In this section you will find resources, guidance and information that may be useful for care homes and domiciliary care relating to Covid-19. We will keep adding to these as further resources become available. Don’t forget to look at the other resources on this site….

If you have any resources, guidance or information, or are aware of any that we can share, please send them to sixsteps@eolp.org.uk.

*LATEST NEWS AND RESOURCES*

All new information will be added here, then moved to the appropriate area below after a few days

Major New Survey of Care Home Leaders Confirms Severe Impact of Covid-19
The Queen’s Nursing Institute (QNI) has published a major new report on the effect of the Covid-19 pandemic on the UK’s nursing and residential homes. PUBLISHED 24 AUGUST 2020 (Department of Health and Social Care).  Click here to view documents
Local COVID alert levels: what you need to know
The Government have announced new guidance on local COVID-19 alert levels and the new three-tier system for COVID-19 restrictions. Every area will be classified as being on medium, high or very high alert – tiers one, two and three. Providers should note that the advice and regulation for these tiers, includes information on visiting care homes. PUBLISHED 12 OCTOBER 2020 (Department of Health and Social Care).  Click here to view documents

 

SPECIFIC GUIDANCE AND INFORMATION FOR CARE HOMES

The resources below have been written or developed specifically for care homes

Admission and Care of Residents during COVID-19 Incident in a Care Home UPDATED 2 SEPTEMBER 2020
This guidance is intended for care homes, local health protection teams, local authorities, clinical commissioning groups (CCGs) and registered providers of accommodation for people who need personal or nursing care. This includes registered residential care and nursing homes for people with learning disabilities, mental health and/or other disabilities. Click here to view document 
Care Homes and Home Care Toolkit
A Toolkit to provide an overview of key areas care home and homecare staff should be familiar with (Nottingham and Nottinghamshire NHS). Click here to visit website
Q&A Coronavirus (COVID-19): Dementia and care homes
Questions and answers for social care. Click here to visit website  
Top Tips for Tricky Times
Top tips on eight topics relevant to care home staff, displayed on one-side of A4, which can be easily printed off to display in care home. They are asking people to register before getting free access to download just to be able to track who is interested. Click here to register and view documents 
Update on policies for visiting arrangements in care homes UPDATED 31 JULY 2020
Guidance for those working in care homes providing information on visiting policies. (Department of Health and Social Care).  Click here to visit website 
Principles for safely welcoming visitors back to care settings
Visitors’ protocol – Care Provider Alliance (CPA) briefing for care providers. Click here to visit website  
Coronavirus (COVID-19): care home support package
Sets out the support package to keep care homes safe during the coronavirus pandemic. Click here to visit website  
Coronavirus (COVID-19): reuse of medicines in a care home or hospice
Standard operating procedure on how to run a safe and effective medicines reuse scheme in a care home or hospice during the coronavirus outbreak. Click here to view document  
Video - Covid-19 Putting on and removing PPE - a guide for care homes
This video explains the standard of PPE that is safe for use in care homes (Public Health England). Click here to watch video
COVID-19: How to work safely in care homes UPDATED 20 JULY 2020
Guidance for those working in care homes providing information on how to work safely during this period of sustained transmission of COVID-19. (Public Health England).  Click here to view documents 
How to work safely in care homes. Putting on personal protective equipment (PPE) POSTER
A one page poster that complements the video (Public Health England). Download: Putting_on_PPE_Care_Homes.pdf 
How to work safely in care homes. Taking off personal protective equipment (PPE) POSTER
A one page poster that complements the video (Public Health England). Download: Taking_off_PPE_Care_Homes.pdf 
How can pandemic spreads be contained in care homes?
Advice from the Oxford COVID-19 Evidence Service Team Centre for Evidence-Based Medicine on how to contain Covid-19 in care homes. Click here to visit website
COVID-19: Our Action Plan for Adult Social Care
This action plan sets out our approach for all settings and contexts in which people receive adult social care. This includes people’s own homes, residential care homes and nursing homes, and other community settings (Department of Health and Social Security (DHSS).  Download: Covid-19-Adult-Social-Care-Action-Plan.pdf
Managing the COVID-19 pandemic in care homes
This guidance has been developed to help care home staff and NHS staff who work with them to support residents through the pandemic (the British Geriatrics Society). Download: Managing-the-COVID-19-pandemic-in-care-homes-BGS.pdf
Poster to promote future planning discussions
This poster can be used as a reminder for staff to promote future planning discussions  in light of the Covid-19 situation. Download: Future-discussion-poster.pdf
Coronavirus (COVID-19): verification of death in times of emergency
Clarifying existing practice for verifying deaths outside of hospitals and providing a framework for safe verification of death during the coronavirus emergency. Click here to view document 
COVID-19 Information and guidance for social or community care and residential settings
Guidance about COVID-19 for those working in social or community care and residential settings (Health Protection Scotland). Download: Covid-19-guidance-for-social-or-community-care-and-residential-settings.pdf
SYMPTOM AND CARE MANAGEMENT

These resources relate to direct care issues such as symptom management for care homes

COVID-19: Guidance for taking swab samples
This guidance includes videos and instructions for how to take swab samples for COVID-19 testing. It has just been updated to include two new videos specifically for social care staff. Click here for the guidance 
COVID-19 rapid guideline
Managing symptoms (including at the end of life) in the community. Download: Covid19-rapid-guideline-managing-symptoms-including-at-the-end-of-life-tn-the-community.pdf
Flowchart to support implementation of national guidance on verification of death in this period of emergency
This guidance offers a flow chart for the process and an annexe with guidance for remote clinical support for verification of death . Download: VoD__supporting_information.pdf 
Registered Nurse Verification of Expected Adult Death (RNVoEAD) guidance
The aim of this guidance and the accompanying competency assessment tool (See Appendix 1), is to provide a framework for the timely verification of expected adult deaths by experienced (assessed as competent), registered nurses (RNs). Download: rnvoead-special-covid-19-edition-final-2.pdf
SPECIFIC INFORMATION AND GUIDANCE FOR DOMICILIARY CARE

The resources below have been written or developed specifically for domiciliary care

Guidance for the social care sector on Covid-19
Latest information for the social care sector from the United Kingdom Homecare Association (UKHCA) Click here to visit website 
Poster to promote future planning discussions
This poster can be used as a reminder for staff to promote future planning discussions  in light of the Covid-19 situation. Download: Future-discussion-poster-for-domicilary-care.pdf
SUPPORTING RESIDENTS AND FAMILIES

The following resources can be used to support residents and their families during the Covid-19 crisis

Information for relatives of those in care homes
This leaflet and supporting guidance has been developed in North Central London to provide information for resident’s families and to support some of the conversations that are taking place. Download the information leaflet: Info_for_Relatives__Care_Home_FAQs-1.pdf (An editable word version of this document can be requested from Shani Gray at shani.gray@nhs.net) and Download the slide guide: Information_for_relatives__how_to_use_the_FAQs.pptx 
Clinical guide for supporting compassionate visiting arrangements for those receiving care at the end of life
This guidance is focused on supporting compassionate visiting arrangements for those receiving care at the end of life. It provides advice on how visiting at the end of life can be facilitated across a range of settings. Download: C0393-clinical-guide-for-supporting-compassionate-visiting-arrangements-13-may-2020.pdf 
Using Skype during Pandemic Isolation
How Hospitals, Hospices & Care facilities can use Skype to reduce loneliness during the Coronavirus (COVID-19) pandemic (BMJ blog). Click here to visit website
Activities for Older Adults during COVID19
A guide to online resources for those providing care for people with dementia. Download: Maintaining-Activities-for-Older-Adults-during-COVID19.pdf
Living with dementia and COVID-19: an emergency kit
Advice and support, at-home activities and how can carers look after themselves (Rare Dementia Support).  Download: Living-with-dementia-and-COVID-19-an-emergency-kit.pdf
Talking to relatives
A guide to compassionate phone communication during COVID-19. Download: Talking-to-Relatives-NHS-Covid19-Communications-flow-chart.pdf
Video - Effective communication during Covid-19
This video summarises how we can deliver effective communication during the current pandemic and whilst wearing PPE. Click here to watch video  
Coronavirus: dealing with bereavement and grief
Cruse Bereavement Care share resources to consider how bereavement and grief may be affected by this pandemic. Click here to visit website
Marie Curie launches national bereavement support service
Marie Curie’s national bereavement service is available to anyone affected by the death of a loved one. The service enables people to access free emotional support from a dedicated volunteer, over the phone, for up to six weeks. Click here to visit website  
Supporting Carers and Care Staff to Understand and Respond to Changes in Behaviour in People with Dementia
This document has been created to help carers and care staff to understand potential changes in the behaviour of people with dementia and offer suggestions on appropriate supports (the Northern Health and Social Care Trust). Download: Supporting-People-with-Dementia-During-Covid-19.pdf
SUPPORTING STAFF, COLLEAGUES AND OURSELVES

The following resources can be used to support staff and colleagues

Your Mind Plan - top tips and advice tailored to your needs (involves a short interactive quiz)
Answer 5 quick questions to get your free plan with tips to help you deal with stress and anxiety, improve your sleep, boost your mood and feel more in control. Published by the NHS Every Mind Matters. Click here to visit website
Top tips for reducing the irritation caused by PPE
To help our sector’s carers out and make life a bit comfier, CoolCare has teamed up with York College’s Beauty Department to get their top top tips for reducing the irritation caused by PPE. Download: A4-Leaflet-Improving-Carers’-Comfort.pdf
Skills for Care launches COVID-19 advice line for managers
A new COVID-19 advice line has been launched to support the sector’s 20,000 registered and other frontline managers. Click here to visit website
Mental health hotline for staff tackling COVID-19
NHS staff will be able to call or text a free number staffed by thousands of specially trained volunteers, to receive support and advice for the pressures they face every day during the global health emergency. Click here to visit website
Leading through uncertainty: First Aid Kit
An 11 minute video with top tips on how to lead through uncertain times by Leadership experts Rachael Lewis & Gareth English. Click here to watch video
Looking after your feelings and body
An easy read guide to promote self care (Public Health England). Download: Looking-after-your-feelings-and-body-easy-read-guide.pdf
Coping with your feelings during the COVID-19 pandemic
Guidance by NHS Lanarkshire Psychological Services. Click here to visit website
TRAINING AND LEARNING OPPORTUNITIES
Using Syringe Drivers online 30 minute course
This session is designed to give you an overview of syringe drivers, and the different uses they have in the management of symptoms and end of life care. It will also dispel some myths and assumptions about the use of syringe drivers. This session was reviewed by Jane Naismith and Richard Kitchen and last updated in August 2018 (e-LfH). Click here for session 
Video showing the set up of the T34 syringe driver
A demonstration of the set up procedure for the T34 (Claire Britton, Specialist Nurse Practitioner, Sobell House Community Team). Click here to watch video 
Free online Covid-19 awareness course
This free COVID-19 resource is delivered via Skills for Health, who are one of the leading UK providers of online learning for healthcare, including Statutory/Mandatory training such as Infection Prevention and Control. Click here for more information and registration 
Online training session on COVID-19 and Palliative, End-of-life and Bereavement Care
This is just one of the several sessions available on e-LfH. Click here to visit website 
OTHER

These resources, although not written specifically for care homes will also be very applicable

Dementia wellbeing in the COVID-19 pandemic
This resource is primarily for clinicians working with people with dementia, but can also be used by carers and people with dementia. PUBLISHED 25 SEPTEMBER 2020 (NHS).  Click here to visit website
Third Edition Care after Death
Guidance for staff responsible for care after death PUBLISHED 14 SEPTEMBER 2020 (Hospice UK).  Click here to visit website
Overview of adult social care guidance on coronavirus (COVID-19)
Information for adult social care providers on COVID-19 guidance and support UPDATED 11 SEPTEMBER 2020 (Department of Health and Social Care).  Click here to visit website
Wearing a mask: Do’s and don’ts
A useful visual guide about the dos and don’ts of mask wearing (Harrogate and District NHS Foundation Trust). Click here to visit website
PPE guide for community health and social care settings
What PPE to wear and when – an illustrative guide. (Public Health England). Click here to view document
Coronavirus (COVID-19): Office of the Public Guardian response UPDATED 29 JULY 2020
Guidance on how OPG is responding to the coronavirus outbreak. (Office of the Public Guardian). Click here to visit website
Guidance Notes for Completing Advance Care Plans (ACP) Remotely
Remote Advance Care Planning Guidance developed by the Cheshire and Merseyside Network’s GP Clinical Lead, Dr Debbie Harvey. Click here to view document  
COVID EOLC Community Charter
Principles and guidance to providing the best possible palliative and end of life care to people affected by the COVID-19 pandemic. Download: [download id=”3598″
Advance care planning guidance and template
Guidance and template in the context of coronavirus (COVID19). Click here to view document
Coronavirus (COVID-19): looking after people who lack mental capacity
Guidance for health and social care staff who are caring for, or treating, a person who lacks the relevant mental capacity. UPDATED 7 SEPTEMBER 2020 (Department of Health and Social Care).  Click here to visit website
Remote assessment of mental capacity
A flowchart and guidance draws from DHSC guidance and legal commentary (see appendices within document) as well as practical tools in use in other local authorities and advocacy services. Download: Remote-MCA-BI-assessment.pdf
Emergency MCA and DOLS Guidance during the Covid-19 Pandemic
Guidance for Hospitals, Care Homes and Supervisory Bodies [v0.1]. Download: Emergency_MCA_DoLS_Guidance_COVID19.pdf
Posters for use in hospitals and other NHS settings
Downloadable posters to remind patients to keep a safe distance. Click here to go to download 
Royal College of Nursing Covid-19 information
Covid-19 – what you need to know. Click here to visit website
Chief Coroner’s Guidance on COVID-19
This document is provided to Coroners to support their decision making during Covid-19. Download: Chief-Coroner-Guidance-No.-34-COVID-19-26-March-2020.pdf
NEWS AND ARTICLES

Recent updates and information

Adult social care: coronavirus (COVID-19) winter plan 2020 to 2021
The government’s ambitions for the sector and the challenges facing adult social care this winter. PUBLISHED 18 SEPTEMBER 2020 (Department of Health and Social Care).  Click here to view documents
Worst hit: dementia during coronavirus
This report brings together evidence from a wide range of sources to shine a light on the impact of coronavirus disease 2019 (COVID-19) on people who have dementia and those who care for them. PUBLISHED 29 SEPTEMBER 2020 (Alzheimer’s Society).  Click here to view report
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