COVID-19 resources

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Proposal to regulate to stop movement of staff between care settings

Department of Health and Social Care

This consultation seeks views from the adult social care sector on the proposal to stop staff movement between different care settings and between health and care settings is critical to minimise the risk of infection of COVID-19. The findings of a study on the impact of coronavirus in care homes in England indicated one of the common factors in care homes with higher levels of infection among staff was the extent to which those homes employed staff who worked across multiple sites. The requirement would apply to Care Quality Commission (CQC) registered residential and nursing care home providers in England. These providers would be required not to use staff to provide nursing or personal care who are carrying on, or who have carried on within the previous 14 days, a regulated activity in another setting and/or for another health or social care provider subject to certain exceptions. The consultation closes on Wednesday 25 November 2020.

Last updated on hub: 25 November 2020

Protect, respect, connect – decisions about living and dying well during COVID-19: CQC’s review of ‘do not attempt cardiopulmonary resuscitation’ decisions during the COVID-19 pandemic

Care Quality Commission

This review looked at how ‘do not attempt cardiopulmonary resuscitation’ (DNACPR) decisions were made during the pandemic in the context of advance care planning, across all types of health and care sectors, including care homes, primary care and hospitals. During our review, we heard about the experiences of over 750 people and about the distress that people face when they do not feel involved in decisions about their care. When done well, DNACPR decisions are an important aspect of advance care planning, and people should be fully involved in discussions about their care. Our findings show that there needs to be a focus on three key areas: 1. Information, training and support – we heard that some people felt they had been involved in the decision-making process but others felt that conversations around whether they would want to receive cardiopulmonary resuscitation (CPR) came out of the blue and that they were not given the time or information to fully understand what was happening or even what a DNACPR was; 2. A consistent national approach to advance care planning – across all the areas that we looked at, there were many types of advance care planning in use and this lack of consistency and the problems this causes could affect the quality of care received by the person, and result in missed opportunities to support them in the right way at the right time; 3. Improved oversight and assurance – most providers and health and care professionals told us that people, their families, carers or advocates were involved in conversations about their care, including DNACPR decisions. But poor record keeping and lack of audits meant that we could not always be assured that people were being involved in conversations about DNACPR decisions, or that these were being made on individual assessments.

Last updated on hub: 22 March 2021

Protecting and safeguarding older people: Covid-19 information pack

Older People's Commissioner for Wales

This pack provides a range of useful information and resources about keeping older people safe in Wales – including how to identify older people who may be at risk, and contact details for key organisations that can provide crucial help and support.

Last updated on hub: 17 June 2020

Protecting and supporting the clinically extremely vulnerable during lockdown

National Audit Office

This report looks at how effectively the Government identified and met the needs of clinically extremely vulnerable people to 1 August 2020. The objective of the shielding programme (the Programme) was to minimise mortality and severe illness among those who are CEV by providing them with public health guidance and support to stay at home and avoid all non-essential contact. Through the shielding programme, CEV people could get support accessing food, medicine and basic care.. The report sets out: the inception of the shielding programme (Part One); identifying clinically extremely vulnerable people (Part Two); supporting clinically extremely vulnerable people (Part Three); and outcomes and lessons learned (Part Four). The report finds that the shielding programme was a swift government-wide response to protect clinically extremely vulnerable people against COVID-19, pulled together at pace in the absence of detailed contingency plans. Government recognised the need to provide food, medicines and basic care to those CEV people shielding to help meet its objective of reducing the number of people suffering from severe illness and dying from COVID-19. There was impressive initial support offered to many people, with food provided to just over 500,000 people. Although the need to support was urgent, it took time for people to be identified as CEV, and therefore access formal support. This followed challenges extracting data from different IT systems and the understandable need for GPs and trusts to review the List of vulnerable people from their clinical perspective. Given the challenges in assessing the impact of shielding on CEV people’s health, government cannot say whether the £300 million spent on this programme has helped meet its central objective to reduce the level of serious illness and deaths from COVID-19 across CEV people.

Last updated on hub: 15 February 2021

Provider Hubs - Hertfordshire County Council

Hertfordshire County Council

Hertfordshire County Council has rapidly set up a ‘provider hub’ to support its near 800 social care providers. The Hub is jointly run by Hertfordshire County Council and Hertfordshire Care Providers Association to provide professional advice and support to all care organisations working in the frontline in the fight against COVID-19. The Hub is also the central point for collecting and providing key information and data for the adult social care board and supports the many direct payment holders who can contact directly to get advice about their direct payments and the flexibility the council can support them with.The full case study can be found in the Department for Health and Social Care action plan which is linked to this item and was published on 15 April 2020.

Last updated on hub: 22 July 2020

Providing care and support at home to people who have had COVID-19

Social Care Institute for Excellence

Quick guide to help home care workers and personal assistants (PAs) to provide care and support to people who have left hospital after having COVID-19.

Last updated on hub: 03 November 2020

Providing person-centred support for residents living with dementia who need to be isolated in care homes during the COVID-19 crisis

Association for Dementia Studies, University of Worcester

This information sheet supports care homes catering for people living with dementia during the COVID-19 pandemic. The document covers a range of strategies to help a person living with dementia understand the COVID-19 situation; to create an inviting isolation space; to help occupy the person in an isolation space; to use the environment to encourage isolation; to meet people’s need for human contact; and to encourage a person to comply with infection control requirements. It brings together current best practice, setting out general advice only. Each resident should be assessed on an ongoing and individual basis to find the best response and the latest national sector guidance should be followed.

Last updated on hub: 24 June 2020

Psychosocial impact of COVID-19 nursing home restrictions on visitors of residents with cognitive impairment: a cross-sectional study as part of the engaging remotely in care (ERiC) project

Research published in Frontiers in Psychiatry by O'Caoimh, R. et al., October 2020. Background: COVID-19 has disproportionately affected older people. Visiting restrictions introduced since the start of the pandemic in residential care facilities (RCFs) may impact negatively on visitors including close family, friends, and guardians. This study examined the effects of COVID-19 visiting restrictions on measures of perceived loneliness, well-being, and carer quality of life (QoL) amongst visitors of residents with and without cognitive impairment (CI) in Irish RCFs. Methods: This study created a cross-sectional online survey. Loneliness was measured with the UCLA brief loneliness scale, psychological well-being with the WHO-5 Well-being Index and carer QoL with the Adult Carer QoL Questionnaire (support for caring subscale). Satisfaction with care (“increased/same” and “decreased”) was measured. A history of CI was reported by respondents. Sampling was by convenience with the link circulated through university mail lists and targeted social media accounts for 2 weeks in June 2020. Results: In all, 225 responses were included of which 202 noted whether residents had reported CI. Most of the 202 identified themselves as immediate family (91%) and as female (82%). The majority (67%) were aged between 45 and 64 years. Most (80%) reported that their resident had CI. Approximately one-third indicated reduced satisfaction (27%) or that restrictions had impaired communication with nursing home staff (38%). Median loneliness scores were 4/9, well-being scores 60/100 and carer QoL scores 10/15. Visitors of those with CI reported significantly lower well-being (p = 0.006) but no difference in loneliness (p = 0.114) or QoL (p = 0.305). Reported CI (p = 0.04) remained an independent predictors of lower WHO-5 scores, after adjusting for age, sex, RCF location, and dementia stage (advanced), satisfaction with care (reduced), and perception of staff support measured on the Adult Carer QoL Questionnaire. Conclusion: This survey suggests that many RCF visitors experienced low psychosocial and emotional well-being during the COVID-19 lockdown. Visitors of residents with CI report significantly poorer well-being as measured by the WHO-5 than those without. Additional research is required to understand the importance of disrupted caregiving roles resulting from visiting restrictions on well-being, particularly on visitors of residents with CI and how RCFs and their staff can support visitors to mitigate these.

Last updated on hub: 18 November 2020

Psychosocial impact on frontline health and social care professionals in the UK during the COVID-19 pandemic: a qualitative interview study

BMJ Open

Objectives To explore the psychosocial well-being of health and social care professionals working during the COVID-19 pandemic. Design This was a qualitative study deploying in-depth, individual interviews, which were audio-recorded and transcribed verbatim. Thematic analysis was used for coding. Participants This study involved 25 participants from a range of frontline professions in health and social care. Setting Interviews were conducted over the phone or video call, depending on participant preference. Results From the analysis, this study identified 5 overarching themes: communication challenges, work-related stressors, support structures, personal growth and individual resilience. The participants expressed difficulties such as communication challenges and changing work conditions, but also positive factors such as increased team unity at work, and a greater reflection on what matters in life. Conclusions This study provides evidence on the support needs of health and social care professionals amid continued and future disruptions caused by the pandemic. It also elucidates some of the successful strategies (such as mindfulness, hobbies, restricting news intake, virtual socialising activities) deployed by health and social care professionals that can support their resilience and well-being and be used to guide future interventions.

Last updated on hub: 15 March 2021

Public health and human rights: ‘valuable people at risk’

National Mental Capacity Forum

This webinar explores what it means to get the balance right between protecting public health and respecting the human rights of vulnerable people in the context of COVID-19 pandemic.

Last updated on hub: 21 September 2020

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