An occupational therapy home assessment looks at the relationship between the person, the activities they need or want to do, and the physical environment. The aim is to understand what is working, what is difficult and what practical changes may improve safety or independence.

At a glance

Key points

  • 01The assessment is about real activities in the real environment.
  • 02Recommendations may involve strategies, equipment, support or home changes.
  • 03A home visit does not automatically mean a modification will be recommended.

What might the occupational therapist look at?

The assessment is guided by the referral question and the areas of the home that matter to the person.

  • Entry, exit and movement between rooms
  • Bathroom, toileting and shower access
  • Transfers, seating and use of mobility equipment
  • Kitchen, laundry and household activities
  • Lighting, floor surfaces, thresholds and circulation space
  • How family members or support workers assist

What should I expect?

The occupational therapist will usually ask about daily routines, recent changes, falls or near misses, current equipment and the person’s priorities. They may observe relevant activities when this is appropriate and agreed.

Measurements, photographs or discussion with other professionals may be needed for equipment or modification work. Permission should be discussed before any photographs or information sharing occurs.

What can be recommended?

The simplest appropriate option is considered first. This might be a change in technique or setup, a piece of equipment, additional support, or a home modification.

If building work is being considered, the scope may involve landlords, owners, builders, designers, funding bodies or other qualified professionals.

Sources and further reading

Official guidance may change. Check the linked source for the most current information.