Awaab Ishak's death was a stark reminder that damp and mould poses severe risks to vulnerable people. While these conditions affect all residents negatively, some groups face disproportionate harm. Housing providers have both a moral and legal obligation to identify and protect these tenants.

Who Is Vulnerable?

Health-Related Vulnerability

Certain health conditions increase susceptibility to harm from damp and mould:

  • Respiratory conditions: Asthma, COPD, chronic bronchitis
  • Immunocompromised: HIV/AIDS, cancer treatment, organ transplant recipients
  • Allergies: Mould sensitivity, environmental allergies
  • Cardiovascular disease: Increased strain from respiratory issues

Age-Related Vulnerability

  • Young children: Developing respiratory systems, more time indoors, floor-level exposure
  • Infants: Particularly at risk; immature immune systems
  • Elderly: Weaker immune response, may not recognise or report issues

Circumstantial Vulnerability

  • Pregnant women: Health of both mother and unborn child at risk
  • Mental health conditions: May struggle to maintain property or report issues
  • Physical disabilities: May be unable to ventilate property effectively
  • Language barriers: May not understand advice or know how to report
  • Digital exclusion: May miss communications, unable to use online reporting

Legal and Regulatory Expectations

HHSRS and Vulnerability

The Housing Health and Safety Rating System explicitly considers vulnerability:

  • Hazard scoring increases when vulnerable groups are present
  • A property may be Category 2 for general population but Category 1 for vulnerable resident
  • Assessment must consider actual occupants, not just theoretical risk

Consumer Standards

The Regulator expects providers to:

  • Understand which residents have vulnerabilities
  • Adapt service delivery accordingly
  • Prioritise those at greatest risk

Equality Act Considerations

Disability-related vulnerabilities engage equality duties:

  • Reasonable adjustments to service delivery
  • Proactive approach, not just responding to requests
  • Documentation of how vulnerability was considered

Identifying Vulnerable Tenants

Data You Should Hold

Build a picture through multiple sources:

  • Application/sign-up data: Health conditions, household composition
  • Support needs assessments: For supported housing
  • Housing officer knowledge: Information gathered through contact
  • Adaptations records: Properties modified for health reasons
  • Care referrals: Social services involvement

Asking the Right Questions

At tenancy start and periodically thereafter:

  • Does anyone in the household have respiratory conditions?
  • Are there young children (under 5) in the property?
  • Is anyone pregnant or likely to become pregnant?
  • Does anyone have conditions affecting their immune system?
  • Is there anything about your health we should consider for property maintenance?

Privacy Considerations

Collecting health data requires care:

  • Clear explanation of why information is needed
  • Data used only for housing management purposes
  • Secure storage with appropriate access controls
  • Regular review and updating

Adapting Your Response

Priority Flagging

Mark properties and cases appropriately:

  • Housing management system flags for vulnerable households
  • Automatic escalation of damp reports from flagged properties
  • Faster response timescales than standard service levels

Proactive Monitoring

Don't wait for complaints from vulnerable tenants:

  • Environmental sensors: Automated monitoring in at-risk homes
  • Regular check-ins: Scheduled contact to ask about conditions
  • Inspection priority: More frequent property visits

Communication Adjustments

Adapt how you engage:

  • Phone calls rather than letters for some tenants
  • Easy-read materials where appropriate
  • Translation services for non-English speakers
  • Longer appointment windows for those with mobility issues

Response Escalation

When issues are identified:

  • Treat as higher priority than standard cases
  • Consider whether interim measures (dehumidifiers, temporary heating) are needed
  • Involve health professionals where appropriate
  • Document vulnerability considerations in case records

Supporting Vulnerable Tenants

Practical Assistance

Some vulnerable tenants need help managing their environment:

  • Demonstrating how heating and ventilation controls work
  • Installing easier-to-use controls if manual dexterity is an issue
  • Providing equipment (dehumidifiers) if they can't manage condensation themselves
  • Regular visits to ensure advice is being followed

Multi-Agency Working

Connect with other services:

  • Social services for safeguarding concerns
  • Health visitors for young children
  • Adult social care for elderly or disabled tenants
  • Mental health services where relevant

Financial Support

If heating costs are a barrier:

  • Energy company support schemes
  • Warm Home Discount eligibility
  • Local welfare assistance
  • Fuel debt advice services

Documentation Requirements

What to Record

For each vulnerable tenant case:

  • Vulnerability identified: What condition/factor and when identified
  • Response adjustment: How your approach was modified
  • Priority given: Evidence of faster response
  • Support provided: Additional assistance offered
  • Outcome: Resolution and follow-up

Why This Matters

Good documentation:

  • Demonstrates compliance with regulatory expectations
  • Supports defence if complaints or claims arise
  • Enables audit of whether vulnerable tenants receive appropriate service
  • Identifies gaps in your approach

Organisational Culture

Staff Training

Ensure all relevant staff understand:

  • Why vulnerability matters for damp and mould
  • How to identify and record vulnerability
  • When and how to escalate
  • Communication approaches for different needs

System Support

Make it easy to do the right thing:

  • Vulnerability flags visible to all relevant staff
  • Automatic prompts when handling cases from flagged properties
  • Reporting that shows vulnerable tenant outcomes separately

Proactive Protection

Environmental monitoring in vulnerable tenant homes provides early warning of developing issues—before they become health hazards.

Social Housing Solutions