Welcome to:


Home Health Design Services


Sasqua Associates has been in business for twenty-three years, during which we have designed a number of residential and commercial barrier-free installations.

Six years ago I had to adapt my own home (an 1853 antique) to accommodate my Mother, who had suffered a stroke which rendered her wheelchair bound.

It was eye opening.We rapidly learned that design done to comply with a universal government code was one thing, but to implement it’s intent within a home and make it work on a daily basis was quite another. I began to look at the design needs of adapting residential environments for the realities of in-home care in a very different light.

Several facts became clear:

Each patient requires different levels of accommodation for their specific disabilities. It makes little sense to adapt a space for a left side paralysis, as is often done commercially, when the person’s disability is on the right side.

Each home offers unique challenges in adapting to the person’s needs. The clever yet sensitive modification of the existing home to meet it’s new role is both a challenge and one of our specialties.

Each budget can accommodate different levels of involvement. Some have both the space and means to provide the ultimate in care but most of us must carefully weigh the expenditure of funds on the home environment, as a portion of the funds available to provide the day to day care. Choices should be made in a thoughtful, caring and well planned manner.

Not every situation needs, or can accommodate, full code (ANSI A-117) compliance. Quite often compromises are acceptable when they are weighed against the advantages of keeping the patient in there own home or with their family. Wheelchairs come in many sizes and do not always require full width doors. Changes in level can use shorter steeper ramps if there is always someone around to assist with the transitions.

Steps can be taken during the design phase of new construction to better adapt to later anticipated needs. Blocking can be provided for grab bars and travel paths can be laid out more carefully.

Our approach generally has a performance rather than a prescriptive orientation

A healthcare adapted living situation need not look like an Hospital facility. There are design alternatives which can render the space a warm yet still user-friendly living environment.

We have adapted residential hardware, dishes and furniture to work well with the handicapped without subjecting them to being surrounded with acres of pastel colored plastic appliances.

With the help of, and in consultation with, your on-site and family health care professionals we try, with our design expertise, to provide the most comfortable quality of life possible. We are Members of the American Institute of Building Design, The I Love Seniors Consortium and the National Aging in Place Council and are capable of doing full program design analysis as well as providing all required contract drawings and documents as well as obtaining any and all of the required permits for any home alteration.

Thank you for your consideration,

G. Roger Clements, AIBD





In conjunction with your Healthcare Professionals we can assist you with the following:

  • Needs analysis and site review
  • Advance planning prior to any construction
  • Preliminary through final layout studies
  • Anticipated cost review
  • Detailed plans and specifications for any and
  • all structural modifications
  • Schematics for electrical & plumbing alterations
  • Interface with all town and building officials

At Sasqua Associates, we strive to create as civilized and normal a living environment as circumstances will permit.


Sasqua Associates, LLC

G. Roger Clements, AIBD

168 Hamburg Road, Lyme, Conn. 06371-3418

(860) 434-2660, info@sasquadesign.com



Connecticut’s Home Care Program for Elders may help you to continue living at home instead of going to a nursing facility.

The Connecticut Home Care Program is a state and federally funded program that provides an array of home care services.

Depending on the eligible person’s health and living circumstances, the services offered may include home health services, homemaker services, visiting nurse services, adult day center services, adult foster care services, chore services, care management, home delivered meals, companion services, emergency response system, minor home modification depending upon availability of funds, and assisted living services in approved managed residential communities (MRC).

State of Connecticut

Department of Social Services

Alternate Care Unit

Monday to Friday, 8:30 AM to 4:30 PM

Program Toll Free Number: (800) 445-5394