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Legionella control in care homes & assisted living

Care homes and assisted-living settings combine two of the highest Legionella risk factors in one building: residents who are often elderly, frail or immunocompromised, and water systems that must stay comfortable yet hot enough to remain safe. Many of the people most susceptible to Legionnaires' disease live here full time, so the consequences of a control failure are far more serious than in a typical workplace.

The practical tension is scald risk versus scald-free temperatures. Thermostatic mixing valves are widely fitted to protect vulnerable skin, but they create a warm, low-flow environment where Legionella can thrive if they are not cleaned and serviced. Outlets in empty rooms can also stagnate between residents.

Good practice means dependable temperature control, disciplined TMV maintenance, flushing of little-used outlets, and clear records you can show to CQC inspectors who increasingly expect documented water-safety evidence.

What makes this setting different

  • Residents are frequently in higher-risk groups for Legionnaires' disease
  • TMVs fitted for scald protection create warm, stagnant conditions if not serviced
  • Vacant rooms and en-suites can stagnate between occupants
  • Showerheads and spray taps need regular cleaning and descaling
  • CQC inspections expect documented water-safety records

Guidance for care homes