COVID-19 resources on care homes

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Preventing respiratory illness in older adults aged 60 years and above living in long-term care

Centre for Evidence Based Medicine

This rapid overview of reviews identifies evidence from systematic reviews on infection protection and control measures for preventing respiratory illness (including coronavirus and influenza) in older adults aged 60 years and above living in long-term care. The results of the included systematic reviews suggest that high quality evidence supports treating residents with antiviral chemoprophylaxis with adamantine, as well as adamantine in combination with personal protective equipment. For the rest of the strategies, there was either no evidence of effectiveness (e.g., social isolation) or mixed evidence of effectiveness (e.g., rimantadine, zanamivir, hand hygiene, personal protective equipment). The mixed evidence on hand hygiene and use of personal protective equipment does not imply these should not be used in outbreaks.

Last updated on hub: 06 May 2020

Guidelines for preventing respiratory illness in older adults aged 60 years and above living in long-term care

Centre for Evidence Based Medicine

The findings of a rapid review of clinical practice guidelines to identify infection protection and control measures for preventing respiratory viruses (including coronavirus and influenza) in older adults aged 60 years and older in long-term care settings. The review found, that recommendations from current guidelines seem to support environmental measures for infection prevention and antiviral chemoprophylaxis for infection management as the most appropriate first-line response to viral respiratory illness in long-term care. The review notes that the findings should be treated with caution as it is unclear how many of these guidelines are based on the best available evidence due to their poor overall quality.

Last updated on hub: 06 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

Webinar recording: COVID-19 and care providers

Social Care Institute for Excellence

Watch the SCIE COVID-19 webinar hosted by Paul Burstow, Chair of SCIE. He was joined by Kathryn Smith, the incoming Chief Executive of the SCIE and a former care worker.

Last updated on hub: 30 April 2020

How can pandemic spreads be contained in care homes?

Centre for Evidence Based Medicine

A rapid review of evidence to examine how pandemic spreads, such as the coronavirus, can be contained in care homes. It considers: human resources, nursing activities and medication, and external visitors. The review, carried out on behalf of the Oxford COVID-19 Evidence Service Team, found that the effectiveness of infection control measures is dependent upon a number of factors and a combination of strategies. The most significant factors were identified as: hand hygiene, environmental cleaning and decontamination and cleaning, avoiding staff rotation and allocating staff to one facility consistently, restricting visitors, and testing which creates rapid response to contain and prevent further spread.

Last updated on hub: 28 April 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.[First published 9 April 2020; last updated 7 September 2020 to include updated information about professional visits to care homes and hospitals].

Last updated on hub: 14 April 2020

Temporary funding for adult social care providers during the Covid-19 Crisis

Local Government Association

This joint statement from the Local Government Association and the Association of Directors of Adult Social Services focuses on stabilising the adult social care market during the coronavirus (Covid-19) pandemic. It provides a framework for the consideration of the locally determined temporary funding of social care providers during the Covid-19 crisis and provides information to help councils who have not yet been able to agree what level of temporary additional support providers in their local area will need.

Last updated on hub: 14 April 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 2 September 2020].

Last updated on hub: 06 April 2020