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Whilst we give several tips here, try not to change your loved one's
environment unnecessarily, as this could make
their home look unfamiliar - which is obviously unsettling. If you live a long distance away and can't visit frequently,
then as far as possible make changes at the start of a long visit, so
that you can see whether any of them turn out to be unhelpful and need
to be revised or undone (though obviously while you're there you can help explain
the changes and see whether that cures the problem).
It's a good idea to
have a sign outside near the doorbell and/or in the middle of the
front door to deter unwanted callers, and since many people have
them it shouldn't attract unwanted attention to being vulnerable.
There are commercially available signs, or you could make your own
and attach it to the inside of a glass panel in the door, or get it
laminated to make it rainproof. We'd suggest wording such
as "NO salespeople NO cold callers for any reason Have your ID
ready". Avoid wording or pictures that might confuse someone with
dementia into thinking they aren't allowed in.
Sign inside the door
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You could make a sign
for inside the front door, with a reminder according to your loved
one's abilities. This could say things like "Don't open the door to
someone you don't know" (although make sure visiting carers will be
let in), or "Remember to put the chain on the door before talking to
a stranger", or "Remember to take your key if you go out" etc.
Peephole
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A peephole in the front door is
useful to enable your loved one to see who's at the door, and of
course they may be used to using one. Make sure it's at the right
height for them, and check that the lens on an old one is clear and
replace it if not. Note that you don't need one with a swing cover,
which may make it more difficult for them to use, because the wide
angle lens makes it impossible for anyone outside to see anything at
all inside (although if your loved one worries someone can see in
then a cover could be useful). Some peepholes have a separate cover
attached to a ring so that you can decide whether to use it when you
install the peephole.
Video intercom, or video doorbell
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There are two different types of unit you could consider fitting.
The first is a video intercom, which has a doorbell button and video camera
outside, and a display screen inside, so that your loved one can see
who's outside and talk to them without opening the door. This does
rely on the person outside pressing the doorbell button rather than
knocking on the door, or some units may display via motion
detection, and you should be able to press a button inside to see
outside if not. To talk will require your loved one to press the talk
button. If the unit's too complicated for your loved one
then they may just end up opening the door, of course.
The second type of unit is a video doorbell - instead of having its own display
screen for inside the house these need linking to a good wireless
internet connection and a mobile/cell smartphone. This could
allow you to see and talk to the person at your loved one's door,
wherever you are, but in this case do check whether the system can link
to a second smartphone or display for your loved one.
Look at how the units can be powered - permanently plugged into the mains or
requiring batteries to be recharged.
Door chain
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There are two types: the
traditional chain, which your loved one may be familiar with using,
or a looped bar that swings over a ball, which may be less fiddly if your
loved one understands how to use it. Unless long screws are used to
fit them they'll pull out of the door frame or wall if the door is
shoved hard from the outside. Do consider carefully, though, the
risk that a visiting carer may not be able to get in if the chain
has been left on, either because your loved one has simply forgotten
how to use it and can't follow directions on what to do, or because
they've fallen or are ill. If there's access to the back door, and
it isn't bolted inside and the carer can get the key from a
key safe,
then that could be an option for an emergency.