How to prevent falls in the elderly

Falls are one of the most common causes of injury in later life — and many can be prevented with the right approach. I'm Jo, Learning and Development Manager at Unique Senior Care, and in this guide I’ll share some simple but important ways to reduce the risk of falls at home or in care settings.

How falls affect older adults

Falls aren’t just common — they can be life-changing. Around a third of people over 65 fall each year. For those over 80, it’s nearly half. A fall can lead to injury, time in hospital, or a long recovery that affects someone’s confidence and daily life.

That’s why it’s so important to understand what causes falls and take steps to reduce the risk. With a few simple changes, we can make everyday life feel safer and more manageable for older people.

Make the home environment safer

Start by looking at the space around the person. Are there obvious hazards or small changes that could make things safer?

• Remove trip hazards: Tidy away loose rugs, trailing wires, and general clutter.
• Keep walkways clear: Especially routes between rooms or to the bathroom.
• Add non-slip mats: In bathrooms, kitchens, or entranceways.
• Be aware of seasonal risks: Wet leaves and icy paths are common causes of slips in winter.

Support overall health and wellbeing

• Stay hydrated: Dehydration can cause dizziness, especially in warm weather or after illness.
• Keep up with eye and hearing checks: Changes in vision and hearing affect how well someone can judge their surroundings.
• Eat well: Good nutrition supports muscle strength and balance.

These small things often get missed, but they make a big difference over time.

Build strength, balance and confidence

Exercise doesn’t need to be intense to be helpful. Gentle, regular movement helps older adults feel steadier on their feet.

• Walking, swimming, or simple seated stretches
• Tai Chi and similar activities that focus on balance
• Our recommended programme: Love to Move — a seated movement class designed for older adults, including those with dementia

This kind of activity helps with more than just physical strength. It can also boost mood and confidence.

Keep an eye on medication

Some medications affect balance or cause dizziness, especially if:

• A new medicine has been started
• A dose has been increased or stopped
• The person is on several medications at once

Always speak to a doctor or pharmacist if you notice changes in balance or mobility. They can check for side effects or interactions.

Monitor blood pressure

Some people experience a drop in blood pressure when they stand up, which can lead to sudden dizziness and falls. This is called postural hypotension.

Regular blood pressure checks can help spot this early and avoid problems.

Light the space well

• Use bright bulbs in key areas like hallways and stairs
• Add night lights or motion sensor lights for night-time trips to the bathroom
• Make sure light switches are easy to reach

Low light makes it harder to spot obstacles or judge distances, especially for someone with sight problems.

Putting it all into practice

Falls prevention isn’t just about safety checklists — it’s about helping someone feel steady, confident and cared for. A few small changes can make a big difference to someone’s independence.

If you're worried about falls or would like more practical advice, get in touch with our friendly team.