COVID-19 Practice example on Care homes

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Working together on infection control and joint support

West London Alliance

As part of a wider joint approach, West London Alliance local authorities and North West London Health have established a joint response to care homes to support the significantly increased need for infection control advice and expertise to protect residents and staff. Local authority commissioners are the key interface with all care homes in NWL, liaising with them daily to understand their situation and their individual needs. Commissioners are providing support where they can, providing staff and PPE, and co-ordinating additional support. 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: 31 March 2021

Responding to COVID19: examples of changing and emerging practice across the East of England

Association of Directors of Adult Social Services

Since the start of the pandemic in March 2020, COVID19 has prompted a wide range of much needed and proactive responses to ensure people stay as independent as possible, well, safe and connected. Barriers that existed before the pandemic, have in most cases easily been removed. There is evidence of communication, partnership working and digital technology being embraced. Although it is recognised that face to face responses will continue to play an important role, there is evidence of emerging practice which has achieved better outcomes for people and that should be sustained post COVID19. This publication highlights some of those. The paper shares examples of emerging practice during the pandemic. They cover a multitude of areas such as: the use of digital technology; supporting care markets and providers; reaching out to people and communities; supporting people with accommodation needs; ensuring person-centred care and coproduction; and supporting the workforce to stay well.

Last updated on hub: 19 January 2021

The COVID-19 pandemic and long-term care: what can we learn from the first wave about how to protect care homes?

Eurohealth

The COVID-19 pandemic has highlighted and exacerbated pre-existing problems in the long-term care sector. Based on examples collected from the COVID-19 Health System Response Monitor (HSRM) and the International Long-term care Policy Network (LTCcovid), this article aims to take stock of what countries have done to support care homes in response to COVID-19. By learning from the measures taken during the first wave, governments and the sector itself have an opportunity to put the sector on a stronger footing from which to strengthen long-term care systems.

Last updated on hub: 15 January 2021

Caring in COVID

National Care Forum

A collection of stories about care, communities and leadership during the COVID-19 pandemic. This piece of social history records and highlights the response from NCF members, brought together as a collection of real-life stories in an ebook. The compendium details how, during the COVID-19 pandemic and ensuing restrictions, NCF members and the communities they serve, came together and rose to the challenge to support those who needed it most. Contents include: stories from the frontline; community and volunteer voices; keeping it fun; keeping the connection; the many faces of leadership; and partner stories.

Last updated on hub: 22 December 2020

Key workers: creative ageing in lockdown and after

The Baring Foundation

This report focuses on creative ageing during the pandemic, drawing on a small survey of 62 arts organisations as well as short case studies describing their experience of offering activities during lockdown. During lockdown there were many artists skilled in working with older people and with established relationships including with care homes and housing associations, as well as with charities for older people. Lockdown meant that these arts organisations needed to develop new ways of working with older people which had until then almost always been in person. Most organisations swiftly developed online offers of activities, usually from scratch. These were either interactive, for instance using Zoom, or performances or ‘how to’ sessions that might be on YouTube or similar platforms. Keenly aware of the digital divide, these were almost always accompanied by non-digital methods such as telephone contact and activity packs through the post and often extended to other services such as befriending or delivering food. The report argues that towards the end of 2020 the future for creative ageing looks uncertain, with the nation depending on social distancing and many older people and care homes being extremely cautious about interacting with other people. For the foreseeable future this is likely to be a blended approach of remote working methods that are both digital and non-digital. More needs to delivered by care home staff though they are already overstretched. Crucially, arts organisations will be reliant on the support of funders, especially in the arts and health sectors.

Last updated on hub: 09 November 2020

International examples of measures to prevent and manage COVID-19 outbreaks in residential care and nursing home settings

International Long-term Care Policy Network

This document provides examples of policy and practice measures that have been adopted internationally to prevent COVID-19 infections in care homes and to mitigate their impact. The evidence shows that: while both the characteristics of the population in care homes and the difficulties of physical distancing in communal living mean that care home residents are at high risk of dying from COVID-19, these deaths are not inevitable; countries with low-levels of infection in the population typically also have low shares of infections in care homes; the response to COVID-19 in care homes needs to be coordinated across all relevant government departments and levels, and with the acute health sector response; timely data on the impact of COVID-19 in care homes is essential to ensure that opportunities for preventing large numbers of deaths are not missed; evidence of asymptomatic transmission and atypical presentation of COVID-19 in geriatric populations should be reflected in guidance documents and testing policies; while there are infections local to care homes, regular testing of residents and staff will be essential, ideally followed by contact tracing and effective isolation; most countries have restricted visitors but this policy alone has not protected care homes from infection; staff pay and living conditions may be an important barrier to effective infection controls, particularly if staff do not have access to sick pay or need to work in multiple facilities (or live in crowded accommodation); access to healthcare and palliative care (in terms of personnel, medicines and equipment) needs to be guaranteed, particularly for homes without nursing or medical staff; measures to address the psychological impact of the pandemic on both staff and residents need to be put in place.

Last updated on hub: 04 November 2020

Cohorting, zoning and isolation practice: commissioning for resilient care home provision: a report to the Social Care Sector COVID-19 Task Force

Care England

Guidance on developing good practice in cohorting, zoning and isolation practice in care home settings as a means of ensuring the effective implementation of the Public Health England (PHE) national guidance and high standards of infection prevention and control. Various examples and documents already exist which exemplify notable practice and provide national guidance. This document brings some of this together to address particular questions for the Task Force. As well as providing advice to the Task Force, it might also act as a checklist for commissioners to assess what they have already done / might do. It is split as follows: context; some key principles to guide work in this area; describing good practice in cohorting – within existing provision, or in dedicated facilities; what this means for commissioners and how they work with care providers recognising the critical relationships between them; resource considerations; and practice examples and references.

Last updated on hub: 17 September 2020

Case studies

Care Home Professional

Brings together innovative examples of good practice in care homes. They case studies cover a range of topics, including responses to Covid-19; quality of care; the use of technology; social activities and entertainment; and helping residents stay connected.

Last updated on hub: 07 September 2020

Care 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 2020

Care 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 2020

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