helpful specification templates. There are three categories of users: ambulant, independent wheelchair user, and dependent wheelchair user.

The development of the toolkit included collaboration with people with disability. It supports a standardised approach to design principles and space standards. The image shows the front cover of the toolkit.

Front cover of the Housing Adaptations Design Toolkit.

The Housing Adaptations Design Toolkit is a guide for government funded adaptations. As such, the toolkit processes could help inform home modifications under Australia’s National Disability Insurance Scheme. This is a very comprehensive approach to bureaucratic processes and technical detail.

Specialist guide for wheelchair housing from UK

Front cover of the guide. Line drawings of housing using light blue, dark blue and lime green

The third edition of the Habinteg Wheelchair Housing Design Guide has input from Centre for Accessible Environments and the Royal College of Occupational Therapists. It is good to see a separate housing design guide for wheelchair users. Not all wheelchair users need the same features. Their abilities vary from part time users of a manual chair to those who are fully dependent on a large powered chair.

When it comes to the concept of “accessible housing” designers tend to think only of wheelchair users when there are many other types of disability that need consideration. Wheelchair housing is not the same as universal design in housing. However, almost all wheelchair users should be able to visit a home designed to the Livable Housing Standard.

Habinteg has instructions on how to purchase in the UK. You can also access a copy via Angus and Robertson

Economic value of wheelchair user homes

The UK organisation for accessible housing, Habinteg, has released new research on the social and economic value of wheelchair users homes. The research was carried out by the London School of Economics. They did a cost-benefit analysis of wheelchair user housing and a qualitative analysis of how their home impacts wheelchair users in everyday life. Together they showed benefits, particularly to government, outweighed the costs.

“… it’s not just the quality
of accommodation and its suitableness for living, but it’s affecting everything else to do with my life.”

“I was living a life that I chose to live, not one that was chosen for me.”

An older man and woman have their head togther and they are smiling happily at the camera. They are on the front cover of the Habinteg report: Living not existing, the economic and social value of wheelchair user homes.

The UK already has a mandated standard of basic access features in new housing called Visitable dwellings. This covers door widths and corridors. However, it fails to guarantee true visitability to everyone and is not adaptable for households over time. There are two other standards which are not mandatory: accessible and adaptable dwellings, and wheelchair user dwellings.

The cost-benefit analysis used three models based on three groups of wheelchair user households.:

  • Households with children who use wheelchairs
  • Working aged, wheelchair user households
  • People in later life who use wheelchairs (aged 65+)

They found that a working age wheelchair user, the benefit was £94,000 over a ten year period. A later years household was £101,000 over a ten year period, and for a child, the benefit was £67,000 over ten years. The financial value was divided between health, local government and the national government.

Benefits of wheelchair housing

The interviews with wheelchair users revealed the personal benefits of improved quality of life. Of being able to work, to come and go independently, and have peace of mind. Being able to work provides additional disposable income and tax revenue for the government. It also means less welfare payments and hours of home care services.

The title of the report is, Living not existing: The economic and social value of wheelchair user homes. The quotes from wheelchair users really tell the story of the difference between existence and living. The analysis shows that when it comes to cost, the real question is, how much and who pays?

Modern homes for Queensland

The Queensland Government is leading the way with their new Modern Homes Standard. Queensland will begin rolling out mainstream universally designed eco-friendly homes based on the new standards in the National Construction Code (NCC) from October 2023. While the energy efficiency requirements might cost more, the universal design features will cost little, if any, more.

The universal design features are a level entry, wider doors and corridors, a toilet on the entry level with extra circulation space, and a step-free shower. The Livable Housing Handbook has more detail.

new home construction site with timber on the ground.

The benefits to consumers are obvious, but the benefits to government perhaps less so. Consumers will eventually have homes that are suited across the lifespan that cater for most life events. Governments stand to save on unnecessary extended hospital stays, and early entry to aged care. They will also save money on government funded home modifications.

However, this has not stopped the housing industry from heavily lobbying against the universal design changes at state level. They claim that the industry has too many problems, it’s technically difficult and it would cost homeowners $40,000.00 more. Are these claims true or are they myths and misunderstandings?

Dispelling the myths

Here are some of the common claims by industry where the cost claims are confused with specialist disability housing or the old adaptable housing standard. So these claims are easily dismissed.

You can download a PDF of this list. 

Myth

Response

You can’t do level entry to the home on steep sites or on small lots.

Steep sites are exempted from dwelling access requirements. Or you can make the entry via the garage.

You can’t do Livable Housing features in a studio apartment.

It’s often easier in studio because they only have 2 doors and no corridors.

These bigger bathrooms really add to the cost.

No big bathroom required because it can be achieved in less than 4sqm. See Livable Housing Handbook.

You can’t do it on narrow lots.

Narrow properties use space smartly with minimal corridors relying on shared circulation and open plan spaces.

Grab rails make the place look ugly.

Grab rails are not required. They can be added later if ever they are needed.

People just want a regular-looking home.

The design tweaks are not noticeable other than a level entry.

People don’t want a disability bathroom.

They won’t get one. The Standard asks for a small extra space in front of the toilet pan.

Some people want a traditional closet WC.

They can have one. Only one toilet pan on the ground or entry level needs to have some extra space in front of it.

People don’t want a front yard full of ramps.

They won’t have one. Access is from the street, parking space or garage.

The extra accessible parking places will add enormous cost to apartments.

There are no changes to parking requirements. Only the internal fit-out applies to apartments.

Door manufacturers will have to re-tool to make new products.

The door sizes are standard already.

Only a few people need these changes.

These provisions are for improving amenity and liveability for everyone. It’s about future-proofing a consumer’s biggest asset.

It’s going to be expensive.

The main cost will be some timber noggins for wall reinforcement in the bathroom.

There’s a cost of living crisis.

That’s why it’s even more important to build homes that protect families from future-shock – the cost of adaptation if life circumstances change. It makes them more sustainable.

I’ve built this kind of home before and I know it costs a lot more.

This is not Specialist Disability Accommodation or housing to the Adaptable Housing Standard. These do cost more. The Livable Housing Standard normalises these common design features. That’s why they are called universal design features. And there is little, if any, extra cost.

It’s bound to cost more because this is all new and we have to learn how to do it.

These features have been applied in seniors living since 2004 and specialist disability homes. Community housing associations apply these features. There is nothing new or onerous.

It’s not a good time for the industry to do this.

It is never a good time for industry. Meanwhile it is a very good time for people wanting to move into a home with no steps.

Why we need it

Building homes based on last century ideas of housing the population has to change and it has to be more than fashion changes. We are living much longer and want to stay put as we age. The pandemic has made people even less eager to go to aged care. People who use mobility devices want to visit family and friends in their own homes. In summary we want homes that are fit for purpose for all family members regardless of what life has in store.

The Livable Housing Design Standard is a tweak to existing designs, but it is these little details that make the difference to longer term liveability for all family members.

The size of Australian homes will easily accommodate all the new provisions in the Livable Housing Design Standard. We wait for Victoria, ACT, NT, South Australia and Tasmania to keep to their promises to follow Queensland’s lead. However, NSW still agrees with industry lobbyists and is saying “no”. ABC News has an article on Queensland’s commitment to housing fit for purpose in the 21st Century.

Bathroom aesthetics and accessibility

A touch of universal design thinking has entered the design of bathroom design and fittings. Research from many quarters has established that people want to stay home in their later years. Consequently designers need to get on board with designs that are functional and look good too. A whitepaper from Nero Tapware updates designers on bathroom aesthetics and accessibility.

“Accessible living spaces are becoming increasingly important as the majority of Australians, both with and without disabilities, have a desire to stay in their current homes rather than enter residential aged care.”

Photo of a wall hung toilet and gold coloured shower and grab rail fittings. Bathroom aesthetics.

The Nero whitepaper discusses the many aspects of design in the context of the new Livable Housing Design Standard in the National Construction Code. However, their bathroom layout and overall style is similar to the public bathroom design. A universal design approach would use the space creatively and leave out grab rails until, or unless they were needed. That’s because grab rails placement needs to fit the individual user’s requirements.

“By modifications to our built environment, architects and designers can promote usability, participation in activities, and enable older users to live comfortably and independently.”

Shower recess from the Mecca Care range with gold coloured fittings.

It is good to see product designers preparing to align with the new Livable Housing Design Standard. However, the photographs in the whitepaper do not align with the universal design concept of the Standard. That is, each picture shows grab rails which are not part of the Standard. However, reinforcement in the walls is required so that grab rails can be added later at any placement the user needs.

Aesthetics impact wellbeing

The whitepaper nicely spells out all the issues including the importance of wellbeing. It notes that a liveable home must be multifunctional and it must feel like home. Lack of colour matching and styling options can end up looking clinical. The whitepaper argues that end users feel undervalued, neglected and uncared for.

The whitepaper is titled Aesthetics, Accessibility & Ageing: Designing Livable Spaces Without Compromising Function or Style. It was published in Architecture and Design. The full 58 page Mecca Care product catalogue has great pictures and a section on assistive living.

The Mecca range is specifically for people who require assistive living designs. While the photographs show nicely designed bathrooms, grab rails take the look and feel away from a “conventional” bathroom. But if these fixtures and fittings keep you at home for longer then at least they can look good. Wall hung toilet pans, however, are a good idea for any home.

Universal in-wall bodies

A companion Nero whitepaper is A Universal Approach to Bathroom Installation. The in-wall body is an installation that separates the in-wall body from the trim kit – the visible bits. In-wall bodies allow builders and customers to select the right fittings after tilers have finished. Customers can delay their design decision informed by the latest trends. At a later date home owners can update their fittings without affecting walls and tiles.

Images from the Nero whitepaper. This post did not receive any sponsorship and is provided as a relevant item of information.

Thinking of wheelchair users…

Lifemark in New Zealand has a handy little brochure that sets out bathroom dimensions and placement of fittings for wheelchair users. They use the term universal design because the features can be used by most people. However, they do look as if they are specifically designed for wheelchair users. And there is no need to make this look like a hospital.

Designers can still be creative and provide style with colour and attractive fittings. One thing the brochure does not mention is colour contrast for people with low vision. Contrast between the floor and the wall is important, and for some, contrasting fittings work well.

The title of the brochure is Universally Designed Bathrooms. Of course, the bathroom is only one element in a home that needs to be accessible for a wheelchair user.