Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety...

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Sean Coleman [email protected] www.colemanrisk.ie Fire Safety in Care Homes Common Pitfalls and Lessons Learned?. Date 23 rd Sept 2015

Transcript of Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety...

Page 1: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

Sean Coleman

[email protected]

www.colemanrisk.ie

Fire Safety in Care Homes Common Pitfalls and Lessons Learned?.

Date 23rd Sept 2015

Page 2: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

The Context ?

Fire Safety in 17 Irish Nursing Homes

John Moore/ Victor Hrymak Dublin Institute of Technology 2012

• Inability to prevent fire or evacuate residents to a place

of safety

• The lack of a standardised fire safety risk assessment

methodology

“It is regrettable that should a fire occur in a nursing home

that results in fatalities and injuries, it may be the only way

that the existing situation will change”

Page 3: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

The Context ?

Year

Incidents Fire deaths

Fire-related injuries

2008/09

541 3 52

2009/10 500 4 33

2010/11 477 4 40

2011/12 476 1 47

2012/13* 540 2 26

That’s why we want to see all residential care homes fitted with sprinklers. The number and regularity of

care home fires that the Brigade attends is clear evidence that builders, developers, local authorities and

private providers need to stop ignoring their benefits.” LFB 2013

Page 4: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

Rose Park Glasgow 14 dead

9 minutes before they contacted the fire service. < 2 minutes away

4 minutes, added delay fire brigade went to wrong entrance

Access hampered by a secured gate that had to be bolt-cut open

Night staff unfamiliar with the recently installed fire alarm panel

No smoke dampers in ductwork

Fire barriers in the roof space were breached,

Aerosols stored in the electrical cupboard exploded

leaving residents' bedroom doors open at night

Page 5: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

FAILURE TO IDENTIFY ABSENCE OF ELEC

INSPECTION/TESTING CONTRIBUTED TO FIRE AND DEATHS

COMPLETION CERTIFICATE ISSUED WHEN SERIOUS

COMPLIANCE FAILURE (DAMPERS

NO STATUTORY REQUIREMENT FOR QUALS OF FIRE RISK

ASSESSORS OF CARE HOMES

Rose Park Fire tests

Page 6: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

If not detected beforehand 1 min to detect with good AFD

Rescue unlikely in first minute

Within 2 to 3 mins conditions in room of origin extremely dangerous

All embracing fire within 6 mins

2014 England’s largest social landlord for older people has been ordered to pay more than £170,000 for breaching fire safety laws after a woman died in a care home fire. Fire investigators determined that the fire was caused by --------nightwear coming into contact with a naked flame

Night time fires

Page 8: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

PEEPs and the common good

Confusion over refuges - should staff stay

Security v egress

Absconding

Fire Doors and movement – special fittings- ventilation

Door closing pressures

Over emphasis on paperwork v action

Investigation v evacuation v FB call out

Availability of staff at night

Conflicts/ Problems

Page 9: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

High staff turnover

Aging population

Not purpose built – evolved

No dedicated FM person

Fire an infrequent reality- Motivation

Stairlift – polished handrails

Outside and inside waste storage

Lighting and way finding

Competence and design knowledge

Problems

Page 10: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

“Fire Safety is included in cost of service” CFPA guidelines

Infrastructure

Management

A fire risk management system is required not a disjointed number of elements

Management

Page 11: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

Management

Page 12: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

• Identify – Assess

• Plan – Organise Perform

• Execute

• Measure (Meaningful) & Improve

Are you doing what you said you will do and how will you do it better?

System

Page 13: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

Sprinklers required in Scotland

http://www.environ.ie/en/Publications/Community/FireandEmergencyServices/FileDownLoad,820,en.pdf

https://www.gov.uk/government/publications/fire-safety-risk-assessment-healthcare-premises

References

Page 14: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

Fire safety Management

http://cfpa-e.eu/wp-content/uploads/files/guidelines/CFPA_E_Guideline_No_6_2011_F.pdf

• evacuation of a protected zone in 2.5 minutes;

• rooms of residents unable to evacuate – upgrading to 60

minutes fire resistance;

• staff remaining with residents who are unable to

evacuate;

• the use of external fire escapes by residents;

• the travel distance of evacuation routes;

• the use of by-pass routes.

Page 15: Fire Safety in Care Homes Common Pitfalls and Lessons ... Coleman.pdf · The Context ? Fire Safety in 17 Irish Nursing Homes John Moore/ Victor Hrymak Dublin Institute of Technology

Keep motivation of management /staff in the

limelight (remember the hard lessons)

Competent advice and assessment

Integrate management and infrastructure

Adopt Fire Safety Management System

Emergency response plan

Summary

Sean Coleman

[email protected]