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A rail can be fixed horizontally to the wall 75-100mm above the bath rim (see dimension c in diagram). It should start 200mm from the tap end of the bath (dimension a) (COT 2006 p13, H M Government 2015, p58, diagram 26). The lower portion is usually set horizontally and acts as a forearm support. This enables the user's body weight to be distributed through his or her forearm which may be helpful for someone with painful hands or wrists. Grab rails by the toilet are often fixed to the wall alongside the toilet, but if this is not possible (due to the toilet being too far from the wall or a partition wall or a radiator being in the way for example), then a drop down rail that extends from the wall behind the toilet could be used (see below).

Consider the advice about the different kinds of grab rails. Identify the best types of rail for your particular requirements. Bottom half of Arena grab ring is attached to inside of surround via a U grip and the top half is attached to the static part of the mechanism with a clamping action, just twist the knob and the threaded clamp secures the bed lever onto the bed. The finish of the rails may be important from an aesthetic point of view and also for the grip surface it provides.

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The Arena adjustable bed grab rail, handle, ring or bed lever (depending on what you call it) comeswith anti entrapment andwas designed by Laybrook especially for domesticelectric adjustable beds. The Arena grab ring is attached to the side of the surround so it stays static when you change position on your bed, this makes it easy to use when getting in and out of bed, helps you turn whilst laying in bed, supports you when getting up out of the bed whilst sitting on the edge of the bed. Withother grab rings, when the head section of your bed elevates to the upright position the grab ring moves with the bed and impedes you from getting in & out of the bed. If you are struggling with caring for yourself, or your carer is struggling to provide care for you, consider asking for a health and social care needs assessment. Since the Care Act 2014 (Great Britain. Parliament 2014) came into power in April 2015, anyone who appears to need care and support can request an assessment from their local council, irrespective of their income or savings. The Act also places a statutory duty on local authorities and the NHS to support individuals to take steps to prevent their ill health or care requirements from getting worse. These strategies for prevention can include the early provision of equipment and services to help prevent, delay or reduce the development of further need for care and support, which would include the provision and fitting of grab rails depending on the cost. The Arena adjustable bed grab rail, handle, ring or bed lever (depending on what you call it) has not got a triping hazard like the parnell premier grab rail, it also comes with anti entrapment and was designed by Laybrook especially for domestic electric adjustable beds. The Arena grab ring is attached to the side of the surround so it stays static when you change position on your bed, this makes it easy to use when getting in and out of bed, helps you turn whilst laying in bed, supports you when getting up out of the bed whilst sitting on the edge. With other grab rings, when the head section of your bed elevates to the upright position the grab ring moves with the bed and impedes you from getting in & out of the bed. Cranked or offset rails are wall-fixed rails which have been designed to fit to frames and spaces to allow the user to step up to and through a doorway or space without releasing grip on the rail. Suction grab rails attach to a smooth surface by forming a strong suction grip at each end. Some manufacturers state that they are not weight-bearing and are only intended to assist with balance. Others do not clearly state this, but give a weight limit for safe use. You are advised to read any guidance and seek further clarification if needed before you use these rails. They are highlighted as portable for visits and holidays.

Alternatively, if there are no obstructions outside the bath (e.g. the sink or toilet) a vertical grab rail could be installed on the wall at the tap end of the bath. This is useful when stepping in and out of the bath and also to hold onto if standing to shower. When using these rails you must consider the integrity and strength of the surface to which you are fixing them. For example, when fixed to wall tiles, the attachment of the tiles to the wall MUST be secure. Ensure that the wall is strong enough to take the weight of this type of rail. Care should be taken that the user never bends down underneath the rail (e.g. to reach their feet) when sat in the bath as they could trap their head under the rail. sitting down or standing up from the toilet, or standing to manage your clothes when using a toilet An epoxy, paint or plastic finish provides a warmer feel to rails, is hard wearing and will reduce the effects of condensation. A choice of colour allows for a colour contrast with the wall for users with low vision or for co-ordination of bathroom accessories.

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Next consider your ability to grip onto a grab rail. Do you have reasonable hand strength? Do you ever have pain in your hands, wrists, elbows or shoulders which would prevent you from pulling up or pushing down on a grab rail? What is your overall balance and ability to stand like? As a general guide there are two options for wall mounted rails by the toilet. If you have the same strength on both sides of your body it may be a good idea to have supports fixed on both sides of the toilet so that you can use both arms.

Toilet frames are designed to provide horizontal support for pushing up from a toilet, or for steadying the body when lowering onto a toilet. The frame, which stands over the top of the toilet, can either be free standing or fixed to the floor. Rails set at an incline (fixed at a slight angle to the horizontal) may assist someone with weak or painful arms or wrists to support his/her forearm on the rail whilst pushing up, thus spreading the body weight over a larger area. Horizontal rails may help when pushing up from sitting and provide support when lowering, e.g. on to a toilet. Most people find it easier to push down on a rail rather than pull on one, so horizontal rails are more commonly used. This should be a flat, unknotted piece of wood, which is screwed into the vertical joining pieces of the partitions. The grab rails can then be attached to the board. The College of Occupational Therapists recommends a 144mm x 19mm board/pattress with its external corners well rounded and the board itself fixed to the wall at least every 900mm (COT 2006).Staircases usually have a handrail on one side, although this may not extend to the full length of the staircase. Most DIY stores sell handrails which can be used to extend the existing handrail all the way up the staircase if it is required. Adding a handrail to the other side of the staircase will provide more support where needed. Long lengths of rail are available and may also be installed along corridors. These provide a horizontal bar in their lowered position. They should be fitted at waist/elbow level and approximately a fist width away from your thigh when sat on the toilet.

Vertical rails may assist when pulling up into a standing position or for just maintaining balance. When stood in the bath - A rail (at least 500mm long) can be fixed vertically on the wall, 600mm from the tap end of the bath (dimension b in above diagram), with its lower end 200mm above the bath rim (COT 2006 p13, H M Government 2015, p58, diagram 26). This is most likely to be of use when stood in the bath (perhaps whilst showering) or when standing from a bathboard over the bath. They are fixed to the wall or to the floor behind the toilet and can fold down to a horizontal position alongside the toilet. Rails set at an angle can help a person who needs a steadying support - e.g. to stand from a bath board to shower. The rail can be placed at an angle of 45 degrees up and away from the user. This keeps the wrist in a neutral position. It is not necessary to lean far forward to grasp the rail at the lower end and the hand can travel up the rail to maintain the support once the person is standing. The horizontal rail can be used in combination with a bath board. The user may benefit from holding the rail while they sit on the board, then turn and lift their legs in and out of the bathFloor to ceiling railsare vertical rails which are attached to both the floor and the ceiling. They can be held at any point up the bar for general support and can be useful in the process of standing up/sitting down. Some hinged wall-mounted rails can be supplied with a support leg which rests down on the floor when the rail is horizontal, transferring some of the load from the wall to the floor. THIS BED LEVER FITS ALL TYPES OF SLATTED DIVAN ADJUSTABLE BEDS FROM ALL COMPANIES AND 95% OF ALL OTHER LAYBROOK ADJUSTABLE BEDS, ALL LAYBROOK WOODEN ADJUSTABLE BED (NEEDS A DIFFERENT BOTTOM PLATE), ALL LAYBROOK LEATHER ADJUSTABLE BEDS. The following is general guidance. When an individual user is known, personal factors such as the height of the person should be given priority. If you are very unstable when standing and you find it difficult to bear your own weight, simple grab rails may not be the most suitable answer for you. You may need more support to help you. Likewise, if you have very poor grip, or significant pain in your hands, arms or shoulders.