Start with what your parent's home is actually made of. Much of Hamilton's lower city is older housing, with plaster walls, narrow hallways, and a few steps up to the front door. On the Mountain you'll find more split-levels and bungalows, where the challenge is often the half-flight of stairs between living space and bedrooms. An accessibility contractor who works with seniors will spot these things quickly and tell you what a ramp, a widened doorway, a curbless shower, or a stair solution really involves in that specific house. That kind of experience with aging-in-place and universal design matters more than a slick sales pitch.
Check the basics before anyone touches the house. Ask for references from recent local jobs, confirm licensing, and make sure they carry proper insurance. Then insist on a detailed written scope, a clear quote, and a warranty you can actually read. Vague verbal estimates are where projects go sideways, especially in older Hamilton homes where opening a wall can reveal old wiring or knob-and-tube. A contractor who writes down what happens if surprises come up is worth more than one who just quotes a lower number.
Our advice: for anything structural, permanent, or safety-critical, hire a proper accessibility contractor rather than a general handyman or a DIY weekend. A grab bar screwed into the wrong spot or a ramp built at the wrong slope can be more dangerous than no change at all. The trade-off is honest: a specialist contractor usually costs more up front and may take longer to schedule, particularly through Hamilton's freeze-thaw winters when exterior work gets pushed. We think the peace of mind, and the fact the work is done right the first time, is worth the wait and the higher price.