COVID-19 resources on infection control

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Right2visit

bemix

This website is for families or close friends having problems visiting a loved one who is autistic and/or has learning disabilities. Visits are being limited or stopped because of COVID-19.

Last updated on hub: 19 October 2020

Risk factors associated with SARS-CoV-2 infection and outbreaks in long term care facilities in England: a national survey

medRxiv

This article is a preprint and has not been peer-reviewed. This study aimed to identify risk factors for SARS-CoV-2 infection and outbreaks in Long Term Care Facilities (LTCFs). It was a cross-sectional survey of all LTCFs providing dementia care or care to adults >65 years in England with linkage to SARS-CoV-2 test results. Findings: 5126/9081 (56%) LTCFs participated in the survey, with 160,033 residents and 248,594 staff. The weighted period prevalence of infection in residents and staff respectively was 10.5% (95% CI: 9.9-11.1%) and 3.8% (95%: 3.4-4.2%) and 2724 LTCFs (53.1%) had ≥1 infection. Odds of infection and/or outbreaks were reduced in LTCFs that paid sickness pay, cohorted staff, did not employ agency staff and had higher staff to resident ratios. Higher odds of infection and outbreaks were identified in facilities with more admissions, lower cleaning frequency, poor compliance with isolation and “for profit” status. Interpretation: Half of LTCFs had no cases suggesting they remain vulnerable to outbreaks. Reducing transmission from staff requires adequate sick pay, minimal use of temporary staff, improved staffing ratios and staff cohorting. Transmission from residents is associated with the number of admissions to the facility and poor compliance with isolation.

Last updated on hub: 13 November 2020

Safe working in education, childcare and children’s social care settings, including the use of personal protective equipment (PPE)

Department for Education

This guidance applies to staff working in education, childcare and children’s social care settings in England; children, young people and learners who attend these settings; and their parents or carers. It explains the strategy for infection prevention and control, including the specific circumstances PPE should be used, to enable safe working during the coronavirus (COVID-19) outbreak. The guidance also looks at the specific steps that should be taken in children’s homes, including secure children’s homes; in foster care settings; when dealing with young children or children with special educational needs; when providing social care visits to extremely clinically vulnerable children and young people. [Published 14 May 2020. Last updated 14 December 2020]

Last updated on hub: 25 June 2020

Safe, happy and together: design ideas for minimising the spread of infection whilst nurturing social interaction in later living communities

Housing LIN

This report outlines a series of practical design recommendations to control the transmission of coronavirus, and other everyday infections, in later-living housing whilst maintaining social interaction for residents. Later living, in this paper, refers to residential accommodation consisting of self-contained apartments with associated communal, support and ancillary spaces under one roof. The document is intended to be a practical guide for designers, operators and developers refurbishing ageing later-living housing projects or considering new ones. It identifies thirteen specific areas that would require improvements in order to safeguard the mental and physical health of residents, and to enable staff to manage additional tasks that might be required of them during a pandemic. Key recommendations include creating a separate entrance for staff and deliveries, additional storage for PPE, ventilators, sanitation equipment at all entrances and installing a traffic light system in the lobby to control movement in and out of the building or a ‘pop-up’ shelter in the entrance courtyard for supervised visits.

Last updated on hub: 28 July 2020

Safeguarding adults practice and remote working in the COVID-19 era: challenges and opportunities

Journal of Adult Protection

Purpose: This exploratory paper aims to examine the literature on the impact of COVID-19 on safeguarding adults practice. Design/methodology/approach: A literature search was carried out in recently published articles to locate literature relating to COVID-19 and safeguarding adults in the UK and internationally. This included policy guidance and law, to describe the existing knowledge base, gaps in practice and areas that may require further research. Findings: The findings suggest that measures to curb the spread of the COVID-19 pandemic gave rise to remote working and virtual safeguarding practice. The findings highlight the need for empirical research into the impact of virtual safeguarding adults assessments and effective ways to support the needs and outcomes of those who may be at risk of or experiencing abuse and neglect while shielding, socially isolating or when working in an environment where social distancing is required. Research limitations/implications: The paper is based on a review and analysis of published documents and not on other types of research. Originality/value: Little is known about effective safeguarding adults practice in the era of shielding, self-isolation, social distancing and remote working. The paper adds to the body of knowledge in the field.

Last updated on hub: 09 December 2020

Severe mental illness and Covid-19: service support and digital solutions

Rethink Mental Illness

This briefing shares insights on service support for people with mental illness and digital solutions during the pandemic, drawing on online research with service users, as well as information from services. The paper sets out some of the challenges people severely affected by mental illness have faced during the pandemic and poses questions and suggestions on how they could be addressed, and how services can adapt to this new environment. It shows that service users are struggling with the delivery of remote services, or have seen a drop off in the level of support they have received. A concerning number have received no support at all. The briefing makes a series of recommendations on change to delivery of services and digital solutions: policy solutions for digitally excluded people are urgently required and should be a priority for NHS England and the government; as lockdown restrictions are lifted, digital and telephone consultations should continue to be provided, but only as an enhancement of options for service users who prefer this method; service users must be involved in designing and delivering mental health services during and post-pandemic.

Last updated on hub: 06 July 2020

Social Care Sector COVID-19 Support Taskforce: BAME Communities Advisory: report and recommendations

Department of Health and Social Care

This is the report of the BAME Communities Advisory Group (AG), established to make recommendations to feed into the work of the Social Care Sector COVID -19 Support Taskforce. It includes a summary literature review and selections of findings from consultations that the AG has drawn upon to make its recommendations. Part 2, is an appendix, containing the other material that informed the work of the AG. The methodology for developing the recommendations in this report comprised: a rapid literature review (UK Civil Service, 2014) to scope overall thematic issues and appraise existing research on the employment experiences of BAME professionals; an online survey of BAME professionals and service users and carers; two virtual consultations on Zoom of BAME service users and carers and professionals, using the focus group method; and key informant interviews of leaders of social care organisations and faith groups. The report make ten recommendations, including that that people with lived experience should be at the forefront of developing social care policy and guidance that affects BAME communities; and that there should be parity between staff working in the NHS and social care in research, the design, development and delivery of programmes that support BAME staff through this and future pandemics

Last updated on hub: 21 September 2020

Social Care Sector COVID-19 Support Taskforce: final report, advice and recommendations

Department of Health and Social Care

Final report and recommendations of the Social Care Sector COVID-19 Support Taskforce. Eight advisory groups were established to explore specific areas of care, namely: black, Asian and minority ethnic (BAME) communities; carers; good practice, guidance and innovation; mental health and wellbeing; older people and people living with dementia; people with learning disabilities and autistic people; self-directed support; and workforce’ The report sets out the progress and learning from the first phase of the COVID-19 pandemic in informing advice and recommendations to government and the social care sector. The report also sets out the action that will need be taken to reduce the risk of transmission of COVID-19 in the sector, both for those who rely on care and support, and the social care workforce. It details how people can be enabled to live as safely as possible while maintaining contacts and activity that enhance the health and wellbeing of service users and family carers. The report and recommendations cover the key themes in the management of COVID-19 and social care, including personal protective equipment (PPE), testing, flu vaccine, workforce and carers, training, funding, evidence and guidance, communication, clinical support, movement of people between care and health settings, inspection and regulation, capacity, expertise and information, use of data and digital, and national, regional and local structures. In addition, the report looks at the Care Home Support Plan; the Adult Social Care Action Plan; managing community outbreaks and the response of social care; key themes emerging from the taskforce advisory groups; and planning for the next phase of the pandemic

Last updated on hub: 21 September 2020

Social Care Sector Covid-19 Support Taskforce: Guidance, Good Practice and Innovation Advisory Group: final report on recommendations

Department of Health and Social Care

This is the report of the Guidance, Good Practice and Innovation Advisory Group, established to make recommendations to feed into the work of the Social Care Sector COVID -19 Support Taskforce. The recommendations cover: guidance – social care responsibilities in local outbreaks of COVID 19, accessibility and accuracy of social care guidance, guidance coproduction and stakeholder groups, discharge from hospital to care settings, visiting friends and carers, use of guidance, use of PPE; good practice – COVID 19 commissioning guidance, accessing on-line resources, mutual aid and volunteering, primary care support, support for homeless people, maintaining wellbeing; and innovation – Social Care Innovation Network, scale and embed technology-enabled care models, global innovation, self-funders and unpaid carers.

Last updated on hub: 21 September 2020

Social Care Sector: Covid-19 Support Taskforce: full recommendations - including all Advisory Group recommendations

Department of Health and Social Care

This document presents the full recommendations of the Social Care Sector COVID-19 Support Taskforce and the eight advisory groups. In response to COVID-19, the taskforce was commissioned, beginning its work on 15 June 2020 and completing its work at the end of August 2020, to provide advice and recommendations to government and the social care sector. Eight advisory groups were established to explore specific areas of care, namely: black, Asian and minority ethnic (BAME) communities; carers; good practice, guidance and innovation; mental health and wellbeing; older people and people living with dementia; people with learning disabilities and autistic people; self-directed support; and workforce. In addition to the specific themes of the advisory groups, the recommendations cover the key themes in the overall management of COVID-19 and social care, including personal protective equipment (PPE), testing, flu vaccine, workforce and carers, training, funding, evidence and guidance, communication, clinical support, movement of people between care and health settings, inspection and regulation, capacity, expertise and information, use of data and digital, and national, regional and local structures; the Care Home Support Plan; the Adult Social Care Action Plan; managing community outbreaks and the response of social care; key themes emerging from the taskforce advisory groups; and planning for the next phase of the pandemic.

Last updated on hub: 21 September 2020

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