COVID-19 resources
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Care homes and COVID-19 in Hong Kong: how the lessons from SARS were used to good effect
Age and Ageing
In Hong Kong, about 15% of older people (aged 80 and above) live in care homes, one of the highest proportions in the world. During the spread of severe acute respiratory syndrome in 2003, the crude fatality rate for older people in care homes that were infected was 72%. After taking the advice of a team of international experts, the Hong Kong Government implemented comprehensive preventive measures to cope with the future epidemics. This commentary evaluates the effectiveness of these measures in coping with both influenza outbreaks and COVID-19 and suggests the lessons learnt are relevant to both developed and less developed countries? Lockdown in care homes is very effective under two conditions. Healthcare workers must wear surgical masks in the care home. Hospitals must adopt a strict policy to prevent virus transmission by discharged patients. Care homes situated within high-rise residential towers are particularly vulnerable to COVID-19 transmission; their residents can more easily be infected by asymptomatic carriers from the community. Airborne virus can also be transmitted more swiftly in care homes with open-plan layouts. Lockdown had been shown to significantly reduce influenza outbreaks in care homes. On the other hand, lockdown causes loneliness to residents. Care homes allow residents to move freely within the care home though with the risk of spreading the virus by resident who is an asymptomatic carrier. Finally, lockdown may cause family members to have guilty feelings. Family members can only make video call or window visit to residents.
Last updated on hub: 07 December 2020Care homes and COVID-19: advice and best practice
Social Care Institute for Excellence
Guidance, resources and best practice advice for care homes and care staff during the coronavirus (COVID-19) pandemic.
Last updated on hub: 15 June 2020Care homes and supported living: Learning and sharing following the COVID-19 lockdown
Social Care Institute for Excellence
Practice examples and resources to support care home and supported living staff.
Last updated on hub: 11 August 2020Care homes innovate to reunite residents and families during lockdown
Care Home Professional
From drive-throughs to visitor pods, garden and window visits to cuddle curtains, this article looks at the innovative ways care home providers have been going about bringing care residents and relatives back together during Covid-19 lockdown.
Last updated on hub: 20 August 2020Care homes strategy for infection prevention and control of COVID-19 based on clear delineation of risk zones
Bushproof
This strategy document is meant as a practical aid for care home managers to be able to implement effective infection control in their particular context. It is acknowledged that there will be a whole range of different types and set-ups of care home depending on the level of care required (e.g. nursing, care, sheltered housing), where each which will need a context-based response. However, the idea here is for managers to be able to use/adapt this document for their own context. The strategy is based on and incorporates current UK government guidance. The main sections of the guidance cover: delineation of zones, hand hygiene staff allocation and rotation in relation to zones, use of equipment, entrances and flow, isolation, communal living, residents with dementia and other challenging behaviours, staff clothes from home, showering and personal protective equipment (PPE). The strategy can be downloaded as a Word document from website link. [First published 17 April 2020; Last updated 16 October 2020]
Last updated on hub: 05 June 2020Care homes, their communities, and resilience in the face of the COVID-19 pandemic: interim findings from a qualitative study
medRxiv
Background From late February 2020, English care homes rapidly adapted their practices in response to the COVID-19 pandemic. In addition to accommodating new guidelines and policies, staff had to adjust to rapid reconfiguration of services external to the home that they would normally depend upon for support. This study examined the complex interdependencies of support as staff responded to COVID-19. The aim was to inform more effective responses to the ongoing pandemic, and to improve understanding of how to work with care home staff and organisations after the pandemic has passed. Methods Ten managers of registered care homes in the East Midlands of England were interviewed by videoconference or phone about their experiences of the crisis from a structured organisational perspective. Analysis used an adapted organisational framework analysis approach with a focus on social ties and interdependencies between organisations and individuals. Results Three key groups of interdependencies were identified: care processes and practice; resources; and governance. Care home staff had to deliver care in innovative ways, making high stakes decisions in circumstances defined by: fluid ties to organisations outside the care home; multiple, sometimes conflicting, sources of expertise and information; and a sense of deprioritisation by authorities. Organisational responses to the pandemic by central government resulted in resource constraints and additional work, and sometimes impaired the ability of staff and managers to make decisions. Local communities, including businesses, third-sector organisations and individuals, were key in helping care homes overcome challenges. Care homes, rather than competing, were found to work together to provide mutual support. Resilience in the system was a consequence of dedicated and resourceful staff using existing local networks, or forging new ones, to overcome barriers to care. Conclusions This study identified how interdependency between care home organisations, the surrounding community, and key statutory and non-statutory organisations beyond their locality, shaped decision making and care delivery during the pandemic. Recognising these interdependencies, and the expertise shown by care home managers and staff as they navigate them, is key to providing effective healthcare in care homes as the pandemic progresses, and as the sector recovers afterwards.
Last updated on hub: 04 January 2021Care homes: outbreak testing and regular testing
Department of Health and Social Care
Sets out the next stages in the COVID-19 testing strategy for adult social care to be rolled out from 6 July. This letter to the Directors of Public Health and Directors of Adult Social Services covers outbreak management and rapid testing for care homes with outbreaks; retesting in care homes without outbreaks; extra care and supported living; and domiciliary care.
Last updated on hub: 09 July 2020Care in the time of Covid-19: nurturing our children
Scottish Journal of Residential Child Care
In recent years there has been increasing emphasis placed upon the value of nurturing practice within children’s services in Scotland. The outbreak of COVID-19 is having an invisible, yet devastating, impact on our most vulnerable children. For most there is no school, no sports or social activity. Many children are witnessing their parents losing employment or falling ill. The longer the outbreak lasts the deeper the consequences will be on children’s life chances; their social and emotional development, their behaviour and learning.
Last updated on hub: 06 October 2020Care leavers' well-being during the Covid-19 pandemic: key messages for leaving care workers
Coram Voice
An insight paper highlighting some of the ways that local authorities and staff are supporting care leavers during the Covid-19 pandemic. It also outlines tips for Personal Advisers and Leaving Care Services that are supporting care leavers. The paper highlights the importance of young people being able to get in touch with their workers easily.
Last updated on hub: 18 May 2020Care Provider Alliance Coronavirus (COVID-19) directory
Care Provider Alliance
The Care Provider Alliance (CPA) are collating and signposting to the latest guidance and advice from reliable sources on their website. The resource includes news, guidance and information. The site is updated frequently.
Last updated on hub: 20 August 2020- « Previous
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