Getting it right the first time
The challenge
Susan, a 72-year-old homeowner, had privately funded a bathroom conversion five years earlier after being advised by a building surveyor that she “had to” install a walk-in shower with a raised step. The step measured approximately 10cm.
At the time, Susan remained mobile without walking aids and the design appeared reasonable. However, following a gradual decline in balance and leg strength, the step became a daily barrier. She had suffered two near-falls entering the shower and had started strip-washing at the sink instead, avoiding bathing altogether due to fear of falling.
This scenario is unfortunately one we encounter regularly. Through our work with local authorities and private clients, we see situations like this on an almost weekly basis where adaptations have been completed in good faith though without sufficient clinical input to support long-term needs.
When I assessed Susan at home, it was immediately clear that the existing layout could not be adapted safely. There was insufficient circulation space for a fold-down shower seat, limited room for assistance if needed in the future, and the raised threshold itself represented a permanent trip hazard.
Susan was understandably distressed to learn that the shower she had paid for privately would not support her future independence.
The clinical input
Versatile completed a full functional and environmental assessment and explained that, in the vast majority of properties, a true level-access (wet-room) shower can be achieved without a step. The previous design choice was not a technical requirement, but a limitation of the original specification and build approach.
I provided a clear clinical report outlining why step-free access was essential for safety, dignity, and sustainability, alongside practical design requirements for a compliant level-access shower with adequate turning space and seated washing provision.
The outcome
Susan proceeded with a redesigned level-access shower. The new layout removed the threshold entirely, allowed for safe seated bathing, and restored her confidence.
Her words at follow-up were simple:
“If I’d known then what I know now, I would have done it differently.”
Related services
Major Adaptations → For clinically reasoned bathroom adaptations, level-access showers and long-term housing solutions.
Foundation Assessment → For individuals and families who need a clear occupational therapy assessment before making decisions about equipment, adaptations or future support.
Which Service Do I Need?→ For help understanding which assessment or service is most appropriate before getting started.
