How to upgrade your home for assisted living needs

All homes are not created equal, particularly when accommodating accessibility needs. However, with good planning and helpful design inclusions, long-term accessibility and comfort is possible. In 2023, 17 per cent of New Zealanders were reported as having disability; that number increased to 35 per cent for people over 65¹. Addressing future requirements can help New Zealand’s ageing population² stay in their homes longer, so whether you’re buying, building, renovating or renting, consider inclusions to support assisted living. These practical changes can help you learn how to upgrade your home for assisted living needs over time.

Tip: Always wear the appropriate safety equipment (safety glasses, gloves, ear muffs and a mask, for example) and always follow the instructions for the product or equipment.

Planning home modifications for accessibility

According to architect Don Jamieson the key principles of a lifetime home are:

• Adaptability;
• Accessibility; and
• Safety.

“A level, clearly defined and trip-free access from the street is ideal,” he says. “This route should be separate to driveways and include elements that encourage sensory awareness — like changing views or plants with pleasant aromas.”

Planning ahead for home modifications for accessibility helps ensure spaces can adapt as needs change.

How to improve home security for assisted living

Another design priority for older residents is good security, which Don says can be implemented during construction. “We can create natural surveillance over outside spaces and a clear separation between public and private areas,” he explains. 

Why wider doorways and open spaces matter in assisted living homes

Inside the home, doors and corridors need to be wider than commonly installed to allow for potential mobility aids or wheelchairs: a width of 860mm for doors and 1050mm for corridors is a good place to start, Don suggests.

A single-level building presents the most user-friendly option but, if that is not possible, a lift – or at least provision for one – may be required. Flexible-use spaces are also beneficial for the changing needs of occupants and their carers, says Don Jamieson. “For example, a room that connects to the main living space can adapt from a study to a sleep space if someone develops a disability,” he says. This allows for easier care and maintains their connection with others visiting or living in the home.

What lighting should I use around my home?

A well-lit home can help to reduce the risk of falls and promote a sense of wellbeing. Don recommends ambient lighting with even illumination from multiple fittings rather than just one, plus plenty of windows with natural light to aid circadian rhythm. “Task lighting is essential for the kitchen, bathroom and creative spaces,” he says. “Accent lights can improve ambience and minimise shadows, while stair and hallway lights aid safe movement around the home.”

To assist with visibility, Don recommends choosing switches in a contrasting colour to the wall, installing them at a consistent and convenient height. Peter Sweatman, PhD, senior manager in product visualisation at Caroma, suggests having options for different lighting levels throughout the day. “Being able to turn on subdued lighting in the middle of the night makes toilet visits less disruptive,” he says. “Sometimes people will avoid turning lights on because they are worried it will be too bright, and risk stumbling in the dark.”

Good lighting is one of the simplest accessible home design ideas because it improves safety, visibility and comfort.

What flooring is best for assisted living homes?

Solid timber flooring provides a warm, level surface that’s long-lasting and suited to all spaces. Opt for low-profile carpet over rugs – Don suggests naturally hypoallergenic wool or a solution-dyed nylon that’s easy to clean. What lies underfoot can impact the risk of accidents caused by tripping and falling. “Critical decisions to reduce hazards include providing level access with a wipe-off matting, using slip-resistant flooring in wet areas and minimal level changes between materials,” Don says.

Choosing the right flooring is an important part of home modifications for accessibility, helping to reduce slip and trip hazards.

What do I need to consider in the kitchen in an assisted living home?