Infection control for care homes that protects residents, carers and your rating.
Care homes carry most of the country's infection outbreaks, yet the default hand gel does not kill norovirus, is a documented ingestion hazard around residents living with dementia, and wears out carers' hands.
We bring infection control together as the result you are accountable for: hand hygiene that is independently tested to and passes the recognised European standards, including the sporicidal and virucidal standards for C. difficile and norovirus, and is alcohol-free, alongside control of the air, surfaces and water that carry infection across the home. So you cover the gap gel leaves, keep residents and carers safe, and strengthen your IPC position for inspection.
Hand hygiene independently tested to and passes the standards gel cannot meet, including the virucidal and sporicidal standards for norovirus and C. difficile, and alcohol-free by formulation.
In short
What is infection control for care homes?
Infection control for care homes is the set of measures, hand hygiene, environmental cleaning, air and water management and outbreak procedures, that prevents and limits the spread of infection among vulnerable residents. The strongest approach closes the gaps the default hand gel leaves, removes the ingestion hazard around residents, protects carers, and supports the CQC duty.
Covering the norovirus and C. difficile gap that alcohol hand gel does not kill
Removing the ingestion hazard around residents living with dementia or learning disability
Protecting carers' hands against the dermatitis that high-frequency hand hygiene causes
Controlling waterborne pathogens, including legionella, in the home's water systems
Managing the air and surfaces that carry respiratory and contact infection
Supporting the CQC Regulation 12 IPC duty, with evidence for your file
The challenge
The default tools are the wrong fit for the home, and the burden is the heaviest in the country
Care homes carry the heaviest infection-outbreak burden in the country, and the product on most walls is ineffective against the dominant threat, hazardous around the residents, and hard on the carers.
Care homes account for around 74% of all reported acute respiratory infection outbreaks in England, and norovirus, the dominant winter threat, ran at more than twice its five-season average in 2024 and 2025. Alcohol hand gel does not kill norovirus: the official advice is soap and water. The everyday tool does not cover the everyday threat.
It is also a safety hazard around the people you care for. Coroners' reports record a death from unintentional sanitiser ingestion in a resident living with dementia, and UK sanitiser poisonings rose 157% over a single year. For homes supporting dementia, learning-disability and mental-health residents, an ingestible alcohol product on an open wall is a risk you carry.
And it wears your carers down. Occupational hand dermatitis affects between a fifth and a half of care and health workers, rising sharply above ten to twenty hand-hygiene episodes a day, which is routine for a carer. Sore, cracked skin drives non-compliance and creates a COSHH and RIDDOR liability. Beyond the hands, the home's air, surfaces and water systems carry their own infection routes, all of which sit under CQC Regulation 12, which inspectors now assess as a standalone area.
Our approach
Cover the gap, safe around residents, kind to carers, across hands, air and water
You get infection control that covers what gel misses, an alcohol-free formulation safe around vulnerable residents, a product gentle enough for the way carers actually work, and control of the wider environment the infection moves through.
The hand hygiene is independently tested to and passes the recognised European hygiene standards, including the virucidal and sporicidal standards for norovirus and C. difficile, the pathogens that drive outbreaks in care and that alcohol gel does not touch. So it closes the spectrum gap rather than leaving it open. Because there is no alcohol, there is no ingestion-toxicity pathway around residents living with dementia or learning disability, and it is non-flammable. It is gentle enough for the carer doing hand hygiene dozens of times a day, which supports compliance and eases the dermatitis exposure you manage under COSHH.
It complements soap and water for visibly soiled hands and during diarrhoea and vomiting outbreaks, exactly as SICPs require, so it strengthens your IPC position for inspection rather than complicating it. Alongside the hands, we bring the same outcome-led approach to the air residents breathe, the surfaces they touch and the water systems that can harbour pathogens such as legionella, so infection control is handled across the whole environment rather than at the dispenser alone.
What you get
Covered, safer residents, protected carers, evidenced for CQC
Risk
Cover the norovirus gap
Broad-spectrum protection, independently tested to and passing the virucidal and sporicidal standards for norovirus and C. difficile, the pathogens that drive care-home outbreaks and that alcohol gel cannot touch.
Risk
No ingestion hazard around residents
Alcohol-free, so it removes the documented fatal-ingestion and poisoning risk that alcohol gel carries around residents living with dementia, learning disability or mental ill health.
Risk
Kind to carers' hands
Gentle enough for hand hygiene done dozens of times a day, supporting compliance and easing the occupational dermatitis that drives sickness absence and RIDDOR exposure.
Risk
Control across air, surfaces and water
Bring the same outcome-led approach to the air, surfaces and water systems that carry infection across the home, including waterborne pathogens such as legionella, so control reaches beyond the dispenser.
Obligation
Supports your CQC inspection
Keeps safe, effective infection control available across the home, supporting the Regulation 12 IPC duty CQC now assesses as a standalone area, with evidence for your file.
Cost
One approach across every home
A single, standardised infection-control approach you can roll out across sites, auditable for your quality and compliance team and simple to manage.
Evidence
Tested to standard, and led by the documented risk
The burden and the hazard are documented. The hand hygiene is independently tested and proven to standard.
Broad-spectrumHand hygiene independently tested to and passes the recognised European standards, including the virucidal and sporicidal standards for norovirus and C. difficile
Alcohol-freeNo ingestion hazard around vulnerable residents, and non-flammable, by formulation rather than by mitigation
74%Of reported acute respiratory infection outbreaks in England are in care homes, against a threat alcohol gel does not kill
The evidence
Why the home needs more than alcohol gel
Outbreak burden
Care homes carry most of the outbreaks
Care homes account for around 74% of all reported acute respiratory infection outbreaks in England, and norovirus ran at more than twice its five-season average in 2024 and 2025. UKHSA is clear that alcohol gel does not kill norovirus.
Resident safety
A documented ingestion hazard
Coroners' reports record a death from unintentional sanitiser ingestion in a resident living with dementia, and UK sanitiser poisonings rose 157% over a single year. An ingestible alcohol product is a risk around vulnerable residents.
Carer welfare
Frequent alcohol use wears hands out
Occupational hand dermatitis affects between a fifth and a half of care and health workers and rises sharply above ten to twenty episodes a day, eroding hand-hygiene compliance and creating a COSHH and RIDDOR liability.
Compliance
The compliance you carry
The UK environmental and safety duties that commonly reach infection control for care homes. Open any one for what it requires, the deadlines, what is at stake, and how to evidence control. Every entry is sourced.
Hygiene CodeObligationRiskHealth and Social Care Act 2008 Code of Practice on the prevention and control of infections (the Hygiene Code)
What you must doEvidence compliance with the IPC registration requirement across the Code's criteria, including hand hygiene and the provision of suitable hand-hygiene products.
Applies toRegistered health and adult social care providers, including hospitals, mental-health trusts and care homes.
When it bitesContinuously; CQC takes the Code into account when judging registration against Regulation 12.
DeadlinesOngoing (continuous compliance)
What is at stakeSits within CQC enforcement: failure against the Code can contribute to a breach of Regulation 12 and registration action.
How to evidence itAn IPC policy and assurance framework, hand-hygiene provision and audit, and outbreak processes mapped to the Code's criteria.
Legal basisHealth and Social Care Act 2008, section 21, Code of Practice on the prevention and control of infections. Issued by Department of Health and Social Care (CQC judges providers against it).
Keep safe, effective hand hygiene available where care happens, with the evidence the Code and CQC expect.
CQC Reg 12RiskObligationCQC Regulation 12: safe care and treatment (infection prevention and control)
What you must doAssess the risk of, and prevent, detect and control the spread of, infections including healthcare-associated infection. Breach can trigger enforcement.
Applies toCQC-registered providers, including mental-health trusts, hospitals and adult social care services.
When it bitesContinuously; CQC monitors IPC indicators and runs risk-based inspections.
DeadlinesOngoing (continuous duty)
What is at stakeEnforcement action up to conditions on, or cancellation of, registration.
How to evidence itA current IPC risk assessment, hand-hygiene audit, outbreak records and a clear product-safety rationale.
Legal basisHealth and Social Care Act 2008 (Regulated Activities) Regulations 2014, Regulation 12. Issued by Care Quality Commission.
Turn a continuous IPC duty into a defensible file, with safe hand hygiene available and evidenced.
CQC IPC (ASC)ObligationRiskCQC infection prevention and control assessment for adult social care (with Regulation 15 premises)
What you must doMaintain a designated IPC lead, current-guidance knowledge, clean and suitable premises and equipment, and outbreak notification and response.
Applies toCare homes, supported living and domiciliary care providers.
When it bitesContinuously; IPC is a standalone area of CQC scrutiny in care since COVID-19.
DeadlinesOngoing
What is at stakeSits within CQC enforcement and the rating that follows; a poor IPC finding affects the published rating.
How to evidence itA named IPC lead, audit evidence, premises and equipment records, and outbreak processes auditable across every home.
Legal basisHSCA 2008 (Regulated Activities) Regulations 2014, Regulations 12 and 15, applied through the CQC single assessment framework. Issued by Care Quality Commission.
Standardise safe, auditable hand hygiene across every home, ready for inspection.
COSHH / RIDDORObligationRiskOccupational hand dermatitis duty (COSHH 2002 and RIDDOR 2013)
What you must doRisk-assess skin irritants, apply controls, and provide health surveillance; doctor-diagnosed occupational dermatitis from regular exposure is RIDDOR-reportable.
Applies toEmployers whose staff perform frequent hand hygiene and wet work, including care and health workers.
When it bitesWhere frequent hand-hygiene product use and wet work create a skin-irritant exposure.
DeadlinesOngoing
What is at stakeEnforced by the HSE; reportable cases and claims carry cost and liability.
How to evidence itA COSHH skin risk assessment, a skin-kind product choice, and health surveillance records.
Legal basisControl of Substances Hazardous to Health Regulations 2002 (including Regulation 11 health surveillance) and RIDDOR 2013. Issued by Health and Safety Executive.
Ease the carer dermatitis exposure with hand hygiene kind enough for dozens of uses a day.
SICPsObligationRiskStandard Infection Control Precautions and hand hygiene (UKHSA and NHS England)
What you must doApply standard precautions including hand hygiene, ensuring access to liquid soap, warm water and paper towels; any product must complement, not override, SICPs.
Applies toHealth and social care settings applying standard infection control precautions.
When it bitesContinuously; for norovirus and gastrointestinal infection, soap and water is required rather than alcohol gel.
DeadlinesOngoing
What is at stakeAssessed through CQC IPC scrutiny rather than direct fines.
How to evidence itHand-hygiene facilities and products consistent with SICPs, with soap and water retained for outbreaks.
Legal basisNHS England National Infection Prevention and Control Manual (SICPs) and UKHSA guidance. Issued by UK Health Security Agency / NHS England.
Strengthen everyday hand hygiene while keeping soap and water for the outbreaks SICPs reserve it for.
What you must doUse only hand-hygiene products lawfully placed on the GB market under the biocidal products regime, and confirm authorisation before procurement.
Applies toAnyone placing a hand sanitiser on the GB market, across health, care, custody and education buyers specifying one.
When it bitesBefore a hand sanitiser is supplied for sale in GB; the product must be authorised and its active sourced from a listed supplier.
What is at stakeEnforced by the HSE; placing an unauthorised biocidal product on the market is an offence.
How to evidence itConfirmation that the product is authorised, or covered by the applicable route, before purchase.
Legal basisGB Biocidal Products Regulation; hand sanitisers are Product Type 1 (human hygiene) biocidal products. Issued by Health and Safety Executive (GB competent authority).
We assess your setting and the route to a lawful, evidenced hand-hygiene option, with no claim ahead of authorisation.
Easy to use, safe for residents, proven to standard
Is it easy for my staff to use, is it safe around my residents, and is it proven and compliant for inspection? Three fair questions, with straight answers.
The hand hygiene is independently tested to and passes the recognised European standards, including the virucidal and sporicidal standards for norovirus and C. difficile, so it covers the gap gel leaves. It is alcohol-free, so it removes the ingestion hazard around vulnerable residents, and it is gentle enough for the way carers actually work. It complements soap and water during diarrhoea and vomiting outbreaks exactly as SICPs require, and it sits alongside control of the air and water that carry infection across the home. We start with a trial in one home and prove the fit in your own environment.
Alcohol-free, kind to skin, and proven against the standards alcohol gel cannot meet.
Questions answered
What is infection control in care homes?
It is the set of measures that prevents and limits the spread of infection among vulnerable residents: hand hygiene, environmental cleaning, management of air and water systems, PPE, and outbreak procedures. The goal is to protect residents and staff and to meet the CQC Regulation 12 duty inspectors now assess as a standalone area.
What are the CQC infection prevention and control requirements for care homes?
Infection prevention and control sits under CQC Regulation 12, which inspectors now assess as a standalone area covering hand hygiene, PPE, cleaning, staffing, policies and the premises. Providers need safe, effective measures in place across the home and evidence for the file. Our approach keeps that hand hygiene available and auditable.
How do you reduce outbreaks of norovirus and flu in care homes?
Care homes carry around 74% of reported acute respiratory infection outbreaks in England, and norovirus ran at more than twice its five-season average in 2024 and 2025. The starting point is hand hygiene that actually covers these threats: alcohol gel does not kill norovirus, so the official advice is soap and water, complemented by hand hygiene tested to the virucidal and sporicidal standards.
Is alcohol-free hand hygiene suitable for care home residents?
It is designed for exactly this setting. Being alcohol-free, it removes the ingestion-toxicity hazard that alcohol gel carries around residents who may swallow it, including those living with dementia or learning disability, and it is non-flammable. It is also gentle enough for the very high-frequency hand hygiene carers perform every day.
How do you control waterborne pathogens and legionella in care settings?
The home's water systems can harbour pathogens such as legionella, which is a recognised infection-control duty alongside hand hygiene. We bring the same outcome-led approach to the water systems, and to the air and surfaces, so infection control reaches across the whole environment rather than stopping at the dispenser.
Why is alcohol gel a problem in a care home?
It does not kill norovirus, the dominant winter outbreak threat, so the official advice is soap and water. It is also a documented ingestion hazard around residents living with dementia or learning disability, and frequent use drives the carer hand dermatitis that erodes compliance and creates COSHH and RIDDOR exposure.
Is the evidence independent?
Yes. The hand hygiene is independently tested to and passes the recognised European hygiene standards, including the virucidal and sporicidal standards for norovirus and C. difficile. The problem figures, the outbreak burden, the ingestion hazard and the dermatitis rates, come from UK public-health and clinical sources, not from us.
Tell us where infection control is causing you a safety, compliance or skin-health problem. We will set up a trial in one home and prove the fit in your own environment, in confidence, before you commit.