COVID-19 resources on Infection control

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Supervision and social care practice in the time of COVID-19

Research In Practice: Dartington

A suite of resources to support supervision in the context of COVID-19. The pandemic, and consequent need for social distancing, have required a reorganisation of every aspect of social care practice, including supervision. The resources are intended to strengthen the effectiveness of remote supervision, building resilience, working with people who are experiencing grief and loss, as well as thinking about social work in the context of a crisis.

Last updated on hub: 23 July 2020

Supporting children and young people with SEND as schools and colleges prepare for wider opening

Department for Education

Risk assessment guidance for settings managing children and young people with an education, health and care (EHC) plan or complex needs during the coronavirus (COVID-19) outbreak, including special schools, specialist colleges, local authorities and any other settings managing children and young people with SEND. [Updated 24 July 2020]

Last updated on hub: 28 July 2020

Supporting individuals with intellectual and developmental disability during the first 100 days of the COVID‐19 outbreak in the USA

Journal of Intellectual Disability Research

Background: It is unknown how the novel Coronavirus SARS‐CoV‐2, the cause of the current acute respiratory illness COVID‐19 pandemic that has infected millions of people, affects people with intellectual and developmental disability (IDD). The aim of this study is to describe how individuals with IDD have been affected in the first 100 days of the COVID‐19 pandemic. Methods: Shortly after the first COVID‐19 case was reported in the USA, the organisation in this study, which provides continuous support for over 11 000 individuals with IDD, assembled an outbreak committee composed of senior leaders from across the health care organisation. The committee led the development and deployment of a comprehensive COVID‐19 prevention and suppression strategy, utilising current evidence‐based practice, while surveilling the global and local situation daily. This study implemented enhanced infection control procedures across 2400 homes, which were communicated to employees using multi‐faceted channels including an electronic resource library, mobile and web applications, paper postings in locations, live webinars and direct mail. Custom‐built software applications were used to track patient, client and employee cases and exposures, and this study leveraged current public health recommendations to identify cases and to suppress transmission, which included the use of personal protective equipment. A COVID‐19 case was defined as a positive nucleic acid test for SARS‐CoV‐2 RNA. Results: In the 100‐day period between 20 January 2020 and 30 April 2020, this study provided continuous support for 11 540 individuals with IDD. Sixty‐four per cent of the individuals were in residential, community settings, and 36% were in intermediate care facilities. The average age of the cohort was 46 ± 12 years, and 60% were male. One hundred twenty‐two individuals with IDD were placed in quarantine for exhibiting symptoms and signs of acute infection such as fever or cough. Sixty‐six individuals tested positive for SARS‐CoV‐2, and their average age was 50. The positive individuals were located in 30 different homes (1.3% of total) across 14 states. Fifteen homes have had single cases, and 15 have had more than one case. Fifteen COVID‐19‐positive individuals were hospitalised. As of 30 April, seven of the individuals hospitalised have been discharged back to home and are recovering. Five remain hospitalised, with three improving and two remaining in intensive care and on mechanical ventilation. There have been three deaths. This study found that among COVID‐19‐positive individuals with IDD, a higher number of chronic medical conditions and male sex were characteristics associated with a greater likelihood of hospitalisation. Conclusions: In the first 100 days of the COVID‐19 outbreak in the USA, this study observed that people with IDD living in congregate care settings can benefit from a coordinated approach to infection control, case identification and cohorting, as evidenced by the low relative case rate reported. Male individuals with higher numbers of chronic medical conditions were more likely to be hospitalised, while most younger, less chronically ill individuals recovered spontaneously at home.

Last updated on hub: 19 October 2020

Supporting wellbeing of older people when shielding / isolating

Public Health Wales Observatory

This summary outlines action that the evidence suggests may help to support the mental wellbeing of older adults at this time. It is intended for organisations involved in supporting older people. Four systematic reviews were identified from a search of the literature conducted in June 2019. Most provided data from qualitative research and captured the perceptions of older people on quality of life, meaningful occupations and experience of technology. Reflecting on the findings from these reviews, the analysis suggests a number of actions for consideration by those involved in supporting older people. These actions focus on: maintaining autonomy and control; occupation and social interaction; access to the internet; and money and resources.

Last updated on hub: 16 November 2020

Surviving COVID-19: social work issues in a global pandemic (Child protection and welfare, and social care)

University of Stirling

This briefing provides advice for social workers working with children and families during this coronavirus (COVID-19) pandemic. The briefing covers what is COVID-19 and its symptoms; what steps do World Health Organisation (WHO) and national and local health advisors advocate people follow in preparedness, mitigation and suppression strategies; how can social workers work with children and families during this pandemic; and how can social workers take care of themselves and others while performing their statutory duties. The briefing also covers how to uphold anti-oppressive practice, ethical behaviour and human rights, home visits and personal protection and protective equipment.

Last updated on hub: 15 June 2020

Taking extra care in lockdown: Ty Llwynderw Extra Care & Care and Cae’r Ysgol Independent Living bungalows, Maesteg

Housing LIN

This case study features Linc Cymru Housing Association’s development in Maesteg, Wales. It provides some context on why and how the scheme came about, reflects on its’ design and also captures how the scheme has coped under lockdown, successfully ensuring a Covid-free home to date. Flexing the design to respond to Coronavirus have in the main ensured that they functioned and adapted well for both the Maesteg and Tondu schemes. Operationally, staff were able to make changes so as to be able to use the building to best effect during the intense Covid-19 lockdown.

Last updated on hub: 17 September 2020

Technical Advisory Group: updated consensus statement on recommended testing criteria for discharge of asymptomatic patients to care homes

Welsh Government

Currently a negative RT-PCR test for SARS-CoV-2 is required before a patient can be discharged from hospital to a care home. This paper examines, in the light of emerging knowledge of infectivity, whether an alternative testing strategy may be more appropriate. It recommends that patients that have had COVID-19 during admission but who have had resolution of fever for at least three days and clinical improvement of symptoms other than fever, and are to be discharged from hospital to a care home or other step down care can be assumed to be non-infectious if 20 days have elapsed since onset of symptoms, or first positive SARS-CoV-2 test; or 14 days have elapsed since onset of symptoms, or first positive SARS-CoV-2 test and an RT-PCR test is negative or ‘low positive’ with a Ct value ≥35. For patients with severe immunocompromised, there should be individualised discussion and assessment between clinical and microbiology teams. If these criteria are fulfilled, residents who have had COVID-19 during hospital admission would not require isolation when discharged to a care home or other stepdown facility. Residents who had not had evidence of COVID-19 infection during admission to hospital would still need to self-isolate for 14 days following discharge.

Last updated on hub: 22 December 2020

Testing guidelines for nursing homes: interim SARS-CoV-2 testing guidelines for nursing home residents and healthcare personnel

Centers for Disease Control and Prevention

This document provides guidance on the appropriate use of testing among nursing home residents. It covers: testing residents with signs or symptoms of COVID-19; testing asymptomatic residents with known or suspected exposure to an individual infected with; testing of asymptomatic residents without known or suspected exposure to an individual infected with; and Testing to determine resolution of infection.

Last updated on hub: 26 October 2020

Testing service for extra care and supported living settings

Department of Health and Social Care

Guidance on regular retesting for extra care and supported living settings that meet the eligibility criteria. NHS Test and Trace is making regular COVID-19 testing available to eligible extra care and supported living settings in England. In order to be eligible for testing, extra care and supported living settings must meet both of the following criteria: a closed community with substantial facilities shared between multiple people; where most residents receive the kind of personal care that is CQC regulated (rather than help with cooking, cleaning and shopping). This guidance covers: why testing is important; what to do if you have an outbreak; the end-to-end testing process; unique organisation number; preparing your setting; registering completed tests; returning test kits; results; where to go for support; step-by-step guide for registering a test kit after completing a test.[Published 7 December 2020; Last updated 25 February 2021 ]

Last updated on hub: 08 December 2020

The Coronavirus and the risks to the elderly in long-term care

Journal of Aging and Social Policy

The elderly in long-term care (LTC) and their caregiving staff are at elevated risk from COVID-19. Outbreaks in LTC facilities can threaten the health care system. COVID-19 suppression should focus on testing and infection control at LTC facilities. Policies should also be developed to ensure that LTC facilities remain adequately staffed and that infection control protocols are closely followed. Family will not be able to visit LTC facilities, increasing isolation and vulnerability to abuse and neglect. To protect residents and staff, supervision of LTC facilities should remain a priority during the pandemic.

Last updated on hub: 31 August 2020

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