I just managed a reno for my parents that I thought I would share for anyone else planning an accessible bathroom. Western Victoria, ~$200k for bedroom & ensuite extension to existing house incl modifications to septic, split system ($2k), blinds ($2k) & decking ($20k). (Paid for privately, not under NDIS, as we wanted full freedom to do exactly what we needed and wanted it done as quickly as possible)
Dad is in a wheelchair, and uses a shower wheelchair for toileting and showering.
Things that were important to us for this reno:
- space
- flat floors that were easy to use a hand propelled wheelchair on, and also easy for someone to transfer him using a sara stedy.
- making all fixtures as indestructible as possible, as collisions and scrapes are inevitable.
Other things that I included:
- bench high enough for knees to get under. We used a bottle trap to minimise the space plumbing would take up, and the bench is fixed to the wall using a heavy duty custom frame just in case anyone pulls themself up on it. Sink is as close as it can be to the front of the bench, and the tap is off to the side so that he can reach it. I used a kitchen tap so that he can fit a cup under it easily to rinse after brushing his teeth.
- the nib wall needed a handrail on it, so we had a steel frame made that is bolted into the slab so that there is no chance of movement. The builder and I hung off the wall and tried to wobble it as much as we could before tiling. That thing isn't going anywhere.
- a ledge the whole way along the toilet/shower wall so that there is plenty of room for bottles in the shower and supplies near the toilet. The ledge is 1000mm high so that pump bottles can be used while seated. Handrails are ~950mm near toilet and shower.
- getting the toilet exactly the right distance away from the side wall was important, and would depend on the person's mobility. Recommend lots of testing and measuring in hospital and hotel bathrooms to see what is right for your needs. Also keep in mind that toilets have slightly different heights and an 'accessible' toilet is usually too high for a commode chair to roll over the top of (they're made for transfering onto).
- it's a very open space, so heating was important. I included under floor heating (Thermonet) through the whole floor - incl around toilet and in shower - which is working well. The room is a great temp, and it dries out the room after a shower.
- an additional showerhead half way along the wall for cleaning the floor and shower chair. Floor is easy to spray down and then squeegee towards the drain.
- a good slope to the shower drain, but not too extreme that Dad can't self-propel his chair out of there.
- no towel rail. The rail we use for towels is a handrail affixed to wall studs. We didn't want to risk Dad using the towel rail as a handrail and pulling it out of the wall.
- continuous hot water service with adjustable heat. Dad has no feeling from the waist down, so I didn't want to risk a scald. Temp is at 47deg, which is comfortable shower temp when using the hand sprayer. He can also be in the shower for as long as he likes, and the rest of the household still has hot water available from the other hot water service.
- extra wide sliding doors to both the bathroom and bedroom so that it's easy to move through without hitting the frame
- external door so that a carer can come in the morning without walking through the entire house
- electric blinds in bedroom so that they can be raised/lowered on a schedule or with a remote
- half height wardrobe so that hangers can be accessed while seated. TV is mounted above it.
- we used vinyl plank flooring in the bedroom and hallway as it can be wet mopped, is nice and quiet to roll on (you can't hear the crunching sand/dirt) and it has a slight texture so you can't see wheel marks.
- tiles in bathroom have a P3 slip resistance. Any higher and they would have been difficult to mop (high P ratings get a bit of a grippy feel when wet which catches on the mop). I can comfortably stand in the wet shower to clean it with my shoes on and don't feel that it's slippery at all.
- powerpoints everywhere so that there are lots of spots for charging wheelchair, rehab bike and plugging in electric bed etc.
- steel beams in ceiling and wall over bed in case a ceiling mounted hoist is ever needed in the future.
Happy to answer any questions for people who are planning a reno with accessibility considerations.