COVID-19 resources on home care

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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This article is a preprint and has not been peer-reviewed.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

Local government and Covid-19: social care, a neglected service

Local Government Information Unit

This briefing looks at the state of the social care sector pre-pandemic and the impact that the virus has had on care homes and domiciliary care. There were over 4,000 deaths involving COVID-19 in care homes England in the two weeks up to 28 April – over four times the number recorded in residential and nursing homes up to that point and it is not clear whether the virus has yet reached its peak in this sector. The social care sector has been underfunded and under-valued by successive governments and was in a parlous state before the pandemic took hold. The briefing discusses: rates of infections and deaths in social care settings; continuing concerns about lack of adequate PPE provision to both care homes and domiciliary care providers; lack of testing for both care workers and residents/clients and what this means for the safety of social care provision; the additional costs of COVID-19 on local authorities and care providers in an already underfunded and unstable sector; and the lessons that can be learnt.

Last updated on hub: 08 July 2020

Verification of Expected Death (VOED) with clinical remote support: guidance for adult social care workers: consultation version

Skills for Care

This guidance is primarily for adult social care providers in residential and community settings, outlining the process and procedures for verifying an expected death with remote clinical support. It is designed to support decision making within local systems and explains how to prepare to verify 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. The guide covers: what providers and managers need to think about beforehand to inform decision making about verifying expected death with clinical remote support and who to involve; information to support decision making of whether care staff will verify a person’s death with remote support; the process of verifying an expected death with remote support; what to consider after the process, care of the deceased and the family and the importance of employee wellbeing and support for those involved, including sources of support.

Last updated on hub: 06 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

Home care for patients with COVID-19 presenting with mild symptoms and management of their contacts: interim guidance

World Health Organization

This rapid advice is intended to guide public health and infection prevention and control professionals, health care managers and health care workers when addressing issues related to home care for patients with suspected COVID-19 who present with mild symptoms and when managing their contacts. The guidance is based on evidence about COVID-19 and the feasibility of implementing infection prevention and control measures at home.

Last updated on hub: 29 June 2020

Deaths involving COVID-19 in the care sector, England and Wales: deaths occurring up to 1 May 2020 and registered up to 9 May 2020

The Office for National Statistics

Provisional figures on deaths involving the coronavirus (COVID-19) within the care sector, in England and Wales. The report shows that since the beginning of the coronavirus (COVID-19) pandemic (between the period 2 March and 1 May 2020) there were 45,899 deaths of care home residents (wherever the death occurred). COVID-19 was the leading cause of death in male care home residents and the second leading cause of death in female care home residents, after Dementia and Alzheimer disease. Between 10 April 2020 and 8 May 2020 there were 3,161 deaths of recipients of domiciliary care in England – this was 1,990 deaths higher than the three-year average (1,171 deaths).

Last updated on hub: 25 June 2020

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

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