Question about Occ Therapy home assessment and adaptations

[FindingMeno]

Hoping someone can help.
If a parent lives in one their families home, can home adaptations be foisted on the other household members if they object?
For example, a bath being removed, or a hospital bed being put somewhere that affects normal functioning of the family.
This applies to a fully council funded care package with daily carers in place.
Thanks.

No, it's your home primarily and the parent is a guest (unless there's a formal arrangement and they pay rent, then it might be more complicated)
However the outcome might be that the home is deemed not to meet parent's needs and other accommodation may be required. I think that's right.

I don’t think it can be forced on you if it’s a shared home. I’ve never understood the practice of putting a hospital bed downstairs in the middle of the living space, far better upstairs in their bedroom. Grab rails are usually quite good quality and could be painted or stained. Rise and recline chairs are big and ugly but at least they get removed at a later date… Getting approval and funding for an accessible bathroom is quite a lengthy process but I don’t see how it could be done if other people living there don’t want it

I’ve never understood the practice of putting a hospital bed downstairs in the middle of the living space, far better upstairs in their bedroom.

It's done when they can no longer manage the stairs, even with a stair lift.
I can see the time coming where my mother has to sleep downstairs for that reason....

My husband had a bed downstairs. He couldn't walk and had to be hoisted so it was our only option

adaptations like bathroom adaptations, hand rails, stair lifts etc need permission from the home owner is that who you mean by living with family?

I still don’t see why the bed can’t be upstairs, especially when other people live there

If you are the home owner, then any adaptions will need your permission. Do you own the house, or is it housing association?

The recommendation of bringing a bed downstairs is relatively common. Upstairs living is a fire risk and often limits social and functional interaction.

What's the point of having the bed upstairs if the person it's intended for physically can't get up the stairs to sleep in it ?

If they have to be restricted to one floor of the house the usual (sometimes only) option is to make it the ground floor so that they can more easily be taken out of the house for hospital etc....

The OT should work with the family to make decisions about any adaptations or equipment based on assessment of the person’s needs and abilities which obviously can change over time.
For example if they have difficulty with washing then simple aids like a perch stool can be provided or a grab rail or bath board for safety in the bath or shower.
The OT should offer a range of solutions and the home owner has the option to accept or refuse fixtures.
If you anticipate the need for a lot of adaptations it may be useful to have two people at the assessment so you can talk through options and maybe take notes of alternatives and also who is funding them. Don’t be afraid to ask if their recommendations are being provided by them. There will be an expectation for the person to fund some items and I don’t think it is means tested but rather is needs based and their criteria for equipment provision.