Building a wheelchair accessible ground floor extension

obeat

Senior Member (Voting Rights)
I live with my very elderly parents, and one of my sisters acts as a carer. We are considering building a ground floor extension that would be wheelchair accessible and have a wet room and a downstairs bedroom. We would be self funding.



Any many tips and advice on what to include and what to leave out would be welcome.
 
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Good luck with it. I assume you have considered the alternative of moving to a bungalow if any are available in your area. I assume the extension is for you.

I moved to a bungalow 20 years ago for myself and daughter. It's such a bonus for both of us not having to use stairs. What will you do if one or both parents need a downstairs bedroom?

I am now at the stage of wondering what happens for my daughter when I'm no longer here. A 3 bed bungalow is really too big for one person. Given your parents are very elderly, I assume you have taken into consideration what you will do when they are no longer with you.

Sorry, I'm sure you have thought it through, that was more general comments for anyone else considering the same.

As to practicalities, the usual stuff about ramps at entry door, wide doorways, door handles easy to use, room to manoeuver the chair are all taken into account. Others here who use indoor wheelchairs will be better able to advise.

Choose a builder who has a good reputation for completing projects in the timescale they specify. Be prepared for a lot of noise. We had major work done soon after moving in. A big bonus was the builder suggested I could contact him on days when either of us was too sick to cope and he would reassign his workmen for the day. I only used it once when I had a crashing migraine. He also warned us once when they were going to do an extremely noisy task so we could arrange to go to a friend for a few hours that day. Despite all that, the noise and disruption set us both back significantly for a year or more.

Also it was well worth paying a bit extra for the architect to supervise the project, not just to do the design. He spotted a couple of mistakes and made the builder fix them.
 
It’s a great idea, @obeat.


Structural:

I would try to make the area as big as you can. If you or one of your parents becomes confined to it, you will be grateful for any space you manage to get in there.


A carer will need somewhere to put things before coming into the bedroom. A little staging area outside the bedroom would be useful, where they can set down a tray, leave jugs of water, leave/collect laundry etc. It will make things much easier for the carer and much nicer for the person in the bedroom (especially if sensitive to noise etc). Even a narrow shelf goes a long way. If you have room, a sink, mini-fridge and kettle might be very useful.


I always wish my bedroom, which is downstairs, had a door to the outside. If it’s possible for the downstairs bedroom to have a door/sliding door to the outside, that would be amazing. Not essential though.


A window looking onto some nature rather than a wall if possible. Nature can also be arranged after building.


Think about ventilation. If it’s possible to have a window on either side of the extension so that you can get a cross-breeze through to air the place really well, that would be ideal. That matters during heatwaves, if you can rarely open a window because of noise, if someone is incontinent etc.

I can actually get a cross-breeze by opening the ensuite window and propping the ensuite door open when the bedroom window is open. It’s amazing what a difference it makes compared to just opening one or other window.

Think about how it will be during very hot weather. Consider ways to prevent excessive heat entering like careful window placement, exterior shutters (this will affect window choice), solar glass, brise-soleil, and ways to deal with it like air conditioning. Having your contractor do this now will be infinitely easier and more effective than trying to do it after the fact.

As @Trish says, wide doorways. Really wide. Don’t just do the minimum 90cm. Go as wide as you can. Even if you’re skinny, wheelchairs are not, even the narrow ones, and they’re hard to steer. Walkers/rollators etc need room too. Make your life easier.

Similarly, any corridor needs to be wide.

Ramps need space. If there’s just a small height difference between the extension and the ground outside, it will be nice and short. If there are actually a few steps, you’d be amazed how long the ramp needs to be. So minimise that height difference to minimise the ramp length.

Handrail(s) on the ramp.

A roof that won’t leak. Particularly important if it’s a flat roof. A former neighbour did an extension with a flat roof and it was leaking within a year. Make sure you have a good contractor who really knows how to do the roof right.

Hooked up to main house smoke alarm, or equivalent.



Interior:

A very good fan in the wet room.


Little grab rails everywhere in the wet room, even if none of you need them now. I find the most useful one is right up by the shower. (I can give you exact measurements of where it is in relation to shower head and shower stool if you like!) At least one by the toilet. Have these in the plan so that the builder knows to reinforce those areas, so that when you grab the grab rail the whole wall doesn’t come down.


You might want a raised toilet if the person using it will have difficulty getting up from seated position.


A wall-hung sink, so that you can sit at the sink. Also makes cleaning a lot easier.


Storage in the bathroom, e.g. a wall-hung cabinet, so that the carer isn’t constantly running around getting toilet roll, shampoo etc. Always go for more storage than you think, but don’t let it take up space on the floor which will be needed for medical equipment.


Hooks. More than you think. Towel rails (can be long grab rails). More than you think. Anticipate accidents where you might need to hang things to dry.

Wall-hung shelves and cabinets can be very handy in a small space where you need the floor to be free.


If mobility is already a problem, consider handrails where there is no furniture to hang onto. If you can't bear the idea of that, think of deep panelling that has a little lip at the top that you can kind of lean on.


Blackout blinds and/or curtains, motorised if financially possible, so that you can operate them by remote control and/or from your phone.


As @Trish said, comfortable door handles. I got this one and it’s very comfy. No sharp edges to hurt hands or hips. https://www.m-marcus.com/product-details/COL1762-SB.aspx
 
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You'd need a really experienced architect as the first step. Make a 'wants' list, then go through it in detail with them. They may be able to suggest things you haven't thought of, and different options for the ones you have. (There'll inevitably be a lot of things you hadn't thought of.)

It would be extremely tough, and you might have move out if the work is likely to make you deteriorate. Building is noisy, disruptive, creates a lot of mess, and takes a long time. Just as a comparator, I'm moderately ill and only had a wetroom conversion and a stairlift installation (which also included a partial rewire of the house). I didn't even need to redecorate afterwards, but it was still six weeks with the house full of blokes with power tools. It was 18 months before I recovered to where I'd been before I started.

@Trish's idea about moving to a different property instead would be an easier option—if that is an option for you.
 
I keep thinking of more things.

Consider getting the contractor to build a niche/recess in the shower for shampoo, creams etc. So much easier and less fiddly than trays hanging off the wall. When I search for "shower recess"/"shower niche", it shows a kind of box that gets inserted into the wall. But mine is just built with the tile.

Our bathroom guy built one the whole length of the shower. It's brilliant. Allows you to use pumps one-handed on a nice solid surface. And easy to clean.

Now that I have seen how they do it, I wish I had asked for recessed shelves everywhere!

One easy way of getting a ledge in the bedroom (or indeed bathroom) would be a false half wall on one or more wall(s).

I had to move out when the terraced neighbour was having an extension done. I experienced 20 mins of the noise and it was horrific. I felt like I was in a warzone. My husband had to get the builder to stop and I had to move that afternoon. It took me a very long time to recover from that (to be honest, I was worse for years after it). The two neighbours further down described the noise as unbearable. For context, I was able to manage jackhammering outside the front door fine with earplugs and headphones. This was on another level.

So I move to family when we need work done. Still sets me back, but not as much as staying would.
 
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Having both moved house and had work done in old and current homes fairly recently i can say that the process and cost of organising a house move is just as difficult as refurbishing. I looked for a bungalow but those I saw were all expensive and small compared to houses and weren’t in move in ready condition. The cost of legal fees, estate agent fees, furniture removal, stamp duty (uk property tax) adds up to a chunk. Selling your existing home is also a hassle with tidying up and people coming for viewings.

some great advice already on the work
 
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