Legionella in Care Homes

Meet CQC & HSE Compliance | HSG274 / ACOP L8 Compliance | Healthcare

As with all businesses, care homes and nursing homes have a duty of care with regard to the health and safety of their residents, staff and visitors. Particular attention must be given to residents of care homes and nursing homes, who are more likely to have reduced immune systems, making them far more vulnerable to any infection. So greater care must be taken to protect them from exposure to the legionella bacteria.

In cases where fatalities occur as a result of legionella outbreak, privately run care homes could be fined millions of pounds if they fail to follow risk assessment compliance. Every month there are reports in the press about the consequences of legionella outbreaks in care homes in terms of both client health and business health.

Risk assessments

Risk assessments need to be undertaken regularly or as soon as any changes have been made to the water system. Evidence must be made available for inspections by the Care Quality Commission, the HSE or the local authority, so records must be kept of all activities.

Our DBS-checked assessors will carry out the risk assessment which will involve a survey of the premises. We will check the conditions of your hot and cold water systems, ensure your fittings are WRAS approved, etc., before producing a comprehensive report outlining the risk factors in your water system. This will include any actions you will need to take in order to minimise risks and meet the HSE’s HSG 274 guidelines.

There are no rules about how often you need a risk assessment, but legionella is something that needs to be managed on an ongoing basis. We, therefore, recommend that care homes always play it safe and undertake a legionella risk assessment annually, or any time there is a concern.

Water testing

It is not a legal requirement to conduct water testing, but it is certainly advisable, especially in premises housing vulnerable people. Samples should be taken in aid of your risk assessment to better understand the water quality and control and management measures in place.

We are qualified to help with all aspects of your legionella management to ensure the safety of your residents, staff and visitors, including remedial work, water tank cleaning and disinfection, monitoring, and awareness training for you and your staff.

What is included in your Legionella Risk Assessment?

You will receive a fully comprehensive Legionella Risk Assessment helping you meet compliance.


Executive Summary

Summary of legionella risk.


Asset List

A list of associated assets.


Management Review

Review of management & control.


Action Plan

Remedial actions & risk photos.


Temperature Readings

Full system temperature record.


Site Specific Guidance

Identified duties and frequencies.


Water System Schematic

Diagram of water system.


Survey of Water System

Key survey findings.


Legionella Introduction

Legionella background.

Legionella Risk Assessment FAQ’s

If any of your legionella risk assessment questions are left unanswered. Then head to our Legionella FAQs page or contact our friendly team today.

How long will the risk assessment take?
Legionella Risk Assessments can take anywhere between 1-6 hours depending on your water system. However, small systems with less than 20 sinks/showers/baths often take between 1-2 hours on site. Our engineers will work closely with you to ensure minimal disruption to your business is caused.
What happens after the risk assessment?
After you have received your legionella risk assessment, you must ensure all remedial works are completed as part of your action plan. And implement a logbook for recording all legal duties and monitoring requirements.
Why do you need a legionella risk assessment?
Under general health and safety law, duty holders including employers and those in control of premises, must ensure the health and safety of their employees or others who may be affected by their undertaking. They must take suitable precautions to prevent or control the risk of exposure to legionella.

They also need to either understand, or appoint somebody competent who knows how to identify and assess sources of risk, manage those risks, prevent or control any risks, keep records and carry out any other legal duties they may have.

How much does a legionella risk assessment cost?
Legionella Risk Assessments vary in prices depending on the size of your building and often the number of water outlets included on your site. At uRisk our assessments start from £99 for smaller buildings such as small dental practices. Larger buildings require a more detailed risk assessment often with large plants and water outlets taking prices from £99 to in excess of £500.
Are uRisk qualified?
Yes, all of our Legionella Risk Assessors at uRisk are Legionella Risk Assessment qualified and accredited by City & Guilds and can help assist you in meeting compliance today for HSE (ACoP L8).
What is the booking & payment process?

Once we have confirmed our quotation, and you wish to proceed. Our operations manager will be in contact with you to organise a date & time that suits you.

All payments are due prior to booking completion unless agreed in writing for 30 days from date of invoice.

We will hold your booking time for 24 hours whilst we wait for payment, should you fail to make your payment within 24 hours your booking time will no longer be held.

We accept payment by BACs or online on our Make Payment page.

Do uRisk provide a nationwide service?
Yes, whether you have one or multiple water systems and one or multiple sites, uRisk provide a nationwide service.
Do you provide water testing/sampling?
Yes, in UKAS approved laboratories. However, legionella testing, water testing or sampling is not to be confused with a legionella risk assessment. Testing or sampling whilst not a legal required plays an important role in determining how efficient a water system is managed. Where as the legionella risk assessment will identify risk areas that may encourage proliferation. Water testing services include: legionella, e-coli, total viable count (TVC), Pseudomonas, hard water, chlorine free, pH levels and more. Learn more about legionella testing.
When will I receive the risk assessment?
You will typically receive your legionella risk assessment between 2-10 working days from the date the assessment was carried out. From time to time, not often, our team will need a little more time, so please expect to have your report no later than 30 days. Need your risk assessment sooner? Get your report, guaranteed next day delivery via email for just £50.
When and how often do you need one?
The Approved Code of Practice L8 (HSG 274) in accordance with The Health & Safety at Work Act 1974 states that – “The Duty holder should arrange to review the assessment regularly and specifically when there is reason to suspect it is no longer valid. An indication of when to review the assessment and what to consider should be recorded and this may result from:

  • A change to the water system;
  • A change to the use of the building where the system is installed;
  • New information available about risks or control measures;
  • The results of checks indicating that control measures are no longer effective;
  • Changes to key personnel;
  • A case of legionnaires disease.”

The common standard is annually for health care premises and biannually for all other premises. However, here at uRisk we recommend annual reviews to ensure correct implementation is being carried out.

Why choose uRisk for your Legionella Compliance?

25 Years Experience

Over 25 years of water hygiene and legionella control experience.

Customer Service Excellence

Friendly and simple advice by phone, email & online at your convenience.

City & Guilds Qualified

All staff are trained water hygiene consultants and engineers.

Nationwide Coverage

With engineers located all across the UK, we’re never too far away.

UKAS Accredited Testing

Our labs are UKAS approved providing you with quality assurance.

Full Compliance Services

Your one stop shop for legionella control, no need to go elsewhere.

Contact Us

01462 419444

Head Office:

Baldock Herts SG7 6NG


Monday to Friday:

0900 - 1700

Offices Closed for Lunch:

1300 - 1400

Water Hygiene Services

Risk Assessments

All water systems require an risk assessment.

Remedial Works

Reduce your legionella risks all in one place.

Legionella Testing

Legionella and water quality testing.


Mains, full system or disinfection chlorination.

Legionella Training

Flexible E-learning courses, duration 2-3hrs.


Specialist, professional, experienced advice.


Let the specialists control & management your risk.

Contact Us

Contact us today for free friendly advice.