COVID-19 resources on Home care

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Self-direction of home and community-based services in the time of COVID-19

Journal of Gerontological Social Work

During the COVID-19 pandemic, nursing homes and assisted living facilities have accounted for over 20% of all infections, adult day care and other congregate sites have closed, and traditional home care agencies are facing staff shortages. In this environment, self-direction of home and community-based services, where the participant can hire their own staff and manage a budget that can be used for a broad range of goods and services including home modifications and assistive devices, is seen as a promising intervention. Using self-direction participants can minimize the number of people who enter their homes and pay close family and friends who were already providing many hours of informal care, and now may be unemployed. The Center for Medicare and Medicaid Services is encouraging this approach. This commentary presents information on how states have responded using the new CMS Toolkit by expanding who can be a paid caregiver, increasing budgets and broadening the kinds of items that can be purchased with budgets to include items like personal protective equipment and supports for telehealth. This Commentary concludes with policy and research questions regarding how the delivery of long-term services and supports (LTSS) may change as the world returns to“normal”.

Last updated on hub: 20 June 2020

Informal home care providers: the forgotten health-care workers during the COVID-19 pandemic

Lancet

Editorial states that during the current coronavirus (COVID-19) pandemic, informal home care provision and challenges faced by care providers, excluding those who are formal and paid, in the home context have largely been overlooked. Also makes the point that in public health emergencies, informal home care providers are a crucial human resource that improves the community’s health-care capacity, especially in regions with an ageing population and areas with suboptimal health-care systems. The comment piece suggests that for home care to better support health needs during extreme events, urgent research related to social and economic impacts of home care is needed to update policies and improve health support programmes. The piece also provides a list of research priorities relevant to informal home care providers.

Last updated on hub: 20 June 2020

Readying the NHS and adult social care in England for COVID-19

National Audit Office

This report sets out the evidence around government’s progress in preparing the NHS and social care for the COVID-19 outbreak. The report examines the facts relating to the coordination of the NHS and social care response; the change in demand for hospital care and the impact of increased bed and respiratory support capacity; the provision of adult social care and shielding for the most vulnerable; and expanding, equipping and supporting the health and adult social care workforces. Key findings include: there is concerns in parts of the social care sector that local authorities have not increased fee rates paid to care providers; while reported outbreaks of COVID-19 in care homes peaked at the start of April, it is not known how many residents have had COVID-19 or how many of those discharged from hospitals into care homes had COVID-19 at the time of discharge; about half of the 2.2 million people classed as clinically extremely vulnerable to COVID-19 have registered for support; on average, reported staff absence rates in care homes were around 10 per cent between mid-April and mid-May; from 28 April, all social care workers were eligible for tests, but the Department capped the daily amount of care home tests at 30,000; the central stockpile of Personal Protective Equipment (PPE) was designed for a flu pandemic and a range of bodies across health and social care have expressed concern about PPE supply; the supply of PPE from central sources up to mid-May only met some of the modelled requirement from health and social care providers.

Last updated on hub: 15 June 2020

COVID-19: Financial pressures in adult social care: information provided to the Minister of State for Care

Association of Directors of Adult Social Services

This note provides a summary of financial information that was provided to the Minister of State for Care, Helen Whately, about the financial pressures facing independent adult social care providers due to COVID-19. The analysis, provided by LaingBuisson, covers all independent providers supporting both younger adults and older people whether in care homes, or supported living or receiving home care.

Last updated on hub: 12 June 2020

Caring safely at home

Social Care Institute for Excellence

SCIE's video-based resource designed for unpaid/informal carers. You may be caring for family members, friends or neighbours at home.

Last updated on hub: 11 June 2020

Guidance: Adult Social Care Infection Control Fund

Department of Health and Social Care

This document sets out the infection control measures that the infection control fund will support and aims to answer questions received from local government and care providers about the Fund. The main purpose of this fund is to support adult social care providers to reduce the rate of COVID-19 transmission in and between care homes. A smaller percentage of the fund can be used to support domiciliary care providers and wider workforce resilience to deal with COVID-19 infections. Information on the distribution of grant allocations to local authorities and reporting requirements are included as annexes.

Last updated on hub: 10 June 2020

COVID-19 GUIDE 1: Visiting someone with Dual Sensory Impairment (DSI) at their home

Hearing Impairment and Visual Impairment Support UK

Hi-VisUK information and guidance series is designed to help those supporting or caring for an older person with Dual Sensory Impairment (DSI) during this COVID-19. This guide covers visiting someone with DSI at their home.

Last updated on hub: 09 June 2020

Adult Social Care Infection Control Fund ring-fenced grant 2020: local authority circular

Department of Health and Social Care

Government circular outlining the Adult social care infection control fund, which aims to support adult social care providers to reduce the rate of COVID-19 transmission in and between care homes and support wider workforce resilience. A small percentage of the fund can be used to support domiciliary care providers and support wider workforce resilience to deal with COVID-19 infections. The document is accompanied by five annexes which set out the conditions upon which the grant is paid and the local authorities to whom it will be paid. [First published 9 June 2020. Last updated: 21 September 2020].

Last updated on hub: 08 June 2020

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

Public Health England

Advice on the management of staff and patients or residents in health and social care settings according to exposures, symptoms and test results relating to COVID-19 . It includes: advice on staff with symptoms of COVID-19, staff return to work criteria, patient exposures in hospital, and resident exposures in care settings. Updates include flowcharts with information on self isolation for staff identified as contacts via the test and trace system; additional guidance on clinical symptoms; guidance for people identified as a suspected or confirmed case of the Omicron variant of COVID-19; and updated advice on PCR testing.. The guidance was written primarily for an English health professional audience. [First published 4 April 2020. Last updated 24 February 2022].

Last updated on hub: 08 June 2020

The practical steps local authorities are taking to support local social care providers

Association of Directors of Adult Social Services

This summary sets out some of the measures that local authorities have put in place to support care home and home care providers, ensure their stability and safeguard care and support during the COVID-19 pandemic. It focuses on the financial support and practical support being offered to social care providers.

Last updated on hub: 29 May 2020

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