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Falls Prevention at Home

How to reduce the risk of falls for older or disabled people at home — home hazard assessment, strength exercises, medication review and equipment.

Key Facts

  • Falls are the most common cause of injury-related deaths in over-65s
  • One in three people over 65 falls at least once a year
  • Many falls are preventable with the right assessment and action
  • Your GP can refer you to a falls prevention clinic or physiotherapist
  • Medication review can significantly reduce fall risk
  • Good lighting and removing trip hazards are the simplest first steps

Identifying Home Hazards

A home assessment by an OT or physiotherapist can identify trip hazards (loose rugs, poor lighting, trailing cables), areas where grab rails or handrails are needed, bathroom risks (slippery surfaces, no support when getting in or out of the bath), and furniture height issues. Many councils offer a free falls assessment — ask your GP.

Strength and Balance

Strength and balance exercises are one of the most effective ways to reduce falls. Your GP can refer you to a community physiotherapist or falls prevention programme. Exercise classes designed for older adults (including seated exercise for those with limited mobility) are widely available through the NHS and charities.

Medication and Health

Some medications increase fall risk — including sleeping tablets, antidepressants, diuretics and blood pressure medication. Ask your GP for a medication review. Untreated cataracts and other vision problems also significantly increase falls — make sure vision is tested annually.