COVID-19 resources on Home care

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COVID-19 guidance for healthcare staff providing home care visits

Health Protection Surveillance Centre

Webinar presentation slides, aimed at health care staff providing home care visits, covering: challenges in providing care with home visits; implications of new variant strain of COVID-19; COVID-19 IPC measures for home visits; public health and contact tracing of home care staff; and vaccination.

Last updated on hub: 08 March 2021

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

COVID-19 infection prevention and control guidance for family and friends (informal carers) who support people in their own homes

Health Service Executive

This guidance has been developed to help carers and people who are cared for on how to protect each other from COVID-19. It is also intended to help healthcare workers who advise people who provide care about how to keep safe from infection. It sets out the steps that carers need to take before and during their visit to the person they care for.

Last updated on hub: 22 December 2020

COVID-19 Insight: focus on adult social care

Care Quality Commission

This Insight document highlights COVID-19 related pressures facing adult social care. It reviews data on outbreaks, deaths, and the availability of Personal Protection Equipment (PPE), and looks at the impact of COVID-19 on staff wellbeing and the financial viability of adult social care services. It also outlines future areas of focus for the Care Quality Commission (CQC), including infection control both within and between services, how local systems are engaging social care organisations in the management of COVID-19, and how the care for people from different vulnerable groups is being managed through the COVID-19 crisis. The document draws on information gathered from staff and people receiving care, data collection from domiciliary care services, and conversations with providers. It is the first in a series of Insight documents on key issues affecting health and care during COVID-19.

Last updated on hub: 21 May 2020

COVID-19 mortality and long-term care: a UK comparison

International Long-term Care Policy Network

This article reviews the path of the COVID-19 pandemic across the UK long-term care (LTC) sector, indicating how it evolved in each of the four home nations. It prefaces this with a description of LTC across the UK, its history and the difficulties encountered in establishing a satisfactory policy for the care of frail older people across the home nations. The analysis indicates that throughout the pandemic, 54,510 COVID-19 related deaths were registered in the UK, across all age groups and all locations of death. Of these, 17,127 (31%) occurred within care homes and at least 21,775 (40%) were accounted for by care home residents. In terms of excess deaths (measured against the average weekly deaths during the previous 5-year period) during the pandemic England had a 38% increase in mortality compared with 29% in Scotland, 22% in Wales, and 20% in Northern Ireland. England is the only UK nation that has released COVID-19 mortality data on those receiving care at home. That data show that throughout the pandemic period there were a large number of excess deaths in the domiciliary setting. The majority of which were not recorded as being COVID-19 related. Overall, the English data demonstrate that, compared to care homes, the overall proportional increase in deaths was greater in the domiciliary setting.

Last updated on hub: 10 September 2020

COVID-19 testing in adult social care

UK Health Security Agency

This guidance outlines the COVID-19 testing available for testing staff, residents and visitors for all adult social care settings. The guidance covers: eligibility for free testing in adult social care; symptomatic testing for staff and residents; asymptomatic staff testing; rapid response testing in care homes and high-risk extra care and supported living; outbreak testing in care homes; and step by step testing process for all adult social care. This page also brings together guidance documents on specific aspects of testing, including: how to use your rapid lateral flow test; testing terms and conditions; and self-test for staff, service users and visitors in adult social care settings: privacy notice. [First published 24 March 2021. Last updated 31 March 2022]

Last updated on hub: 07 April 2022

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

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

COVID-19: residential care, supported living and home care guidance

Public Health England

Guidance for providers of residential care, supported living, and home care, in the event of a coronavirus COVID-19 outbreak. The guidance sets out: how to maintain delivery of care in the event of an outbreak or widespread transmission of COVID-19 and what to do if care workers or individuals being cared for have symptoms of COVID-19. [This publication was withdrawn on 13 May 2020]

Last updated on hub: 15 March 2020

Crystallising the case for deinstitutionalisation: COVID-19 and the experiences of persons with disabilities

This report summarises the evidence and experiences of persons living in congregate settings in general, and in terms of the impact of COVID-19, to understand the barriers to deinstitutionalisation, and to highlight the approaches that have sought to overcome those barriers. It considers all disabilities and long-term conditions that might lead to institutionalisation, for all age groups across the world. Congregate care remains a main form of provision for adults with disabilities in many countries, and the number of persons placed in congregate settings is rising in some regions of the world. Yet, overall, the majority of older persons experience better health, rights, and quality of life when support is provided in the community. Comparisons of community-based services with congregate living for persons with psychosocial or intellectual disabilities have consistently shown better outcomes, for example, in terms of health, quality of life, vocational rehabilitation, self-management and autonomy. A majority of persons strongly prefer living in community rather than institutional or hospital settings. A key barrier to deinstitutionalisation is prejudice against persons with disabilities and ageism, and therefore a lack of societal commitment to change the status quo. While with suitable community-based services, families can ensure better quality of life than is experienced in institutional settings, there may be no family members or friends available to be carers. There is also the challenge of shifting resources tied up in institutions and making them available for community support. Alternatives to congregate care settings may be seen as ‘too expensive’ by decisionmakers. Furthermore, the lack of legal and policy frameworks encompassing new community-based services in many countries creates a ‘perverse incentive’ in favour of placing persons with disabilities in institutions. The report argues that successful deinstitutionalisation requires long-term service planning, financial commitment and policy that looks beyond the electoral cycle.

Last updated on hub: 22 October 2021

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