Bathroom Adaptation & Design - viva-access.com€¦ · Reading & Using Plans 2. Ramps: assessment &...

2018 © Viva Access Ltd [email protected] 07501-089143 www.viva-access.com 1

@Viva_Access

BathroomAdaptation & Design(full-day module)

PRES-ADWU-2018.10.04

VIVA ACCESS LTD

07501-089143

[email protected]

www.viva-access.com

Visit our website for information on……

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• Public Courses (Housing)

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www.viva-access.com

Our Accessible Housing Modules

1. Reading & Using Plans2. Ramps: assessment & design3. Accessible Lifts4. Bathroom Adaptations5. Accessible Kitchens6. Designing & Adapting for

Wheelchair Users7. Adapting Home Environments for

Challenging Behaviour (Autism Spectrum Conditions)

8. Disabled Facilities Grants9. Building Considerations in

Adaptation Work (for non technical personnel)

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Accessible bathroomsAchieving desired outcomes

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Consider assessing:

Design ConsiderationsClient

Considerations

Technical ConsiderationsOrganisational &

Funding Considerations

Safety Considerations


Tooling up!

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Software for reviewing and creating adaptation proposals

Design Brief

Drawing Templates

Steel tape measure -

Preferably metric only!

Assessment

Client considerations

1. Do they mobilise independently or with assistance?

2. Is condition stable or progressive?

3. Are there weight, height, age and cultural considerations?

4. What is their level of motivation and participation?

5. What are the concerns and priorities of client, family and other carers

6. Who else will use facilities & are separate toilet, bath or shower facilities needed?

7. What equipment is used - spatial requirements etc?

8. How does client approach and transfer on/off wc, bath, closomat? Hand dominance e.g. post-CVA

9. How will the adaptation be funded?

10. What are your organisation’s eligibility and assessment criteria?

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Accessing the bathroom

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Doorway options: bi-fold, saloon, concertina doors

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Doorway options: sliding doors (standard and pocket)

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Doorway options: sliding doors (standard and pocket)

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Proposed


Privacy - door self closers

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Rising butt hinge

Perko (chain door closer)

Perko powermatic(closing pressure adjustable)

Spring Door Closers

Increasing clear opening widths: cranked hinges

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Cranked hingeParliament hinge


Accessible door furniture

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Easy ActionLever Lock

(lift to lock)

Emergency door release mechanisms (coin operated & retractable)

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Door already opens outwards


Emergency door release mechanisms

Remember - door needs to be able to swing 180° degrees.

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Double-action pivot.

Royde & Tucker: www.ratman.com

Parliament hinge.

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Design Considerations & Space Planning

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Lighting - safety and ease of access

Position light switch outside bathroom - room lit before entering - help to reduce incidence of falls

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Lighting - safety and wayfinding(motion sensors and PIR systems)

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Lighting

MyLight motion sensor - bedstrip lighting

Can be used when movingfrom bedroom to bathroom -help reduce incidence of falls.Dimmable and levels oflighting can be adjusted.

24£69.95 - from The Glow Companyhttp://www.glow.co.uk/my-light-bed-light.html

Heating

Important to factor in positioning and type of radiators in early design stage.

Low Surface Temperature (LST) radiators. Average depths range 100-150mm.

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“Play” range of Coloured LSTs (e.g.for children) from Jaga.www.jaga.co.uk

Depths range from 130-230mm

http://www.jaga.co.uk


Space required around a WC

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Flush handle to be on transfer side

Seat normally 450 -480mm affl. Specify ‘top of seat’ instead of ‘pan’.

General circulation - turning circles

1500mm - minimum

1700mm - preferred

1800mm - good practice

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Exercise / Case Study - No. 1

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Additional considerations:

• Access and route to bathroom

• Provide clear turning space (min 1500mm, preferred 1700mm, best practice 1800mm)

• Choice and positioning of fixtures and fittings e.g. bath v shower; type of wc; mirrors….

• Floor and wall finishes; lighting

• Support rails

• Flexibility for children; flexibility for adults with progressive conditions

• Safety issues e.g. thermostatic controls, heat sensitive plugs, alarm cords, lighting, emergency egress

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Space guidelines - key references

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Northern Ireland Adaptations Toolkit –space matrix

32Refer to full-page example in your handouts

Template 1 Ambulant disabled

Template 2Independent wheelchair user

Template 3Assisted wheelchair user

NI Adaptations Toolkit – space matrix

33Refer to full-page example in your handouts


Drafting or reviewing adaptation proposals

IDAPT ADOBE PRO

34Idapt, SmartDraw, Microsoft Visio, Adobe Professional……Free 2 week trial Adobe at https://acrobat.adobe.com/us/en/free-trial-download.html

Preparing design briefs / specifications

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Using drawing templates

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Using drawing templates

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Exercise / Case Study - No. 2

Equipment OptionsGetting it right….


Meeting the assessed needs of the client

“We don’t do baths”……Discuss!!

• Clinical reasoning

• Service guidelines and assessment criteria (e.g. LB Managers

Adaptations Guide)

• Resource versus needs-led assessment

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WCs & Washbasins


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Gerberit Aquaclean 800

Wash/dry toilets

Bio Bidet 800 Prestige

Total Hygiene Palma VitaClos-o-Mat

43Bagniosicuro 800 -http://www.archiproducts.com/

Pressalit height adjustable toiletwww.en.pressalit.com

Height adjustable toilets

http://www.archiproducts.com/

http://www.en.pressalit.com/


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Toilets for plus-size people

Wide toilet -www.applegate.co.uk

Big John -www.completecareshop.co.uk

Space saving - all-in-one toilets and wash basins!

45B&Q, Victoria Plumbing etc.

http://www.applegate.co.uk/

http://www.completecareshop.co.uk/


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www.openmed.net

Adjustable height wash basins

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Adjustable height wash basins

Ropox (missipippi) swing washbasin - www.ropox.com

Also: www.kingkraft.co.uk and www.scanflex.co.uk

http://www.openmed.net/

http://www.ropox.com

http://www.kingkraft.co.uk

http://www.scanflex.co.uk/


48How far can you run pipework….

Ventilation

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Whisper quiet

Icon quietair

Airflow Humidistat

Automated & remote controlled e.g. by ADS

• No wires• Battery operated• Easy to use remote

Fit to existing windows• High security

www.automateddoorsystems.co.uk


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ShowersShower trays, graded floors, pro-formas, cubicles, shower-loos and reversable bath-shower options


Pro-formas e.g. AKW Tufform and Impey Level-Dec

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Level access shower v tray v cubicle


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Shower tray with pump and ramped access

Traymatic system –www.saniflo.co.uk

Tray sizes:900mm x 900mm1000mm x 800mm1200mm x 800mm

Alternative option:

Screeding up to top of tray instead of laying to fall

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Bathroom for life reversable bath-shower-bath options

AKW - bathroom for life

Aco reversable bath-shower

http://www.saniflo.co.uk/


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Shower loos

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Shower doors and screens

ImpeyElevate

Out-a-sight retractable shower screenswww.outasight-vb.com

ImpeyFreeGlide

Full height shower screen

http://www.outasight-vb.com/


Aquaboarding (shower panels) versus Tiling

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Shower Units

AKW Luda Redring Selectronic

59Triton Safeguard+ AKW I-care

www.akw-ltd.co.uk

http://www.akw-ltd.co.uk/


60Wall-mounted changing tablewww.prismmedical.co.uk

Height adjustable shower trolleywww.prismmedical.co.uk

Shower / Changing Tables (manually operated and free-standing)

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www.astorbannerman.co.uk

www.en.pressalit.com

Shower / Changing Tables(powered & wall fixed)

http://www.prismmedical.co.uk/

http://www.prismmedical.co.uk/

http://www.astorbannerman.co.uk/

http://www.en.pressalit.com/


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Pressalit flexi room - high spec and flexible

A cost effective option?

Exercise / Case Study - No. 3(TIME PERMITTING)


Baths

Specialist baths: powered hi-lo / hoist seat

65Possible funding issues?

Pisces bath –www.abacushealthcare.co.uk

Abacus ‘Net PosturalSupport’

http://www.abacushealthcare.co.uk/


66Astor Bannerman with integral changing table –www.astorbannerman.co.uk

Shorter bathswww.bigbathroomshop.co.uk Gainsborough bath –

www.gainsboroughbaths.com

Specialist baths

Further resources

BBC “DIY SOS” Programme:

Series 27, Episode 7: The Big Build - Eckingtonhttp://www.bbc.co.uk/iplayer/episode/b08d61hg/diy-sos-series-27-7-the-big-build-eckington

The team help a man who was left with disabilities after a brain injury.

Series 27, Episode 8: The Big Build - Rotheramhttp://www.bbc.co.uk/iplayer/episode/b08gf5x2/diy-sos-series-27-8-the-big-build-rotherham

The team help a 17 year old girl whose Ehlers-Danlos syndrome has kept her in hospital. 67

http://www.astorbannerman.co.uk/

http://www.bigbathroomshop.co.uk/

http://www.gainsboroughbaths.com/

http://www.bbc.co.uk/iplayer/episode/b08d61hg/diy-sos-series-27-7-the-big-build-eckington

http://www.bbc.co.uk/iplayer/episode/b08gf5x2/diy-sos-series-27-8-the-big-build-rotherham


Summary - on completion of this course you should now:

• be able to discuss a range of client considerations relating to bathrooms and understand how these can influence the adaptation or design of a scheme

• be familiar with the optimum layouts and space standards for bathrooms

• have awareness of the recommended heights and positioning of bathroom fixtures, fittings and appliances - both generic and customised

• be able to discuss some essential technical and safety issues relating to bathrooms

• have experienced problem solving bathroom adaptation issues within a group setting

• be familiar with a range of wheelchair design standards relating to bathrooms

• Be aware of a range of techniques and tools used in the assessment and design process of a bathroom adaptation, such as specifications, drawing software templates

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Our Accessible Housing Modules

1. Reading & Using Plans2. Ramps: assessment & design3. Accessible Lifts4. Bathroom Adaptations5. Accessible Kitchens6. Designing & Adapting for

Wheelchair Users7. Adapting Home Environments for

Challenging Behaviour (Autism Spectrum Conditions)

8. Disabled Facilities grants

9. Adapting for Plus Size (Bariatric) Users 69

www.viva-access.com


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www.viva-access.com

07501-089143

[email protected]

@Viva_Access

THANK YOU!

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Bathroom Adaptation & Design - viva-access.com€¦ · Reading & Using Plans 2. Ramps: assessment &...

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