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Found 287 results
  1. News Article
    More than 34,000 people with dementia are estimated to have died from coronavirus in the UK since the start of the pandemic, according to new figures. The condition has been identified in just over a quarter of all deaths due to COVID-19, partly due to the large number of deaths in care homes. Nearly 12,000 care home residents have died since January alone. A coalition of charities, including Alzheimer's Society, Dementia UK, John's Campaign and Together in Dementia Every Day (tide), are now calling for introduction of universal social care – free at the point of use like the NHS – as a legacy of COVID-19. It comes as new figures from the Office for National Statistics revealed that deaths of care home residents, where around 70% of people have dementia, are 30%t higher than previously thought. Nearly 12,000 have died since January alone. The charities also revealed the result of a survey of 1,001 people who care for someone close to them with dementia, demonstrating that the toll of the pandemic reaches further than simply deaths from the virus. More than nine in ten (92%) said the pandemic had accelerated their loved one's dementia symptoms, with a third (31%) reported a more rapid increase in difficulty speaking and holding a conversation, and a quarter (25%) in eating by themselves. Nearly a third (32%) of those who lost a loved one during the pandemic thought that isolation/lack of social contact was a significant factor in that loss. The Alzheimer Society and Dementia UK said their helplines had been flooded with calls from relatives reporting how quickly their loved ones were deteriorating. Read full story Source: The Independent, 1 March 2021
  2. News Article
    A Care Inspectorate report shows many homes are still failing to maintain infection control safety standards in Scottish care homes. Infection prevention was weak or unsatisfactory in half of the Scots care homes most recently checked by government regulators. Almost a year on from the start of the pandemic, the latest round of inspection reports highlighted poor practice in 11 out of 22 care homes. Read report
  3. News Article
    Three in 10 care home staff have not been vaccinated against COVID-19 despite being in the top four priority groups, according to data from NHS England. More than 435,000 workers in care homes for older adults are eligible in England, but only 304,600 have received a first dose. In London, only 52% of staff have had a jab, rising to 75% in the South West. The UK target of vaccinating 15 million people was met at the weekend. However, these figures, up to 14 February, suggest there are large groups of care workers, who are in the top four priority groups, who have still not come forward. Some care home staff have previously said they refused the vaccine because of "cultural issues", but organisations representing care providers say they must be convinced to have one - to protect them and the services they work in. Read full story Source: BBC News, 18 February 2021
  4. News Article
    Care home staff were without personal protective equipment (PPE) early in the pandemic because the government prioritised the NHS, MPs have said. The Commons Public Accounts Committee said care homes received only a fraction of the PPE needed compared with the health service. It said social care "was only taken seriously after the high mortality rate in care homes became apparent". The government said it worked "tirelessly" to provide PPE. The report from the Public Accounts Committee said many healthcare workers were put in an "appalling situation" where they had to care for people with Covid-19 or suspected Covid-19 "without sufficient PPE to protect themselves from infection". It said the social care sector did not receive "anywhere near enough" to meet its needs. Health and social care staff suffered PPE shortages, it said, with some forced to reuse single-use items as stocks ran "perilously low". Read full story Source: BBC News, 10 February 2021
  5. News Article
    Care homes in England operated by profitable chains have been branded unsafe by inspectors, who found serious failures in efforts to control the spread of coronavirus in its latest wave. In the last month 40% of care homes inspected by the Care Quality Commission in England were judged to be inadequate or in need of improvement. Several handling fatal coronavirus outbreaks were revealed to have broken laws meant to keep residents safe. Some of the worst failings uncovered in reports filed in the last month include CCTV showing PPE being used wrongly on 63 occasions in one home, infected residents mixing in communal areas with Covid-free residents, chronic staff shortages, and a care home manager continuing to work after showing Covid symptoms. The spate of problems relates to a small minority of care homes but coincides with a tripling of fatalities linked to the virus among care residents in England and Wales. Read full story Source: 4 February 2021
  6. News Article
    More than 2.5 million people over the age of 80 have received their first dose of the COVID-19 vaccine, NHS England has said. But the vaccine is failing to reach thousands of elderly people who receive care in their own homes, according to a provider, because they are too frail to travel to vaccination centres or fear catching the virus if they do. The Guardian spoke to three people who have family members over 80 still waiting to be vaccinated. “How on earth are elderly people expected to negotiate the system if they don’t have any help?” says Amanda Elliott, 59. Her father-in-law, George Elliott, 98, of Polegate, East Sussex, is still waiting to be vaccinated. “It seems very unfair,” she says. George, who was a glider pilot in the second world war, doesn’t feel entitled to a jab but finds the situation “puzzling”, Amanda says. He has chronic obstructive pulmonary disease (COPD), finds it very difficult to move and has a carer going into his home twice a day. Amanda, a support worker at a school in Sutton, says George received a letter inviting him to book his vaccination online and “tried without success”. He then called to book over the phone and was offered an appointment in Brighton, Hastings or Petersfield, to which he would have difficulty travelling. “I called the booking line on his behalf last week to find out what he should do as he is housebound. I was directed to his GP and his surgery told me they are not carrying out vaccinations and that I shouldn’t have contacted them about this. They were very unhelpful,” Amanda says. In Kirkcaldy, Fife, 88-year-old Christina McPhee, who is housebound, is still waiting to be vaccinated. “The district nurse has to administer the vaccine to those who can’t leave their homes, but the local GP practice told me last Friday they have none allocated for those in the area,” says her niece Mary. AdMcPhee has a tracheostomy and has carers and nurses visiting her several times a day, making her “very vulnerable” because she is high risk. Her sister, Mary’s mother, who is 82 and lives with McPhee, was able to get the vaccine because she could travel to the surgery, but there is no news about when McPhee is likely to receive hers. Read full story Source: The Guardian, 1 February 2021
  7. News Article
    Care watchdogs are investigating concerns that staff with Covid-19 have been working with care home residents as operators said absence levels are as high as 70% owing to sickness and self-isolation, increasing pressure to get staff back to work. The Care Quality Commission has ordered several councils to investigate allegations about the practice, which puts lives at risk, and possible breaches of the Care Act relating to abuse or neglect of residents. It is understood to be dealing with fewer than 10 cases. But the regulator has issued a warning to all care homes in England with the Department of Health and Social Care and council social services chiefs that “under no circumstances should staff who have tested positive for COVID-19, regardless of whether they are displaying symptoms or not, work in a care setting” until their self-isolation has ended. The Rights for Residents group said on Thursday it had been contacted by a carer whose boss had asked her to return to work only a few days after a positive test because of staff shortages. She refused and no longer works for the care home. In many homes, a quarter of staff are sick or self-isolating, with the ratio as high as 70% in some cases and operators are bringing in friends and family to try to cover shifts, said Nadra Ahmed, executive chairman of the National Care Association. Read full story Source: The Guardian, 28 January 2021
  8. News Article
    At least twenty-two people have died at a Basingstoke care home in one of the worst known outbreaks of the coronavirus pandemic to date. The deaths occurred at Pemberley House Care Home in Grove Road, Viables, operated by private firm, Avery Healthcare. The outbreak was first declared on Tuesday, January 5, with 60 per cent of its residents testing positive for the disease, according to sources. Within three weeks, 22 people had died - over one-third of the home's residents. The Gazette's former picture editor Ron Boshier was among the residents to have died after contracting the disease. A spokesman for Avery Healthcare told The Gazette they were "deeply saddened" by the loss of a number of their residents. Read full story Source: Gazette, 27 January 2021
  9. Content Article
    In this blog for CNN health, Blake Ellis and Melanie Hicken discuss the exponential increase in the prescription of the drug Nuedexta to care home residents with dementia in the US. A CNN investigation found that the number of Nuedexta pills dispensed to care home facilities increased by nearly 400% in four years, prompting concerns that it is being inappropriately prescribed. The drug is designed to treat a rare disorder called pseudobulbar affect (PBA) which occurs in only 5% patients with dementia. State regulators have found doctors inappropriately diagnosing nursing home residents with PBA to justify using Nuedexta to treat patients whose confusion and agitation make them difficult to manage. Analysis by CNN also found that nearly half the Nuedexta claims filed with Medicare in 2015 came from doctors who had received money or other perks from the manufacturer.
  10. News Article
    A special Crown Office unit set up to probe Covid-linked deaths is investigating cases at 474 care homes in Scotland, the BBC can reveal. The unit was set up in May to gather information on the circumstances of all deaths in care homes. Prosecutors will eventually decide if the deaths should be the subject of a fatal accident inquiry or prosecution. Care homes say the investigation is "disproportionate" and placing a huge burden on overstretched staff. The COVID-19 Deaths Investigation Team (CDIT) had received 3,385 death reports as of Thursday. The majority of them relate to people who lived in care homes. Behind the Crown Office statistics are hundreds of families grieving for loved ones who died in Scotland's care homes. Alan Wightman's 88-year-old mother Helen died in May last year during a Covid outbreak at Scoonie House in Fife Helen's death is part of the Crown Office probe and Mr Wightman's hopes for the investigation are that it looks "at the bigger picture and appreciates that on the ground people were doing the best they could". He added: "I thought that Scoonie House did the best they could in a very difficult situation, sourcing their own PPE and stopping people coming from hospital." "My own view is that care homes were put in an impossible situation because we had successive governments which did not properly prepare for a pandemic, you only have to look at the lack of PPE at the beginning of the pandemic to see that." Read full story Source: BBC News, 22 January 2021
  11. News Article
    Covid outbreaks in care homes have more than trebled in a month. Figures show that infection levels are now similar to the peak of the first wave, with last week having the second highest weekly total since records began in April. Senior figures said the numbers were "shocking" and warned: "Care homes cannot be neglected again". Ministers have pledged that all care home residents would be vaccinated by the end of this month. But The Telegraph has been told the care home rollout was taking longer than officials had anticipated. The new figures come after The Telegraph revealed the Government is proposing to send hospital patients into care homes without tests, despite being warned that was responsible for driving up cases in the first wave. Read full story Source: The Telegraph, 14 January 2021
  12. News Article
    The government is being pressed to urgently pay care homes to take on thousands of patients from hospitals, many of which are on course to be overwhelmed by COVID-19 patients. Hospitals, particularly in London and the surrounding areas, are seeing very high and rapidly growing numbers of covid-19 admissions, and are running out of options to free up beds. Multiple senior NHS leaders said they need to discharge more patients to care homes, but that this had become increasingly difficult. Beds in many care homes are lying empty, but many care providers are refusing to accept residents where there is a risk of introducing covid-19 and fear of repeating the disaster of the spring in the sector. Part of the problem is some care providers which would otherwise become covid-designated homes say they are not insured for the risk of doing so. HSJ understands national officials in the NHS and government are now considering options to try to alleviate the problem, amid urgent requests from local NHS leaders, including paying for the additional insurance cost. However, sources said the Treasury had not yet been willing to foot the bill. Read full story Source: HSJ, 7 January 2021
  13. Content Article
    The Queen’s Nursing Institute has published a resource for community nurses caring for people living with COVID-19. Commissioned by NHS England and NHS Improvement, ‘Living with COVID-19 (Long Covid) and Beyond’ provides information to support nurses working in community, care homes and primary care and also to the wider multi-disciplinary team including clinical knowledge, care responses and skills when caring for people during their recovery and rehabilitation. It is predicted that there will be a ‘new wave’ of physical, mental and emotional health challenges as individuals enter recovery from COVID-19 infection – and for some this is combined with issues resulting from the social and economic impact of lockdown, such as isolation and unemployment. The resource also aims to help nurses assist people, families, carers and employers to work towards managing post COVID-19 symptoms, regaining everyday life activities and returning to independent living wherever possible. It includes information on physical care, psychological and neuro-psychological care, social impact and features several case studies.
  14. News Article
    Care homes will not receive the first batches of the Covid vaccine in Scotland because of problems transporting small doses around the country. The health secretary has said about 65,500 doses of the Pfizer vaccine will arrive in Scotland by next Tuesday. They will initially be stored in freezers in packs of 997 doses. The first people to receive the jab may have to travel to where the doses are being held. Health Secretary Jeane Freeman said that means care homes would have to wait until the issue of breaking down the vaccines packs into smaller doses is resolved. She told the BBC's Good Morning Scotland programme: "The doses come to us in packs of 997 and we need to know to what degree we can pack that down into smaller pack sizes. If we can't, then we absolutely need to bring those who need to be vaccinated to those freezers - to the centres - because there is a limit to how much you can transport the doses once you have defrosted them." "We don't want to waste any of this vaccine so it's not possible at this point to take it in smaller doses into, for example, care homes." Read full story Source: BBC News, 3 December 2020
  15. Content Article
    In this Episode of the 'This Is Nursing' podcast series, Gavin Portier speaks with Kayleigh Evans, a lecturer at Sheffield Hallam University. They talk about nursing homes and the what is has been like during the COVID19 pandemic. Being a registered nurse in a care home/nursing home is an experience like no other and Kayleigh talks about the accountability that comes with the role and the different skills and situations these nurses find them selves in. There's a beautiful account of a good death that is very touching. Kayleigh also talks about the role of a nursing lecturer and we get an insight into the way nursing is being taught during this COVID.
  16. Content Article
    The objective of this study was to to report the frequency of adverse events (AEs) that occurred during the months when SARS-CoV-2 spreading rate was at its highest in the Italian nursing homes, and to identify which conditions and attributes were most associated with the occurrence of AEs. Authors note that future recommendations for the management and care of residents in nursing homes during the COVID-19 pandemic should include specific statements for the most vulnerable populations, such as people with dementia. This research paper can be viewed in full via the link below to the Frontiers in Psychiatry website.
  17. News Article
    Health inspectors in England have been moving between care homes with high levels of COVID-19 infection without being tested, raising fears they have put more residents at risk of catching the virus, leaks to the Guardian have revealed. In recent weeks all care home inspections carried out in the north of England have been of infected homes, including a facility where 38 of the 41 people receiving care and 30 staff – almost half of the workers – had tested positive, internal documents from the Care Quality Commission (CQC) show. Over the last two months inspectors have been checking infection control procedures and care standards in up to 600 care homes, many of which were dealing with outbreaks of COVID-19, but the Department of Health and Social Care (DHSC) has yet to provide testing. The CQC said on Friday it was expecting to start testing inspectors “in the coming weeks”. Weekly Covid deaths in care homes have been rising. In the week to 20 November, 398 people were notified to the CQC as having died from Covid, up from 138 a month earlier. The death toll remains lower than at the peak of the pandemic, when more than 2,500 people were dying a week in late April. The situation has sparked “very real anxieties about contracting the disease” and spreading it between infected homes, the leaked memos reveal. One inspector described work to his managers as like “going into the eye of the storm”. Read full story Source: The Guardian, 27 November 2020
  18. News Article
    Covid patients could be left to languish in hospital and block NHS beds amid delays in setting up “hot” care homes dedicated to receiving them, health chiefs have warned. A plan to reduce care home coronavirus outbreaks by setting up “hot homes” to receive infected people discharged from hospital is running late after dozens of councils missed a government deadline to nominate locations. By the end of October every area of England was supposed to have at least one facility approved for Covid-positive discharges, the government pledged last month. It was part of an attempt to prevent a repeat of the spring pandemic, which killed more than 18,000 residents after thousands of patients were discharged into care homes without tests. But as hospital admissions with Covid continue to rise, only 67 out of 151 local authorities have one set up, according to figures from the Care Quality Commission (CQC). NHS Providers, which represents NHS trusts, said the delays were adding to discharge problems, causing increasing patient stays and a growing number of “super-stranded” patients. “While the new discharge requirements are well-intentioned and aimed at protecting the most vulnerable in care homes, the challenge of implementing the changes has created blockages across mental health, acute and community beds,” said Miriam Deakin, the director of policy and strategy at NHS Providers. Read full story Source: The Guardian, 18 November 2020
  19. Content Article
    The minutes from the most recent Liberty Protection Safeguards (LPS) National Steering Group make for interesting reading for all those in the care home sector. We learn from these that the Government has decided that “now is not the right time” to introduce the care home manager role in England that was previously envisioned under LPS. It had recently been confirmed that the public consultation on the draft regulations and Code of Practice for LPS will be taking place in Spring 2021 and implementation of the LPS is some way off, anticipated to be in April 2022. In the meantime Bevan Brittan provide an update for care home providers that gives the sector some clarity at this earlier stage.
  20. Content Article
    On the same day that the nation went into a second lockdown, the Government published revised guidance on Visiting Arrangements for Care Homes. Whereas previous versions of this guidance had adopted a more neutral approach, the steer from the Government is now clear; the expectation is for care homes to be facilitating visits wherever possible. This Bevan Brittan article looks at what the law says, what the new guidance says and what care homes should be doing.
  21. Content Article
    In her latest blog, Sally Howard talks about the importance now more than ever of listening to and looking after each other. Making your voice heard. Listening to and appreciating those around you. Looking after yourself.
  22. News Article
    Not a single resident has contracted the coronavirus at Goodwin House’s small residential facility in Northern Virginia, USA, where about 80 seniors live in homey apartments and keep their own sleeping and meal schedules. There’s been just one case at the Woodlands at John Knox Village in Broward County, Fla., where all 140 residents live in private rooms and are cared for by nurses who earn enough not to take a second job. These facilities, part of a national movement in the US to create less-institutionalised long-term care, stand out in a pandemic that has killed more than 61,000 nursing home residents in the US since March. At “Green House” homes, the best-known nontraditional model, residents are one-fifth as likely to get the coronavirus as those who live in typical nursing homes — and one-twentieth as likely to die of the disease it causes. The model has been praised by academics and doctors and seems far better suited than traditional facilities to stave off the spread of infection and the isolation that has devastated the elderly in recent months. But it remains on the fringes of a $137 billion industry. Read full story Source: The Washington Post, 3 November 2020
  23. News Article
    The government is facing criticism over its guidance on safe visits to care homes in England. Labour and a number of charities have described the suggestions, including floor-to-ceiling screens, designated visitor pods and window visits, as impractical. Alzheimer's Society has said it "completely misses the point". Justice Secretary Robert Buckland told BBC Radio 4's Today programme the guidance was "non-exhaustive". The updated government advice, which came into effect on Thursday, says care homes - especially those which have not allowed visits since March - "will be encouraged and supported to provide safe visiting opportunities". Labour's shadow care minister Liz Kendall said many care homes would not be able to comply with the government's requirements which meant "in reality thousands of families are likely to be banned from visiting their loved ones". She said instead of suggesting measures such as screens, the government should "designate a single family member as a key worker - making them a priority for weekly testing and proper PPE". Kate Lee, chief executive at Alzheimer's Society, said: "We're devastated by today's new care home visitor guidance - it completely misses the point: this attempt to protect people will kill them." She said the pandemic had left people with dementia isolated and thousands had died. The guidelines "completely ignore the vital role of family carers in providing the care for their loved ones with dementia that no one else can", she added. She said the "prison-style screens" proposed by the government with people speaking through phones were "frankly ridiculous when you consider someone with advanced dementia can often be bed-bound and struggling to speak". That view was echoed by Caroline Abrahams, charity director at Age UK, who said she was "acutely aware" that the methods being sanctioned were "unlikely to be useable by many older people with dementia, or indeed sensory loss". Read full story Source: BBC News, 5 November 2020
  24. News Article
    Trusts in more than half English local authorities still do not have an agreed safe place to discharge recovering covid patients to, despite the government asking councils to identify at least one such ‘designated setting’ by the end of October. The situation is leading to an increase in delayed discharges from hospital just as the service comes under increased pressure from the second covid wave and returning elective and emergency demand. In a letter last month, the government told local authorities to identify at least one “designated setting” – typically a care home – which hospitals could discharge covid positive patients to when they no longer need secondary care. The designated setting would also take discharged patients who had not received a negative covid test. The plan is designed to protect residents in other homes, after thousands of care home residents died due to outbreaks of the virus in the spring. But a well-placed source in the care sector told HSJ less than half of the 151 upper tier councils met the 31 October deadline, due to a range of reasons including insurance costs, fear of high mortality rates and reputational damage to the designated homes. It means that in many parts of the country, there are a lack of options when it comes to discharging patients, which is causing a rise in delayed discharges. Read full story (paywalled) Source: HSJ, 5 November 2020
  25. News Article
    A woman has been arrested after attempting to take her 97-year-old mother out of a care home for lockdown. Qualified nurse Ylenia Angeli, 73, wanted to care for her mother, who has dementia, at home. But when she told staff at the care home, they called the police who then briefly arrested Ms Angeli. The family have not been able to see their elderly relative for nine months, and decided to act ahead of the second national lockdown. Assistant Chief Constable Chris Noble, from Humberside Police, said: "These are incredibly difficult circumstances and we sympathise with all families who are in this position." "We responded to a report of an assault at the care home, who are legally responsible for the woman's care and were concerned for her wellbeing. We understand that this is an emotional and difficult situation for all those involved and will continue to provide whatever support we can to both parties." The incident came to light on the day the government announced new rules for families wishing to visit their loved ones in care homes. Under the guidance, issued hours before lockdown, families can meet relatives through a window or in a secure outdoor setting. Visits will need to be booked in advance, but the Department of Health and Social Care advice said care homes "will be encouraged and supported to provide safe visiting opportunities". All care home residents are allowed to receive visits from friends and family during the second national lockdown. Read full story Source: Sky News, 5 November 2020
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