COVID-19 resources for managers and leaders

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The future of care for older people: turning the lessons learned into actions

Age UK

Drawing on the lessons from the pandemic, Caroline Abrahams argues that far-reaching change to adult social care, and funding to match, cannot be put off any longer. The article explores adult social care under-funding, what good care for older people looks like, prioritising care at home, care and dementia, health and nursing support for care homes, parity for care staff with the NHS, and accountability for care and the role of ICSs.

Last updated on hub: 07 July 2020

Understanding the needs of young carers in the context of the COVID-19 global pandemic

University of East Anglia

Presents the finding of a study to gain a rapid and holistic understanding of the issues facing young carers in the COVID-19 crisis. Semi structured interviews were conducted with eight young carers, five young adult carers, three parents of young carers and four youth workers. The findings are structured around the following five themes: complexity of care; increase in caring role; external support; education; mental health and managing the stress. They suggest that no two young carers are alike, nor is the complexity of the care they provide or the context within which they provide that care. Each of the youth workers that took part in the study said that the caring responsibilities for older carers had increased exponentially during the pandemic. The restrictions in place through social distancing have further compounded an uneasy relationship with health and social care services, with poor communication and a lack of awareness of the needs of young carers. A strong desire for the routine and respite of school was prominent throughout the young carer interviews – some of the young carers were struggling to manage the requirements of home learning and felt that this was disproportionate to that of their peers who did not have caring responsibilities. In addition, the increase of pressure and stress for young carers was palpable within many of the interviews. The report sets out the implications for policy and practice, urging to continue to raise awareness of young carers and young adult carers, particularly within educational settings which can act as a sanctuary and a safeguard for them.

Last updated on hub: 06 July 2020

Exploiting isolation: offenders and victims of online child sexual abuse during the COVID-19 pandemic

European Union Agency for Law Enforcement Cooperation

This report examines activities involving the sexual abuse and exploitation of children online and related offline crimes with a particular focus on how offenders have used their time during COVID-19 confinement to increase children’s vulnerability. The findings of this report are mainly based on contributions from Member States and Europol’s partner countries and input from a number of organisations. Key findings are: there have been significant increases in activity relating to child sexual abuse and exploitation on both the surface web and dark web during the COVID-19 lockdown period; travel restrictions and other measures during the pandemic have likely prevented offenders from travelling and so have shifted their focus to the exchange of child sexual abuse material (CSAM) online; an increase in the number of offenders exchanging CSAM online during lockdown may have an impact on and stimulate demand for this type of material online beyond the lockdown; increases in detection and reporting of CSAM on the surface web during lockdown indicate the level of re-victimisation of children through the distribution of images and videos depicting them; consistent levels of activity by offenders on the dark web during lockdown reflects the ongoing organised business model that has evolved and the level of threat that it poses to children; society, including law enforcement, needs to focus on the self-generation of CSAM to ensure that children are protected from this type of exposure to harm; the increased circulation of CSAM during the COVID-19 pandemic will also increase the need for law enforcement to identify the victims depicted in it; it is critical to continue to promote preventive and educational initiatives in a coordinated and structural manner across Europe.

Last updated on hub: 06 July 2020

Helping adult day centres to ‘unlock lockdown’. Part 1: planning practically for re-opening

King's College London

This document covers some of the practicalities of re-opening adult day centres as COVID-19 control measures are eased. It draws on guidance related to the pandemic, on broader guidance relating to social care, and relevant advice and action points for regulated settings (such as early years day care and care homes), some of which is also relevant to adult day centres. There is strong evidence that attending a day centre brings quality of life and so, despite risks, enabling people to have the choice of going to a day centre is something worthwhile. The document covers: infection control; communications; supporting service users, carers, staff and volunteers, and centre managers and coordinators; final things that managers and coordinators are likely to want to consider doing before re-opening; practical scenario planning tool. Part 2 of these guidance prompts reflection on what has happened during lockdown, what else centre managers and coordinators may wish to think about, the process of moving forwards and any learning that will be helpful for the future. Individual sections can be completed according to the stage you are in.

Last updated on hub: 06 July 2020

Helping adult day centres to ‘unlock lockdown’. Part 2: reflecting about what has happened, our ‘journey’ during closure and the future of our service

King's College London

This tool prompts adult day centre managers and coordinators to reflect on what has happened during COVID-19 lockdown, the process of moving forwards and any learning that will be helpful for the future. There is strong evidence that day centres are valued by the people who attend and that they improve their quality of life. They help people to stay living at home and provide family members with help in their caring role. They play an important part in preventing loneliness and social isolation. They can also be part of the recovery from the coronavirus pandemic. The reflective points suggested in this tool may help mangers and coordinators think about the reasons for making this effort to restarting the recovery journey. Part 1 of this guidance covers some of the practicalities of re-opening, focusing on infection control, communications, supporting service users, carers, staff and volunteers, and planning.

Last updated on hub: 06 July 2020

Severe mental illness and Covid-19: service support and digital solutions

Rethink Mental Illness

This briefing shares insights on service support for people with mental illness and digital solutions during the pandemic, drawing on online research with service users, as well as information from services. The paper sets out some of the challenges people severely affected by mental illness have faced during the pandemic and poses questions and suggestions on how they could be addressed, and how services can adapt to this new environment. It shows that service users are struggling with the delivery of remote services, or have seen a drop off in the level of support they have received. A concerning number have received no support at all. The briefing makes a series of recommendations on change to delivery of services and digital solutions: policy solutions for digitally excluded people are urgently required and should be a priority for NHS England and the government; as lockdown restrictions are lifted, digital and telephone consultations should continue to be provided, but only as an enhancement of options for service users who prefer this method; service users must be involved in designing and delivering mental health services during and post-pandemic.

Last updated on hub: 06 July 2020

CQC publishes data on deaths of people with a learning disability

Care Quality Commission

Data on the impact of coronavirus (COVID-19) on people with a learning disability, some of whom may also be autistic, and how the number of deaths during this period compares to the number of deaths last year. This data shows that between 10 April and 15 May this year, 386 people with a learning disability, some of whom may also be autistic, died who were receiving care from services which provide support for people with a learning disability and/or autism. This is a 134% increase in the number of death notifications this year, compared to the same period last year. [Published 2 June 2020. Updated 5 June 2020]

Last updated on hub: 06 July 2020

CQC publishes data on deaths in care settings broken down by ethnicity

Care Quality Commission

Data on the impact of coronavirus (COVID-19) on different ethnic groups in care settings. This data – which includes death notifications in adult social care settings from 10 April -15 May 2020 (and the equivalent period in 2019) – indicates a disproportionate number of deaths among people from BME groups. The data shows that while the vast majority of all reported deaths from adult social care settings were White people the proportion of deaths in all adult social care services due to confirmed or suspected COVID-19 was higher for Black (49%) and Asian (42%) people compared to White people (41%) and people from mixed or multiple ethnic groups (41%).

Last updated on hub: 06 July 2020

Verification of Expected Death with clinical remote support for a care worker during Covid-19 time of emergency [Consultation version]

Skills for Care

This infographic provides step by step guidance for adult social care providers and registered managers on the process of verifying an expected death with remote support. The Coronavirus Act 2020 and recent government guidance makes special arrangements for verifying an expected death with clinical remote support in a community setting, such as care homes, supported living accommodation or when a person receives care in their own home.

Last updated on hub: 06 July 2020

Isolated and struggling: social isolation and the risk of child maltreatment, in lockdown and beyond

National Society for the Prevention of Cruelty to Children

This briefing pulls together research evidence to explore whether the conditions imposed by the COVID-19 pandemic heighten the risk of child maltreatment in the UK. From the analysis of a range of different risks and issues three main areas of risk were identified: 1. Increase in stressors to parents and caregivers – the evidence confirms that the risk of child abuse is higher when caregivers become overloaded by the stressors in their lives and there are indications that the coronavirus pandemic has increased stressors on caregivers; 2. Increase in children and young people's vulnerability – there are indications that the conditions caused by the coronavirus pandemic have heightened the vulnerability of children and young people to certain types of abuse, for example online abuse, abuse within the home, criminal exploitation and child sexual exploitation; 3. Reduction in normal protective services – there is evidence that the ‘normal’ safeguards have been reduced during the pandemic but social connections and social support can provide a protective effect for children’s safety and wellbeing. The report recommends a national and local response from governments and statutory agencies which includes practical steps such as: providing practical support to parents around income maximisation to reduce stresses caused by financial insecurity; addressing digital exclusion, ensuring all children have access to the technology they need to access school, therapeutic support and other services; comprehensive and long-term funding for children’s services, with at least £2 billion a year invested in early intervention and therapeutic services.

Last updated on hub: 02 July 2020