COVID-19 practice guidance on care homes

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Preventing and managing COVID-19 across long-term care services: policy brief

World Health Organization

This briefing provides policy objectives and key action points to prevent and manage COVID-19 across long-term care settings. The brief builds on currently available evidence on the measures taken to prevent, prepare for and respond to the pandemic across long-term care services including care providers. COVID-19 has affected older people disproportionately, especially those living in long-term care facilities. In many countries, evidence shows that more than 40% of COVID-19 related deaths have been linked to long-term care facilities, with figures being as high as 80% in some high-income countries. Concerted action is needed to mitigate the impact across all aspects of long-term care, including home- and community-based care, given that most users and providers of care are those who are vulnerable to severe COVID-19. Specifically, the paper argues that the following policy objectives should be pursued to mitigate the impact of COVID-19 across long-term care: include long-term care in all phases of the national response to the pandemic; mobilise adequate funding; ensure effective monitoring and evaluation of the impact of COVID-19 on long-term care; secure staff and resources, including adequate health workforce and health products; ensure the continuum and continuity of essential services for people receiving long-term care; ensure that infection prevention and control standards are implemented and adhered to in all long-term care settings; prioritise testing, contact tracing and monitoring of the spread of COVID-19 among people receiving and providing long-term care services; provide support for family and voluntary caregivers; prioritise the psychosocial well-being of people receiving and providing long-term care services; ensure a smooth transition to the recovery phase; and initiate steps for the transformation and integration of health and long-term care systems.

Last updated on hub: 27 July 2020

Tips on visiting care home residents as lockdown eases

carehome.co.uk

Brings together guidance and advice on how the public can visit care home residents as the COVID-19 lockdown measures ease. The resource covers: government guidelines to care home visits for England, Wales, Scotland and Northern Ireland; how care homes enable visitors; what to do before visiting a care home; what to expect from the first visit after lockdown; and visiting a relative living with dementia in a care home.

Last updated on hub: 27 July 2020

Update on policies for visiting arrangements in care homes

Department of Health and Social Care

Guidance for making arrangements for limited visits to care homes, aimed at care providers and directors of public health. Visiting policies and decisions must aim to minimise the risk of coronavirus (COVID-19) transmission wherever possible, taking into account the circumstances of the individual care home (for example, its employee availability, resident demographics and outbreak status); and its local circumstances (local epidemiological risk, presence of outbreaks in the community). The guide sets out the principles of a local approach to visiting arrangements and dynamic risk assessment; guidance for providers establishing their visiting policy; guidance for providers taking decisions on visiting for particular residents or groups of residents; infection control precautions; communicating with relatives and others about the visiting policy and visiting decisions. [Published 22 July 2020; Last updated 21 September 2020]

Last updated on hub: 23 July 2020

Infection prevention and control information

Harrogate and District NHS Foundation Trust

Produced by the team employed by Harrogate and District NHS Foundation Trust and commissioned to provide infection prevention and control (IPC)services in North Yorkshire covering Health and Social Care settings. Offers bespoke training and consultancy services, as well as an variety of downloadable resources for care homes and home care.

Last updated on hub: 22 July 2020

Achieving residential care business success: moving beyond COVID-19

CoolCare

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

Coronavirus (COVID-19): adult care homes visiting guidance

Scottish Government

This guidance sets out how care home visiting in Scotland may be re-introduced while minimising the risks to residents, staff and visitors. It takes a staged approach, where stage 1 – essential visits only - has been in operation throughout the COVID-19 pandemic. The guide sets out how relaxation of visiting restrictions will take place in three further stages, moving through outdoor visiting, indoor visiting by one designated person and eventually to a controlled programme of outdoor and indoor visiting. It explains what precautions will be taken to safeguard resident, visitor and staff safety.

Last updated on hub: 09 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

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

COVID-19: visitors’ protocol. CPA Briefing for care providers

Care Provider Alliance

This protocol provides a set of principles and top tips for developing visiting policies in residential settings - to ensure people using care and support have the opportunity to safely receive visitors during the COVID-19 pandemic, while minimising the risk of its introduction to, or spread within, the care setting. The protocol is primarily aimed at care settings which cater for older people, including people with dementia, such as residential and nursing homes. However, it will be of help for other care settings such as those supporting working age people with a range of vulnerabilities, including physical, sensory or learning disabilities. The protocol sets out the principles for considering how to allow visitors in care settings, recognising the importance of finding ways to ensure this is done in a risk-based, balanced way. It examines the types of visits that may be considered, the policies and procedures that are needed, visitor restrictions and ability to suspend visiting, effective communication, and learning as the situation develops. The protocol includes a set of rights and responsibilities for both care providers and visitors which put the welfare and wellbeing of residents / people receiving care at the heart of the approach to developing their visiting policies.

Last updated on hub: 24 June 2020

Personal protective equipment (PPE): resource for care workers working in care homes during sustained COVID-19 transmission in England

Public Health England

This guidance provides advice for care workers working in care homes on the use of personal protective equipment (PPE) during the period of sustained transmission of the coronavirus (COVID-19). The guidance is also relevant for those providing residential supported living. This resource, which has been designed to be accessible to both care workers and providers, has four sections containing: recommendations on the use of PPE for a range of relevant contexts; explanation concerning recommendations and frequently asked questions; specialist advice relating to care for people with learning disabilities and/or autism; and case scenarios designed to illustrate appropriate use of PPE in practice. It should be read in conjunction with the full infection prevention and control (IPC) and PPE government guidance. [Published 17 April 2020; Last updated 28 August 2020]

Last updated on hub: 23 June 2020