Keeping safe: reducing the risk of a fall at home
Advice and tips for people living with dementia to make sure pathways through the home, including stairs, are clear and safe.
Keeping safe at home
- Keeping safe and independent at home
- Staying safe and secure at home
- Keeping safe: reducing the risk of fire
- You are here: Keeping safe: reducing the risk of a fall at home
Keeping things in order
You don’t need to tidy everything away – having personal items in your home is important. But taking steps to reduce any clutter and keep your walkways clear will make you safer at home.
Things like old magazines or extra cushions can be confusing and distracting, while trailing wires and cables could be a trip hazard and should be neatly tucked away.
Throughout your home, keep items in places where you know you will find them. This makes it easier to stay organised and independent.
Equipment to improve the home of a person with dementia
Equipment doesn’t have to be expensive or complicated to make a positive difference to people with dementia living in their own homes.
Lighting
Good lighting is an important part of a safe home. Dark areas and shadows can be confusing when you have dementia. You may need a lot more light to see clearly. Dementia can make it harder to keep track of time and understand where you are. That’s why it is important to allow natural light in through clean windows.
It is also good to be able to control the level of light when needed. For example, keeping your bedroom dark at night will help you sleep better.
- Check that natural light is coming in through the windows.
- Move curtains, blinds, furniture, TVs or plants so they don’t block out the light.
- Keep windows clean. You may need to ask someone for help with this, or choose to pay for a window cleaner.
- If it is safe, use extra lighting such as lamps. Try to use the brightest bulb you can for the specific fittings.
- Helpful lighting options include touch-operated lamps and sensor lights, which may be easier if finding switches becomes more difficult.
- Keep a torch by your bed.
Furniture, flooring and stairs
Dementia may make you feel disorientated and confused about what you are seeing. This means the colours and materials used around your home can cause problems. For example:
- Stripes and patterns can make surfaces look textured or deeper than they are. This can cause falls.
- Designs showing nature or wildlife can be confusing. For example, it can look like there are plants, insects or animals on the walls.
Try to use plain and contrasting colours around your home. Brightly coloured furniture items can help you see them more easily. For example, this can be done with sofa covers.
If possible, have furniture items with different colours to the walls and floor – so they stand out. Make the colour of switches for lights and appliances contrast with the wall so they are easier to see. Use plain, brightly coloured bed and table linen that contrast clearly with the walls and floor.
Keep your floors as clear and ordered as you can to reduce the risk of trips and falls. If you have the budget, consider laying plain-coloured matt flooring or carpet throughout the whole home.
In particular, be aware that shiny floors or surfaces can look wet or slippery, while dark rugs may look like obstacles or holes in the floor.
- Make sure any carpet edging or cover strips holding the carpet down are a similar colour to the floor.
- Clearly show the edges of stairs or steps. This can be done with brightly coloured tape, paint or special stair edging called ‘nosing’.
- Remove loose floor mats and rugs, as they can cause trips and falls, especially if they are frayed or slide on the floor.
- Consider keeping any mats designed for safety though, such as bath and shower mats. Ensure they have a rubber backing so they do not slide around.
- If you have stairs, fit grab rails alongside the staircase in a contrasting colour to the wall. You may also want to consider a stairlift.
- Chairs with arms are much easier to get out of. You may also want to avoid backless seats and low chairs.
- Bed hand blocks are designed to help you position yourself in bed and move around more easily. You may need practice to get used to doing this.
- Riser-recliner chairs can be used to help you sit or stand.
- Consider taking the doors off cupboards or storage units if it is safe to do this. This can make it easier to see what is inside without having to remember.
- Fit cupboards with non-reflective, transparent and shatterproof fronts so you can see inside, if this is an option for you.
- A transfer turntable can help another person support you when moving from one place to another. This is a device where you stand on a base which slowly turns. It can help you into or out of a bed or chair.
- A perching stool can be used for tasks that involve standing up for periods of time. These are special seats that allow you to sit when doing tasks such as ironing and cleaning.
As dementia progresses, artwork and mirrors may also start to become confusing. If so, you may need to remove or cover these.
Keeping the layout of your home familiar will be helpful to you. Finding your way around is easier if you recognise your surroundings.
However, you may need a little more space or want to replace or remove furniture that you don’t use. If so, try not to change other things in the room around too much. It is important that family, friends or any carers who are supporting you help keep things the way you want them.
What really helped was to remove or cover up all of the mirrors and to also close the curtains/blinds at dusk as the lights in the house were also causing reflections in the windows. When Mum couldn't see her reflection, which caused her to think that there was someone else in the house, her stress and anxiety reduced.
– Daughter of a person with dementia
Many cleaning products used in households can be dangerous if they are accidentally eaten, drunk or spilled on the skin. They can also sometimes look very similar in size and shape to food or drink.
Dementia may cause you to confuse a cleaning product with something you can eat or drink – for example, mistaking a laundry capsule or liquid for sweets or milk. This can lead to very severe and even fatal injuries.
Keep household chemicals out of sight. This includes laundry detergents, dishwasher tablets and bleaches. They should be in a closed or locked cupboard, away from food, drink or medicines.
Tips to reduce the risk of accidents