COVID-19 resources

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Achieving residential care business success: moving beyond COVID-19


Coming from a range of backgrounds of working and investing in residential care provision, the panellists in this webinar offer practical ideas on how residential care businesses can move through the coronavirus crisis as well sharing their views on the future of the market. The webinar provides advice and guidance on a multitude of topics, including: new care home design and layout trends to boost enquiry conversions and infection control; the power technology is having on restoring consumer confidence when placing a loved one; and new staffing processes that are been implemented to boost compliance and minimise risk.

Last updated on hub: 13 July 2020

Achieving safe, effective, and compassionate quarantine or isolation of older adults with dementia in nursing homes

American Journal of Geriatric Psychiatry

Nursing homes are facing the rapid spread of COVID-19 among residents and staff and are at the centre of the public health emergency due to the COVID-19 pandemic. As policy changes and interventions designed to support nursing homes are put into place, there are barriers to implementing a fundamental, highly effective element of infection control, namely the isolation of suspected or confirmed cases. Many nursing home residents have dementia, associated with impairments in memory, language, insight, and judgment that impact their ability to understand and appreciate the necessity of isolation and to voluntarily comply with isolation procedures. While there is a clear ethical and legal basis for the involuntary confinement of people with dementia, the potential for unintended harm with these interventions is high, and there is little guidance for nursing homes on how to isolate safely, while maintaining the human dignity and personhood of the individual with dementia. This commentary discusses strategies for effective, safe, and compassionate isolation care planning, and present a case vignette of a person with dementia who is placed in quarantine on a dementia unit.

Last updated on hub: 08 October 2020

Acting as an attorney or deputy from a distance: COVID-19 and supporting others

Office of the Public Guardian

An overview, signposting to relevant resources and guidance, on how an attorney or deputy can continue to fulfil their role during the Covid-19 pandemic and lockdown.

Last updated on hub: 10 September 2020

Activities delivered at home by family carers to maintain cognitive function in people with dementia socially isolating during COVID-19: evidence for non-technology based activities / interventions

Centre for Evidence Based Medicine

A rapid review to identify evidence for which non-technology based activities that can be delivered at home by family carers are effective in maintaining cognitive function in people with dementia who are socially isolating during COVID-19. These interventions can include reminiscence therapy, cognitive stimulation therapy, music-based interventions, art therapy or meaningful activities. The review found very few studies where family carers were trained or supported to deliver an intervention within the home environment. However, it identified a small body of evidence to suggest that activities delivered at home by family carers may have some positive effects on cognition and mood. The evidence suggests that engaging people with dementia in activities that they find enjoyable or those that link to past work/hobbies can be helpful in giving a sense of purpose and meaning during a time of isolation. Non-technology based interventions may have some practical advantages for those currently isolating at home since they are inexpensive and do not require extensive training.

Last updated on hub: 01 June 2020

ADASS autumn survey 2020

Association of Directors of Adult Social Services

Findings from the ADASS autumn survey, which was distributed between 22nd October and 13th November 2020. There are 151 local authorities in England with adult social care responsibility. For this survey, there were 101 completed returns. Key messages include: the onset of the pandemic has led to an increase in the number of people presenting with adult social care needs to local authorities, with concerning increases in older and disabled people presenting for domestic abuse and safeguarding and carer breakdown since June 2020; the precarious financial position of adult social care means that Directors confidence in meeting what they have to do in law, which is the cornerstone of meeting basic human rights, continues to diminish year on year; since the onset of Covid-19 the risk of already fragile care markets failing has significantly heightened; adult social care services are facing significant financial pressures in 2020/21, with an overspend of £468m predicted nationally, as a result of the additional need and costs that have emerged as a result of the onset of the pandemic and despite additional funding for Covid-19 from Government.

Last updated on hub: 24 November 2020

ADASS budget survey 2020

Association of Directors of Adult Social Services

This report presents the finding of an annual survey of the director of adult social services, focusing on budgets for adult social care in councils and, additionally, on the impact of COVID-19 on adult social care and local authorities’ response to it. From the analysis of the survey responses the following key messages emerge: without significant financial intervention from the Government, the lives of people who use social care and their family carers will be seriously impacted in terms of their lives and wellbeing; the actual costs to local authorities and adult social care providers of the pandemic will far outstrip the Emergency Funding made available by the Government to-date; the risk of already fragile care markets failing has significantly heightened as a result of the impacts of COVID-19; only 4 per cent of respondents are fully confident that their budget will be sufficient to meet their statutory duties this year, down from 35 per cent in 2019/20; a fundamental shift in resources is required from Government as part of a long-term funding settlement for adult social care and to ensure the workforce is adequately rewarded for their commitment and highly skilled and essential work. The report calls for a two-year ringfenced funding settlement for adult social care to cover the additional costs of COVID-19 and to allow reform to be agreed, planned and implemented; a new employment deal with social care staff; reform of the care provider market to ensure sustainability, economic growth and quality of care; and a consultation programme with extensive public engagement over the next two years to build the care and support that people want for the short and long term.

Last updated on hub: 30 June 2020

ADASS coronavirus survey

Association of Directors of Adult Social Services

This report presents the results of a survey of the Director of Adult Social Services on the impact of Covid-19 on adult social care and councils’ response to it. It focuses in particular on the steps local authorities have taken to meet the changing social care needs in the context of the pandemic; their engagement with and support to providers; the sustainability of the care market; and the interface between the NHS and social care. Almost a quarter of all respondents said that social care need had increased, mostly as result temporary closure of services, providers’ concerns about accepting new clients and people declining services they are offered. Councils have responded to the increase in need by enhancing their information and advice offer; re-training council staff; using volunteers; increased use of digital technology and drawing capacity from other areas. The survey shows that a number of Directors believe there are insufficient primary and community services in their local areas and that around a quarter thought that more than half of care home Covid-19 infections were attributable to rapid hospital discharge (combined with a lack of PPE and testing). The report identifies four key lessons from the response to COVID-19: there has been too much emphasis on protecting the NHS at the expense of care homes; more protection for care homes was needed – including not discharging Covid-19 patients from hospital to care homes; testing before discharge and step-down facilities before care home admission; and improved supply of PPE.

Last updated on hub: 15 June 2020

ADASS rapid survey: how are local authorities supporting local social care providers to respond to Covid-19?

Association of Directors of Adult Social Services

The results of a rapid survey of Association of Directors of Adult Social Services (ADASS) members to gather data about the measures local authorities have put in place to support local social care providers during the COVID-19 outbreak. It found that 95% of responding local authorities are using a variety of payments in advance to support care providers. Of those local authorities that have taken action to address the temporary cost pressures facing providers, 97% have provided financial support to providers. The survey was carried out between 28th April to 1 May 2020 and received from 89% of local authorities with responsibility for Adult Social Care in England.

Last updated on hub: 29 May 2020

Adherence of home‐based Wu Qin Xi programs during the COVID‐19 epidemic in Shanghai

International Journal of Geriatric Psychiatry

Details of an exercise intervention published in a letter to the editor. Home‐based exercise programs are widely accepted to improve immunity and prevent infection at home. In the COVID‐19 epidemic particular situation, home‐based exercise programs play a key part in immunity enhancement as well as infection prevention. Authorities selected the Wu Qin Xi (WQX) exercises program because it can can improve the cognitive function, anxiety, depression, sleeping, and balance ability in elderly people. This study investigated the exercise adherence with a sample of 1500 participants. Findings: An important component facilitating the optimal effectiveness of exercise programs is a high level of exercise adherence. Conclusion: is that WQX exercise program was found to be an home‐exercise program that achieves high adherence in elderly adults who lived in these communities during outbreak of the COVID‐19 epidemic in Shanghai.

Last updated on hub: 21 December 2020

Admission and care of residents in a care home during COVID-19

Department of Health and Social Care

Government guidance setting out how to admit and care for residents of care homes safely and protect care home staff during the coronavirus (COVID-19) pandemic. It also includes information on reporting COVID-19 cases, providing care after death and supporting existing residents that may require hospital care. The guidance is intended for care homes, local health protection teams, local authorities, clinical commissioning groups (CCGs) and registered providers of accommodation for people who need personal or nursing care. This includes registered residential care and nursing homes for people with learning disabilities, mental health or other disabilities. [Published 2/04/20. Last updated 24 December 2020].

Last updated on hub: 06 April 2020