COVID-19 practice guidance on care homes

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The Mental Capacity Act (2005) (MCA) and deprivation of liberty safeguards (DoLS) during the coronavirus (COVID-19) pandemic: additional guidance

Department of Health and Social Care

Emergency guidance for health and social care staff in England and Wales who are caring for adults who lack the relevant mental capacity to consent to their care and treatment during the coronavirus (COVID-19) Pandemic. This document provides additional guidance to supplement 'The Mental Capacity Act (2005) (MCA) and deprivation of liberty safeguards (DoLS) during the coronavirus (COVID-19) pandemic', which was published in April 2020. It includes guidance on: testing someone who lacks the relevant mental capacity; providing life-saving treatment to someone who lacks the capacity to consent; hospitals and care homes; and using emergency public health powers when someone who lacks relevant capacity needs to be isolated because they have symptoms and are not following public health advice.

Last updated on hub: 01 June 2020

Strengthening the health system response to COVID-19: preventing and managing the COVID-19 pandemic across long-term care services in the WHO European Region (May 29, 2020)

World Health Organization Regional Office for Europe

This technical guidance identifies ten policy objectives to prevent and manage COVID-19 infections in long-term care services. It includes proposed actions and examples from across Europe and aims to help decision-makers, policy-makers and national or regional health authorities as they seek ways to prevent and manage the COVID-19 pandemic in long-term care services. The focus is on older people above the age of 65 years who use long-term care services in their homes, day centres or residential homes and nursing homes. The 10 policy objectives cover: Prioritizing the maintenance of LTC services; Mobilizing additional funds; Implementing prevention and control standards; Implementing safety measures that recognise the mutual benefits of the safety of people receiving and providing LTC services; Prioritizing testing, tracing and monitoring the spread of COVID-19; Securing staff and resources; Scaling up support for family caregivers; Coordinate between services; Secure access to dignified palliative care services; and Prioritize the well-being of people receiving and providing LTC services.

Last updated on hub: 28 May 2020

COVID-19: management of exposed staff and patients in health and social care settings

Public Health England

Guidance on the management of staff and patients who have been exposed to COVID-19. It covers staff exposures to COVID-19, staff return to work criteria, and patient exposures to COVID-19. It is accompanied by flow charts describing return to work of staff following a SARS-CoV-2 test. The guidance has been written primarily for an English health professional audience. [Published 2/04/2020. Last updated 22/05/2020].

Last updated on hub: 19 May 2020

Dementia in care homes and COVID-19

Social Care Institute for Excellence

Helpful quick guide about COVID-19 and people living with dementia in care homes. Produced in collaboration with NHS England and NHS Improvement.

Last updated on hub: 13 May 2020

Guidance for managers and decision makers in supporting care home workers during COVID-19

University College London (UCL)

Evidence-based guidance for managers who are involved in supporting staff working in care home settings during the coronavirus (COVID-19) pandemic. The guidance is based on a rapid synthesis of published research, expert clinical opinion and the experiences of care home mangers and staff. It highlights the unique challenges care home workers face and provides recommendations for supporting care home workers in the following areas: provision of basic needs; accessible information about COVID-19; protocols for dealing with residents and staff who are symptomatic; communication and social support; support for psychological wellbeing; grief and bereavement training; and self-care.

Last updated on hub: 05 May 2020

COVID 19: how to work safely in care homes

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 15 June 2020]

Last updated on hub: 20 April 2020

Coronavirus (COVID-19) infection control for care providers

Social Care Institute for Excellence

Read this SCIE quick guide that sets out best practice for care providers to remain safe and prevent coronavirus from spreading.

Last updated on hub: 17 April 2020

The Mental Capacity Act (2005) (MCA) and Deprivation of Liberty Safeguards (DoLS) during the coronavirus (COVID-19) pandemic

Department of Health and Social Care

Emergency guidance for health and social care staff in England and Wales who are caring for adults who lack the relevant mental capacity to consent to their care and treatment during the coronavirus (COVID-19) Pandemic. The guidance is designed to minimise additional pressures on hospitals and care home and ensures that decision makers are clear about the steps they need to take. It focuses on new scenarios and potential ‘deprivations of liberty’ created by the outbreak. The guidance states that it may be necessary during the COVID-19 Pandemic to "to change the usual care and treatment arrangements of somebody who lacks the relevant mental capacity to consent to such changes" and that changes to a person’s care or treatment in these scenarios will not constitute a new deprivation of liberty. The guidance includes a decision-making flow chart for decision makers in hospitals and care home. The guidance will apply until withdrawn by the Department. [Last updated 29/05/2020].

Last updated on hub: 14 April 2020

Coronavirus (COVID-19): admission and care of people in care homes

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 19/06/20].

Last updated on hub: 06 April 2020

COVID-19: Managing the COVID-19 pandemic in care homes

British Geriatrics Society

Good practice guidance developed to help care home staff, and NHS staff who work with them, to support care home residents through the coronavirus pandemic. Sections cover: identifying residents who may have COVID-19 and how to respond; isolating residents; advance care planning; decisions about escalation of care to hospital; and supporting care home residents and staff.

Last updated on hub: 26 March 2020