News & Insights

Extreme Heat in Care Settings: How Providers Can Protect Residents and Staff

Jade Concannon

25/6/2026

Risk Control

Why Is Extreme Heat a Risk for Care Providers?

Extreme heat is becoming an increasingly important risk for care providers.

For care homes, supported living services and other care settings, hot weather can affect resident wellbeing, staff safety, medication management, building conditions and business continuity.

Older people, people with long-term health conditions and those who may be less able to regulate their body temperature are at greater risk during periods of hot weather. UK Health Security Agency (UKHSA) guidance makes clear that social care providers have an important role in reducing these risks before and during heatwaves.

Preparing in advance can help protect residents, support staff and reduce the likelihood of incidents during periods of extreme heat.

Who Is Most at Risk During Hot Weather?

Anyone can become unwell if they get too hot, but some people are more vulnerable than others.

In care settings, this may include:

  • Older residents
  • People with long-term health conditions
  • People with limited mobility
  • People living with dementia
  • People taking certain medications
  • People who may not recognise or communicate that they are overheating
  • Staff working long shifts or physically demanding roles

Identifying those most at risk before temperatures rise is an important part of effective risk management.

What Are the Signs of Heat Exhaustion?

Heat exhaustion can develop when the body becomes too hot and struggles to cool itself.

According to NHS guidance, symptoms can include:

  • Excessive sweating
  • Tiredness or weakness
  • Dizziness
  • Headache
  • Nausea or vomiting
  • Muscle cramps
  • Increased thirst
  • A high temperature

In care settings, staff should also be alert to changes in behaviour, confusion, reduced fluid intake or unusual tiredness, particularly in residents who may not be able to communicate how they are feeling.

If symptoms do not improve after cooling measures, medical advice should be sought.

What Are the Signs of Heatstroke?

Heatstroke is a medical emergency.

It can develop if heat exhaustion is not treated or can occur suddenly.

Warning signs include:

  • Confusion or disorientation
  • Rapid breathing
  • Rapid heartbeat
  • Seizures
  • Loss of consciousness

If heatstroke is suspected, call 999 immediately while taking steps to cool the individual.

How Can Care Providers Help Residents During Extreme Heat?

Care providers should take a proactive approach before and during periods of hot weather.

Practical measures include:

  • Identifying residents who are most vulnerable
  • Encouraging regular fluid intake and monitoring hydration
  • Offering lighter clothing where appropriate
  • Keeping curtains and blinds closed during the hottest parts of the day
  • Ventilating rooms when outdoor temperatures are cooler
  • Creating cooler areas within the building
  • Reducing unnecessary physical activity during peak temperatures
  • Reviewing care plans for heat-related risks
  • Increasing monitoring of vulnerable residents during heat alerts

Simple actions, carried out consistently, can significantly reduce the risk of heat-related illness.

How Can Care Providers Support Staff During Hot Weather?

Extreme heat does not just affect residents. Staff wellbeing is equally important.

Care providers should consider:

  • Encouraging regular hydration
  • Rotating physically demanding tasks where possible
  • Providing cooler break areas
  • Reviewing uniform expectations where safe and appropriate
  • Adjusting non-essential activities during the hottest part of the day
  • Monitoring staff working in kitchens, laundry rooms and upper floors where temperatures may be higher
  • Ensuring staff understand the signs of heat exhaustion and heatstroke

Supporting staff helps maintain safe care delivery and reduces the risk of heat-related illness within the workforce.

Why Building Conditions Matter

Some care settings are more susceptible to overheating than others.

Higher-risk areas often include:

  • Top-floor bedrooms
  • South-facing rooms
  • Rooms with large windows
  • Poorly ventilated areas
  • Kitchens and laundry rooms
  • Conservatories or glazed communal spaces

Providers should identify areas that become particularly warm and consider additional measures to keep residents and staff comfortable during prolonged periods of hot weather.

What Should Be Included in a Hot Weather Plan?

Every care provider should have a plan for managing periods of extreme heat.

A hot weather plan should include:

  • How heat alerts are monitored
  • Roles and responsibilities during hot weather
  • Identification of vulnerable residents
  • Hydration monitoring arrangements
  • Temperature monitoring within the building
Staffing considerations

Communication with families where appropriate

Escalation procedures when medical support is required

Reviewing the plan before summer and after any significant heat event can help ensure it remains effective.

Why Is Risk Management Important During Heatwaves?

Extreme heat should be treated as a foreseeable operational risk.

From a risk management perspective, providers should consider:

  • Recording actions taken during heat alerts
  • Documenting additional checks on vulnerable residents
  • Reviewing any heat-related incidents or near misses
  • Ensuring staff understand escalation procedures
  • Checking fans, ventilation systems and cooling equipment are working correctly
  • Reviewing business continuity plans for periods of prolonged hot weather

Good planning and clear documentation can help demonstrate that reasonable steps have been taken to protect residents, staff and the organisation.

Frequently Asked Questions

Why are older people more vulnerable during hot weather?

Older people often find it harder to regulate their body temperature and may be less likely to recognise the early signs of dehydration or overheating. Certain medical conditions and medications can also increase their risk.

How often should residents be encouraged to drink during a heatwave?

Residents should have regular access to fluids throughout the day, with additional encouragement for those who may not independently ask for a drink.

Should care homes have a heatwave plan?

Yes. A documented hot weather plan helps providers prepare for periods of extreme heat, protect vulnerable residents and demonstrate effective risk management.

Can extreme heat affect care staff?

Yes. High temperatures can lead to dehydration, fatigue and reduced concentration, making it important to support staff wellbeing alongside resident care.

How Quality Care Group Supports Care Providers

At Quality Care Group, we work with care providers to identify, manage and reduce operational risks before they become incidents.

From health and safety guidance to business continuity planning and specialist insurance advice, our Risk and Claims team helps organisations strengthen resilience and protect the people who matter most.

Start the Conversation

If you would like to discuss risk management, business continuity or how your organisation can prepare for periods of extreme weather, get in touch with Quality Care Group today. Our team is here to help you build a safer, more resilient care service.

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