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Content ArticleOn 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.
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Content Article
I think you’re on mute… a blog by Sally Howard
Sally Howard posted an article in Culture
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.- Posted
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Content ArticleThe Cornwall and Isles of Scilly Safeguarding Adults Review into The Morleigh Group has found elderly people in care homes in Cornwall were abused and neglected while failings led to reports of concerns not being investigated. The Morleigh Group operated seven homes in Cornwall and has since shut down. The review was completed in April 2019 but has only just been made public - Rob Rotchell, Cornwall Council Cabinet member for adult social care said that this was due to the number of agencies being involved.
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Content ArticleElderly people in care homes in Cornwall were abused and neglected while failings led to reports of concerns not being investigated, a new Safeguarding Adults Review has found. The Morleigh Group, which operated seven homes in Cornwall and has since shut down, was exposed in a BBC Panorama investigation in 2016. A new Safeguarding Adults Review which was commissioned as a result of the TV show has been published making a number of recommendations to all agencies which were involved in the case. The review was completed in April 2019 but has only just been made public - Rob Rotchell, Cornwall Council Cabinet member for adult social care said that this was due to the number of agencies being involved.
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Content ArticleBasic assessment tracking form for nursing home residents from the Centers for Medicare and Medicaid Services.
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Content ArticleAn open letter has been published in the Nursing Times from infection prevention and control experts, together with interested and concerned individuals and organisations, about the restrictions enforced in nursing, care and residential homes. Restrictions are being imposed in relation to COVID-19 across too many nursing, care and residential homes in the UK and beyond, in the name of infection prevention and control. A number of experts in this field, led by Jules Storr, independent global health consultant and former Infection Prevention Society (IPS) president, summarise in an open letter why infection prevention and control should be an enabler not a barrier to safe, compassionate human interaction in nursing, care and residential homes. By adding their voice their intention is to accelerate action to end this uncompassionate treatment of people in homes as well as for their families and other loved ones.
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Content ArticleOn the 12 October 2020, the Care Quality Commission (CQC) announced the launch of a review into the imposition of blanket ‘do not attempt cardiopulmonary resuscitation’ (DNACPR) notices for patients in care homes, primary care and hospitals. This follows revelations earlier in the year that potentially thousands of patients were being placed in care homes with blanket ‘do not attempt resuscitation’ (DNAR) notices in place. This has led to widespread public criticism. This article explores whether a DNACPR notice is valid without the consultation of family members or other representatives of a patient receiving care and, if not, what should be done?
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Content ArticleFor months, Trevor has been unable to visit his wife, Yvonne, who lives in a care home. In this blog, published by the Alzheimer's Society, Trevor calls for assurance from Government that they will consider the needs of people living with dementia, like Yvonne.
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Content ArticlePublished by the Older People's Commissioner for Wales, Care Home Voices: A snapshot of life in care homes in Wales during Covid-19, gives a voice to people living and working in Welsh care homes and provides a snapshot of their experiences during the COVID-19 pandemic. The responses from older people and their families and friends highlight just how difficult lockdown has been for many people. Many older people had not seen their family and friends at all for prolonged periods and had concerns about the impact that lockdown could be having on their wellbeing.
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Content ArticleThe report, As if expendable: The UK Government's failure to protect older people in care homes during the COVID-19 pandemic, was published by Amnesty International in 2020. It argues that the UK government, national agencies, and local-level bodies have taken decisions and adopted policies during the COVID-19 pandemic that have directly violated the human rights of older residents of care homes in England – notably their right to life, their right to health, and their right to non-discrimination. The report states that decisions and policies have also impacted the rights of care home residents to private and family life, and may have violated their right not to be subjected to inhuman or degrading treatment.
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Content ArticleIn the UK, people affected by dementia have been hit the hardest by the coronavirus (COVID-19) pandemic. From the high death rate in care homes, to the significant cognitive decline for people who live in the community, to the rising mental health challenges for unpaid carers, the pandemic has had a severe impact, while exposing our fragmented social care system for all to see. Alzheimer’s Society is the UK’s leading dementia charity, and in this report they bring together evidence from a wide range of sources to shine a light on the impact of COVID-19 on people who have dementia and those who care for them.
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Content ArticleThe 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.
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Content ArticleThe 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.
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Content ArticleIn this Episode of the 'This Is Nursing' podcast series, Gavin Portier speaks to with Alison Schofield, Tissue Viability Clinical Nurse Specialist from North Lincolnshire & Goole NHS Trust. Alison has worked in Tissue Viability since 2012 and during this time she has studied extensively in leading change in tissue viability, tissue viability management and leg ulcers. Alison discusses her role of a Tissue Viability Clinical Nurse Specialist and the challenges facing the role in this current world of nursing, the impact of COVID-19 has had on the delivery of community tissue viability services and on people in receipt of the services in care homes and in their own homes.
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Content ArticleIn 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.
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Content ArticleA fundamental shift is underway in care provision for older populations, with long-term care (LTC) increasingly taking on care provision that was traditionally delivered in hospitals. As OECD populations are rapidly aging, there has been increasing demand on the LTC sector to provide care for more, and older people, with complex conditions and heightened needs for expert care. Currently, 58% of adults aged 65 or over report living with two or more chronic diseases, with this figure rising over 70% in many OECD countries. Simultaneously, trends in LTC focus on substitution of care settings from nursing homes and residential care towards home care and supporting older persons to live on their own or with family as long as possible. The total cost of avoidable admissions to hospitals from LTC facilities in 2016 was almost USD 18 Billion, equivalent to 2.5% of all spending on hospital inpatient care or 4.4% of all spending on LTC. Research shows that over half of the harm that occurs in LTC is preventable, and over 40% of admissions to hospitals from LTC are avoidable. The root causes of these events can be addressed through improved prevention and safety practices and workforce development—including skill-mix and education. Targeted investments in a number of key areas can have a significant impact by mitigating the main cost drivers of adverse events in LTC.
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Content ArticleIn 2019 The King's Fund discussed the following eight key problems facing social care and called for reforms to address them: means testing: social care is not free at point of use like the NHS catastrophic costs: some people end up paying large amounts and even selling their homes to pay for care unmet need: many people go without the care and support they need quality of care: a wide spectrum of concerns, from 15-minute care visits to neglect and lack of choice and control workforce pay and conditions: staff are underpaid, leading to high vacancy rates and turnover market fragility: care providers go out of business or hand back contracts disjointed care: health and care is not integrated around the individual and causes issues such as delayed transfers of care from hospital the ‘postcode lottery’: there is unwarranted variation between places in access to care and its quality. The pandemic has shone an uncompromising light on the social care sector. In this article, Simon Bottery explores how COVID-19 has exacerbated these pre-existing challenges.
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Content ArticlePatient Safety Learning’s formal response to the Healthcare Safety Investigation Branch’s (HSIB) report looking into a safety risk concerning guidelines around the use of personal protective equipment to reduce the risk of COVID-19 transmission when delivering care in people’s homes.
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Content ArticleThe case contains useful guidance for practitioners, healthcare providers and commissioners concerning when an inquest into the death of a vulnerable person at a care home will engage Article 2 ECHR.
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Content ArticleThe 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.
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Content ArticleThe Healthcare Safety Investigation Branch (HSIB) reiterates the importance of clear personal protective equipment (PPE) guidelines to reduce the risk of COVID-19 transmission when delivering care in people’s homes.
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Content ArticleDrawing on a 2010 analysis of the reform and costs of adult social care commissioned by Downing Street and the UK Department of Health, this paper from Glasby et al., published in the Journal of Social Policy, sets out projected future costs under different reform scenarios, reviews what happened in practice from 2010-19, explores the impact of the growing gap between need and funding, and explores the relationship between future spending and economic growth. It identifies a ‘lost decade’ in which policy makers failed to act on the warnings which they received in 2010, draws attention to the disproportionate impact of cuts on older people (compared to services for people of working age) and calls for urgent action before the current system becomes unsustainable.
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Content ArticleIn this briefing The Health Foundation provides an overview of the impact of the COVID-19 pandemic on social care in England. In part 1 they describe how the pandemic unfolded in the social care sector from March until June 2020, and in part 2 they examine the factors that contributed to the scale and severity of outbreaks in care homes. In part 3 they attempt to quantify the disruption to health and social care access from February until the end of April 2020.
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Content ArticleLesley Flatley, reflects on some of the challenges and key learnings from leading in isolation, as a manager in an independent care home, during the pandemic. "Our experiences of the pandemic so far have been extremely challenging, but we must continue to improve and build on new ways of working to ensure that staff and residents are supported."
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Content ArticleAt the second annual Patient Safety Learning conference, held on 2 October 2019, we interviewed Evelyn Prodger, Head of Community Services at Martlets Hospice, on her experience at the conference and her thoughts on the launch of the hub.
