Home Access


System
UnitID 1 1
Date 2009/2/3 2009/2/3
Started 11:21 10:33
Finished 12:13 12:15
General Info
Client Caroline Slater  Mark Jones  
DOB 9-7-23  17-4-80 
Address 14 James St, Innaloo  6 Short St, Bayswater 
Phone (08) 9658741  (08) 9423216 
HospitalUnitNumber D 674521  F2468 
ReferralSource Silver Chain Sister  Consultant 
Doctor Dr Elaine Rogers  Dr Michael Smith 
DiagnosisDisability R(CVA). Weakness in left leg and arm.  C6/7 Quadriplegia 
SpecialConsiderations Medication,Diabetes,  Medication, 
OtherConsiderations   Anxious about returning home 
Independence Supervision,  Assistance, 
MobilityAids Quadruped,  Manual Wheelchair, 
HomeSupport Spouse,Family,Domestic Help,  Family,Carer, 
Assessment Post-discharge  Pre-discharge 
Assessor Julie Grant  Sandra Green 
Organization Occupational Therapy  Occupational Therapy 
Contact (08) 4663322  (08) 4939294 
External
DwellingType House,Single Storey,Owner,  House,Single Storey,Owner, 
Block Slope,Gradient 1:15,  Slope,Gradient 1:15, 
BlockOther    
KerbAccessRamp Yes  Yes 
ParkingBay 3m wide,6m long,850mm wall clear,  3.8m wide,6m long,1.2m wall clear, 
ParkingBayOther    
HoistClearance No  Yes 
DirectAccesstoHouse Yes  No 
Undercover No  No 
Lighting Yes  Yes 
Pathways 1.2m wide,  1.2m wide,Gradient 1:12, 
PathwaysOther    
Surfaces Cement,Unsealed,Uneven,Slippery,  Paving,Unsealed,Even,Non-slip, 
Entrances Door 950mm wide,Adj.Space 300mm,Step,  Door 950mm wide,Adj.Space 300mm,Hob, 
StepsStairsNumber
StepsStairsWidthmm 260 
StepRails Both,Correct,   
Gates Heavy,Open One Side,Open 2 Hands,  Light,Open Both Sides,Open 1 Hand, 
Internal General
Layout Trip Hazards,Cluttered,  Open Plan,Cluttered, 
CirculationSpace 360 degree,  360 degree, 
CirculationOther    
Doors 900mm,Sliding,Side Hinge,Open In,Knob,  900mm,Sliding,Side Hinge,Open In,Knob, 
DoorOther    
Passageways 1.2m wide  1.2m wide 
PassagewaysOther    
FloorCoverings Carpet,Loose Mats,Uneven,  Carpet,Non-Sliip, 
Toilet
Toilet_ Inside,Separate,Waste Pipe/Side,  Inside,Ensuite,Waste Pipe/Rear, 
ToiletDoorAccess_ Yes  No 
TransferSpace_ Yes  No 
Height_ No  No 
PaperFlush_ Yes  Yes 
Bathroom
Bathroom Separate,Shower/Bath,  Ensuite,Shower Recess, 
Bath Height 450mm   
BathOther    
ShowerRecess   900mm x 900mm 
RecessOther    
ShowerAccess Curtain,  Glass Screen,Hob, 
Washbasin Height 800mm,Knee/Clear 675mm,Depth 500mm,  Height 800mm, 
WashbasinOther    
Taps Capstan,  Capstan, 
AccessShowerTapsRose Yes  Yes 
AccessWashbasinTaps Yes  Yes 
Kitchen
WorkSurfaces Height 900mm,Knee/Clear 675mm,Depth 600mm,  Height 900mm, 
WorkSurfacesOther    
Sink Height 800mm,Depth 600mm,Bowl D 140mm,Pipes Insulated,  Height 800mm,Knee/Clear 650mm,Depth 600mm,Bowl D140-165mm,Pipes Insulated, 
SinkOther    
Oven Upright,Electric,  Wall,Microwave,Electric, 
OvenDoor Drop down  Knee/Clear 
CookTop Electric,Side Controls,  Gas,Front Controls,Piezzo Ignition,Height 800mm, 
CookTopHeight 800mm   
AccessOHStorage No  No 
AccessLowStorage No  No 
AccessPantry Yes  Yes 
AccessFridge Yes  Yes 
AccessDishwasher N/A  No 
Laundry
Location Separate  Separate 
WashTrough Height 900mm,Depth 200mm,  Height 900mm,Depth 200mm,No Knee Access, 
Trough(Other)    
WashingMachine Top Load,Controls Back,  Top Load,Controls Back, 
HotWaterSystem Gas  Gas 
LaundryTaps Standard,  Standard, 
AccessClothesLine Yes  Yes 
AccessDryer No  No 
AccessIroningBoard Yes  Yes 
TurningSpace Yes  No 
Bedroom
Bed Queen/King,Ensemble,  Double,Spring, 
Mattress Saggy,  Firm, 
BedHeight 440mm  460mm 
HeightCompressed 420mm  430mm 
CirculationBed Yes  Yes 
AccessFurniture Yes  Yes 
AccessStorage Yes  No 
Lounge Room
Chairs Single,Double Seater,Armrests,No Firm Seat,  Single,Double Seater,Armrests,No Firm Seat, 
CirculationLounge Yes  Yes 
AccessEntertainment Yes  Yes 
Other Features
AccessPowerPoints No  No 
AccessLightSwitches No  Yes 
AccessDoorHandles Yes  Yes 
AccessWindows No  No 
Airconditioning No  Yes 
HomeSecurity No  No 
Telephone Yes  Yes 
Other    
Conclusion
HomeModifications Yes  Yes 
ExternalModify Surfaces,Gates,  Entrances, 
InternalGeneralModify Floor Coverings,  Floor Coverings, 
RoomsModify Bathroom,Laundry,  Toilet,Bathroom,Laundry, 
OtherFeaturesModify Power Points,Windows,  Power Points,Windows, 
ProvisionofEquipment Yes  Yes 
Equipment Rails,Bathboard,Toilet Frame,  Rails,Shower Chair,Commode, 
EquipmentOther    
AssistiveDevices Yes  Yes 
Devices Shower Hose,Non-slip mat,Personal Care,Kitchen Aids,Laundry Aids,  Shower Hose,Non-slip mat,Laundry Aids, 
DevicesOther