@sinkhole thanks for that. I didn't think seperate bathroom facilities were necessary. The bungalow is an odd layout, and there is a single toilet and then a toilet with a bath/shower in. MIL has never used the bath due to mobility issues and the shower I believe doesn't work, but would be easier to fix than install one. OH thinks she is a long way off needing live in and favours thinking about getting care in initially but SIL wants to be prepared and get the toilet/bathroom facilities put in, and I suspect thinks it will add to value of property(it won't we both think). Given we are 3 hours away and OH has no inclination to supervise any works, and I think SIL thinks MIL is still capable of commissioning and supervising this ie trying to get ahead of things it is unlikely to happen so good to know not a barrier. SIL doesn't live in UK and is not that familiar with UK system. I said to OH that TV and broadband would be needed and he wan't very convinced, hence my question. Where we live we have cable, MIL is in a very rural area so I don't know what broadband is available. Nearest reasonable supermarket is 40 odd minutes away. MIL is still driving etc at the moment, and I suspect she shouldn't be so I think this is why SIL wants a live in carer, however we think just getting someone to take MIL shopping for now is what's needed (she will be self funding for a long time).