Formatted: 10. Toileting equipment · 10.1 Equipment: Commode standard Description: metal framed commode with cushioned lid and separate pot with lid. Dimensions: Seat height 46cm,

10. Toileting equipment

Equipment in this section:

10.1 Commode standard

10.2 Commode adjustable with detachable arms

10.3 Commode extra wide

10.4 Commode glide about

10.5 Raised toilet seat

10.6 Raised toilet seat frame

10.7 Toilet frame adjustable

10.9 Toilet porta potti – plus accessories

10.10 Folding bottom wiper

10.11 Bottom buddy

Formatted: Bullets andNumbering

General considerations:

Weight limits of equipment

Seat height‐ usually 3cm below knee joint. People with arthritis may need higher seat option

Positioning within the room‐ safety and dignity

Ease of use particularly at night

Emptying and cleaning needs

Single use due to risk of cross contamination

Risk of tipping if weight is put on only one arm

Tripping hazard from legs

Need to check frame and seat regularly for cracks

Maintenance‐ prescribers/delivers of equipment need to reinforce with users/carers the need for equipment to be regularly checked‐ particularly aids that may need adjusting or tightening. If user is unable to take on this responsibility an alternative arrangement needs to identified.

Weight limits of existing household equipment e.g. standard weight limit of a WC is 20 stone

10.1 Equipment: Commode standard

Description: metal framed commode with cushioned lid and separate pot with lid.

Dimensions: Seat height 46cm, depth 40.5 cm, width between arms 50cm, weight limit 20 stone.

Related policies/Guidance

Example Brand names: Welland Medical

Indicators The person has restricted mobility and cannot access existing WC safely, day/night. Person has medical condition resulting in poor bowel/bladder control. Use as temporary facility during adaptations

Ladder Approach Contraindications Safety & function Prescriber/assessor Actions

All other alternatives have been explored: Adaptation to existing WC

e.g. RTS Grab rails Mobility aids Referral to other services

e.g. FALLS, rehab OT, continence advisor, GP

Risk assessment Carers assessment

User ability to empty pot

Frequency of need to empty pot

Poor transfers Increased risk of falls Appropriate area

within home for safe and dignified use

Occasional or rare use

Weight limit Seat height Nocturnal use risks Transfer risk Single user use due to

cross contamination Impact upon care needs Positioning to prevent

tipping.

Risk assess Product familiarisation

completed HSE/MHRA

recommendations

Risk assessment

Prescription goals identified.

Positioning of commode

Demo/delivery planned

Review date

Safety Checking of Community Loan Equipment

FI Legislation DESCRIPTION

STANDARD EQUIPMENT ITEMS

N R

Bar Coded

Manufacturer’s Instructions Supplied to User/Carer

Single use Items LOLER PUWER

Comments/ technical instruction

commode standard

M

C Y

Y

Key: FI ‐ Final Inspection, N – New, R – Recycled, M – Manufacturer, C ‐ Community Equipment Loan Store

10.2 Equipment: Commode adjustable height and detachable arms

Description: metal framed with cushioned seat and separate pot with lid. Detachable arms and height adjustment on legs.

Dimensions: Seat height 45cm to 60cm, depth 40.5 cm, width between arms 51cm, weight limit 20 stone.

Related policies/Guidance; Range of DLF factsheets and guidance documents


Indicators The person has restricted mobility and cannot access toilet safely, day/night. Person has medical condition resulting in poor bowel/bladder control. Use as temporary facility during adaptations Additional height required and/or arms need to be removable to aid transfers

Contraindications Safety & function Prescriber/assessor Actions

All other alternatives have been explored: Adaptation to existing WC e.g.

RTS Grab rails Mobility aids Standard commode Referral to other services e.g.

FALLS, rehab OT, continence advisor, GP

Risk assessment Carers assessment Increased care package

User ability to empty Increased risk of falls Appropriate area


Weight limit Seat height Nocturnal use risks Transfer risk Single user use due

to cross contamination

Impact upon care needs

Can be floor fixed with Mobray kit

Use of clips when removing arm rests.


completed HSE/MHRA

recommendations

Risk assessment


Position of commode Height of commode Demo handling safely e.g. not

lifting by arms Demo/delivery planned

Review date




N R

Bar Coded




commode adjustable height & detachable arms

M C

Y Y


10.3 Equipment: Commode Extra wide (Bariatric)

Description: metal framed with cushioned lid and separate pot with lid.

Some are fitted with small wheels‐ these are designed to enable the commode to be moved about and not for moving when the user is in situ.

Dimensions: Seat height 45cm, depth 40.5 cm, width between arms 73.5cm, weight limit 40 stone.

Related policies/Guidance: Range of DLF factsheets and guidance documents


Indicators The person has restricted mobility and cannot access toilet safely. Person has medical condition resulting in poor bowel/bladder control. Use as temporary facility during adaptations User weight is between 20 and 40 stone.


All other alternatives have been explored: Adaptation to existing WC

e.g. RTS Grab rails Mobility aids Referral to other services

e.g. FALLS, rehab OT, continence advisor, GP

Risk assessment Carers assessment Increased care package

User ability to empty Increased risk of falls Appropriate area


Weight limit Seat height Nocturnal use risks Transfer risk Single user use due to cross

contamination Impact upon care needs If fitted with small wheels‐

these are designed to enable the commode to be moved about and not for moving when the user is in situ.


completed HSE/MHRA

recommendations

Risk assessment


Position of commode Demo/delivery

planned




N R

Bar Coded




commode extra wide

M C

Y Y


10.4 Equipment: Commode Glide about

Description‐ detachable padded arms, 4 braked castors for use to complete internal transfers, fitted with footplates. Bariatric available

Dimensions: Seat height 50cm seat width‐43cm weight limit 30 stone


Example Brand names: Adapt, Invacare, Smitcare

Indicators The person has restricted mobility and needs to be transported between rooms to facilitate personal care. Person has medical condition resulting in poor bowel/bladder control. Use as temporary facility during adaptations

Ladder Approach Contraindications Safety & function Prescriber/assessor Actions All other alternatives have been explored: Adaptation to existing WC

e.g. RTS Grab rails Mobility aids Commodes Provision of manual

wheelchair Referral to other services

e.g. FALLS, rehab OT, Risk assessment carer assessment increased care package

Environment‐ doorways, floor covers

Carer ability to manoeuvre

Carer unable to engage/ disengage brakes

Weight limit Seat height Transfer risk Impact upon care needs Not to be used instead of

shower chair Not to be used as an

alternative to a wheelchair

Use of brakes Transportable when space

limited


completed HSE/MHRA

recommendations

Risk assessment



Review date




N R

Bar Coded




commode glide about

M C

Y

Y


10.5 Equipment: Raised toilet seat

Description: moulded plastic toilet seat with fixing to attach to standard WC.

Dimensions: Available as standard in 2” and 4” and 6”. Maximum weight 24 stone.


Example Brand names: Savannah

Indicators The person needs a higher toilet seat to facilitate a safe toilet transfer. Reduce risk to carers in transfers Person has limited hip/knee flexion.


All other alternatives have been explored; Grab rails Referral to other services Risk Assessment Carers assessment Increased care package

Non standard WC. Persons feet can’t reach

the floor RTS can impact bowel

function Need for additional

postural support Sliding transfers

Transfer risk Floor coverings Needs of other household

members & their ability to fit

Supporting provision of grab rails/ toilet frame

Tissue viability concerns Ability for fixtures/fittings

to be regularly checked Progression of persons

condition


completed HSE/MHRA recommendations

Risk assessment



Advise user of need to check fixings

Review date




N R

Bar Coded




raised toilet seat

M

C Y

Y


10.6 Equipment: Raised toilet seat and frame

Description: metal toilet frame with integral toilet seat for use over existing WC. Splayed legs

Dimensions: Height 49cm to 65cm. width between arms 48cm. overall width 63cm. depth 56cm. maximum weight 25stone

Heavy duty or extra wide models available. Weight limit 30 stone


Example Brand names: Mowbray, Scandia

Indicators The person needs handrail/support to facilitate safe transfers on/off the toilet. The person needs a higher toilet seat to facilitate a safe toilet transfer.


All other alternatives have been explored. RTS Toilet frame Referral to other services

Carer assessment Risk assessment Increased care package

Obstruction of waste pipe

Ability to set all legs at same height

Uneven floor surface Person has uneven

functions in upper limbs R/L side.

Obstruction to other household members

Need for side transfer Non standard WC. Persons feet can’t reach

the floor

Weight limit of product Postural needs Balance Transfers Progression of condition Operator ability Functional

change/improvement Impact upon care package Impact upon other

equipment Portable Tripping hazard Space needs


completed HSE/MHRA

recommendations

Risk assessment



Review date

Can impact bowel function

Need for additional postural support

Sliding transfers

Preferable in households where RTS would need to be removed & replaced frequently




N R

Bar Coded




Raised toilet seat & frame

M

C Y

Y


10.7 Equipment: Toilet frame height adjustable

Description: metal frame with coated arm rests which fits around WC. Provides surface to push down on to assist rising from WC. Fixing kit available.

Dimensions: Height 64cm to 80cm. width between arms 47cm. overall width 52cm. overall depth 45cm. Adjustable width.

Maximum weight limits 24 stone. Heavy duty or extra wide models available

Related policies/Guidance Range of DLF factsheets and guidance documents


Indicators

The person needs handrail/support to facilitate safe transfers on/off the toilet. The person requires handrail support whilst sitting on toilet.


All other alternatives have been explored Grab rail Drop down rail Rehabilitation Risk assessment Carer assessment Increased care package

Obstruction of waste pipe Ability to set all legs at

same height Uneven floor surface Person have uneven

functions in upper limbs R/L side.

Obstruction to other household members

Need for side transfer

Weight limit balance Risk of tipping Progression of condition Frame can tip if weight put

through only 1 armrest Need to check rubber

ferrules & pin clips regularly

Impact upon cares Functional

improvement/change


completed HSE/MHRA

recommendations

Risk assessment



Review date


Circulation needs if other walking aids used by person

Consider person ability to manage person hygiene




N R

Bar Coded




toilet frame height adjustable

M C

Y Y


10.8 Equipment: Chemical toilet/ porta potti – plus accessories

Description: commode with a large container of chemicals capable of being flushed and suitable to be used over 2‐3 days without emptying. Must be used in conjunction with either Mobray or on a frame.


Example Brand names: Aqua Kem Toilet

Indicators Use as temporary facility during adaptations/ awaiting re‐housing Person has medical condition resulting in poor bowel/bladder control. User /carer not able to safely empty commode on a daily basis.


All other alternatives have been explored. Grab rails RTS Standard commode Referral to other

services Risk assessment Career assessment increase care package

User/carer unable to empty & re‐assemble

Poor transfers User/carer unable to

use flushing system Occasional use during

adaptations

Weight limit of product

Postural needs Balance Transfers Progression of

condition Operator ability Functional

change/improvement

Impact upon care package

Impact upon other equipment

Set up & changing


completed HSE/MHRA

recommendations

Risk assessment



Review date

Clarify emptying arrangements in accordance with Water Regulation Authority

Only one bottle of chemical is provided‐ user will advice on sources further bottles if there are required.

issues Can become fowl

smelling in confined areas/small rooms




N R

Bar Coded




chemical toilet/ porta potti

M

C Y

Y


10.9 Equipment: Folding bottom wiper

Description: folding moulded plastic head with recessed serrations to grip paper. One size


Example brand names:

Indicators Person has restricted movement in upper limbs limiting reach and requires assistance to clean themselves safely after using the toilet. Person has limited reach or length in upper limb and requires assistance to clean themselves safely after using the toilet. .


All other alternatives have been explored.

Rehabilitation Risk assessment Carer assessment

Limited hand dexterity

Poor sensation Tissue viability

Balance Progression of condition Operator ability Functional

change/improvement Impact upon care package Consider use with pre‐

moistened wipes Potential harm if used

inappropriately Single user due to cross

contamination


completed HSE/MHRA

recommendations

Risk assessment



Review date





N R

Bar Coded




folding bottom wiper

M

N/A N

Y Y


10.10 Equipment: Bottom buddy

Description: plastic handle with rubber head & button to release toilet paper. One size.


Example Brand names:

Indicators Person has restricted movement in upper limbs limiting reach and requires assistance to clean themselves safely after using the toilet. Person has limited reach or length in upper limb and requires assistance to clean themselves safely after using the toilet.


All other alternatives have been explored. Folding bottom wiper Rehabilitation Carer assessment Risk assessment

Limited hand dexterity

Poor sensation Tissue viability

Balance Transfers Progression of condition Operator ability Functional

change/improvement Impact upon care package Consider use with pre‐

moistened wipes Potential harm if used

inappropriately Single user due to cross

contamination


completed

Risk assessment



Review date






N R

Bar Coded




bottom buddy

M

N/A N

Y Y


Documents

Formatted: 10. Toileting equipment · 10.1 Equipment: Commode standard Description: metal framed commode with cushioned lid and separate pot with lid. Dimensions: Seat height 46cm,