Ability to respond and escape.

Reduced ability to respond and escape explained

There are a number of health and lifestyle behaviours that increase the likelihood of being involved in a fire.

1. Increased risk of fire
2. Reduced ability to react to a fire
3. Reduced ability to escape from a fire

If these factors apply to someone you care for, it's important to make sure appropriate measures are taken so they know what to do in the event of a fire in their home, and react appropriately.

We go into more detail in the next section. There is a separate page for healthcare equipment including oxygen therapy, dynamic airflow pressure relieving mattresses and incontinence products – and there is specialist advice to support you if you care for a person who is a smoker, or someone who has  hoarding disorder. 

Is someone you care for at greater risk from fire?

Let's take a closer look at the of health and lifestyle factors that increase a person's vulnerability to fire risk.

An increased risk of fire

There are a number of factors that increase a person's risk of a fire starting:

• Smoking.
• Hoarding disorder.
• Electrical sockets are overloaded
• There are signs of unsafe wiring.
• Unsafe use of candles or naked flames.
• Cooking is left unattended.
• There has been evidence of previous fires or near misses – for example, burns or scorch marks from cigarettes, heaters or cooking.
• There have been incidents (or threats) of arson.

Less able to react if there's a fire

These factors might mean a person might not be able to react as quickly in the event of a fire.

• There are no working smoke alarms installed, or there isn't a smoke or heat alarm in every room where a fire might start.
• The person has a history of alcohol dependency or drug misuse (prescribed or recreational).
• Mental health conditions such as dementia or learning difficulties.
• Physical health issues including sensory impairments, such as hearing or sight.
• The property is not meant to be used for sleeping accommodation and fire safety features like fire doors and alarms haven't been fitted.

Reduced ability to escape a fire

Some people might not be able to escape a fire as quickly as other, due to factors such as:

• Reduced mobility due to a physical disability, age-related problems or as a result of a long-term illness.
• Escape routes are not kept clear, or are blocked – hoarding disorder may be a factor. 
• Conditions that affect decision-making.

If you know or work directly with anyone who has any combination of the risk factors, please encourage them to arrange a free home fire safety visit. Visits can be arranged at any time (24/7), and specialist alarms can also be fitted – for example, strobe light and vibrating pad alarms for those who are deaf or hard of hearing.

If any of these signs are combined with limited mobility – for example, if the person you care for is bed bound or spends most of their time in a chair – the person is particularly at risk. It's important to make sure appropriate measures are taken so they know what to do in the event of a fire in their home, and react appropriately.

Learn more about escape plans from homes here, and from workplaces (like residential care homes) here.

Carers, support workers and other health care professionals have access on a daily basis to people’s homes and living spaces. They play a vital role in the assessment of high risk individuals.

• If you are a formal carer, support worker or other healthcare professional, record and report your concerns to your line manager so an action plan can be put into place.
• If you are an informal carer, reduce any risks that you are able to, and notify other agencies such as Social Services to enable them to take swift and appropriate action as required.
• Use our online resources such as the Home Fire Safety Checker, or download the Checklist for Person Centred Fire Risk at the bottom of this page – this will help you identify areas of risk to the person you care for. You can also contact us to request an in-person Home Fire Safety Visit.
• If the person you care for or support is also in receipt of other care, or other agencies are also involved with them, do share your concerns so that you are all working together. Make sure that fire risk is included in the person’s care plan including things like using flame retardant bedding, appropriate management of emollient and skin creams, and how to care for people who smoke.
• Communicate with the person’s family or other supporting agencies to consider how Telecare can help to keep vulnerable people safer.
• Consider training to help you spot signs that may indicate the person you care for is at risk of injury from fire – and learn what steps you can take to reduce those risks.

Consider limited mobility

If the person you care for is bed bound or spends most of their time in a chair, they are particularly at risk. Please consider their needs and make sure appropriate measures are taken so they can safely escape if there is a fire. Learn more about escape plans from homes, and escape from workplaces (like residential care homes).