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Most grab rails are permanently fixed in one position onto the wall, floor, ceiling, or a combination. When fitted securely and correctly they should be able to cope with the push/pull forces of repeated use.Floor 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. 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.

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 bath 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. 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. If there are obstructions beside the toilet, such as a radiator, or the walls are not suitable for installing rails, you will need to look at alternative kinds of support. 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.Fixing to UPVC plastic door frames should be avoided as the frames are unlikely to have the necessary internal materials in the required area to support a grab rail's fixings. 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. 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. 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).

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. There are many types of grab rail. The main types are briefly introduced below, before going into greater detail about grab rails and their use in specific areas of the home. Bottom half of Arena grab ring is attached to inside of surround and the top half is attached to the mechanism. Particular care should be taken when attaching rails to domestic sandwich partitions, e.g. plasterboard with a hardboard facing.These fix to the wall behind the taps and rest on the bath rims. When sitting in the bath, the rail will be directly in front of the person at about chest height. In this position it will provide stability whilst in the bath. The rail should only have downward pressure applied so the weight is taken by the bath rim, it is not designed for the user to pull on to sit down or stand up from the base of the bath (Pain et al 2003). 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. The height will depend on your needs, often at the same height as an existing banister rail. This is usually between 900-1000mm above the pitch line of the stairs.

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.sitting down or standing up from the toilet, or standing to manage your clothes when using a toilet Part of the rail can be fixed at an angle of 13° upwards towards the head end of the bath to provide an inclined support.