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Falls Prevention at Home: Simple Changes to Stay Safe and Independent

Nov 6, 2026

Falls are common as we get older, but they are not an inevitable part of ageing.

With the right strategies, equipment and home modifications, many falls can be prevented.

At North Occupational Therapy, we help older adults across Sydney's Northern Beaches and North Shore remain safe, confident and independent in their own homes.

Why is falls prevention so important?

A fall can have a significant impact on an older person's health, confidence and independence. Even when a fall does not result in a serious injury, it can lead to a fear of falling again.

This fear can cause people to reduce their activity levels, avoid going out or become increasingly reliant on others. Unfortunately, reduced activity can contribute to muscle weakness, poorer balance and an increased risk of future falls.

The good news is that many falls risk factors can be identified and addressed before an injury occurs.

6 Simple Ways to Reduce Your Risk of Falls at Home

1. Remove trip hazards

Everyday household items can create unexpected hazards.

  • Remove loose rugs, clutter and electrical cords from walkways.

  • Ensure frequently used items are within easy reach.

  • Keep pathways clear, particularly between the bedroom and bathroom.

  • Repair uneven flooring and address raised door thresholds.

2. Improve lighting

Poor lighting can make it difficult to identify obstacles, particularly at night.

  • Install nightlights in bedrooms, hallways and bathrooms.

  • Ensure stairways and entrances are well lit.

  • Consider motion-sensor lighting for frequently used areas.

  • Make light switches easy to access.

3. Make your bathroom safer

Bathrooms are a common area for falls due to wet surfaces, confined spaces and the need to step over shower hobs.

Simple modifications may include:

  • Installing appropriately positioned grab rails.

  • Using a suitable shower chair or stool.

  • Replacing slippery floor mats with safer alternatives.

  • Removing shower hobs or improving shower access where appropriate.

  • Installing a handheld shower hose.

An occupational therapist can assess your bathroom and recommend modifications suited to your mobility, balance and individual needs.

4. Choose safe footwear

Footwear plays an important role in maintaining stability.

Choose shoes that fit securely, have non-slip soles and provide adequate support. Avoid loose slippers, worn footwear and walking around the house in socks on slippery floors.

5. Maintain strength and balance

Regular physical activity helps maintain muscle strength, balance and confidence.

Walking, strengthening exercises and structured balance programs can all help reduce falls risk.

A physiotherapist or appropriately qualified exercise professional can recommend exercises suited to your abilities and health needs.

6. Use the right equipment

Mobility aids and assistive equipment can make everyday activities safer.

Depending on your needs, an occupational therapist may recommend:

  • A walking aid, following appropriate assessment.

  • Grab rails beside the toilet or shower.

  • A suitable shower chair.

  • A raised toilet seat or toilet surround.

  • Bed transfer equipment.

  • Steps, ramps or other access modifications.

Equipment should always be selected and fitted according to individual needs. An unsuitable walking aid or incorrectly positioned grab rail may increase rather than reduce falls risk.

How Can an Occupational Therapist Help Prevent Falls?

Occupational therapists look beyond the fall itself to understand how a person's abilities, daily activities and home environment may contribute to their risk.

A falls prevention occupational therapy assessment may include:

Home safety assessment: Identifying hazards in bathrooms, bedrooms, kitchens, entrances and outdoor areas.

Functional mobility assessment: Reviewing how safely a person moves around their home, gets in and out of bed, uses the bathroom and completes daily activities.

Equipment recommendations: Identifying assistive technology that may improve safety and independence.

Home modifications: Recommending practical changes such as grab rails, ramps, improved access and bathroom modifications.

Falls prevention education: Providing personalised strategies to reduce risk while supporting confidence and independence.

Where appropriate, occupational therapists also work alongside GPs, physiotherapists and other health professionals to address contributing factors such as medication, vision, strength and balance.

When Should You Consider a Falls Prevention Assessment?

You don't need to wait until a serious fall occurs.

An occupational therapy assessment may be beneficial if you or someone you care for:

  • Has experienced one or more falls or near misses.

  • Feels unsteady when walking or transferring.

  • Has difficulty getting in or out of the shower, bed or chair.

  • Has started avoiding activities due to fear of falling.

  • Has recently returned home from hospital.

  • Has experienced changes in mobility, strength or independence.

Early intervention can help identify risks and put practical solutions in place.

Stay Safe and Independent with North Occupational Therapy

At North Occupational Therapy, we understand how important it is to feel safe and confident in your own home.

We provide personalised home safety assessments, assistive equipment recommendations and home modification advice for adults and older adults throughout Sydney's Northern Beaches and North Shore.

Our focus is on finding practical solutions that reduce falls risk while helping you maintain your independence and continue doing the things that matter most.

Concerned about falls at home?

Contact North Occupational Therapy to arrange a home safety and falls prevention assessment.

Visit: www.northot.com.au

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