Tag: care homes

Health and well-being visits to care homes to resume

Safe and phased return of visitors who improve quality of life.

Professional health and social care services which improve and enrich the wellbeing of care home residents will be able to resume visits under new guidelines.

Throughout the COVID-19 pandemic, healthcare services have continued to operate in care homes for pressing clinical reasons, however non-essential visits have been paused.

New guidance outlines how from 7 September care homes can resume face-to-face care from a wide range of health and social care professionals, including podiatrists, physiotherapists, optometrists, dentists, social workers and mental health and disability specialists. 

The guidance also makes recommendations for the safe resumption of activity in indoor communal areas – for example lounges and dining areas – as long as strict health and safety measures are in place.

The guidance recommends that enhanced visiting is only resumed in care homes where there are no active cases, have been free of COVID-19 for 28 days, and are actively participating in the care home worker testing programme. 

Care homes should update their visiting risk assessments to fully consider the safe resumption of visits by health and social care professionals, which will then be approved by the local Director of Public Health.

In addition, the guidance recommends these visits only for care homes which have sufficient PPE and hand hygiene facilities, infection prevention and control protocols, a visitor protocol and visitor log, and resident consent.

Care homes have been supporting residents to receive three outdoor visitors from no more than two households, provided their home meets strict criteria, since 10 August. 

Since 24 August providers can also safely allow one designated indoor visitor for residents within their homes, once their plans have been signed off by the relevant health board’s Director of Public Health.

Health Secretary Jeane Freeman said:

“This has been, and continues to be, a very challenging time for care home residents, their families and staff – but we are always aware that care homes are first and foremost people’s homes.

“The safe and phased resumption of visits will not only allow the residents of care homes to have access to a wide range of additional health services, but also experience more personal contact, face to face meetings and interactions which will enrich their daily lives.

“The importance of involving a wide range of professional and people in the life of the care home and the impact this has on the wellbeing of residents is well known – and many clinical health and care professionals who visit care homes have already provided support and care to residents in different ways during the COVID-19 pandemic.

“We are committed to reintroducing measures that allow residents to connect with not only with the full range of health and social care professionals, but also those who enhance and enrich the quality of life for those who live there.”

Better information recording for care homes

A new web-based tool, commissioned by the Scottish Government, will allow care homes to monitor coronavirus (COVID-19) trends and identify risks quicker.

The Turas Care Management tool will launch today and will allow all private and public sector care homes across the country to record in one place information including COVID-19 infection rates, demand on services and staff testing.

This will mean care home managers, health and social care organisations and the Scottish Government can monitor trends, identify risks and take early action both during the current pandemic and in the future.

The care management tool, developed by the Scottish Government in collaboration with the Care Inspectorate, Scottish Care and NHS Education Scotland (NES), will provide:

*a clearer national picture of conditions in care homes

*earlier warning of emerging trends and issues, allowing earlier interventions

*easier reporting to free up care home resources

The tool is for care home management use and only identified staff will be able to access the information.

Health Secretary Jeane Freeman said: “The health, safety and wellbeing of care home residents both during the current pandemic and in the future is critically important.

“This new web-based tool allows care homes to store information in one central place, whereas before they were required to report in different formats and through many channels, which tied up resources and made trend-spotting more difficult.

“Importantly, this means care home managers, health and social care organisations and the government will now be able to identify risks earlier and quickly take action during the current pandemic and in the future.”

Care Inspectorate Chief Executive Peter Macleod said: “The care sector has worked tirelessly under the most challenging circumstances to care for some of the most vulnerable people in Scotland during the pandemic.

“This new approach to gathering data and information will help us to better understand what support the sector needs to ensure that people experiencing care are supported in the best possible way in the future.”

The Turas Care Management tool was commissioned by Scottish Government and has been developed in partnership with the care home sector for the care home sector.

The tool will support care homes to review their data over time, demonstrate the safety and quality of the services they provide and facilitate escalation of key concerns to the Health and Social Care Partnership and Care Inspectorate when issues arise and support is required.

Key national partners who have worked in collaboration with Scottish Government to develop this tool include: members of the Clinical and Professional Advisory Group for Care Homes, the Care Inspectorate, Scottish Care and NHS Education for Scotland (NES) who developed the interactive web based tool.

NHS Education for Scotland Chief Executive Stewart Irvine said: “As we all know, care homes have been among the hardest-hit areas of this pandemic. Our digital team has produced this resource to help reduce the burden on care homes and help residents and staff.

“We hope it’s a useful contribution to the ongoing support of this important area.” 

Scottish Care’s Transforming Workforce Lead Jacqui Neil said: “This will provide a long awaited national strategic approach to recording and responding to the pressures on our care homes in real time.

“It also offers a real opportunity to achieve quality improvements and safe practice through collaborative working moving forward.”

Care home visiting expanded

Care home residents will be able to receive more outdoor visitors from today (Monday, 10 August), Health Secretary Jeane Freeman has confirmed.

From today, care home residents will be able to have up to three outdoor visitors from no more than two households provided their home meets strict criteria, with infection control measures remaining in place.

Since 3 July care homes which have met this criteria have been able to allow residents to meet with one designated visitor outdoors.

A care home will only be able to permit visiting if they have been COVID-free throughout the pandemic or if all affected residents have fully recovered and no residents or staff have had symptoms for 28 days and the home is actively participating in weekly staff testing.

Visitors will need to wear face coverings throughout their visit and physical distancing and hand and cough hygiene will need to be adhered to at all times.

Care home providers have also been asked to develop plans on how they can safely allow one designated indoor visitor for residents within their homes. These plans must be submitted by 24 August and will be signed off by the relevant health board’s Director of Public Health once they are satisfied with the plan and the home meets all the criteria for indoor visiting.

Essential visits, including those involving end of life care, and visits for residents who are experiencing distress have been permitted throughout the pandemic and should continue to be supported by care homes.

Ms Freeman said: “This has been, and continues to be, a very challenging time for care home residents, their families and staff.

“Care homes are first and foremost people’s homes and we are committed to reintroducing measures that allow residents to connect with their family and friends. But this must be done safely and with precautions.

“Progress has been made since we reintroduced one designated outdoor visitor earlier this month, and I am pleased the clinical advice is now that care homes that meet the strict criteria can now allow residents to have up to three outdoor visitors from no more than two households. 

“It is important that we continue to monitor this situation and that all changes within care homes happen incrementally and with real caution to protect residents and staff.

“At this point in time clinical advice is not to restart indoor care home visiting, but to ensure  the necessary plans are in place to move to this as soon as safe to do so. This is being continually monitored and I hope we can give a further update on this in the coming weeks.

“We are also working to identify the necessary steps needed to restart communal activity within care homes and to reintroduce external outings by residents. This is a complex piece of work and we will of course include key partners in this.”

Scottish Care Chief Executive Donald Macaskill said: “The last few months have been exceptionally hard for folks in our care homes and for their families, being separated with only limited, often virtual, contact.

“At the beginning of July we opened up care homes to outdoor visiting and I am very pleased that in our slow journey back to normal life we can shortly allow the careful start of a degree of indoor visiting subject to local sign off by Public Health Officials. As well as this, it is positive that an increase in the numbers able to visit residents outdoors is now possible.

“Throughout the restoration of family visiting, we have tried to strike the hard balance between getting people back to seeing and being with their families and keeping residents, staff and others safe from the virus. We are very aware of how pernicious this virus is so guidance and measures will remain in place to protect everyone.”

Alzheimer Scotland’s new resources for care homes

Alzheimer Scotland has been working to respond to the main concerns expressed by callers to their 24-hour Freephone Dementia Helpline (0808 808 3000) and now have a suite of resources on their website’s  Coronavirus Information Hub including podcasts and videos.

A specific section provides information and resources for all those supporting people living with dementia in Scotland’s care homes.

Care Homes were ‘thrown to the wolves’

The UK Government’s “slow, inconsistent, and at times negligent approach” to social care in the Covid-19 pandemic has exposed the “tragic impact of  years of inattention, funding cuts and delayed reforms”, leaving the sector as a “poor relation” that has suffered badly in the pandemic.

The Public Accounts Commons Select Committee is demanding from Government a “3-point plan” by September, ahead of the second wave, covering health, the economy & procurement of medical supplies and equipment.

This was illustrated early on by the “appalling error” committed when 25,000 patients were discharged from hospitals into care homes without ensuring all were first tested for COVID-19 – even after there was clear evidence of asymptomatic transmission of the virus. 

Thanks to the commitment of thousands of staff and volunteers and by postponing a large amount of planned work, the NHS was – just – able to weather the “severe and immense” challenges to health and social care services in England and meet overall demand for COVID-19 treatment during the pandemic’s April peak – “unfortunately, it has been a very different story for adult social care”.

The Committee is particularly concerned about staff in health and social care “who have endured the strain and trauma of responding to COVID-19 for many months” and who are now expected to “cope with future peaks and also deal with the enormous backlogs that have built up”.

Failure to protect staff by providing adequate PPE has hit staff morale and confidence, while a lack of timely testing led to increased stress and absence. These same staff will be called upon in the event of a second peak and the NHS will need extra staff to deal with the backlog of treatment.

As well as its calls for a “second wave ready” plan, for health and the economy, the Committee expects an account to be provided in September of the spending under “policies designed to create additional capacity quickly” which – while necessary, especially in the haste the Government was acting in – have resulted in “a lack of transparency about costs and value for money”.

Meg Hillier MP, Chair of the Committee, said: “The failure to provide adequate PPE or testing to the millions of staff and volunteers who risked their lives to help us through the first peak of the crisis is a sad, low moment in our national response.

“Our care homes were effectively thrown to the wolves, and the virus has ravaged some of them.

“Vulnerable people surviving the first wave have been isolated for months, in the absence of a functional tracing and containment system. Yet there were bold and ambitious claims made by ministers about the roll out of test, track and trace that don’t match the reality.

“The deaths of people in care homes devastated many, many families. They and we don’t have time for promises and slogans, or exercises in blame. We weren’t prepared for the first wave. Putting all else aside, Government must use the narrow window we have now to plan for a second wave. Lives depend upon getting our response right.”

Capital to light up for Care Home Day 2020

St Andrews House and Victoria Quay in Edinburgh will be lit up in yellow at 6pm tonight to mark Care Home Day.

Care Home Day is an online campaign which aims to raise the profile of care homes across Scotland.

The day is organised by Scottish Care and supported by the Care Inspectorate and the Scottish Government. Together, they are calling for individuals, care providers and partner organisations to join them on social media to share good news stories from their local care homes using the hashtag #carehomeday20.

The day is an opportunity to recognise the crucial role of care homes in our communities and to give thanks to all the care home staff.

The prevalence of COVID-19 makes it especially important to provide recognition to the care home workforce on Care Home Day this year.

Health Secretary Jeane Freeman has sent a message of thanks to all care hom staff:

This pandemic has highlighted how compassionate and dedicated this workforce is. Coronavirus has significantly impacted care homes, threatening the lives of the staff and residents of care homes across the country. Despite this, staff in care homes have come together to combat this virus, protecting, supporting and caring for our vulnerable residents.

Therefore, Scottish Care wholly welcomes the decision to light up these buildings for Care Home Day. This initiative is also supported by the Edinburgh Health and Social Care Partnership. This is a positive token of appreciation and shows support for the care home sector during these unprecedented times.

The buildings will be lit up in the colour yellow, which was chosen to symbolise the flame of a candle. This relates to another initiative by Scottish Care – ‘Candle for Care’, whereby candles are lit every Tuesday at 7pm to express gratitude to all those who provide care and support during the COVID-19 crisis and in memory of all those who have died from COVID-19.

£4 million from UK Government to support delivery of social care in Edinburgh

Lothian MSP Miles Briggs has hailed over £4 million worth of UK Government funding to Edinburgh to provide vital support for social care to deal with the ongoing Coronavirus pandemic.

The Scottish Conservative and Unionist MSP, who is also his party’s Shadow Health Secretary, says the UK Government have provided £58 million worth of direct funding to care homes in Scotland, with over £4 million allocated to the capital’s health and social care partnership.

Mr Briggs says the millions of pounds in funding will help to protect care home staff and residents and help to reduce any transmissions and highlights the UK Government’s commitment to provide care homes with the protection they need.

He added that he hopes that the funding will be backed up by urgency from the SNP Government in carrying out widespread testing of care home staff, which was promised back in May by Jeane Freeman.

Commenting, Miles Briggs MSP said: “The UK Government have shown a real commitment to supporting our care homes through the Covid-19 pandemic.

“With Edinburgh receiving over £4 million in direct funding, this is a hugely welcome funding boost to help our care homes and their staff who have been on the frontline during this unprecedented crisis.

“Our care homes have cared for our loved ones and they deserve our full support to stop transmission of the virus.

“With the UK Government stepping up to provide funding for the capital’s social care, it must be backed up by the SNP carrying out rigorous testing which has been sadly lacking since they promised it back in May.”

Meanwhile, Briggs’ Westminster boss PM Boris Johnson has blundered into a row about care homes. Johnson has been widely criticised for saying “too many care homes didn’t really follow the procedures” during the coronavirus outbreak.

Mark Adams, CEO of charity Community Integrated Care, told the BBC the PM’s comments were “clumsy and cowardly” and he accused Mr Johnson of uttering ‘a massive untruth’.

Liz Kendall MP, Labour’s Shadow Social Care Minister, said: “There have been 30,000 excess deaths in care homes and at least 20,000 of these caused by Covid-19. 25,000 elderly people were discharged from hospitals to care homes without any tests whatsoever and frontline care workers were left without vital PPE.

“Staff who have gone the extra mile to care for elderly people, and experienced things the rest of us can only imagine, will be appalled to hear the Prime Minister’s comments.

“Boris Johnson should be taking responsibility for his actions and fixing the crisis in social care, not blaming care homes for this Government’s mistakes.”

Briggs: Unsatisfactory level of Covid-19 testing in Lothian care homes

Lothian MSP Miles Briggs says that the level of Covid-19 testing in care homes still falls well below the level expected.

The latest figures published by the Scottish Government on care home testing shows that 3,345 cumulative tests have been carried out on care home staff, and 2,840 cumulative tests have been carried out and care home residents, as of 14th June.

In Edinburgh and the Lothian only 646 care home staff and 376 care home residents tests were carried out between 8-14 June – despite a promise made last month by SNP Health Secretary Jeane Freeman that all care home staff would be tested.

Mr Briggs has questioned SNP Ministers commitment to testing, which he has repeatedly expressed his concerns about since the start of the Covid-19 outbreak.

There are an estimated 53,000 care home staff across Scotland.

Conservative Health spokesman Lothian MSP, Miles Briggs, said: “SNP Ministers have shown an unsatisfactory approach to testing, since the start of the Covid-19 outbreak and testing does not appear to be a central part of the Scottish Governments response to Covid-19.

“The SNP Minister for Health, Jeane Freeman, has shown that she is not committed to her promise last month that all care home staff would be tested.

“The level of testing that has been carried out through Edinburgh and the Lothians has simply not been good enough.

“A deadline must be confirmed for when all Care Home staff will be routinely tested for Covid-19 to keep care home staff and residents safe.”

Care home testing must increase, say Scottish Tories

SNP Ministers must step up their efforts and get on top of testing care home staff and residents in NHS Lothian.

2,665 care home staff and 2,460 care home residents have been tested cumulatively since the start of the Covid-19 outbreak, up to the 7th June.

This is despite SNP Health Secretary Jeane Freeman promising last month that every care home worker would be routinely tested.

The Scottish Conservatives challenged SNP First Minister Nicola Sturgeon on the matter at First Minister’s Questions where Nicola Sturgeon revealed only a fifth of care home staff had been routinely tested across the country.

Table 5 – Number of Tests – Care Home Staff and Residents
             
Number of Tests
Week Commencing 1 June Cumulative total to 7 June
NHS Board Staff Residents Staff Residents
Ayrshire and Arran                67                  30                689              579
Borders                22                  13                343              193
Dumfries & Galloway                  4                    7                  75              159
Fife             178                  30                763              372
Forth Valley             876               565            2,176           1,858
Grampian             115               167            1,709           1,668
Greater Glasgow & Clyde                17               678                920           5,709
Highland                47                  40                258              265
Lanarkshire                43               119                586              956
Lothian             566               327            2,665           2,460
Orkney                  6                    5                  20                 15
Shetland                  8                    9                  74                 52
Tayside             264               139                876              741
Western Isles                30                    4                  41                 22
Scotland          2,243            2,133          11,195        15,049

Scottish Government statistics reveal that across Scotland’s 14 health boards, only 18,110 care home staff have been tested out of an estimated 50,000 across the country – NHS Border said it didn’t have the capacity to run care home tests.

Lothian MSP Miles Briggs has repeatedly raised concerns over the level of testing in care homes since the start of the Covid-19 pandemic.

Earlier this month it was revealed that over 900 hospital patients were discharged to care homes with being tested for Covid-19.

The Scottish Conservatives are calling for all for SNP Ministers to set a deadline for when all care home staff will be routinely tested.

Miles Briggs, who is the Conservative health spokesperson, said: “There has simply not been enough testing carried out in care homes since the start of the Covid-19 pandemic, which has had disastrous consequences.

“SNP Ministers have been repeatedly told that testing is crucial for reducing the spread of Covid-19, but have slow to implement testing in care homes.

“In Edinburgh and the Lothians there have only been 2,665 tests carried out on care home staff, no where near as many as are necessary.

“Nicola Sturgeon and SNP Ministers must set a firm deadline as to when all care home staff will be tested.”

 

MSPs to quiz Health Secretary on coronavirus in care homes

The Scottish Parliament’s Health and Sport Committee is to question the Cabinet Secretary for Health Jeane Freeman on the impact of coronavirus on Scotland’s care homes.

Recent figures show more than half of Scotland’s Covid-19 deaths have taken place in care homes and Ms Freeman will be quizzed on the various issues faced by the care home sector.

Ahead of the meeting, Lewis Macdonald MSP, Health and Sport Committee Convener, said: “The shocking impact of coronavirus on Scotland’s care homes has been well documented with over half of Scotland’s deaths taking place in this setting.

“Some have felt that the NHS was prioritised over care homes at the outset of this pandemic and we are keen to examine whether this was the case.

“We also know that access to adequate PPE and lack of testing have impacted on care homes and we want to investigate these issues further.

“We are also seeking to find out how prepared care homes were for this crisis, what support the Government provided to them and how they will be supported to ensure that if there is a second wave of this deadly virus, care homes are not exposed again.”

The Committee’s meeting takes place this morning (Thursday 4th June) at 9.30am and will be broadcast live on www.scottishparliament.tv .

Crisis in Care Homes: People’s Assembly Scotland meeting tonight

Our “public” meeting focusing on the crisis in Care Homes is tonight – Tuesday 26th May at 7pm.

All are welcome to attend by using this link …

Join Zoom Meeting

Meeting ID: 837 6700 9007

Password: 395182

“Social Care was in crisis before this pandemic arrived and made the situation many times worse and as you have seen in Care Homes exposed the failings in the sector.”

What do we want after the crisis?

Please share amongst your contacts and through your networks to ensure a good attendance.

Speakers include:

  • Deborah Clarke, Head of Community for UNISON Scotland.
  • Care worker Sandra Trotter

Phil McGarry (Chairperson) & Keith Stoddart (Secretary) 

Peoples Assembly Scotland