The floor surface should be step free, level, and slip resistant, especially when wet. The slip resistance of the flooring in Changing Places Toilets should maintain a minimum Pendulum Test Value (PTV) of 36+ in final use conditions.

The surface finish of the floor should contrast visually with the surrounding surfaces (walls and door) within the Changing Places Toilet. 

Matt surface finishes should be used throughout to avoid glare. 

Careful use of colour should be incorporated into the design. Strong contrasting busy patterns should be avoided on walls and floors where visual acuity is critical, such as in a transfer area where grabrails are located. They can cause confusion, particularly for people who are blind and partially sighted and people who are neurodiverse.

Finishes should be selected to ensure the aesthetics, look and feel of the room make it inviting and user friendly.

If artwork is provided it should be carefully located so that it does not compete with signage and instructions. Large wall murals and floor to ceiling artwork should be avoided as they can cause confusion for some people with dementia.