Perhaps you haven't personally experienced a problematic living situation concerning your home yet, but you might know someone who has. It could concern a family member, a friend, or just a person in your neighborhood. These unfortunate scenarios are too common in our society, as everyone is living longer due to modern medicine; but this situation is not age-related. Health problems can appear unexpectedly at any age. Our traditional homes commonly lack accessibility for any residents or their visitors who are even slightly challenged. The truth is, all of our houses are built for unchallenged, healthy people of a "normal" size. The moment any diversity to what each of us knows as near perfect health expresses itself, the realization we need a better and more adaptable "mousetrap" comes to mind in regards to our home. The doors in the house aren't wide enough, the rooms are too small, the hallway is too narrow, the floors aren't level or are slippery, the stairs aren't negotiable, the bathroom facilities aren't useable, and the kitchen is not user- friendly. The list goes on-and-on when you are living in a status-quo home. But now people can become educated and know what to ask for before a life-changing problem arises. Rest assured, you have the ability to proactively prepare your traditional home for future life changes before they happen. Hence, there is no need for you or your family to suddenly become trapped inside it's walls! Let's come to understand a design solution exists which has been stigmatized because of it's decades-long association with disability. Learn to ask for it by name.

Universal Design, also known as barrier-free design and design for all, refers to broad-spectrum ideas meant to produce buildings, products and environments that are inherently accessible to non-challenged people, older people, people of any age who are mentally or physically challenged, and people overcoming an illness or physically-altering accident. In general, it represents a universal need in future housing and pertains to adding safety and accessibility in an existing home for all people regardless of their size or physical well being at any time. The purpose of the design is to provide equal access to anyone into and throughout the home. Universal Design adaptations have a broad market appeal to everyone for achieving ease-of-use and convenience accommodating a certain reality. The reality is that all people exist along a continuum of human performance as per their personal traits and characteristics regardless of their age. A universal approach to design takes into account that everyone has varying degrees of ability and disability; rather than someone is either fully-functional or disabled. Universal Design is neither a design style or trend but is an approach to designing home access for as wide a range of diverse people as possible.

As a solution to our inaccessible housing predicament, applying Universal Design is important because current design standards for housing do not address the design needs of more than one-third of our population. Too often, the designers of homes allow the built environment to define the capabilities of the resident, rather than the opposite being true. That has always been the problem evidenced by the current inaccessible housing inventory. People typically purchase a house according to their needs of the day, never considering their future needs. This way of thinking has perpetuated the problem of inaccessibility within traditional homes. Incorporating Universal Design principles into today's houses allows for our antiquated architecture to be redefined by both our changing human needs and abilities. It has the ability to span all generations of inhabitants. The sooner the principles exist in a home, the longer it can be enjoyed by everyone; because no one is excluded. Home accessibility should be a concern no matter what your age. If your concerns are not for you, barring any life changing accident, they could concern the accessibility and safety for another generation's independence. As we become more life-experienced, our society is beginning to realize our homes should be flexible to accommodate future life changes. This benefit alone will afford adapted housing the ability to conform to our needs. Hence, society will understand the significance of a forever home. The physical life changes involved can be long-term or of short duration while recovering from an accident or disease. Regardless, the home is prepared for what comes next through the use of Universal Design.

The recent Aging in Place phenomena deals with reactive home modifications to existing homes due to health changes of one or more residents. The adaptations allow the inhabitants to remain within their home safely as they age. A planned Universal Design home quietly and proactively addresses abrupt issues without calling attention to anyone. The design simply anticipates the homeowner's changing needs. The modifications can be performed room by room overtime or all at once. Furthermore, Universal Design segues seamlessly into what is required for Aging in Place. However, we cannot conceive or solve all future situations for everyone because we all age differently with our own list of specific needs. In extreme cases, a specialized accessibility design comes into play customized around a single person's needs.

But what about the costs involved in a home using Universal Design? Utilizing Universal Design in a new build home isn't necessarily more expensive than a status-quo traditional inaccessible home. It generally approaches a three-to-four-percent overall increase. The same building techniques are involved in both; but the Universal Design home is designed with more forethought and expertise to improve safety, accessibility, and comfort. Consequently, if you are remodeling an existing home, incorporating the principles of Universal Design, it is more costly on the order of fifteen-to-twenty-percent because you not only have the updated building costs to consider but the demolition costs as well. The same remodeling costs for the preparation of a revised layout are involved with any type renovation prior to the modifications beginning, whether the final appearance is traditional or universal in nature. 

Basically, Universal Design principles involve the design of products and environments to be usable by all people, to the greatest extent possible, without the need for adaptation or specialized design. Using Universal Design, there are seven design criteria which must be met to be considered a Universal Design no matter which area of the home you are referring to. Any design must be (1) equally useful to everyone, (2) have flexibility in it's usefulness, (3) be simple and intuitive, (4) be perceived by everyone, (5) have a tolerance for error, (6) require little physical effort, and (7) it must maintain an adequate area for approach and use. Any complexity or discriminating attribute to a design will doom it in terms of  being considered universal in nature. However, what better way can you improve on a home's total visitability?  The term visitability pertains to anyone entering freely into a home, having unrestricted maneuverability throughout the home, and having the ability to enter and utilize a bathroom's facilities without assistance. 

Whether you refer to this needed housing revolution today as accessible design, inclusive design, or Universal Design, it is all about making a home safe, attractive, and easy to use for all residents. It has nothing to do with the age, agility, or status of life for anyone living within the home. The main intent of this way of thinking is to be sure the inhabitants and their visitors are equally able to enjoy their home throughout their entire lifetime. This way Aging in Place can be accomplished without the expense and hassle of having to make periodic or interfering abrupt changes to the home to meet a person's ever-changing physical needs. With Universal Design, you have the ability to proactively plan for all stages of your life cycle using forethought which, once discovered, you ultimately find is just common sense. Even if you are in perfect health, you can be disrupted by a minor mishap. A more serious injury changes things forever once you no longer have all your abilities.  Universal design ideas do not strictly deal with accessibility or Aging in Place design and does not implement precise ADA standards; but it does offer flexibility to add accessories now and later to those planning ahead or to the end-user. It also provides for a wide range of human performance characteristics for the way people use spaces within their homes including well integrated usability features. Hence, a Universal Design/build project is appealing to all users.  

Can you envision building a house as a young adult that you can live in safely and comfortably while you age no matter what your basic physical needs require? In this home, visitors are never problematic if they exhibit limited mobility or other issues. This flexible Universal Design home contains wider doorways of 36-inches or more and adequately lit hallway widths of 42-48-inches to accommodate a stroller, wheelchair or walker. There is a wide-open feeling of comfort throughout the house's main living areas in the bathroom, kitchen, and living area that do not restrict moving about. A five-foot turning radius is observed throughout the home. Wood blocking is installed behind the finished walls in all wet areas to accommodate secure grab bar installations at the proper time. The towel racks in the kitchen are installed so they can double as grab bars once you become unsteady from lack of balance. All the no-step entryways from the front door to the shower entrance are smooth to prevent tripping from high thresholds and all flooring transitions are level. Non-slip flooring is installed, especially in wet areas, using cork or smaller floor tiles which in turn increase friction from the grout lines. All doors and faucets are controlled by lever hardware. Sinks inside the bathroom and kitchen have roll-under capability. Within the sink base cabinets, doors or roll-out shelving are installed until the roll-under design is needed. Full-extension drawers and pull-out shelves are installed in lieu of doors. The cabinet tops and work areas throughout the house are placed at varying heights to promote adaptability. This universal designed home is barrier-free without looking modified and is accessible to everyone no matter their age, size, or capability of movement. Furthermore, this home is usable by everyone from your father to your son.

David L. Traut, CAPS the owner of T-Square Company in Austin, Texas is one of the select group of professionals to earn the Certified Aging In Place Specialist (CAPS) designation, identifying him as a home remodeler and builder with the skills and knowledge necessary to remodel or modify a home to meet the unique needs of the older population, disabled owners, or their visitors. Consequently, David is certified in Universal Design in the US and Australia. T-Square Company is a Universal Design contractor offering a full compliment of Aging in Place services including bathroom modifications for elderly clients with special needs. Each design/build project contains the principles of Universal Design. The modifications will be customized to fit your personal needs while increasing your accessibility. Call 512-444-0097 today to begin the accessible second chapter of your life while remaining safe and secure in your existing home. CAPS #1636580

As an answer to his clients requests over the years, David has recently published a book entitled "Age in Place at Home: Adapting the Home Environment for All Generations". The book reflects on thirty years of accessibility improvements and identifies why our traditional homes specifically lack this very basic need. It is available on Amazon and stands as a reference book for increasing home accessibility using the principles of Universal Design in every room of the home. The book dwells on this inclusive design concept as a solution to our current housing dilemma.

If you have made a decision, along with the support of your family, to remain in your existing home while you Age in Place, you must determine a definite pathway forward to ensure your desires are successfully met. This is a sign of the times as today over 80% of homeowners share your desire to remain in their familiar home, surrounded by familiar surroundings and neighbors. Amongst any caregivers involved in your life, you will also need to obtain help from a trained and seasoned Certified Aging in Place Specialist.

Fortunately, construction and design professionals are taking advantage of the CAPS training across the nation. This designation is taught through the National Association of Home Builders in collaboration with AARP. CAPS connects responsible professionals with home owners who need these services on an ever-increasing basis. CAPS stands for Certified Aging in Place Specialist. It is a construction credential that has builders, architects, remodelers, designers and even occupational therapists buzzing. Aging in Place principles are changes designed to custom fit your existing home to you and your family's needs as time goes by. CAPS design takes your current and future circumstances into consideration and the principles focus on elegant, aesthetically enriching, barrier-free environments. Home modifications do not need to look institutional and this is why many seniors are resisting the very changes that can help them the most. Be aware, the vast majority of uncertified builders and remodelers do not have the knowledge and training to perform home modifications for Aging in Place. Take for instance when you are considering installing a grab bar, which seems like a simple endeavor, understand that a run of the mill contractor or handyman has no idea of the safety regulations involved or the knowledge concerning where and how to install the grab bar. This leaves the consumer in an unsafe predicament. However, if performed correctly, any modifications will actually increase the value of your home because they appeal to multiple generations of home buyers. 

David L. Traut, CAPS the owner of T-Square Company in Austin, Texas is one of the select group of professionals to earn the Certified Aging In Place Specialist (CAPS) designation, identifying him as a home remodeler and builder with the skills and knowledge necessary to remodel or modify a home to meet the unique needs of the older population, disabled owners, or their visitors. T-Square Company offers a full compliment of Aging in Place services for their clientele. These services include the initial home assessment, a design followed by a detailed drawing, all city permits and fees, and the construction or remodeling work involved. David has been successfully operating as a CAPS professional for nearly thirty years while performing his design/build projects. His clients include many members of the private sector, the VA, and HUD. David is a CAPS certified remodeler and master builder providing a one-stop-shop which is even more valuable to anyone wanting to Age in Place. As a master craftsman, his construction knowledge enables any Aging in Place design to come to fruition via practicality and best practices. 

David always practices what he preaches to his clients. He takes an inductive qualitative research approach with every client, because everyone has diverse physical needs. As an answer to his clients requests over the years, he has recently published a book entitled "Age in Place at Home: Adapting the Home Environment for All Generations". The book reflects on thirty years of accessibility improvements and identifies why our traditional homes specifically lack this very basic need. It is available on Amazon and stands as a reference book for increasing home accessibility using the principles of Universal Design in every room of the home. David is certified in the United States and Australia in the Universal Design process. Universal Design elements can be installed into a home at any time avoiding the need for reactive remodeling following a health crisis. This thoughtful proactive design process segues seamlessly into what is required for Aging in Place. Furthermore, Universal Design prevents the need to perform future modifications except under extreme circumstances. The presence of Universal Design provides access for both wheelchairs and walkers and perhaps avoids future injuries because you have accessibility. 

For additional information about the CAPS program, visit nahb.org/CAPS.  For more information about T-Square Company, visit www.tsquareco.com or call 512-444-0097 to schedule a home assessment by a local Austin CAPS professional.

So, just exactly what takes place once you schedule a home assessment? During the home assessment for increasing accessibility, the structural changes needed for the client will be noted and documented through sketches, photos, and conversation. CAPS professionals are generally paid by the hour or receive a flat fee per initial visit or project because they are offering a service backed by education and experience. Typically an assessment takes approximately 60-90 minutes. It’s best if you or a family member can accompany the CAPS professional during the home safety assessment, as you or they can ask questions about specific safety items as they come up. The comprehensive Home Safety Assessment determines a direct and safe path forward for you, the client. You will have a better chance of avoiding the high cost and physical disruptions of future injuries leading to assisted living. All the surroundings within your home will be taken into account from the flooring to the layout of a specific room or location as it pertains to the your ease of use. Your physical and emotional needs also come into play because of mobility, sensory, or cognitive concerns. The goal is to modify the home in a custom manner to provide for your maximum health, independence, and safety. Often the input from any caretakers like a physical or occupational therapist during the assessment phase can prove to be invaluable. The three main rooms involved in Aging in Place home modifications are the bathroom, the kitchen, and the family room in that order. The basic needs involve access through wider doorways, level non-slip floor surfaces, and lower cabinets with plumbing fixture accessibility like roll-under sinks with easily operated lever controls. 

Aging in Place Bathroom Modifications in Austin

Quite often it is the home that presents the greatest difficulties for homeowners accompanied by limited mobility or other physical impairments as they age in their existing surroundings. Designing for specific physical conditions will lessen the impact of arthritis, restricted mobility, or loss of vision by using combinations of products, concepts, and techniques available today. Keeping safety in mind, interior modifications commonly include adding grab bars or handrails throughout the home, installing ramps or vertical platform lifts, lowering upper cabinets and countertops to Universal Design heights, adding non-slip flooring, widening hallways or installing stairlifts, and widening doors. You might also consider lowering light switches and thermostats and installing easier-to-use door levers or electric door openers. Try to provide a clear barrier-free path or accessible route to the most visited areas of your home like a disability access bath containing a roll-in ADA compatible shower, the kitchen, and the family room.

Perhaps you have or have taken in a special-needs child as a grandparent. Or an aging parent who endured a life-changing accident or illness has come to live with your family. Or perhaps you have a family member who suffers from a progressive condition like MS or ALS needing home alterations to ease the effects of the disability. In all these situations, the help offered by a CAPS-certified Aging in Place home remodeling contractor comes into play.  This is the only way to ensure safety and mobility for the homeowner or family member requiring the home modifications.  Furthermore, modifications of existing homes are important because people aged 50 and older want to remain in their current homes for as long as possible.  Aging in Place home modifications in Austin should only be done by a nationally listed CAPS-certified remodeling company.  This is the only way you can be assured that the home modifications are the right choices to satisfy your needs.  There is no need to waste money only to discover that an inexperienced and unqualified remodeling company did the wrong alterations.

T-Square Company in SW Austin, Texas, is an accomplished accessibility construction company and disability contractor for any whole house special needs revisions or a handicap accessible bathroom remodel.  Accessible wheelchair designs in Austin are available through T-Square Company. T-Square Company has over three decades of home accessibility experience. David L. Traut, the owner and president of T-Square Company, is an experienced accessibility specialist and has successfully worked with people of all ages with a disability. Each design/build project is customized specifically to the customer's needs. Call 512-444-0097 today to begin the accessible second chapter in your or your family's life while remaining safe and secure in your existing home (CAPS 1636580).  All registered CAPS program graduates and their remodeling companies will be listed in a national registry in Washington.  The information can be found by simply visiting nahb.org/CAPS.

Disability is a complex phenomenon representing an interaction between one's physical impairments, the activities one needs to perform, and the architectural barriers within the space in which this situation occurs. Each individual demonstrates the complexity with similar impairments describing his or her limitations differently. The blind don't experience their world the same as a person with deafness. Some of our societal statistics that weigh into Aging in Place situations include reports stating that 19% of the population between the ages of 16 and 64 and 42% of those of us 65 and over have a physical disability affecting the activities of their daily lives. 

Making your home accessible for a special-needs child will give your entire family a feeling of security and freedom. Your child with the disability will become more comfortable and be able to maneuver through and use the home more safely. They will be able to develop the life skills they need in their daily environment rather than just focusing on treatment. Sometimes, the living environment must be changed to impact the child's life significantly.

Physical limitations affect many more people than the daily users of walkers and wheelchairs.  Many members of our life experienced or elder society has significant problems dealing with their home environment. Exceptional circumstances have brought about special needs in the home for many young and old people. Today's conventional building standards conflict with most people's accessibility when considering our created architectural barriers concerning cabinetry and door opening widths, individual strength, range of motion, movement, manual dexterity, balance, and coordination. Once the demands of our built environment exceed their capacities, we become excluded from a room or even the entire home, bringing forth the need for elder construction and remodeling.  The situation holds true for children with special needs. The building world must work in unison to be sure the entire living environment meets basic needs in addition to affordability and structural integrity for the consumer and homeowner.  This includes the home and the components within the home being accessible to all inhabitants.  Privacy, a sense of belonging, a sense of control, and the sense of safety and security make up the quality of life for any home and should be considered for any design.  

The concept of the accessible home has evolved beyond the basic grab bars and ramps to one in which accessibility is built into the basic design.  Everyone ages differently and has different needs and wants. These factors have brought about the need for Universal Design. This is the design of products, services, and environments usable by as many people as possible regardless of age, ability, or situation without needing adaptation or specialized alterations.  It provides the most significant safety and access for home guests or occupants and is undetectable when done well. The principles of Universal Design enable living in a home with more comfort and adaptability for people of all ages and abilities.  Accessible home remodeling for the disabled can be beautiful and functional and never needs to have any institutional appearance.  As our aging baby boomer population ages, the need for accessibility remodeling in the home is becoming ever more important.  Our new way of viewing the basic home in our society and our antiquated architecture is giving way to a revolution in home design.  Ordinary homeowners with extraordinary challenges can partner up with CAPS design professionals, architects, and their own families to create homes to restore capabilities, independence, and grace to daily living. Fortunately, there is home accessibility help in Austin, Texas, offered by T-Square Company. T-Square Company specializes in home disability access for any age resident with special needs. They offer a complete assortment of disability services to help cushion and adapt to any disability. Wider entries and hallways, accessible bathrooms and showers, accessible kitchens, ramped entrances, vertical platform lifts, stair lifts, elevators, and accessible rooms of any type are just a few of the services we offer. Every design is based on your specific needs and abilities.

Everyone planning to remain in their home to Age in Place is looking for safety, security, ease of use, and comfort. Homeowners and families must plan for future housing needs. The current housing inventory does not offer the features needed for safety and accessibility in the numbers required to accommodate the growing demand. They have weighed the costs of institutional living compared to their home’s expenses. They also realize the difference in adhering to stringent rules in a facility instead of independently and freely residing in their present home.

Before and after retirement is an excellent time to prepare the house for what comes next in life—before any significant health issues appear. Choosing to Age in Place earlier in life using Universal Design techniques means a family can longer enjoy the home without obstruction. Their relatives, visitors, and children have peace of mind assured the aging loved ones or the chronically ill are safer living at home.

The truth is, with professional help, you can adapt almost any home environment to enable you and everyone else in the family to live within it to the fullest extent safely. The process is not age-related. Disability can strike any family member at any age. The need for greater home accessibilty is the common thread. Universal Design or inclusive design is a design and building pathway that makes homes more accessible to all regardless of their age, mobility, or ability when appropriately used. The design process offers a seamless path for Aging in Place. It addresses the requirements of special needs families or multigenerational situations. Solutions for diverse living conditions are now becoming a possibility.

Regardless of size or ability, people are becoming more familiar with Universal Design and Aging in Place if considering a home remodeling project. Some people use these words interchangeably, but while they are similar, they do differ. Both are specific design techniques used in making a home more comfortable and accessible for individuals of different abilities. Universal Design deals more with customized new dwellings and a proactive remodeling approach for people wanting to Age in Place before any health issues arise. Aging in Place strictly involves remodeling existing homes to accommodate physical needs brought on by sudden health issues in a reactive manner. The costs for both processes represent a beneficial investment in your home for future needs as opposed to merely spending involving aesthetically pleasing remodeling projects.

I came to realize over my building career that including cramped twisting hallways with narrow doorways, bathrooms lacking maneuvering space and usability, kitchens without accessible storage and workspaces, and stepped home entries were repeating home design flaws. The home building industry has always lacked inclusion for all homeowners with their ever-changing needs.

As a Certified Aging in Place (CAPS) professional (#1636580), I am confident this book, which will hopefully be available toward the end of 2022, will introduce you to a new way of thinking about your home's future. It offers a guide for solving diverse home needs for all people affected by varying physical conditions and aging. I decided to write this book due to many customer requests for a summation of suggestions to improve their home's accessibility, comfort, usefulness, and sustainability and, ideas they could share with others.  I based the information provided on countless past walkthroughs and home assessments. Inside, you can discover room by room the benefits of using the principles of Universal Design and how to incorporate them periodically throughout your living environment at your own pace. I guide you through a home, making suggestions for what will increase your and your family's future accessibility.  You will notice the chapters involving the bathroom and kitchen are pretty extensive. They represent the most important rooms to consider when planning to Age in Place. The most utilized rooms in our homes must accommodate all diverse residents and visitors.

Would you please not allow your home to hold you or your loved ones captive within its walls and enable your home to conform to you and the needs of your family. Please think ahead positively and proactively while preparing for the future. IT JUST MAKES GOOD SENSE.

#accessiblehomes

     Like in the garage of the home, the laundry is often overlooked when planning a Universal Design setting to Age in Place. The washer and dryer are separate units arranged side by side. If stacking, the upper drying unit is not accessible for a seated user. They are front loading machines not top loading models. This arrangement allows the user to look directly into either machine while accomplishing their duties. One problem concerning these appliances is like that of the dishwasher. If they are sitting directly on the floor, a seated person does not have a direct line of sight inside to see the garments. To solve this problem, just like the dishwasher, the machines are raised placing them upon a platform or pedestal. Many manufacturers offer matching pedestals around twelve inches tall. The advantage of using the matching pedestals is they often include a drawer unit for storing items.

When configuring the Universal Design laundry room, provide a clear five foot turning radius directly in front of the washer and dryer for approaching both machines. If the laundry room is large enough, a 30 x 48 inch approach area is associated with the machines as with all appliances. This configuration is also used if the machines are in a closet. A useful detail for either situation is to have machines provided with opposite swing doors both opening from the middle. This way a person is between the machines with access to both for sorting clothes at the same time. Otherwise one machine door becomes an architectural barrier for anyone in a wheelchair.

A larger laundry room has both natural and layered lighting. A window is so important in the heat gaining laundry for additional ventilation during certain times of the year and providing natural light for working. Along with an AC duct, install a vented exhaust fan in the laundry decreasing humidity as it becomes a problem. As with any Aging in Place designs, well-lit rooms are much easier to work in for everyone. Additional task lighting is installed wherever needed like underneath wall cabinets.

To gain entrance to the laundry room, a minimum 36” door coming off the accessible route is required. A five foot clear turning radius in the middle of the room offers clear approaches to the sink, machines, ironing and hanging facilities. Pocket or barn doors are a great choice for a laundry entrance requiring no planning for their swing or the space needed when they are opened. Laundry activities are loud at times so plan for deadening them with the door choice. The laundry room needs ample room in order to approach and maneuver. Accessible and adequate storage is a major consideration. Just like in the kitchen, a laundry sink has roll under capability for a wheelchair user. The sink has an associated 30 x 48 inch clear area in front for approach in the layout. The faucet is an easily operated accessible pull out model and the cabinet top is installed at a universal 34 inch height. Here again, multiple height cabinet tops work well in different areas of the room. Additional cabinets and adjustable shelving are placed as space permits using universal heights and reach distances. A fold down clothes folding shelf is great as needed with roll under capability. When not in use it is folded away against the wall gaining back the original floor space.

Racks and shelving are installed for hanging and sorting clothes. Keep in mind the 48 inch reach limit for a seated person. Ironing clothes is a usual chore with the laundry but ironing boards are always in the way no matter where they are assembled. To solve this problem, install an adjustable fold up model which is also rolled under. When not in use the ironing board is stored in the accompanying wall cabinet regaining the floor space. These ironing board units are available with a separate electrical outlet inside for the iron preventing running extension cords creating trip hazards. There are also folding ironing board drawer units which are installed in a base cabinet or below a work top. The drawback with these units is the lack of flexibility since they are installed at a fixed location and height.

The number one safety hazard for elderly or disabled people of any age is negotiating level changes both outside and within the home--steps at the entry, stairs between floors, curbs to step over when entering the bath or shower, and being able to access patios, decks, and terraces. When Universal Design is correctly incorporated into a home’s layout, these flexible houses accommodate the needs of their owners and their visitors even as those needs evolve over time. Barrier free homes are functional and comfortable as well as accessible to everyone.

Visitability or the lack thereof begins at the curb for every home. This term refers to how easy it is for all people coming by to pay a visit or stay with the homeowner regardless of their physical abilities. Occupants and visitors are capable of entering an accessible bathroom located on the same floor representing the visitability of the home. Ideally, the entry into the house is through a 36 inch wide door having an ADA threshold to create a no step entry.  Entrance is obtained using an easily graspable lever style lock.

The accessible entrance is a great place to begin an accessible route for most homes. Once inside the structure a new set of problems concerning accessibility are discovered along the extended accessible route if the entire first floor is not on one single level. The designated accessible route continues into all of the most used rooms increasing accessibility. All swinging doors are minimally 36 inches wide using Universal Design along the accessible route producing a clear 32 inch wide opening when the door is opened to ninety degrees. Sliding, pocket, and bi-fold doors require less operating approach space because the door is better contained along the wall in which it is mounted.

With increasing age or following a temporary health setback, simply maneuvering around inside the home is increasingly more difficult. This designated route includes a 5 x 5 foot clear turning space required for wheelchairs in the main living area, kitchen, the bedroom, and one bathroom. The selection, placement, and design of doors and doorways influence a wide range of people. The location of the doorways affects furniture placement and usable space within the associated room. This in turn affects the clear floor space and usability of the living environment for someone confined to a wheelchair utilizing the accessible route.

It is very evident the current home inventory lacks the ability of accommodating more than a third of the consumers inhabiting them. Traditional home builders never considered the accessibility issues affecting mobility for the homeowner or visitor. Consumers have allowed the built environment to mandate the inhabitant’s capabilities for far too long. In 2020, all the 76 million baby boomers reach the age of 55 or older at a time when many people are planning for retirement. This perpetual problem, brought on by years of endless supply and demand, is finally being acknowledged by our ever aging population. Traditional home builders never considered the accessibility issues affecting mobility for the homeowner or visitor. Once any disability occurs to the homeowner or family member regardless of age, size, or ability, including a broken limb, the same home endeared for at least part of a lifetime becomes a prison presenting unforeseen barriers, frustrations, and perils at every turn. This situation is not age related but is a function of life experience. Because consumers have allowed the built environment to mandate the inhabitant’s capabilities for far too long, the only way people are capable of remaining in the home is through home modifications. Home modifications using the concept of Universal Design ensures all people at every stage of life and ability benefit from an inclusive surrounding living environment. Universally, any family living with a disability among any of its generations benefits from additional accessibility. The early application of Universal Design concepts within the home offer practical solutions to cope with future unforeseen problems experienced at any time throughout life.

Disease is not necessarily a part of aging. Genetics and more commonly the environment dictate when disease is expressed. The five senses are burdened by age as a result of cellular degeneration constantly altering the way the world is perceived. This ongoing aging process begins at birth. How rapidly it occurs is defined by an individual’s personal makeup. Encountering problems with memory, agility, taste, hearing, smell, or vision during the aging process alters the way the living environment is perceived and conforms to the needs of any homeowner. This situation holds true for a younger adult suffering from a debilitating disease or returning to health following an accident. The scenario is once again verified for a teenager or a young child experiencing a life changing accident or illness. Hence, every member of society is included in the lack of home accessibility.

While the usual aging process affects daily activities at an increasing level over time, the early application of Universal Design concepts within the home offer practical solutions to deal with future unforeseen problems experienced at any time in life. The home is smartly prepared in advance to Age in Place and avoids drastic architectural changes due to a sudden physical need. This universal proactive design approach ensures the home does not contribute negatively to the adverse effects brought on by disability at any age allowing homeowners to seamlessly Age in Place.

     Disability is a complex phenomenon representing an interaction between one's physical impairments, the activities they need to perform, and the architectural barriers within the space in which this situation occurs.  The terminology and jargon used for disabilities evolves regularly whereas, "handicapped" is no longer acceptable.  It is no longer merely a description of intellectual or physical impairments.  Each individual with similar impairments describes his or her limitations differently.  The blind don't experience their world the same as a person with deafness and so on. Physically challenged has become the more socially accepted description of a person with an impairment.  The need for handicap bathrooms have been brought about by many factors,

     Physical limitations affect many more people than the daily users of walkers and wheelchairs.  Many members of our life experienced or elder society have significant problems in dealing with their home environment.  Today's conventional building standards conflict with most people's accessibility when you consider our created architectural barriers concerning cabinetry and door opening widths, individual strength, range of motion, movement,  manual dexterity, balance, and coordination .  Once the demands of our built environment exceed their capacities we become excluded from a room or even the entire home.  The building world must work in unison to be sure the entire living environment meets basic needs in addition to affordability and structural integrity for the consumer and home owner.  Austin handicap remodeling is imperative considering bathroom remodeling includes both the home and the components within the home being accessible to all inhabitants.  Privacy, sense of belonging, sense of control, and the sense of safety and security make up the quality of life for any home and should be considered for any design for a handicap accessible bathroom remodel.

     Designing for specific physical conditions will lessen the impact of say arthritis, restricted mobility, or loss of vision by using a combinations of products, concepts, and techniques. A trained CAPS specialist is able to identify the day to day problems weighing on those with health limitations. If you are considering an aging in place remodel for your home don't just contact any local remodeler in your area and expect a satisfactory accessible home modification.  A professional design/build accessibility project can only be created for your specific needs by a qualified home remodeler having a nationally accepted CAPS certification.  This credential is backed by the NAHB.  Only a CAPS  home remodeler possesses the specific knowledge that will insure a successful outcome for your aging in place project and what's more, keep you in your home.

     The costs involved for handicap home modifications in Austin are really dictated by the amount of barrier free accessibility required by the person needing the assistance to be safe.  Comfort and safety for the home's inhabitants are key issues when designing an accessibility remodel.  Most homeowners nationally spend between $3,800 and $14,000 with a mean average expense of $7,500.  This cost again is based on the individual home modifications providing the greatest safety for those in need.

      Falls and slips are among the most common causes causes of injury to senior and elderly people requiring disability access remodeling.  Smooth surfaces in combination with wet areas make the bathroom one of the most dangerous areas within the home.  It is of paramount importance that the bathroom be updated providing safety for any person with limited mobility or the elderly.  If you are on a tight budget and can only afford a few modifications, the bathroom is the first place to begin an accessibility remodel.  The most basic improvements to enhance safety issues are fairly inexpensive. 

The Top Five Items To Include When Considering An Accessible Bathroom Design

1. Vanity Sink Accessibility

Wheelchair Accessible bathrooms today contain stylish ADA vanities set at a universal height of 34 inches with clear knee spaces.  Plan on 27 inches of vertical clearance for a wheelchair. The sink faucets must be easily controlled by either wrist handles or levers. The faucets can be fitted on the side of the sink to make them easier to reach. Or install infra-red faucets that detect motion. Hang the mirror low enough for a seated person to see themselves, and tip the top of the mirror out. Bathroom vanities with universal height cabinet tops and open knee spaces are taking over the marketplace.  These new residential vanities do not need to look institutional.  They can be designed like any other piece of fine furniture. Scalding must be guarded against by using either insulating pipe wrap or a removable panel for the plumbing.

2. Toilet Accessibility

Toilets are available in comfort heights eliminating the deep knee bend needed for seating.  Grab bars should be installed on at least both sides of the toilet. Ideally, the toilet should be positioned between two support bars 36 inches apart. A toilet seat 17 inches off the floor is a more comfortable height for everyone. Creating a toilet within an open area and not a closet is much more accessible. Elevated or special toilet seats are available with a heat feature and some have the ability to self close or have a night light. A more expensive bidet/toilet is available but an add on bidet attachment to a regular toilet can be handy.

3. Bathing Facilities

Curbless roll in showers that are 5 feet wide and 3 feet deep having a 36" clear entrance are advised for everyone.  The shower should contain at least a shower wand on a sliding bar for varying heights of use along with a regular shower head and control if desired.  Installing fixtures with a scald guard or lowering the temperature at the water heater is a must to prevent burns. Folding seats in the shower are useful if caretakers are ever involved and they are much safer than a free standing shower seat which can fall over. Grab bars around the bath and especially in the shower should be used while non slip floor covering should always be considered. Walk in tubs are also a consideration but some people get chilled while the tub is draining. Install the slider bar for the hand held shower hose and head 4 feet off the floor so that the head can slide up to 6 feet high. Always use a shower valve that is thermostatically controlled and pressure-balanced to prevent scalds. If you desire a full body wash, you can include a regular shower head as well.

4. Safety and Accessibility

Always choose fixtures and fittings that are easy to control with a single hand motion or a closed fist. Motion controlled sensor fixtures are also a possibility when specifying finishes. Provide easily accessible storage compartments with pull out shelving eliminating architectural barriers by not using doors on the cabinetry. Always consider the individual needs of the occupant and find the best placement of any reachable items within their reach distance of 24". Fully consider where the best access is for all accessories such as robe hooks, towel bars, paper dispensers, soap dishes, toothbrush holders, shower shelves. The distances and clearances required will be dictated by the user and not by an accepted general outline. With falls in the wet area of the bathroom being such a great concern, a non slip tile floor should be installed without placing loose rugs in the general area. All doors should have levers instead of door knobs. The Americans with Disabilities Act requires a 5-foot turning radius for a wheelchair. But if space is tight, remodelers may be able to make do with less. "(The 5-foor turning radius) may not always be needed, especially with an electric chair, which will easily turn in a tighter space.

5. Lighting

Natural lighting is always better for anyone using the bath. Adequate task lighting in the shower, dressing area, and vanity vicinity should be installed. Lowered switches at around 48" above the floor in reaching distance should control all the lighting. You can install switches with a push button or large toggle that doesn't require a pinching motion to turn on and off. Outlets that are ground protected should be installed at 18" above the floor.

Aging in place home modifications are available through T-Square Company. Each design/build situation will be customized to fit your personal needs. Call 512-444-0097 today to begin the accessible second chapter of your life while remaining safe and secure in your existing home. CAPS 1636580

    No matter how old you are you should periodically evaluate your residence to determine whether it suits you not just for the present but the future. Your home assessments will be rethought every time your living situation changes. Whether childproofing for a newborn, making a home more accessible following a sickness or unfortunate accident to someone in the family, or making a toilet area safer for an aging residing parent, there will be an immediate evolution to your primary domicile. These same life span design features are even more important if you believe you're past the age of wanting to move and are relishing the thought of aging in your own home, no matter what physical limitations you might later develop.  Incorporating smart aging design concepts into accessibility home modifications for a home's elder design  will attract a larger group of buyers when you decide to finally sell your home.  Accessible home modifications have become a major component within the housing industry when considering our senior homeowners.

    Disability is a complex phenomenon representing an interaction between one's physical impairments, the activities they need to perform, and the architectural barriers within the space in which this situation occurs.  The terminology and jargon used for disabilities evolves regularly whereas, "handicapped" is no longer acceptable.  It is no longer merely a description of intellectual or physical impairments.  Each individual with similar impairments describes his or her limitations differently.  The blind don't experience their world the same as a person with deafness and so on. Physically challenged has become the more socially accepted description of a person with an impairment.  If your home needs modifications for a disabled child, remember that each type of disability is different and each requires special modifications to the house.  This statement also holds true for aging adults.

    Physical limitations affect many more people than the daily users of walkers and wheelchairs.  Many members of our society experience a need for elder construction having significant problems in dealing with their home environment.  Today's conventional building standards conflict with most people's accessibility when you consider our created architectural barriers concerning cabinetry and door opening widths, individual strength, range of motion, movement,  manual dexterity, balance, and coordination.  Once the demands of our built environment exceed their capacities we become excluded from a room or even the entire home.  The building world must work in unison to be sure the entire living environment meets basic needs in addition to affordability and structural integrity for the consumer and home owner.  This includes both the home and the components within the home being accessible to all inhabitants.  Privacy, sense of belonging, sense of control, and the sense of safety and security make up the quality of life for any home and should be considered for any design.

   When mobility becomes an issue for any homeowner or family member, regardless of age, the question arises concerning physically moving to a different home on one level with at least a bath that is more accessible. Austin handicap remodeling can help in preparing for one of those highly likely events involving someone in your home needing room modifications for even a short time while recovering from surgery is surely a smart move. Solving aging in place issues will soon become the number one challenge concerning the present obsolete housing inventory in our country.  Our present day obsolete homes now inhabited by the baby boomer generation will slowly and increasingly raise their outdated and obsolete ugly heads and expose their true lack of accessibility to those very people inhabiting them.  The situation will only become ever more expanding in time.   When these homes were previously purchased,  they represented an absolute castle in the world of their owners in which to prepare for a day and they also acted  as a retreat from life's tough interactions.  They housed our families, our memories, and our stuff.  They represented a place where we could be ourselves.  Our homes have always been exempt from any and all of the accessibility regulations that have been put in place since 1968 when our Viet Nam veterans were returning home. The new evolving concept known as Universal Design for home remodeling is catching on nation wide and has been for several years as a sign of the times.  Universal design techniques used in building makes a home more accessible to all regardless of their mobility or adaptive abilities. An evolution of new products used for disability home modifications is making those homes more accessible and has finally come about in the remodeling industry.  These new advances in accessible home remodeling in Austin not only keep the living environments safer but will not compromise the home's aesthetics.  In fact, there are many benefits to using universal design techniques, including potential use by aging family members, added resale value, and the fact that you'll be creating a space that can be used by anyone who visits your home, regardless of their range of abilities. Simple universal design updates for aging in place home modifications and handicap accessibility can include adding grab bars or handrails throughout the home, adding a seat within the roll in shower, lowering upper cabinets and counter tops, adding non-slip flooring, widening hallways or installing stair lifts, and widening doors.  You might also consider lowering light switches and thermostats and installing easier to use door knobs.  You should try to provide a clear barrier free path or accessible route to the most visited areas of your home as recommended by the ADA. Remember that a more open space gives room for maneuverability while using any mobility aid required.

   There are really three categories of aging in place customers.  Those who are simply and wisely planning ahead for their futures to remain in their present homes.  The second category concerns those people who know they have a chronic medical disorder and need to prepare in advance for accessibility issues which will come as a result of their disease.  People with diseases that are constantly causing increased physical or mental changes to their being are a good representative of this second group.  The third group involves those people who either have had a chronic problem that has  progressed severely altering their mobility or those who have sustained a life altering tragedy such as being involved in an accident.  All of these groups will drive the future metamorphosis of existing inaccessible dwellings. The goal of an accessible bathroom design in Austin is to make the bathroom a safe space for everyone who uses the facilities. Aging in place services use universal design to accommodate wheelchair use and can make the bathroom more comfortable for all generations with or without specific needs. It is important to carefully outline the scope of work during the remodeling of an accessible bathroom by first taking inventory of the users capabilities, needs, and preferences.  All disability home remodeling or disability bath remodels in Austin must be done considering all the data provided by the client, his or her family, and any caretakers involved. Aging in place design must be carried out by an aging in place specialist who is also a reputable residential remodeling professional.

    The National Association of Home Builders, in partnership with the AARP and Home Innovation Research Labs, created the CAPS program, which includes training and education on the technical, business management and customer service skills essential to compete in the fastest growing segment of the residential remodeling industry--home modifications for aging in place and ADA accessibility in Austin, Texas.  David L. Traut, CAPS the owner of T-Square Company in Austin, Texas is one of the select group of professionals nationwide to earn the Certified Aging-In-Place Specialist (CAPS) designation, identifying him as a home remodeler and builder with the skills and knowledge necessary to remodel or modify a home to meet the unique needs of the older population, disabled owners, or their visitors.

     Our existing architecture does not lend itself well to accomplishing any easy aging in place home remodels in Austin.  In fact, there are more inaccessible homes in all of the US than there are accessible homes and 45% of these existing homes are owned by the baby boomers representing the oldest group of homeowners.  Generally speaking in most residential US properties there are no easy ways to enter into bathrooms or utilize  kitchens without coming into contact with one architectural  barrier or another-especially if a wheelchair or walker is being used to help with mobility issues.  While an estimated 80% of aging homeowners have a firm plan to age in place, everything requires the proper clearance and distance for a new customized accessible route in your home to function properly provided by wheelchair remodeling.

     The concept of successful aging has become increasingly important as senior citizens begin to dominate the population. An active engagement in life through participation in social and productive activities is one component of successful aging. The built environment directly impacts the engagement profiles of older adults so it is necessary to provide environments designed to suit the needs of aging adults. Of all the design theories that attempt to accommodate the aging process, universal design may be the most desirable option as it provides built environments that benefit everyone. Universal design is a promising voluntary philosophy that requires increased attention from designers and builders participating in aging in place. Taken as a whole, it is evident that the application of universal design to the built environment is a positive step toward successful aging.

  But you say to yourself that  your needed aging in place home modifications basically require general home remodeling in Austin, Texas or in any other town for that matter.  Aging in place services provided by a specialized remodeling contractor holding a national CAPS certificate is who you need as a partner to insure that  the accessibility issues of your home are solved correctly.  With over 30 years of remodeling experience I obtained my registered CAPS certificate.  By offering a design/build firm to my aging in place customers, I get personal satisfaction from giving my clients their independence back while the remain in their existing home.  Without the training required to earn the CAPS certificate on top of my decades of building knowledge I could not offer my customers such a thorough and complete solution for solving their accessibility issues.  Only an experienced qualified remodeler holding a CAPS certificate has the qualifications to design an accessible route and perform the construction required to make it safe and functional for the Aging In Place customer.  There is nothing more rewarding than seeing a person with mobility impairments be able to independently roll into his or her shower and be a part of that accomplishment.

  Let's compare the alternative costs associated with aging in place verses when you already own your home.   The more institutional alternative of assisted living accompanied by more medical expertise and staff training plus the access to emergency medical facilities is available as opposed to renting an apartment.  These are two of the main alternative choices for seniors who decide not to remain in their own homes.   According to a national study done in 2014, the average cost for assisted living ranged from $3,000 to $3,500 per month.  However, if you decide to age in place in a high quality one bedroom apartment, the rent will run around $1,300 per month.  Seniors living in their own home or with loved ones represents a preference by most seniors and property taxes must be taken in account.

     An average Aging in Place bathroom home modification providing total accessibility given there is a large space to remodel at onset will come in around $30,000.  This can vary in many aspects if there is not enough room to change the existing floor plan.  Smaller bathrooms can cost $15-20,000 but will not have the barrier free accessibility as the larger modified bathroom.  Fully accessible kitchens will run on the average of $50,000 depending on the size of the existing kitchen.  These are both one time costs for sustainability of a given lifestyle and location providing future independence and safety for the homeowner who participates in accessible home remodeling.  A wheelchair accessible roll in shower alone can cost $15,000 depending on the given plumbing situation and the size required for maneuverability. Many aging homeowners are more than willing to accept these costs if the modifications will give them the freedom to age in place.

     There are five criteria which must be modified in a home to provide a highway for aging in place.

Widen Doorways

If a senior relies on mobility aids, such as a walker or wheelchair, to navigate through her home, widening doorways is a must-have home modification. Depending on the insulation and placement of electrical switches and outlets in the home, costs vary greatly for widening doorways.

Install Ramps

Exterior stairs may be a challenge for seniors who are unsteady on stairs or who have balance issues, so installing ramps is a necessary home modification that is well worth the cost to provide greater independence. CAPS certified contractors are trained in building and installing ramps of the correct height and slope for seniors.

Indoor threshold ramps are also necessary home modifications for older adults who use wheelchairs. These indoor ramps provide smooth transitions from one surface to another, making it safer to navigate throughout the home. The threshold ramps often are constructed of rubber, so they’re easily adjustable to accommodate the step or door jamb height that is involved in the transition.

Kitchen Modifications

As seniors age, they may find that their appliances are no longer in ideal locations and that their counter tops and cabinetry are too high, especially if they are in a wheelchair. Every appliance must be placed within the reach distance for a seated person between 18 and 48 inches.  Professional Caps certified contractors may need to come in and adjust the counter height and lower the sink, to allow for easier access from a seated position. Additionally, seniors aging in place often find it easier when microwaves are placed in microwave stands, as opposed to being at the back of the counter or in raised microwave cabinets.  Providing multi-level counter tops is a way to give accessibility to everyone in the kitchen.

Shower and Bathtub Modifications

A senior opting to age in place also should consider home modifications for the bathroom, particularly the bathtub. One option is a bathtub to shower conversion, which provides a much easier and safer entry and exit than a bathtub. A second bathroom modification option is to replace a traditional bathtub with a walk-in tub.

Roll in showers without curbs are advised for everyone on a universal level for an accessible bath.  A 5 feet square clear floor space is an optimum size when a caretaker is involved. Using a 32-36"  wide barrier free entrance in a shower partition with an out-swinging door is advised for everyone.  Remember wider is better in all respects. Upon exiting the shower a clear floor space of 30"x48" for approach to the shower should be present and this area intersects with a five feet turning radius within the room. The shower should contain a shower wand on a sliding bar mounted at 48" above the floor to be available for varying heights of use accompanied by a regular height fixed shower head above.  These diverse shower heads are both regulated using a diverting controller valve.  Always use a shower valve that is thermostatically controlled and pressure-balanced to prevent scalds. If you desire a full body wash, you can include a regular shower head as well. Installing fixtures with a scald guard or lowering the temperature at the water heater is a must to prevent burns. Fold down seats attached to the shower wall are useful if caretakers are involved. Recessed shampoo niches are helpful to eliminate clutter on the shower floor.  Secure grab bars installed on wood grounds buried within the walls around the entire shower perimeter installed at 34-36" above the finished shower floor increases the safety factor and helps to prevent falls.  A recessed can light fixture should be installed above the shower area for proper lighting. All of the bathroom floor surface must be nonskid type to prevent slipping on a guaranteed wet floor. The ultimate goal in accessible design is to make the bathroom space safe for everyone who uses the bathroom. Universal design can better accommodate wheelchair users and can make the bathroom more comfortable for all users and many times can be done without sacrificing style. It is important to carefully plan the building or remodeling for a wheelchair accessible bathroom by taking inventory of the users capabilities and preferences.

If a senior wants to keep his existing bathtub, or cannot afford to replace it, there are less expensive modifications that can be made to prevent slips and falls in the bathtub. One modification is to add a grab bar to the tub, while another is to install safety strips. Both of these simple modifications can help prevent slips and falls in the bathtub.

Yet another modification for the bathtub, which is less expensive than replacing the bathtub or shower, is to purchase a bathtub transfer bench. Transfer benches straddle the side of the bathtub, enabling seniors to sit safely on the bench while getting into the tub by lifting each leg, one at a time, over the bathtub wall. Getting into the tub while seated greatly reduces the risk of dangerous slips and falls for seniors. Some seniors who cannot spare the required bathroom floor space for bathtub transfer bench legs opt for bathtub chairs, which sit completely inside the bathtub. Seniors may be able to turn around and sit on the chair with both legs outside of the tub and then lift one leg at a time over the tub wall while seated.

Flooring Modifications

Flooring is another consideration for older adults making home modifications with the goal of aging in place. The first step is to evaluate the home’s existing floors. If the carpet is older and shaggy, you may want to consider replacing it with new carpeting that has a shorter nap. Seniors are less likely to trip on shorter-nap carpeting, and it’s also more suitable for seniors who navigate through the home with the use of a walker or wheelchair.

Hardwood, tile, laminate, and vinyl floors are smooth and may allow for easier wheelchair maneuvering, but they also tend to be more slippery than carpeting. People often use throw rugs on these types of flooring, so be sure that you either get rid of them or securely tape them down to prevent trips and falls.  Using the proper tile with an acceptable coefficient of friction will prevent slipping even when wet.

     The best way to prepare for aging in place is to have a definite plan considering all possible outcomes and needs for those involved.  Aging in place isn't for everyone like those with major health issues.  For others with more independence, it can be a practical decision providing quality of life and safety for many years.  Everyone's needs are different as we age and one must allow for flexibility and change for all future decisions.

     The best course of action to take when making home modifications for seniors aging in place is to consider all of the areas of the home that present the most trouble or concern. If there are things that are especially difficult for seniors, like reaching the counter tops or light switches, modify them. If there are potential tripping or falling hazards, eliminate them or modify them accordingly. Taking a proactive approach to modifying the home means that seniors can age in place independently while their loved ones have peace of mind knowing that their aging loved ones are safer in their homes.

      Construction and design professionals are taking advantage of the CAPS training across the nation. This designation is taught through the National Association of Home Builders in collaboration with AARP. CAPS connects responsible professionals with home owners who need these services on an ever increasing basis. CAPS is a nationwide initiative and all active CAPS professionals can be found at nahb.org/CAPSdirectory.  David L. Traut, CAPS the owner of T-Square Company in Austin, Texas is one of the select group of professionals nationwide to earn the Certified Aging-In-Place Specialist (CAPS) designation, identifying him as a home remodeler and builder with the skills and knowledge necessary to remodel or modify a home to meet the unique needs of the older population, disabled owners, or their visitors.

 ACCESSIBLE BATHROOM WITH WHEELCHAIR ACCESS