From the Editor: One of our members raised an interesting point with me this week about Changing Places toilets and whether they meet the principles of universal design. This is one of those situations where it isn’t easy to distinguish where universal design ends and specialised design begins. The European perspective is that inclusion is a continuum – a chain of inclusive thinking. At one end of the continuum are universally designed products, services and environments that almost anyone can use. At the other end are specialised assistive technologies and devices such as prosthetic limbs and speech synthesisers. Somewhere in the middle the two intersect. Some people need both specialised and universally designed products and environments.
Universal design needs specialised design for full inclusion
A simple example is ramps and level entries go together with mobility devices – a wheelchair user depends on both for achieving entry to a building. So where does that leave us with Changing Places (CP) toilets? The Changing Places website says their toilets are designed to “meet the needs of people with severe and profound disabilities”. It also says, “It is required that accredited Changing Places facilities be built in addition to and separate from required Unisex Accessible Toilets (see picture of signage). This is to ensure that the needs of both groups of toilet users are met without compromise”. This clearly puts Changing Places (CP) toilets at the assistive technology end of the continuum as as a specialised design for particular users. The toilet is therefore not universally designed because not everyone can use it due to the way it is designed. But CP toilets support universal design because in conjunction with other toilet types in the vicinity they provide equitable access for everyone to the surrounding environment. Consequently, everyone gets the benefits – everyone is included.However, where funds are limited, it would be easy to assume the CP toilet would work for all wheelchair users. Problems would arise with the drop-down grab bars, particularly for people with MS, Parkinson’s and others with balance problems. The accreditation for thesefacilitiesshould be through the Changing Places organisation without reference to the public accessible toilet standard (AS1428.1). The term “Lift and Change” toilets is being used in New South Wales to avoid the copyright issues. However, it leaves it open to misinterpretation of what the toilet is supposed to achieve and who it is for.
Australian Standard
Australian Standard for accessible public toilets (AS1428.1) does not cover Changing Places facilities as such. However, it has provision for “adult lift and change toilets”.The Centre for Excellence in Universal Design produced guidelines in 2024 to merge universal design thinking with specialised design.
Universal Design Guidelines: Changing Places
This set of guidelines comes from Ireland and aims to take the design beyond minimum standards. It covers every aspect you can think of from planning and building control to management and maintenance. The guidelines explain why some things need to be designed or placed in a certain way.The design and installation section is comprehensive. The management and maintenance section includes pre-visit information, staff training, and health and safety. The guidelines are downloadable in different formats. Another excellent resource from the Centre for Excellence in Universal Design.Changing Places (and similar) toilets give families a new freedom to participate in activities, both outdoor and indoor. These toilets facilitate greater participation and inclusion for individuals and families – a principle that universal design fully supports.Jane Bringolf, Editor
From the Editor: One of our members raised an interesting point with me this week about Changing Places toilets and whether they meet the principles of universal design. This is one of those situations where it isn’t easy to distinguish where universal design ends and specialised design begins.
The European perspective is that inclusion is a continuum – a chain of inclusive thinking. At one end of the continuum are universally designed products, services and environments that almost anyone can use. At the other end are specialised assistive technologies and devices such as prosthetic limbs and speech synthesisers. Somewhere in the middle the two intersect. Some people need both specialised and universally designed products and environments.
The Changing Places website says their toilets are designed to “meet the needs of people with severe and profound disabilities”. It also says, “It is required that accredited Changing Places facilities be built in addition to and separate from required Unisex Accessible Toilets (see picture of signage). This is to ensure that the needs of both groups of toilet users are met without compromise”.
This clearly puts Changing Places (CP) toilets at the assistive technology end of the continuum as as a specialised design for particular users. The toilet is therefore not universally designed because not everyone can use it due to the way it is designed. But CP toilets support universal design because in conjunction with other toilet types in the vicinity they provide equitable access for everyone to the surrounding environment. Consequently, everyone gets the benefits – everyone is included.
However, where funds are limited, it would be easy to assume the CP toilet would work for all wheelchair users. Problems would arise with the drop-down grab bars, particularly for people with MS, Parkinson’s and others with balance problems. The accreditation for these facilities should be through the Changing Places organisation without reference to the public accessible toilet standard (AS1428.1). The term “Lift and Change” toilets is being used in New South Wales to avoid the copyright issues. However, it leaves it open to misinterpretation of what the toilet is supposed to achieve and who it is for.