Signage for Care
Signage for Care

HIQA Compliance: Signage for Nursing Homes

8 min readSignage for Care15 January 2026

A comprehensive guide for Irish nursing home managers on using dementia-friendly signage to meet HIQA national standards and improve inspection outcomes.

HIQA and the Nursing Home Environment#

The Health Information and Quality Authority (HIQA) inspects all registered nursing homes in Ireland against the National Standards for Residential Care Settings for Older People in Ireland. These standards are comprehensive and cover every aspect of care, from governance and management to the physical environment. Standard 2.7, which addresses the physical environment, specifically requires that the nursing home premises are designed and laid out to meet the needs of each resident.

HIQA inspectors assess whether the nursing home environment supports residents to live with dignity, maintain their independence, and feel at home. For residents living with dementia, this means the environment must provide clear orientation cues, reduce confusion, and promote safe, independent movement throughout the nursing home.

How Signage Supports HIQA National Standards#

Dementia-friendly signage directly supports the following HIQA standards:

  • Standard 2.7 (Physical Environment): Signs that are clear, high-contrast, and appropriately sized help residents navigate the nursing home and maintain orientation
  • Standard 1.1 (Person-Centred Care): Personalised bedroom door signs with meaningful images and chosen names demonstrate individualised, respectful care
  • Standard 1.6 (Autonomy and Independence): Effective wayfinding signage enables residents to move around the nursing home without unnecessary reliance on staff
  • Standard 2.1 (Safe and Effective Care): Clear signage on restricted areas and emergency exits contributes to a safe environment

Pro Tip

HIQA publishes detailed inspection reports online. Review recent reports for nursing homes similar to yours to understand what inspectors look for regarding the physical environment. Common themes include the quality of signage, personalisation of living spaces, and evidence of dementia-friendly design principles.

DSDC 1A Accreditation in the Irish Context#

While HIQA does not prescribe specific accreditations for signage, inspectors value evidence that environmental adaptations are grounded in research. DSDC 1A accreditation from the University of Stirling is recognised internationally and provides robust evidence that your nursing home's signage meets the highest standards of dementia-friendly design. Irish nursing homes that install DSDC 1A accredited signage can reference this accreditation directly in their statement of purpose and quality improvement plans.

Recommended Products

Our oak and carolina blue dementia-friendly door signs provide the warm, residential feel that HIQA values in Irish nursing homes. DSDC 1A accredited and available with personalisation options, they help your nursing home demonstrate person-centred care in practice.

HIQA Insight

Inspectors increasingly focus on how nursing homes support residents with dementia. A consistent, high-quality signage scheme is one of the most visible indicators of a dementia-inclusive environment and can influence your overall inspection outcome.

Preparing your Irish nursing home for a HIQA inspection involves more than paperwork and policies. The physical environment speaks volumes about your commitment to quality care. Dementia-friendly signage is a practical, evidence-based investment that demonstrates to HIQA inspectors that your nursing home takes the wellbeing and independence of every resident seriously.

Ireland
HIQA
dementia signage
inspection
nursing home
DSDC
national standards