COVID-19 resources on infection control

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Coronavirus (COVID-19) and the Black, Asian and Minority Ethnic (BAME) population in Wales

Welsh Government

This article summarises findings from a range of analyses relating to the Black, Asian and minority ethnic group (BAME) population in Wales. It focuses on areas where the impact of the Coronavirus (COVID-19) and/or the subsequent preventative measures may disproportionately affect the BAME population. These include employment, including occupations at higher risk and critical key workers; housing, including overcrowded housing and homelessness; and relative poverty and deprivation. The analysis shows that the proportion of critical workers from a BAME background was slightly higher than the proportion of all in employment; people from a number of Black, Asian or Minority ethnic groups are more likely to live in overcrowded housing than White British people; of those households who applied to local authorities in 2018-19 for housing assistance because they were threatened with homelessness, 8 per cent were from a Black or Ethnic minority background; people who are living in households in Wales where the head of the household is from a non-white ethnic group are more likely to be in relative income poverty; people from a BAME background were markedly more likely to be living in deprived areas.

Last updated on hub: 14 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

The Health Service and Social Care Workers (Scrutiny of Coronavirus-related Deaths) Directions 2020

Department of Health and Social Care

These directions ensure that NHS trusts and NHS foundation trusts seek and prioritise the services of medical examiners to scrutinise the deaths of health service and adult social care staff from coronavirus. Examiners are required to consider whether there is reason to suspect that the death was a result of the person being exposed to coronavirus during the course of their NHS or social care work

Last updated on hub: 13 July 2020

Delivering safe, face-to-face adult day care

Social Care Institute for Excellence

As the restrictions of COVID-19 lockdown are eased, this guide aims to support you, day care managers, social workers, commissioners and providers, to restart or continue activities.

Last updated on hub: 10 July 2020

Coronavirus (COVID-19): adult care homes visiting guidance

Scottish Government

This guidance sets out how care home visiting in Wales 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.

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

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

Managing through COVID-19: the experiences of children’s social care in 15 English local authorities

King's College London

This study examines the arrangements put in place in children’s social care services during the period of the COVID-19 lockdown and considers what their impact and legacy might be. A modified Delphi methodology was adopted, gathering expert opinion from 15 representatives of English local authorities to through a series of iterative questionnaires, with a goal of coming to a group consensus. Findings cover a whole range of issues, including home and office working; referrals; working with families in a pandemic; foster care; care leavers and unaccompanied young people seeking asylum; residential homes; multi-agency working; recruitment; planning for the end of lockdown; and lessons for the future. The study found that the local authorities have responded to three interrelated imperatives: to keep social workers safe while promoting their health and wellbeing, to work with extremely vulnerable families and to use technology to undertake work with these families who may be technology poor. All authorities were conscious that soon they could be facing additional challenges as they dealt not only with the practicalities of social distancing and technology, but the increased number of referrals that they expected once other services returned to ‘more business as usual’ operations. There was concern about those families who had been exposed to the risks arising within their homes such as domestic abuse, coercive control, alcohol and substance misuse, with consequences for their mental and physical health. COVID-19 has also offered opportunities, leading children’s social care services to think afresh about how things work and speed up changes that would have taken years to introduce. Previous notions of how to conduct an assessment, engage in direct practice and offer student placements are amongst the many activities that have been tested and reshaped, at least temporarily. Similarly, virtual visits to families were reported to be effective in certain circumstances and be less intrusive for some families, although establishing face-to-face contact in the home will continue to be necessary.

Last updated on hub: 07 July 2020

Impact of coronavirus in care homes in England: 26 May to 19 June 2020

The Office for National Statistics

Sets out the first results from the Vivaldi study, a large scale survey which looked at coronavirus (COVID-19) infections in 9,081 care homes providing care for dementia patients and the elderly in England. Across the care homes included in the study, 56% are estimated to have reported at least one confirmed case of coronavirus (staff or resident). Across these, an estimated 20% of residents and 7% of staff tested positive for COVID-19, as reported by care home managers, since the start of the pandemic. The emerging findings reveal some common factors in care homes with higher levels of infections amongst residents. These include prevalence of infection in staff, some care home practices such as more frequent use of bank or agency nurses or carers, and some regional differences (such as higher infection levels within care homes in London and the West Midlands). There is some evidence that in care homes where staff receive sick pay, there are lower levels of infection in residents. Findings also include some common factors in care homes with higher levels of infection amongst staff. These include prevalence of infection in residents (although this is weaker than the effect of staff infection on residents), some care home practices (such as more frequent use of bank or agency nurses or carers, and care homes employing staff who work across multiple sites) and some regional differences (such as higher infection levels within care homes in the North East and Yorkshire and the Humber). However, regional differences may be affected by different patterns of testing in staff and residents over time.

Last updated on hub: 07 July 2020