What should care staff know about using PPE correctly?

Introduction 

Personal protective equipment (PPE) is a key part of infection prevention in care homes and community services. Used properly, it protects both staff and residents from infection risks. The NHS and UKHSA Care Home IPC guidance set out when and how PPE should be used. CQC inspectors also expect providers to show that PPE is available, accessible, and used correctly. 

Types of PPE in care settings 

• Gloves – protect hands from contact with blood, body fluids, chemicals or contaminated surfaces. 

• Aprons/gowns – protect uniforms and skin from contamination. 

• Surgical masks/respirators – protect from respiratory droplets; respirators (FFP2/FFP3) used if aerosol risk is identified by risk assessment. 

• Eye protection/visors – worn if splash or spray risk. 

When to wear PPE 
Follow the principle of risk of exposure, not routine. For example: 

• Gloves and aprons for personal care, handling laundry, or cleaning. 

• Masks and eye protection if there’s risk of splashing (vomit, suctioning). 

• PPE is not needed for tasks with no anticipated contact with body fluids (e.g., chatting with a resident). 

Safe use 

• Hand hygiene before and after PPE use. 

• Put on (donning) in the correct order: apron/gown → mask/respirator → eye protection → gloves. 

• Remove (doffing) in the correct order: gloves → apron/gown → eye protection → mask. Dispose immediately into the correct waste stream. 

• Single use. Most PPE is disposable and must be changed between residents and tasks. 

• Fit and comfort. Ensure masks cover nose and mouth fully; check respirator fit if required. 

What inspectors look for 
CQC will check that: 

• Staff use PPE based on risk assessments, not just routine. 

• PPE is stored safely and is always available. 

• Staff are trained and competent in donning/doffing. 

• Providers follow the Health and Social Care Act 2008 Code of Practice on IPC. 

Key links 

• UKHSA Care Home and Residential Care Guidance – South West Councils 

• NHS – Guidance on PPE in health and social care 

• CQC – Regulation 12: Safe care and treatment
  
  

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