I was talking to a local care provider this morning, and the nature of residential care is changing and a lot of services are provided in the client's own home, and dementia care units are being provided instead.
Playing devil's advocate here, a sheltered housing scheme is set up where an occupier owns or rents a flat, and when they move in they are ambulant etc. 10 years down the line, their site deteriorates, or they're waiting for a hip replacement etc - how is this different to anyone's private home - you can't stop someone from buying a house because sometime in the future someone may not be able to use the stairs. Fire safety legislation does not (and should not) impose controls within a single private dwelling, the only protection that should be provided is to protect the means of escape provided - ie compartmentation, or should the enforcing authorities evict someone from their own home on the basis of a risk assessment? If that person becomes so imobile that they cannot use the means of escape provided, than should it not be up the resident or the families to decide if that scheme is suitable place for that person to live - the same as any private home (any for people with any disability, not just age related). As it is someones's own home, is it the on-site staff's job to evacuate people? Or to assist those that have decided to evacuate? Depends upon the level of service provided. At least sheltered housing schemes usually have alarm systems that call a warden/monitoring service to allow the brigade to be called out if a detector goes off within a dwelling, which is arguably better than being in a bog standard tower block.