COVID-19 resources on care homes

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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 15 October 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

Infection prevention and control

Skills for Care

Learning resources for ongoing learning and development in relation to safe and effective care, infection prevention and control. Includes webinar recordings about Coronavirus infection prevention and control in nursing homes (3 April 2020); infection prevention and control Q&A session (14 April 2020) and links to other relevant resources for induction and learning and development.

Last updated on hub: 22 July 2020

Coronavirus (COVID-19) testing in care homes: statistics to 8 July 2020

Department of Health and Social Care

Latest figures on coronavirus testing for social care staff, their household members and residents of care homes. As of 8 July, there had been an estimated 741,021 tests on workers in the UK in social care settings and their symptomatic household members for COVID-19 through Department of Health and Social Care (DHSC) testing routes. There have been an estimated 352,946 tests on care home residents for COVID-19 through DHSC testing routes in the UK. An estimated 100,900 care home residents in England had been tested for COVID-19 through PHE testing routes.

Last updated on hub: 21 July 2020

Risk factors for COVID-19 versus non-COVID-19 related in-hospital and community deaths by Local Authority District in Great Britain

medRxiv

This article is a preprint and has not been peer-reviewed. The lead researcher is Samuel Paul Leighton. Objectives: To undertake a preliminary hypothesis-generating analysis exploring putative risk factors for coronavirus diseae 2019 (COVID-19) population-adjusted deaths, compared with non-COVID-19 related deaths, at a local authority district (LAD) level in hospital, care homes and at home. Results: Significant risk factors for LAD COVID-19 death in comparison to non-COVID-19 related death were air pollution and proportion of the population who were female. Significant protective factors were higher air temperature and proportion of the population who were ex-smokers. Scottish local authorities and local authorities with a higher proportion of individuals of BAME origin are potential risk factors for COVID-19 related deaths in care homes and in hospitals, respectively.

Last updated on hub: 15 July 2020

Evolution and impact of COVID-19 outbreaks in care homes: population analysis in 189 care homes in one geographic region

medRxiv

This article is a preprint and has not been peer-reviewed. The lead researcher is Jennifer K Burton. Method: Analysis of testing, cases and deaths using linked care-home, testing and mortality data for 189 care-homes with 5843 beds in a large Scottish Health Board up to 15/06/20. Findings: 70 (37.0%) of care-homes experienced a COVID-19 outbreak.Interpretation: The large impact on excess deaths appears to be primarily a direct effect of COVID-19, with cases and deaths are concentrated in a minority of care homes. A key implication is that there is a large pool of susceptible residents if community COVID-19 incidence increases again. Shielding residents from potential sources of infection and rapid action into minimise outbreak size where infection is introduced will be critical in any wave 2.

Last updated on hub: 15 July 2020

Care homes analysis

Department of Health and Social Care

This paper provides an assessment of evidence on care homes, including optimal approaches to testing, and the potential value of other protection approaches. It reveals that some local authorities (i.e. Liverpool, Oxfordshire) have suffered higher numbers of outbreaks than might have been expected given the number of care homes locally. Nursing home have consistently higher rates of reporting outbreaks than care homes. Both residential and nursing homes show an increase as home size increases. Examining the effectiveness of approaches to reducing rates of infection, the paper stresses that testing can only support reduction of infection rates if coupled with actions to reduce contacts with positive cases and infection control more generally. It acknowledges that despite the potential reduction in risk of the non-rotation of care workers, there may be multiple operational challenges to achieving this. Cohorting of residents to receive care from a small number of carers has the potential to reduce transmission through limiting contacts. If this can be implemented easily, without creating other risks, it has the potential to reduce risk of infection. As the picture is developing rapidly and, as new evidence or data emerges, some of the information in this paper may have been superseded.

Last updated on hub: 14 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. [First published July 2020; Last updated 20 October 2020]

Last updated on hub: 09 July 2020

Care homes: outbreak testing and regular testing

Department of Health and Social Care

Sets out the next stages in the COVID-19 testing strategy for adult social care to be rolled out from 6 July. This letter to the Directors of Public Health and Directors of Adult Social Services covers outbreak management and rapid testing for care homes with outbreaks; retesting in care homes without outbreaks; extra care and supported living; and domiciliary care.

Last updated on hub: 09 July 2020

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