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Nursing Home Legionella Risk Assessment
Legionella Control
Safeguard vulnerable residents with expert Legionella risk assessments tailored for care and nursing homes.
Keeping residents safe
Care and nursing homes accommodate some of the most vulnerable individuals — including the elderly and immunocompromised — making them high-risk environments for Legionella outbreaks. Legionnaires’ disease can have severe, even fatal, consequences, and proactive prevention is essential.
At The First Principle, we specialise in delivering comprehensive Legionella risk assessments tailored to the needs of residential care settings. We help you meet legal obligations and achieve peace of mind by identifying risks, implementing control measures, and ensuring compliance with HSE and CQC requirements.
What’s included in our nursing home Legionella Risk Assessment
- Site/building overview
- Risk assessment of all hot and cold water systems
- Review of water storage tanks, taps, showers & outlets
- Photographic documentation
- Schematic drawings
- Executive summary with clear risk rating
- Easy-to-understand recommendations
- Written scheme & monitoring programme
- UKAS-accredited water testing available
Older adults and those with compromised immune systems are more susceptible to Legionnaires’ disease. A care setting outbreak can have devastating health impacts — and serious regulatory consequences.
- Legal obligation under COSHH and the Health & Safety at Work Act
- Required compliance with ACoP L8, HTM04-01, and HSG274
- Protects residents, staff, and your facility’s reputation
We begin with a full site inspection and system review. Our trained consultants assess all water systems and provide a clear report with practical advice.
- Photographic records and schematics
- Summary of risk and compliance level
- Custom recommendations for ongoing monitoring and control
We offer water sampling and analysis through an independent UKAS-accredited lab. Results are interpreted and reported with actionable recommendations.
- Legionella and TVC testing
- Emergency notification of elevated results
- Meets all testing and documentation standards
Get your practice compliant in 3 simple steps
Step 1 - Request a quote
Fill out our quick form or contact us directly to book your assessment.
Step 2 - We visit your premises
We visit your care home to conduct a thorough evaluation of all water systems.
Step 3 - Get your report
Receive a detailed risk assessment report with clear recommendations for compliance.
Why choose the first principle?
Our expertise in water hygiene makes us a trusted partner for nursing homes across the UK.

Specialists
Trained to City & Guilds WH004 Standard

Compliant
Aligned with HSE, HTM04-01, ACoP L8

Clear
Easy-to-understand guidance

Responsive
Fast turnaround and ongoing support
Established company
You should contact The First Principle if:
- You’ve never had a Legionella risk assessment
- It's been over 2 years since your last assessment
- A new water system or building modifications were made
- CQC compliance audit is upcoming
- You've had a positive Legionella test
- You’re unsure if your current logbook and controls are sufficient
- You’ve experienced management changes
- You're onboarding new residents or increasing occupancy
- You need UKAS water sampling or retesting after disinfection
Protect your residents and stay compliant
Don’t wait for an inspection or incident. Contact The First Principle today to book your Legionella risk assessment and keep your care home safe.
Your questions answered
Common questions
Do nursing homes need a Legionella risk assessment?
Yes, it’s a legal requirement under COSHH and HSE guidance to assess and control Legionella risks.
How often should we repeat the assessment?
At least every 2 years, or sooner if significant changes occur to the water system or management.
What happens if Legionella is found?
We’ll provide an immediate action plan, support with disinfection, and assist with emergency reporting if required.
Is UKAS-accredited testing included?
It can be added as part of your package. We use independent UKAS labs for reliable analysis.
Will we get help with compliance documents?
Yes, your report includes all required risk summaries, monitoring plans, and documentation to support compliance.