Disclaimer: This factsheet is for advice and guidance only. It is not intended to replace advice from a medical professional. Please ensure you follow manufacturer’s instructions for use and that you carry out appropriate risk assessments.
A kitchen adaptation can be one of the most expensive areas within your home. When planning any changes to the kitchen area, it is worth thinking about the following:
There are a variety of conditions that can impact on your ability to use the kitchen. Consider the following:
The risks of injury are far greater for those with physical, visual and cognitive impairments. It is important to balance the risk of injury against the rights of the person to make their own choices and decisions about what they chose to do and how they their operate in their home. It is also important where possible and safe to do so, to support and promote a person's independence and personal choices.
Before embarking on the costly process of designing a new kitchen, it may be worth considering what small changes you can make to improve access and usage. For example:
A smaller kettle can be easier to lift. A kettle tipper holds the kettle or teapot and provides support when tilting and pouring out the contents. Alternatively, a hot water dispenser removes the need to lift a kettle or carry hot water.
Consider replacing heavy pots and pans with lighter weight versions. Using a cooking basket for vegetables enables you to lift the basket out of the pan, rather than having to lift the whole pan.
If you have limited standing, balance, or need to rest frequently, a perching stool could be of benefit.
There are a number of devices that you can use to make it easier to prepare food with one hand. For example:
An NHS occupational therapist or your local Social Services may be able to trial aids and gadgets with you to make life easier. Alternatively, if you are self-funding you can get advice privately from an independent occupational therapist who can assess your difficulties, recommend aids and discuss possible changes you could make at home.
The design of a new kitchen will vary enormously, depending on the size and layout of the existing kitchen and the needs of the users and their difficulties. It is advisable to consult an occupational therapist so that they can carry out a full functional assessment to ensure that the kitchen is designed to meet your specific needs and priorities.
A key design principle is to consider whether you can create a ‘working triangle’ The general advice is that kitchen layouts should be planned so that the oven, hob and sink unit are in a continuous uninterrupted run of units. The run of units may be straight, L-shaped or U-shaped. This working triangle approach is recommended to create a flow between the appliances, minimising the amount of movement required in between the food preparation, cooking and cleaning/washing up tasks, thus conserving energy and time for everyone who uses it. If the distance between these main work areas is too small, people may feel cramped or if the distance is too large, more energy will be consumed walking, wheeling, lifting, carrying and cleaning etc.
If possible, it is recommended to always design for your worst possible day or the worst possible future in order to try to ‘future proof’ the environment.
Careful consideration should be made when purchasing any new appliances:
The Research Institute for Disabled Consumers (RiDC) has produced a guide on choosing cookers, ovens and hobs.
Slip-resistant flooring is recommended, so as to minimise the risk of falls. Guidance is available from the Health and Safety Executive.
If the kitchen dining area is open plan, avoid a stark difference in colour or tone between the kitchen and dining areas. A dark floor next to a light floor for example can be perceived as a hole or a step for some people with dementia.
Windows should be within easy reach. Fitting window openers can help with opening and closing windows. These can be manually or electronically operated.
The key to designing a kitchen for multiple users is simplicity and flexibility. It will largely be dependent on the abilities each user has and will require careful assessment and consideration to ensure one design element does not negatively impact on another.
This is a broad title for very varied and complex impairments. We do not cover all the different types of cognitive issues here (which can include someone who has special learning needs, dementia, a brain injury, conditions relating to general aging, a neurological illness or a congenital disorder). These examples can all cause difficulties - for example with sequencing (the ability to arrange language, thoughts, information and actions in an effective order) not being able to understand danger or being unable to recognise everyday objects.
If you are refurbishing a kitchen for a person with cognitive problems, such as dementia, then a simple uncluttered design layout that resembles what the person is familiar with is recommended. Also, a good visual contrast between adjacent surfaces, e.g. walls and worktops and fittings, e.g. electrical switches and sockets, will help by drawing attention to essential features.
In some situations, it may be necessary to prevent access to all potentially dangerous areas, such as the hob or oven, to reduce the risk of burns or scalds. In these circumstances you may need to contact your energy supplier to request turning off or capping gas supplies.
There are some simple changes you can make to reduce potential risks whilst at the same time enabling people to continue to be independent with simple tasks in the kitchen. These include:
There are many different and varying types of visual impairment and vision loss. Some key design ideas are covered here.
Your local social services department may be able to offer you a sensory services assessment in which they can offer you advice and aids to help in the kitchen.
If you need to make changes to your kitchen due to your eyesight, you may like to consider the following:
The Thomas Pocklington Trust (a charity for blind and partially sighted people) has produced a comprehensive lighting guide, endorsed by the Institution of Lighting Professionals, to help visually impaired people improve lighting in and around their home.
If you are a wheelchair user, or are likely to become a wheelchair user, it might be necessary to consider the design of a kitchen meets your demands now, and in the future. For example, if there are particular space constraints, and it is an affordable option, a height adjustable wheelchair may be a way to make it easier to access storage. It may also be necessary to reassess wheelchair style and fittings (for example the type of footplates, or type of control of a powered wheelchair) in conjunction with the kitchen design.
To get a wheelchair on the NHS you need to be assessed by your GP, NHS physiotherapist or hospital staff. Alternatively, you can self-refer yourself to your local wheelchair service. More information about this is available from the NHS. The type of wheelchair that might be provided for you by the NHS will depend on an assessment of your specific needs and the environment in which you will be using it.
If you are self-funding the purchase of a wheelchair, it is advisable to consult an independent occupational therapist or private physiotherapist who specialises in wheelchairs before considering making the purchase to check that it meets your needs.
There are two approaches to kitchen adaptations, and these will depend on the child’s needs.
In some situations, you may be able to receive financial assistance with modifications. There are a few options available for funding of equipment and minor adaptations and these can vary across the UK.
If you are paying privately, it may be one of the largest investments you will make in your home, so it is important that the final result suits both your needs and tastes.
Under the Care Act 2014, in England if you are assessed as requiring a minor home adaptation or preventative intervention anything costing under £1,000 would be free of charge to you via your local authority.
In order to qualify for grants and local authority provision you will need to have a needs assessment. This which will determine whether you have eligible needs for care and support with daily living (such as preparing food and cooking) due to age, disability or long-term health condition. You can get a needs assessment via your local authority’s social services department. You can either apply yourself, or someone else can apply on your behalf, with your permission (such as a friend, relative or health professional). You can also get a referral from your GP.
In Scotland, local authorities make their own arrangements for provision of minor adaptations and details can be accessed via your local council website. Please be advised that waiting lists and eligibility vary greatly from area to area.
If you are self-funding, you may wish to seek advice from a specialist housing OT who can work with you to design the best possible kitchen to meet your individual needs.
If you are self-funding and need advice before you buy, contact your local disabled/independent living centre where you can have the opportunity to try out a range of equipment. There are several of these around the country where you can go for impartial advice. Your local authority will be able to supply information about where your nearest centre is located. Some retailers have showrooms which have areas set up so you can try out items of equipment to see if they will suit you before you commit to making a purchase.
Also, consider if you can afford a service contract for more complex items of equipment. These may seem expensive at first but call out fees or replacements may prove to be costly in the long run. Some items such as hoists and slings need to be ‘LOLER’ compliant (Lifting Operations and Lifting Equipment Regulations 1998). This is because they are used to move people mechanically and these checks are a legal requirement every six months. Others with moving parts or electrics will have a service schedule recommended by the manufacturer which is included in the instruction manual.
Before purchasing, look for a sales company that belongs to a trade association, such as the British Healthcare Trades Association (BHTA). The BHTA aims to improve standards in the provision of healthcare and assistive technology. BHTA members have signed up to a Code of Practice which aims to ensure that members provide products and services that are professional, ethical, and trustworthy.
Some suppliers will fit equipment, but some are sold ‘supply only’. Finding a tradesman to fit items may not be easy. There may be a local arrangement for fitting small items such as a care and repair service or Home Improvement Agency, or there may be a list of ‘trusted traders’ provided. Websites such as Checkatrade provide feedback from previous customers which can help you find a reputable tradespeople and Trading Standards may be able to advice if there are concerns over a company you are considering using.
If you have a diagnosed long-term condition, you may be able to claim VAT relief when purchasing equipment. Ask the supplying company or check their website for further information. More information is available on the GOV.UK website.
Equipment suppliers may have the VAT exemption form on their website, or you can download a general form from HM Revenue and Customs before you make your purchase. You will need to fill in a form for each supplier you use, but you will only need to do this for the first purchase with them.
If the equipment or adaptation required costs more that £1000, you may be eligible to apply for a Disabled Facility Grant to pay for home adaptations. If the work is ‘reasonable and practicable’ and ‘necessary to meet the needs’ of a person with a disability. This can include extensions and structural work to accommodate fixed hoists, stairlifts, downstairs bathrooms, shower units etc. You can apply for a grant of up to £30,000 in England, up to £36,000 in Wales and up to £25,000 in Northern Ireland. Conditions for DFGs will vary according to the country in which you live.
To apply for a DFG for housing adaptations your needs will be assessed by an occupational therapist. They usually come to your home to assess your needs, and this can include a joint assessment together with you and any carer you may have. They can also do assessments over the phone. They will then contact the relevant council departments with any necessary evidence they have gathered that the work proposed is appropriate and meets all the requirements for funding.
Age UK has a factsheet (‘Factsheet 41. How to get care and support’) explaining more about the DFG process.
Disability Rights UK has some very comprehensive online information about Disabled Facilities Grants and other housing grants.
NB - Please note that you may not receive any grant if you start work on your property before the council approves your application.
If you do not have the funds to buy equipment, it may be possible to request support from a charity. They will usually have criteria which they will apply, and most will not consider equipment which should be provided by the NHS or Social Services.
Some charities will only consider requests which are supported by an involved professional, usually an occupational therapist, physiotherapist or a nurse. This may require them to be present during the assessment for an item of equipment. This is to ensure that the equipment is appropriate and will not have an impact on planned treatment or rehabilitation programmes.
Equipment is not always purchased outright and gifted to you. Some items are provided on loan, either for a specified length of time, or to be returned when no longer needed or appropriate for use.
A number of charity websites that offer information on funding are listed here:
Following an assessment, some local authorities will issue you with a prescription for the equipment that you need. This can be taken to a local retailer (usually a pharmacy or independent equipment retailer), and you can collect the equipment and begin to use it immediately. There is usually the option to have the equipment delivered to your home if you have difficulty accessing your local retailers.
If your need is short-term, it may be cost effective to hire equipment.
Mobility Hire is a national source for mobility and assistive equipment on hire or purchase. They offer short or long-term rental solutions to meet most requirements and equipment ranges from bathroom aids to wheelchairs.
If the equipment is required for a holiday, it is advisable to look for a supplier near to your destination as they will be able to respond to any issues such as a breakdown/breakage.
This is available via an NHS employee (Nurse / Occupational Therapist or Physiotherapist) or via a Social Services Occupational Therapy Service.
Loans can either be short term to assist after an operation or illness or longer term to promote independence or support care-giving.
Long term loans are usually the responsibility of Social Services (Adult Social Care / Children’s Services) and will be provided following an assessment by an Occupational Therapist. Straightforward items, such as raised toilet seats or bath seats and boards can be provided by an occupational therapy assistant.
Arrangements vary across the UK and you may find that local arrangements allow different services to provide equipment on behalf of each other.
Equipment may be offered as an alternative to an adaptation. Your occupational therapist will explain why they are making this suggestion.
NB - equipment from Social Services is provided for use at your home address and should not be used elsewhere as:
However, if you are permanently moving home into the area of another local authority, you can take the equipment with you if you still need to use it and it is the most cost-effective solution. You will need to discuss this with the service that issued the equipment to you.
Disability Living Allowance (DLA), Personal Independence Payments (PIP) and Attendance Allowance are benefits available for those who need support with activities of daily living. More information is available from the government and Citizens Advice who have specific advice for each home nation, enabling you to check your eligibility if you are not already claiming one of these benefits.
For clear, practical advice and information on products and suppliers of daily living equipment, please have a look at our Living Made Easy website which is the largest aids to daily living database in Europe.
Living Made Easy have produced a range of factsheets which explain how aids and equipment may help you carry out daily living activities, and also provides practical information about funding and further sources of support. You can find the factsheets on the Living Made Easy website.
You can also contact email us at lme-enquiries@shaw-trust.org.uk . To help us give you a concise and informative reply, please provide us with as much detail as possible, including information on the difficulties you are having and any solutions you have considered, such as equipment ideas.
If you would like help choosing equipment for everyday living you could try our free online self-assessment tool, AskSARA.
AskSARA is an award-winning online self-help guide providing expert advice and information on products and equipment for older and disabled people. The tool will ask you questions about yourself and your environment and then offer relevant advice, product suggestions and supplier details. AskSARA is licenced for use through local authorities, and you can check if your local authority provides access to AskSARA here: https://asksara.livingmadeeasy.org.uk/about-ask-sara .
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