On this page
- Handles and grip
- Getting out without a key
- Door weight and the closer
- Thresholds, steps and clear width
- Seeing who is there
- Emergency access for carers and paramedics
- Memory and wandering
- Occupational therapists and funding
- Build an assessment discussion brief
- Hypothetical example
- Mistakes and remedies
- Questions
An older resident may want to answer visitors through a screen, improve security or make an existing door easier to use. Start with their own priorities rather than choosing on their behalf from a catalogue. A door that is difficult to pull, reach or release may be left open or avoided. The main door, screen, landing and approach should be considered together. Some situations need specialist assessment or products; age alone does not identify the right hardware. Record the actual difficulty and the circumstances in which it occurs.
Handles and grip
Ask the person to describe and, if safe, demonstrate the movement that is difficult. A lever may be easier than a knob for some people, but grip, pain, reach and control vary. Compare the actual proposed handle and release rather than a generic sample with a different mechanism. Include the entry door behind the screen in the discussion. An occupational therapist can help assess the whole task where pain, disability or mobility needs are involved. Do not treat one handle shape as a solution for every person with arthritis.
Try the inside release as well as the handle. Record whether the person can see it, reach it and understand its movement without undue strain. A larger turn or an approved key aid may be worth discussing, but its suitability needs assessment with the actual hardware. If keying alike is proposed, confirm compatibility and whether it simplifies the person's routine. The lock planning guide can record desired key groups without assuming the number of keys or cylinders from the number of doors.
Record the person's comfortable reach, including seated use where relevant, and bring that information to the assessment. Do not simply lower the lock or drill a new position: the door's tested configuration, manufacturer instructions and applicable requirements must still be respected. Ask whether an approved model or arrangement can meet the assessed reach needs. Include clearance between the main-door and screen-door handles. A proposed position needs to work with both doors through their movement, not only when one is held open.
Getting out without a key
An exit that needs a key from inside raises an emergency-escape concern. Have its release arrangement assessed with the resident's needs and applicable building requirements before changing hardware. Include how the person would recognise and operate the release in poor light, and whether anyone assisting them could use it. Keeping a key nearby does not resolve every difficulty. The discussion should cover both everyday security and leaving the home, without making a person dependent on a hidden key or an unfamiliar sequence.
Include any window or other opening that forms part of the relevant escape arrangements. Ask the responsible professional which openings need to remain usable and how proposed screening affects them. Do not assume a fixed screen is acceptable because the window is rarely used, or that an unfamiliar release is suitable because it works for the installer. Where safe, have the person practise the approved operation at handover. Keep instructions available to carers without publishing access details in a public enquiry or downloadable note.
Door weight and the closer
The force required to use a door depends on the complete arrangement, including the closer, hinges, seals and exposure. The person may find pulling the door more difficult than pushing it, especially if the approach is narrow. Observe both directions during assessment and include any mobility aid actually used. A door should not be treated as a support rail. If the person leans on it for balance, record that for an occupational therapist or other suitable professional rather than choosing a heavier door as the remedy.
Discuss opening effort, closing movement and reliable latching for the proposed model. A closer setting that feels comfortable in one position still needs to perform correctly throughout its travel. Ask the installer to demonstrate the permitted adjustment and explain which tasks require service. Do not disable or improvise a hold-open device, particularly where a door has a required fire or other closing function. Have the user present where possible so the completed arrangement can be checked against their assessed needs before handover.
Thresholds, steps and clear width
Consider the space where the person stands while pulling the outer door. A step, slope, handrail or nearby pot may affect the route and balance. Have the approach and landing assessed rather than assuming a lock change will resolve the difficulty. A handrail or landing alteration should follow appropriate design advice and be completed by a suitably qualified professional, with any required approvals. Do not assign a generic handyman solution from a photograph. The correct scope depends on the building, the person and the intended support.
Ask for the installed threshold detail and the clear opening with both doors in their usable positions. The lowest available component or a hinge that opens past a particular angle is not automatically suitable. Drainage, weather sealing, the approved assembly and the person's equipment all need consideration. An occupational therapist can help assess crossing and manoeuvring where necessary. Check colour contrast and lighting as part of that assessment, using the actual floor and approach rather than relying on a brochure image.
Seeing who is there
If seeing and speaking to a visitor through the door is a priority, try the proposed mesh sample in the intended lighting. Visibility and privacy vary with mesh construction and the difference in light between inside and outside. Do not assume a screen provides privacy at night. Discuss the location and operation of entrance lighting with an appropriate installer if changes are needed. The resident should be able to recognise the arrangement and use it comfortably, including when the main door is closed behind them.
Agree a visitor routine with the resident that fits their preferences and abilities. Make sure the chosen hardware does not make that routine so awkward that they avoid using it. Record any trouble hearing through the screen, seeing a visitor or reaching the release. These are useful assessment observations, not reasons to impose a standard lock configuration. If circumstances change after installation, arrange a review rather than adding improvised hardware that may conflict with the original assembly or the person's escape needs.
Emergency access for carers and paramedics
Here the security door works against the person it protects. If someone falls inside and cannot reach the door, a locked security door in front of a locked main door keeps help out as effectively as it keeps intruders out. Plan for this before it happens.
Discuss emergency access with the resident, trusted support people and any monitoring service. A key holder or suitable key safe may be an option, but confirm the provider's procedure and the security implications for the particular home. Ensure the agreed access method covers every locked door on the route and is kept current after a re-key. Share codes and key locations only through an agreed private channel. Do not put them into this page's downloadable brief or the ordinary quote form. Test the agreed procedure with authorised participants.
Memory and wandering
If memory changes or concerns about leaving home are involved, seek advice from the person's clinician or occupational therapist before imposing a restriction or changing locks. Their assessment should consider the person's rights, everyday needs and emergency escape alongside the concern raised by the family. A door quote is not the place to prescribe a restrictive arrangement. The tool below flags the need for that discussion and does not recommend locking someone in, hiding a release or selecting hardware from a checkbox.
Occupational therapists and funding
Under the Australian Government's Support at Home program, the Assistive Technology and Home Modifications scheme covers changes to a person's home environment to make it safer and more accessible. The government's examples include internal and external handrails, ramps and stair lifts, bathroom redesign and widening doorways. All home modifications under the scheme must be prescribed by an occupational therapist, and people are assessed for the scheme as part of their aged care assessment.
Confirm any proposed funding with the assessment team or provider before placing an order. Keep the approved recommendation and funding decision distinct from the supplier's quote; one does not substitute for the other. Ask what evidence is needed, who can approve a product substitution and whether the installation must follow a particular scope. If an occupational therapist is involved, send the actual proposed model and dimensions for review rather than a broad description such as easy-grip security door. Resolve differences before fabrication.
Build an assessment discussion brief
Select the observations relevant to the person and entrance. The tool creates an assessment discussion brief, not a hardware specification or clinical recommendation. It includes questions to take to the installer and, where appropriate, an occupational therapist. Changing a selection clears the previous result so an old brief is not downloaded as if it reflected the current answers.
Hypothetical example: a villa unit and a walking frame
Hypothetical example
A woman in her eighties lives alone in a single-storey villa in an inland suburb. She has arthritis in both hands and uses a walking frame outdoors. Her daughter visits most days, and she wears a personal alarm pendant. The front door has a round knob and one step down to the path, and the old screen door has a stiff closer that knocks the frame.
The woman and her daughter record the difficult movements and arrange an assessment of the complete entrance. They ask about compatible handle options, inside release, closer operation and the actual clear route with her walking frame. The step and possible support needs are assessed separately by an appropriate professional. Any recommended building work uses a suitably qualified trade and the relevant approvals. Her alarm provider confirms the agreed emergency-access procedure privately. The final hardware choice follows those assessments, rather than being prescribed automatically because she uses a frame or has arthritis.
Mistakes and remedies
| Observation | Discussion |
|---|---|
| Inside key or unfamiliar release | Have emergency escape and everyday use assessed |
| Difficult grip or reach | Try compatible hardware with the person; seek occupational therapy advice where appropriate |
| Door pushes against a mobility aid | Assess opening effort, movement and reliable closure |
| Step or narrow approach | Obtain an appropriate access assessment and qualified building advice |
| Unclear emergency access | Agree a private procedure with the resident and relevant provider |
| Concern about leaving home | Clinician or occupational therapist advice before any restriction |
For the broader choice of door, see how to choose security doors. For screening a large rear opening where a threshold matters, read the bi-fold screen guide, which covers bottom guides and trip risk. The installation day guide explains what happens on the day, which helps if a family member needs to be there.
Questions from families
What handle is best for arthritic hands?
There is no universal choice. Try the actual proposed hardware and discuss grip, pain, reach and control with an occupational therapist where appropriate. The main door and inside release matter too.
Should an older person need a key from inside?
An inside-key requirement on an exit raises an escape concern and needs assessment. Memory or leaving-home concerns should be discussed with the person's clinician or occupational therapist before restricting their movement or changing locks.
How can emergency responders get through a locked screen?
Agree an access procedure privately with the resident, trusted support people and any monitoring provider. Confirm it covers each locked door and remains current. Do not publish codes or key locations in a quote brief.
Can Support at Home pay for a security door?
Funding cannot be assumed. Confirm the specific item with the assessment team or provider. The government states that home modifications under the scheme require an occupational therapist prescription within their scope of practice.
Will a screen affect walker or wheelchair access?
It can change the clear opening and operating space. Have the actual entrance assessed with the person and equipment, including the threshold, approach and both doors. A hinge angle or low-profile label alone does not establish suitability.