Carers & Care Homes

Keeping the most vulnerable away from intensive care

๐Ÿ’ฌ WhatsApp Chat for Care Homes section ๐Ÿ’ฌ


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See also: https://coronavirustechhandbook.com/older-people

Non Profits with Carer & Care Home pages


Long-Term Care responses to COVID-19

๐ŸŒŽ๐ŸŒ๐Ÿ”—https://ltccovid.org/
โœ‰๏ธ[email protected]
Publishes international reports, data and blogs to support community and institutional Long-Term Care responses to COVID-19 managed the London School of Economics and Political Science.

Long Term Care Community Coalition Coronavirus Resources for Carers

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://nursinghome411.org/coronavirus/
โœ‰๏ธ[email protected]
Provides information and resources to help residents of nursing homes and those who work with them.ย 

Carers UK Support for Carers

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.carersuk.org/help-and-advice/coronavirus-covid-19/coronavirus-covid-19
โœ‰๏ธ[email protected]
Sets out the current government guidance as it relates to carers and offers suggestions for carers to protect themselves and those they care for. More for family/private home caring than for carers in a care home setting.

National Association of Social Workers

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.socialworkers.org/Practice/Infectious-Diseases/Coronavirus
Resources to support social workers during the COVID-19 Pandemic.

Washington State Society for Post-Acute and Long-Termย Care Medicine

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.wa-paltc.com/covid-19-resources

Care Quality Commission: Independent regulator of health and social care in England

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.cqc.org.uk/guidance-providers/all-services/coronavirus-covid-19-pandemic-information-providers

Practical Guides and Action Plans


Guide to support planning and preparation for supported living provision in the event of a COVID-19 outbreak.

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/publications/covid-19-residential-care-supported-living-and-home-care-guidance/covid-19-guidance-for-supported-living-provision
Guide for local authorities, clinical commissioning groups, community health services and providers of care and support delivered within supported living environments (people in their own homes), including for people with mental health conditions, learning disabilities or autistic adults.

Guide to support planning and preparation for home care provision in the event of a COVID-19 outbreak.

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/publications/covid-19-residential-care-supported-living-and-home-care-guidance/covid-19-guidance-on-home-care-provision
Guide for clinical commissioning groups and registered providers, who support and deliver care to people in their own homes, including community health services.

Guide for admission and care of people in care homes

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/publications/coronavirus-covid-19-admission-and-care-of-people-in-care-homes
For care homes, local health protection teams, local authorities, clinical commissioning groups and registered providers of accommodation for people who need personal or nursing care.








Guide for Long-Term Care Facilities and Nursing Homes



Covers recommendations to keep unrecognized COVID-19 from entering the facility; identify infections early and take actions to prevent spread; assess current supply of PPE and initiate measures to optimize supply; and quickly recognize and manage severe illness.

Guide for Infection Control and Prevention of COVID-19 in Nursing Homes

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cms.gov/files/document/qso-20-14-nh-revised.pdf
โœ‰๏ธ [email protected]
Contains guidance and links to resources complied by the Center for Clinical Standards and Quality/Quality, Safety & Oversight Group of the Centers for Medicare & Medicaid Services.

Considerations When Preparing for COVID-19 in Assisted Living Facilities

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/hcp/assisted-living.html

British Psychological Society guide on meeting the psychological needs of healthcare staff during the pandemic

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.bps.org.uk/sites/www.bps.org.uk/files/News/News%20-%20Files/Psychological%20needs%20of%20healthcare%20staff.pdf
Guide for leaders and managers of healthcare services who will need to consider the wellbeing needs of all healthcare staff (clinical and non-clinical) as a result of the Coronavirus outbreak.ย 

Action Plan Sample


WORK IN PROGRESS based on actual plan by a nursing home in Southend, Essex, with 18 service users at time of writing. If there's anyone else managing a nursing home and wanting to share the approach so that material here is useful then speak up in the whatsapp and I'll restart it here.

  • Please work in the open, publish and encourage wide collaboration, and don't let perfect be the enemy of the good: frequent incremental updates.
  • Please direct care homes to somewhere online they can self organise or invest substantially in proposing best practice and frequently updating it with whatโ€™s seen to work in care homes. Self organised may be more practical especially if people involved may become ill. Topics would include:
    • Visits, perhaps with sample wording that may be sent for a softer or more firm reduction in visits
    • Replenishment of nursing/medical supplies, food etc.
    • Protocols for managing risk of infection in staff or others part of the team
  • Please consider what in the LGA guidance can already be at least partly addressed and do so, then follow up later on other aspects as they are ready.
  • Please confirm key coordinator staff are wfh
  • Please set up more than once weekly briefing video calls with Q&A
  • Please set up weekly regional best practice sharing calls with your nearby peers.
  • Please consider what volunteer efforts smight help your response or goals and publish this online for us to see and share.
  • Authority to skip DBS checks
  • Local government association COVID-19 guidance says risk of cash-flow issues is high
    • Please intervene to ensure public sector payments to homes are timely or if not that alternatives are in place.
    • Please consider how to handle cases of financial distress on behalf where care is private payments ifย 
  • Please consider what mightย  most usefully be requested of the COVID-19 Response Fund and put a request in early, e.g. secure beds regardless of occupancy but at a discount for normal carer care to stabilize cash flow and ensure availability?
  • Consider what checks/policies should be in place for agency staff and share thoughts for local sector input.

Adviceย 

Guidance to commissioners on how they can help alleviate pressures on social care providers during COVID-19

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.local.gov.uk/social-care-provider-resilience-during-covid-19-guidance-commissioners
Shared guidance to local authority commissioners from the Association of Directors of Adult Social Services (ADASS), the Local Government Association (LGA) and the Care Provider Alliance (CPA).

Quarantine/Home Care


CDC Implementing Home Care of People Not Requiring Hospitalization

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-home-care.html

CDC Preventing COVID-19 from Spreading in Homes and Communities

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-prevent-spread.html


WHOโ€™s guidance for home care of patients with suspected novel Coronavirus (nCoV) infection presenting with mild symptoms and management of contacts

๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://www.who.int/publications-detail/home-care-for-patients-with-suspected-novel-coronavirus-(ncov)-infection-presenting-with-mild-symptoms-and-management-of-contacts
A rapid advice note with recommendations on the safe home care for patients with suspected novel Coronavirus (2019-nCoV) infection presenting with mild symptoms and public health measures related to management of asymptomatic contacts.

If Your Facility has COVID-19

Your Facility has COVID-19: What You Can Do Now.

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ“บhttps://www.wa-paltc.com/covid-19-resources
๐Ÿ—ฃ[email protected]
By Dr. John Lynch and Dr. James Lewis.ย UW and King County Response Team. (12 March 2020). Washington Society for Post-Acute and Long Term Care Medicine.

Asymptomatic and Presymptomatic SARS-CoV-2 Infections in Residents of a Long-Term Care Skilled Nursing Facility โ€” King County, Washington, March 2020

๐Ÿ”—https://www.cdc.gov/mmwr/volumes/69/wr/mm6913e1.htm
Research showing transmission between care home workers, recommend all to use PPE once there is a confirmed case in the residence.

Washington State Society for Post-Acute and Long-Termย 
๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.wa-paltc.com/covid-19-resources

There is a webinar titled: Your Facility has COVID-19: What You Can Do Now

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.chiswicknursingcentre.co.uk/coronavirus-covid-19/n
Chiswick Nursing Centre Coronavirus (COVID 19) โ€“ our guidance to service users and familiesย 

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.hamberleycarehomes.co.uk/news-events/2020/covid-19-response/
Hamberley Care Homes COVID-19 response

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.osjct.co.uk/news/covid-19-latest-update-guidance-visiting-our-homes
St John Care Trust advice for visitors

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.lep.co.uk/business/coronavirus-preston-care-home-bans-family-visits-protect-residents-covid-19-2450313
A Preston care home has closed its doors to visitors to stem the spread of Coronavirus (COVID-19).

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.dailymail.co.uk/news/article-8111391/At-100-care-homes-ban-visitors-seeing-relatives.html
At least 100 care home ban visitors in the UK 14th of March 2020

๐Ÿ”— https://www.ageuk.org.uk/scotland/information-advice/health-and-wellbeing/coronavirus/
AgeUK responce to cCoronavirus

Pos

ers & Resources

Poster- Hand Washing

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.westsussex.gov.uk/media/14043/11340205_22f_corona_virus_print.pdf

Poster- Handwashing advice

https://www.westsussex.gov.uk/media/14061/handwashing-poster-landscape-and-portrait.pdf

Poster- How to stay safe?

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.westsussex.gov.uk/media/14055/coronavirus-poster-photosymbols.pdf

Poster- Health issues

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.westsusronavirus-poster-2-photosymbols.pdf

Poster- What if I get ill?

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.westsussex.ronavirus-poster-3-photosymbols.pdf

Card-based communication for COVID-19 treatment teams

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://onacard.or

Template for no visitor announcement


For the safety of the home, no visitors will be allowed from XXX unless the visit is critically needed and agreed in advance. We hope to provide an update by March 28th.

If you have an approved visit or believe you have a critical need to visit urgently then please step away from the entrance (to your car if you drove) and call the us on XXX. We are very busy so please excuse any delay.

This extraordinary measure is because COVID-19 virus is very contagious and poses an especially high risk to the elderly and infirm.ย 

We have not taken this decision lightly. Social contact is an important part of the well being of those staying at Joseph House so please bear with us while we put considered plans in place to re-enable it.

Government Responses

United Kingdom


Devon County Council response

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.devon.gov.uk/document/

oronavirus-advice-in-devon/#section-3

West Sussex response

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.westsussex.gov.uk/campaigns/coronavirus-covid-19/#7
The councilโ€™s health and adult social care services have provided information and advice to care providers across West Sussex.

Brighton and Hove response

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://new.brighton-hove.gov.uk/coronavirus-covid-19/care-homes-vulnerable-and-older-people
Brighton and Hove response to the needs of Care homes, vulnerable and older people

Kensington and Chelsea council advice

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.rbkc.gov.uk/health-and-social-care/coronavirus-covid-19/coronavirus-covid-19-advice-care-homes-clinically

NHS North of England response

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://medicines.necsu.nhs.uk/covid-19-guidance-for-care-homes/

Regulatory


CQC stops routine inspections

๐Ÿด๓ ง๓ ข๓ ฅ๓ ฎ๓ ง๓ ฟ๐Ÿ”—https://www.cqc.org.uk/news/stories/routine-inspections-suspended-response-coronavirus-outbreak


Private Care Homes


๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.chiswicknursingcentre.co.uk/coronavirus-covid-19/
Coronavirus (COVID 19) โ€“ our guidance to service users and families

Caribbean


Jamaica, Public Health Regulations, 2020.

๐Ÿ”—https://rightstepsandpouitrees.wordpress.com/2020/04/29/gazetted-amendment-to-jamaicas-covid19-order-no-4-april-28-2020/
Blog with consolidated COVID-19 government regulations.

Trinidad and Tobago, Public Health [2019 Novel (2019-nCoV) Regulations, 2020.

๐Ÿ”—http://www.health.gov.tt/sitepages/default.aspx?id=297
There are clauses for carers and care homes in the regulations.

Research

Asymptomatic Transmission, the Achillesโ€™ Heel of Current Strategies to Control Covid-19

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ“https://www.nejm.org/doi/full/10.1056/NEJMe2009758?query=RP
Academic case study of a nursing home outbreak. Note: all 76 residents were tested early, 56% (27) of the 48 cv19+ and contagious residents were pre-symptomatic. Symptoms followed a few days later.

Nursing Home Infection Control Program Characteristics, CMS Citations, and Implementation of Antibiotic Stewardship Policies: A National Study.

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ“https://journals.sagepub.com/doi/10.1177/0046958018778636
By Patricia W. Stone, PhD, RN, Carolyn T. A. Herzig, PhD, MS, Mansi Agarwal, PhD, MPH, Monika Pogorzelska-Maziarz,PhD, MPH, Andrew W. Dick, PhD (2018).

Informing the Public

News


Pennsylvania nursing home data minimizes the coronavirus devastation in Philadelphia senior centers

https://www.inquirer.com/news/pennsylvania-nursing-home-data-undercount-philadelphia-deaths-20200521.html

Melina Gates speaks about care-giving

https://www.businessinsider.com/melinda-gates-calls-on-business-leaders-congress-to-fix-caregiving-2020-5

Blogs


๐Ÿ“บ๐Ÿ”—https://reimagininghealth.com/a-difficult-conversation-about-covid-19-care-planning/
Advice from a General Practitioner based in North West England for talking about care planning, for those who are especially susceptible to COVID-19.

How Nursing Homes and First Responders Can Address the Threat of COVID-19.
๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ“ปhttp://johnshopkinssph.libsyn.com/how-nursing-homes-and-first-responders-can-address-the-threat-of-covid-19?tdest_id=1899134

How might Coronavirus affect residents in nursing facilities.
๐Ÿ”—https://www.kff.org/medicaid/issue-brief/data-note-how-might-coronavirus-affect-residents-in-nursing-facilities/

Business Adviceย 

See also:

๐Ÿ”—https://coronavirustechhandbook.com/employers

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.communitycare.co.uk/2020/03/15/care-providers-share-staff-get-cashflow-support-councils-tackle-coronavirus-impact-says-guidance/
Providers should share staff and get cashflow support from councils to tackle Coronavirus impact