Draft Code Of Practice Community Dwellings Fire Safety in Healthcare Services Conference Presented By Aidan O’Connor HSE Estate Manager Fire Safety

Aims & Objectives HSE into the Future Code Of Practice Why ?? / Background Current Situation Stakeholders Purpose & Scope of the COP Working Group Key Issues Where Next

HES Into The Future

National Children’s Hospital

NCH @ St. James’s Hospital Campus

Primary Care

The re-development of The National Maternity Hospital at St Vincent's University Hospital Campus 6

The re-development of The National Maternity Hospital at St Vincent's University Hospital Campus 7

Community Nursing Units

The re-development of The National Maternity Hospital at St Vincent's University Hospital Campus 9

The re-development of The National Maternity Hospital at St Vincent's University Hospital Campus 10

The re-development of The National Maternity Hospital at St Vincent's University Hospital Campus 11

National Maternity Hospital to St. Vincent’s University Hospital

National Maternity Hospital to St. Vincent’s University Hospital The new development will cater for up to 10,000 births per annum and will include the following NMH facilities: 5 nr. Operating Theatres; 24 nr. Birthing (Delivery) Rooms; c. 180 nr. NMH Single In-patient Rooms; 48 nr. NICU/SCBU Single Cot Rooms; Emergency and Out-patient Departments; Ultrasound and Radiology Departments; The following SVUH dedicated facilities will be included: 38 nr SVUH Single In-patient Rooms; Dermatology Unit; SVUH Medical Records Department; A number of ancillary displaced areas. Shared facilities to be provided include: Kitchen and Canteen Department; Waste Management Facilities; Purchasing and Stores Department; Laboratory Department; HSSD The re-development of The National Maternity Hospital at St Vincent's University Hospital Campus 13

National Forensic Mental Health Services

National Forensic Mental Hospital Service The new development will consist of the following: Replacement of existing Central Mental Hospital, Dundrum; Located on St. Ita’s Hospital Campus Portrane; Co-located campus of National Forensic Hospital, CAMH-F, MHID-F and ICRU-F; 170 High and Medium secure beds in modern facility; Serves adult and child patients, diverse healthcare, social and forensic needs; Planning achieved in Q2 2015; The re-development of The National Maternity Hospital at St Vincent's University Hospital Campus 15

Code Of Practice Background Building Classification Anomalies New TGD B Approach DOE with issue Approved to develop proposed COP Application to DOE, CFO & ACFO Representation Develop Working Group

The Journey Future Present Past

Policy Documentation ‘National Housing Strategy’ ‘A Time To Move From Congregated Settings’ ‘National Housing Strategy’ ‘The UN Convention on the Rights of Persons with Disabilities’

‘Time to Move on from Congregated Settings’ To live Ordinary Lives in Ordinary Places Live Independently and be Part of the Local Community. 7 Year Phased Closure Transition to Disposed Forms of Housing in Ordinary Communities.

National Housing Strategy To facilitate access, for people with disabilities, to the appropriate range of housing and related support services, delivered in an integrated and sustainable manner, which promotes equality of opportunity, individual choice and independent living.

National Housing Strategy The Strategy expects while (acknowledging the challenges) that this should be achieved within the Mainstream Housing Environment

UN Convention on the Rights of People with Disabilities ‘Parties to the convention recognize the equal right of all persons with disabilities to live in the community, with choice equal to others, and shall take effect and appropriate measures to facilitate full enjoyment by persons with disabilities of this right and their full inclusion and participation in the community ‘ (UNCRPD2006)(Article 19)

Is it a Institution Or Is it A Home The Big Question Is it a Institution Or Is it A Home

OUR AIM Provide Fire Engineering Approach to Achieve an acceptable standard of Fire Safety in Community Dwellings while Taking into account the Environmental setting of such a Residence

Use of The COP In the Design of New Facilities Setting Standards for Existing Facilities Fire Safety Risk Assessing such buildings into the future

Working Group Membership The Working Group has been selected from the following disciplines: HSE Estates Department HIQA Representative External Fire Safety Consultants Architects Department of the Environment CFO Association & ACFO Association Service Users Private Providers

Building Users Defined Children People with Sensory Disabilities People with Mental Health Issues People with Intellectual Disabilities People with Physical Disabilities Assessed by appropriate Medical staff Of living in a domestic scale Residence Sufficient Staffing

Applications Single Storey Houses Two Storey Houses Three Storey (Ground, First & Second) Max 8 Bedrooms Max 6 Residents NB. Buildings with Basements are not covered in this COP.

The ISSUE Residential Dwellings in Scale BUT Considered Residential Institutional or Other Residential Application of Greater Requirements has serious consequences for existing Building Stock.

Current Situation Residential (Dwellings); Residential (Institutional) Currently three classifications of residential buildings in Technical Guidance Document B: Residential (Dwellings); Purpose Group 1(a), 1(b) and 1(c) Residential (Institutional) Purpose Group 2(a) Other Residential Purpose Group 2 (b).

Simple Facts Housing providers want to provide community Dwellings with a homely non institutional Environment. Complying with existing Residential Institutional Buildings creates an Institutional setting that is against all principles for such accommodation.

Our Proposal Need for another classification of residential building in New TGD B. Residential (Dwellings) 1(d) – Small Scale Community Dwellings.  Exempt Fire Safety Certificate & Disability Access Certificate Under the Fire Services Act

The Code Of Practice for Community Dwellings

MANAGEMENT OF FIRE SAFETY A fire safety programme incorporating arrangements for the following should be prepared for each individual premises: Prevention of outbreaks of fire, through the establishment of day-to-day fire prevention practices; Instruction and training of staff on all matters relating to fire safety; Emergency fire procedures and evacuation drills; Provision of fire safety instructions to residents; Inspection and maintenance of fire protection equipment; Maintenance of the building and its fittings and services; Maintenance of escape routes; Liaison with the fire authority and assisting the fire brigade; and Keeping of fire safety records. A fire safety programme will only be effective if it is implemented in total, and monitored on a day-to-day basis by the persons in control of the dwelling.

FIRE SAFETY MEASURES Guidance on the principal fire safety measures are outlined in the following Sections: Means of Escape in Case of Fire Horizontal Escape Routes Vertical Escape Routes General Provisions for Means of Escape Internal Fire Spread (Linings) Internal Fire Spread (Structure) External Fire Spread Access and Facilities for the Fire Service.

Means of Escape in Case of Fire Location Maximum Travel Distance related to available direction of escape Single Escape Route Alternative Escape Route Within Bedrooms (1) 10m 20m Bedroom corridors (2) From a bedroom door to the head of a stairway (3) , storey or final exit 7.5m - Elsewhere 18m 45m Note 1: Limitation refers to that part of the total travel distance, which is within a bedroom. Note 2: Travel distance from a bedroom door to a storey exit or final exit Note 3: In the case of a single protected escape stairway with habitable rooms opening directly into the protected stairway enclosure

DIRECT COMPARISON OF MINIMUM STANDARDS BY BUILDING TYPE ELEMENT INSTITUTIONAL BUILDING DOMESTIC DWELLING HOUSE COMMUNITY DWELLING Fire Resistance of Floors 60/60/60 mins non-combustible compartment construction 30/30/30 mins [3 storey dwelling] 30/15/15 mins [2 storey dwelling] 30/30/30 mins. [all new builds and existing 3 storey dwellings] Enclosure of Escape Stairs 60/60/60 min. protected shaft 30/30/30 mins [uncontrolled fire load in stair enclosure] 30/30/30mins [No unprotected storage cupboards allowed in stair] Separating Walls 60/60/60 mins. Fire Detection and Alarm System Category L1 System Grade D [toilets/en-suites subject to risk assessment] Emergency Lighting Maintained/Sustained System in accordance with IS 3217:2013 No requirement Non-Maintained/Switch-Maintained in accordance with IS 3217:2013 Management Strictly regulated Up to individual

FIRE SAFETY MEASURES Inner Rooms Emergency Lighting Bedrooms should not be inner rooms. All other inner rooms should comply fully with the recommendations of Technical Guidance Document B. Emergency Lighting Emergency lighting should be provided in accordance with the relevant recommendations of I.S. 3217: Emergency Lighting. The system shall comprise non-maintained or switched-maintained luminaries with a three hour standby supply.

Fire Detection & Alarm System Fire Detection and Alarm System in accordance with the relevant recommendations of I.S. 3218: The system should be designed to Category L1 life safety system The non-provision of fire detectors in bathrooms/ en-suite may be acceptable subject to an appropriate Fire Risk Assessment A repeater panel should be installed within care staff sleeping accommodation where provided

Windows / Roof Lights All new community dwellings and buildings whose use is being altered to that of a Community Dwelling (Purpose Group 1(d)) should be provided with windows suitable for escape and rescue. Where windows are being replaced within existing community dwelling houses they should be replaced with windows suitable for escape and rescue. Where a risk assessment envisages a security risk within these buildings as a result of these readily openable windows, an audible alarm may be provided to detect if a window has been opened without authority.

Doors on Escape Routes Should only be fitted with a lock or fastening which is readily operated, without a key, from the side approached by people making their escape. Doors should have a minimum width of 750mm, [widths in excess of this may be required to meet other Regulations and to meet operational requirements]. Secure doors operated by a code, combination, swipe or proximity card, biometric data or similar means, should also be capable of being overridden from the side approached by people making their escape. Electrically powered locks should return to the unlocked position.

Where Next Draft COP issued to DOE following meeting of working Group end of June. DOE issue for Public Comment Review Public Comment DOE /Working Group review feedback COP Sign Off (Quarter 3 2016)

One Problem HSE & Providers purchasing and developing houses at present. Do we apply the draft COP where we can achieve our Aim Or Apply existing guidance and not be able to achieve compliance thus missing opportunity and incurring Excessive Costs .

Is There a Solution ????

Thank You For Your Attention aidan.oconnor2@hse.ie