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The role of door hardware in assisted care settings

Karen Trigg of Allegion UK discusses the complex settings of care home environments and how the hidden roles of door hardware can contribute to safety and security

Despite their quaint façades, modern care home environments are under constant pressure to secure the safety and care of vulnerable residents and staff against a backdrop of rising costs. Where the safety and care of residents is concerned, external regulation from the Care Quality Commission (CQC) is designed to preserve fundamental standards of quality and safety.

As an independent regulator, the CQC regularly monitors and inspects all health and social care organisations, awarding tiered service ratings for institutes post inspection. However, upon inspection, several care homes across the country have recently been found at fault and marked by the CQC as requiring improvement or, in some cases, ‘inadequate ‘– risking closure in the process.

Hardware’s hidden role

Above all, the safety and quality of life for residents must remain the priority for decision makers and, with that, there must be a drive to improve the standard of care homes. Outside of key government funding and recruitment initiatives, facility managers can look towards their internal environments, refining their building’s safety and security measures in a bid to raise quality of life and care. And, for this, door hardware can play a supporting role. Widely considered as a building’s most-used piece of furniture, door hardware plays an important role in the access and egress of a building and its many rooms – and these products are often used hundreds to thousands of times each day, all without a second thought. For care home environments, and those that house vulnerable residents especially, the role of door hardware runs deeper and can provide a plethora of benefits to a building’s safety and operation if specified, installed, and maintained correctly.

Easy to operate

Improved hardware functionality, for example, can vastly improve ease of movement for elderly or less-able residents, as well as further safeguarding their quality of life and safety in the process. When applied correctly, door hardware is designed to facilitate the free movement and operation of a door, keeping it suitable for user application in any scenario. And, in key areas such as care home bedrooms, toilets, and dedicated fire escapes, this removes the issue of heavy or non-functional doors.

Keeping with this, care home facility managers – or, more specifically, the building’s designated responsible persons – must regularly review the operation of fire doors and their hardware located in and around the building as part of a risk assessment. If a door does not operate as intended, immediate maintenance and adjustment is required to ensure the security and fire safety of a building is not compromised. Each of the UK’s 17,000 social care facilities is legally bound under British and European legislation to possess operational fire door sets as part of the building’s passive fire protection system. And, crucially, fire door hardware is specifically designed to help contain the flames and smoke in the event of a fire.

Where vulnerable patients and residents are at a heightened risk, doors should be fitted with panic exit devices designed to provide effective escape through the doorway with single operation and without prior knowledge of its operation. With the threat of pathogens spreading within care home environments, particularly in light of the COVID-19 pandemic, care homes can also look to install electromagnetic door controls which can alleviate the pressure on key entry points by holding doors open and removing the need to touch door furniture upon entry. Being linked to the building’s fire alarm system, in the event of a fire an electromagnetic door closer will automatically close the door to help contain the blaze.

Feeling the squeeze

Under the Health and Safety Act 1974, building managers have a general duty to maintain their property and provide a safe working environment. And, for care homes, this is no different. With many across the country legitimately marked for improvement by the CQC, the need to enhance service standards and, in some cases, the condition of facilities, is evident.

Over time, ageing door hardware can become outdated or damaged, potentially risking the integrity of the building’s fire safety and operation. But, whereas the impetus to raise standards is there, the cost of maintenance projects can sometimes feel off-putting and present a stumbling block for many. Today’s unstable financial climate presents additional and uncontrollable costs to care homes and while various organisations await vital government support, decision makers must find astute resolutions when it comes to hardware maintenance so as not to risk compliance and further financial setbacks.

Outside of straight-forward maintenance procedures, care homes must look to add better-functioning components to their older systems when required. This process is termed retrofitting and, in the context of door hardware, is the replacement of ironmongery designed to make a building more efficient.

Quality counts

Retrofit projects combine key maintenance interventions with cost savings and, when approached professionally, can make a considerable difference to a care home’s operation, but only when completed with high quality, like-for-like alternatives.

Although low-cost substitutes may seem appealing to under-pressure facility managers at first glance, it’s easy to get stung by low-quality, unsuitable hardware that does not last as long and may need replacing shortly after installation when it performs worse than the original.

With this in mind, there is a call for better-tailored solutions to be installed throughout modern care home environments. And, for this, increased subject knowledge is key. Upon identifying problems with doors and their hardware, decision makers are urged to seek professional advice and guidance. In doing so, care home facilities can further ensure their hardware meets the needs of their occupants and the standards set by the CQC, all while retaining the high levels of safety and care that is expected from the sector.

 

www.allegion.co.uk

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