Start with the layout, not the fixtures. In many older Victoria homes, the bathroom is small and tucked under a slope or beside a narrow hallway, so the biggest safety gains come from rethinking the floor plan: a no-threshold shower, a wider doorway, and room to turn. Ask any contractor to walk you through how they'd handle your specific space before you talk tile or taps.
Prioritize senior and accessibility experience above all. A contractor who regularly does aging-in-place work will suggest lever taps, a curbless shower with a proper linear drain, grab-bar blocking in the walls, and comfort-height fixtures without being asked. That matters here because heritage and older homes often hide surprises behind the walls, and coastal damp punishes shortcuts on waterproofing and ventilation. Confirm the contractor is licensed and insured in BC, and get the scope, timeline, and warranty in writing. If you're in a condo in James Bay or downtown, ask early about strata rules and building approvals, since those can shape the schedule as much as the work itself.
Our advice: hire a contractor who specializes in accessible builds even if a general renovator quotes less. In our experience the specialist gets the small dimensions right, the ones that decide whether a walker actually fits or a wheelchair can turn, and those are expensive to fix later. The honest trade-off is that specialists book up and you may wait longer for a start date, so line up quotes sooner rather than later. On cost, expect accessible bathroom renovations in Victoria to sit above a cosmetic refresh because of the structural and waterproofing work involved, but a well-built room usually pays back in years of safe, independent use.