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Case Study

Case Study: John's Complete Home Transformation

HomeAccessibility Team
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How John transformed his two-story family home into a fully accessible single-level residence after a spinal cord injury, with detailed costs and results.

Client Background:

John, 52, experienced a spinal cord injury in a workplace accident, resulting in paraplegia. He uses a manual wheelchair and wanted to return to his family home with his wife and two teenage children.

Initial Challenges:

  • Two-story house with bedrooms upstairs
  • Standard bathroom with bathtub
  • Narrow doorways (720mm)
  • Steps at front and rear entries
  • Uneven outdoor paths
  • Limited ground floor space
  • Single-car garage
  • Assessment Process:

    John worked with an occupational therapist, access consultant, and architect to develop a comprehensive solution. The assessment took 3 weeks and included:

  • Detailed home measurements
  • John's care and support needs
  • Family lifestyle requirements
  • Future needs planning
  • Budget considerations
  • Council regulations review
  • The Solution:

    Rather than moving, John's family decided to modify their existing home with major renovations.

    Main Modifications:

  • **Ground Floor Bedroom Addition**
  • - Built new master bedroom with ensuite

    - Large enough for wheelchair turning

    - Direct access to outdoor entertaining

    - Ceiling hoist track for transfers

    - Built-in storage at accessible heights

    - Cost: $95,000

  • **Accessible Bathroom**
  • - Large level-access shower (1800mm x 1200mm)

    - Ceiling hoist from bedroom to shower

    - Shower chair and adjustable shower head

    - Height-adjustable basin

    - Comfort height toilet with grab rails

    - Heated floor for comfort and safety

    - Large mirror angled for wheelchair user

    - Cost: $58,000

  • **Kitchen Modifications**
  • - Section of lowered bench for food prep

    - Pull-out shelving in lower cabinets

    - Side-opening oven at accessible height

    - Induction cooktop for safety

    - One-touch taps

    - Appliance placement within easy reach

    - Cost: $35,000

  • **Access and Circulation**
  • - Widened all ground floor doorways to 920mm

    - Permanent concrete ramp at front entry

    - Level threshold at rear sliding doors

    - Widened hallway to 1200mm

    - Removed walls for open-plan living

    - Automated front door

    - Cost: $42,000

  • **Outdoor Areas**
  • - Level entertaining deck with roof

    - Concrete pathways 1200mm wide

    - Accessible garden beds

    - Automated irrigation system

    - Good lighting throughout

    - Modified garage for vehicle access

    - Cost: $38,000

  • **Smart Home Integration**
  • - Voice control for lights, temperature, doors

    - Automated blinds throughout

    - Security system with video doorbell

    - Smart TV and entertainment

    - Emergency call system

    - Cost: $12,000

    Total Project Cost: $280,000

    Funding Breakdown:

  • NDIS Home Modifications: $240,000
  • WorkCover contribution: $40,000
  • Out-of-pocket: $0
  • Timeline:

  • Assessment and design: 3 months
  • Council approval: 6 weeks
  • Construction: 5 months
  • Total: 10 months from start to finish
  • The Results:

    Two years later, John reports:

  • Complete independence in personal care
  • Able to cook and prepare meals
  • Entertaining friends and family regularly
  • Working from home successfully
  • Children comfortable bringing friends over
  • Wife has peace of mind about safety
  • Home feels like "our home," not an institution
  • Key Success Factors:

  • **Comprehensive Planning**: Time spent in assessment phase paid off
  • **Experienced Team**: All professionals specialized in accessibility
  • **Family Involvement**: Everyone's needs were considered
  • **Quality Over Cost**: Chose quality materials and workmanship
  • **Future Planning**: Designed for changing needs over time
  • **Smart Technology**: Reduced ongoing support needs
  • John's Advice:

    "Don't rush the planning stage. We spent 3 months getting the design right, and it was worth it. Every detail was considered. Also, invest in quality - we've had zero issues in 2 years.

    The smart home technology has been a game-changer. I can control almost everything by voice, which gives me so much independence.

    Most importantly, work with people who specialize in accessibility. Our team understood both the technical requirements and what it's like to live with disability. The result is a home that's beautiful, functional, and truly accessible."

    Family Perspective:

    John's wife, Michelle, adds:

    "The modifications have given us our lives back. John is independent, the kids have their dad actively involved at home, and I'm not constantly worried about safety. Yes, it was a big project, but it's the best investment we've ever made."

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