Resources

Action guide for people with chronic health conditions and elderly people in a confined situation. Alarm status by COVID-19 (Ministry of Health, Spain)

Action guide for people with chronic health conditions and elderly people in a confined situation. Alarm status by COVID-19 (Ministry of Health, Spain)

This document is a guide for people with underlying health conditions and older persons who are living in isolation, aimed towards reducing the risk of contracting COVID-19. It gives measures on staying home, PPE, leading a healthy life in isolation, medicine, emotional wellbeing, and healthcare. It also contains annexes with information for people suffering from specific conditions (such as diabetes, epilepsy or asthma).


Guía de actuación para personas con condiciones de salud crónicas y personas mayores en situación de confinamiento. Estado de alarma por COVID-19. Madrid, Ministerio de Sanidad, 2020, 22 p.


 

Action guides and recommendations for older people, caregivers and family members, in the context of the health crisis caused by COVID-19 (Ministry of Social Rights and 2030 Agenda)

Action guides and recommendations for older people, caregivers and family members, in the context of the health crisis caused by COVID-19 (Ministry of Social Rights and 2030 Agenda)

This website compiles a few guides for older people, their family and their carers in the context of the COVID-19 crisis. These guides are part of a wider initiative by the Spanish Health Ministry, and IMSERSO has listed the ones that are oriented towards older people.


Guías de actuación y recomendaciones para personas mayores, cuidadores y familiares, ante la crisis sanitaria provocada por el COVID-19. Madrid, Ministerio de Derechos Sociales y Agenda 2030, 2020, online.


 

Adapted prevention measures. Circuits and other guidelines for nursing homes and health and social care centers (Doctors Without Borders, Spain)

Adapted prevention measures. Circuits and other guidelines for nursing homes and health and social care centers (Doctors Without Borders, Spain)

This document is aimed towards nursing home and residential centre staff and offers preventive measures in the context of the COVID-19 crisis.

In the first place, it gives guidelines on how to avoid infection and keep infected objects and people separated from those who are not infected, via circuits and other strategies. These guidelines are given on a variety of topics: isolation of residents, shared spaces, clothing, kitchen, laundry, waste management, elevator use, mobile phone use, extraordinary duties, management of bodies and staff’s return home.

In the second place, it gives hygiene and disinfection related preventive measures. For this, it explains how to prepare sodium hypochlorite and gives some basic principles that must be followed.

Finally, it also gives the steps that need to be followed in order to disinfect reusable Personal Protective Equipment.


Medidas de prevención adaptadas. Circuitos y otras pautas para residencias de ancianos y centros socio-sanitarios. Barcelona, Médicos Sin Fronteras, 2020, 19 p.


 

Advice for those living with an older family member to reduce the risk of COVID-19 transmission (Alzheimer’s Indonesia)

Advice for those living with an older family member to reduce the risk of COVID-19 transmission (Alzheimer’s Indonesia)

Alzheimer’s Indonesia is an NGO working to improve quality of life of people with dementia and their carers in Indonesia. The organisation’s website has published advice for those living with an older family member to reduce risk of COVID-19 transmission. (In Bahasa Indonesia)


Tips mencegah penularan Covid-19 bila Anda tinggal serumah dengan Iansia (Tips to prevent transmission of Covid-19 if you live with the elderly). Jakarta, Alzheimer’s Indonesia, 2020, online.


 

Alzheimer’s Disease International resources on dementia during COVD-19 (Alzheimer's Disease International, UK)

Alzheimer’s Disease International resources on dementia during COVD-19 (Alzheimer's Disease International, UK)

This website offers links to news, resources, stories, advice and support for people with dementia and their carers in the context of COVID-19. It also has country-specific information for over 100 countries, in various languages.


Alzheimer’s Disease International resources on dementia during COVD-19. London, Alzheimer’s Disease International, 2020, online.


 

Brief guidance for dementia and cognitive impairment during COVID-19 (British Geriatrics Society)

Brief guidance for dementia and cognitive impairment during COVID-19 (British Geriatrics Society)

This website is brief guide on COVID-19 and how it affects people living with dementia and/or cognitive impairment and their carers. It lists some key factors about the intersection of said issues, as well as ways of offering specific support.


Brief guidance for dementia and cognitive impairment during COVID-19. London, British Geriatrics Society, 2020, online.


 

Coming into Hospital: Coronavirus. A Guide for people with dementia, families and carers (Alzheimer Scotland)

Coming into Hospital: Coronavirus. A Guide for people with dementia, families and carers (Alzheimer Scotland)

This guide offers information on hospital admissions during the COVID-19 pandemic for people with dementia, as well as their family and carers.

Firstly, it explains the need for social distancing and isolation, and lists ways hospital staff can support people with dementia during this time. Secondly, it outlines hospital visiting restrictions (namely, it explains the current advice, which is to only allow one visitor if it is deemed essential) and offers alternatives to in-person communication. Thirdly, lists what things should be packed in advance for a potential unplanned hospital visit. In addition, explains why Personal Protective Equipment is necessary for staff and patients, gives reasons why it might be distressing for people with dementia, and offers measures to reduce said patient anxieties. Finally, it defines the team of staff who will be taking care of the person with dementia.


Coming into Hospital: Coronavirus. A Guide for people with dementia, families and carers. Edinburgh, Alzheimer Scotland, 2020, 5 p.


 

Confinement advice for people with dementia (Pasqual Maragall Foundation, Spain)

Confinement advice for people with dementia (Pasqual Maragall Foundation, Spain)

The Pasqual Maragall Foundation blog offers advice for people who live with dementia and their relatives or caregivers during confinement due to the COVID-19.


Consejos confinamiento personas con demencia. Barcelona, Fundación Pasqual Maragall, 2020, online.


 

Coronarivus (Covid-19). Protocol relating to applicable instructions on confinement in social and health and social care establishments and services and units of long-term care (Ministry of Solidarity and Health, France)

Coronarivus (Covid-19). Protocol relating to applicable instructions on confinement in social and health and social care establishments and services and units of long-term care (Ministry of Solidarity and Health, France)

This document is a guideline on managing lockdown in care homes and residential long term care centres.

Firstly, it defines the various types of lockdown, and when they should be applied. Secondly, it gives some advice on managing the limitation of in-site circulation, this is to say, individual isolation of users within their rooms. It explains when it should be put in place, what circulation should be preserved, how to maintain social links, and more. Thirdly, it gives some recommendations regarding visitors, both friends and family and essential professionals.


Conoravirus (Covid-19). Protocole relatif aux consignes applicables sur le confinement dans les établissements et services sociaux et médico sociaux et unités de soins de longue durée. Paris, Ministère des Solidarités et Santé, 2020, 10 p.


Coronavirus (COVID-19) guidelines for outbreaks in residential care facilities (Communicable Diseases Network Australia)

Coronavirus (COVID-19) guidelines for outbreaks in residential care facilities (Communicable Diseases Network Australia)

This document is an extensive guide on managing the COVID-19 crisis in residential care facilities.

In the first place, explains the legal framework of the pandemic, and the roles and responsibilities of various entities. This is followed by a detailed explanation of what COVID-19 is, how it is transmitted, who is at risk, and more. There are also guidelines on preparing for an outbreak and preventing exposure to the virus and it’s spread. Furthermore, there are explanations on identifying, testing for and notifying of COVID-19 cases, and a section on managing outbreaks. Finally, there are a number of appendixes, in the form of graphics and templates, which offer more information on a variety of related topics.


Coronavirus (COVID-19) guidelines for outbreaks in residential care facilities. Canberra, Communicable Diseases Network Australia (Department of Health), 2020, online.


 

Coronavirus (COVID-19) infection control for care providers (Social Care Institute for Excellence, UK)

Coronavirus (COVID-19) infection control for care providers (Social Care Institute for Excellence, UK)

This document is a resource aimed at care home staff, in order to educate them on COVID-19 and infection control.

It includes information on what COVID-19 is, preventing it’s spread, hygiene (both hand washing and respiratory), Personal Protective Equipment, laundry management and management of people with a high risk of contracting the virus.

The document also has several links to more in-depth guides and resources on related topics by sources such as the NHS and Public Health England.


Coronavirus (COVID-19) infection control for care providers. London, Social Care Institute for Excellence, 2020, online.


 

Coronavirus (COVID-19) learning materials for staff working in health and social care (Public Health Scotland)

Coronavirus (COVID-19) learning materials for staff working in health and social care (Public Health Scotland)

NHS Education for Scotland (NES) are developing a range of educational and induction resources for all  health and social care staff deployed or redeployed to support services. The website will be regularly reviewed and updated in line with current advice and as new material becomes available.

This is available for all health and social care staff and volunteers deployed to support clinical services, but will be particularly useful in the event of people needing redeployed to other areas. We have included input from Medicine, NMAHP, Psychology, Pharmacy and the Clinical Skills Managed Education Network.

The website will be regularly reviewed to check the advice being given is up to date, and we will be adding to it regularly, as new material currently in preparation becomes available. To date it contains:

  • assessment diagnosis and management of suspected COVID 19 infection
  • details of the community pathway for managing COVID 19 in Scotland
  • how to take a respiratory history and examination
  • induction to community pharmacy
  • interpretation of arterial blood gases
  • management of patients with COVID 19
  • procedural skills linked to the assessment and management of COVID 19
  • protecting your workplace
  • protecting yourself in the workplace
  • rehearsing scenarios for practice in care of patients with COVID 19
  • wellbeing sections on looking after yourself, your patients and your staff

Useful links include:

  • Apps to help with accessing the evidence to support decisions, remote working with consultations and related information governance guidelines.
  • A link for trainees with guidance and documents relating to the impact on training.
  • Other links related to COVID 19.

Coronavirus (COVID-19) learning materials for staff working in health and social care. Glasgow, Public Health Scotland, 2020, online.


 

Coronavirus (COVID-19): Tips for dementia caregivers in long-term or community-based settings (Alzheimer's Association, USA)

Coronavirus (COVID-19): Tips for dementia caregivers in long-term or community-based settings (Alzheimer's Association, USA)

This document gives tips for Dementia Caregivers in Long-Term or Community-Based Settings in the context of the COVID-19 crisis. It gives advice on preventing illness, providing person-centered care, keeping them connected to friends and family, assistance with eating and drinking, walking and unsafe wandering and dementia-related behaviours. There are also links to other COVID-19 resources and related associations.


Coronavirus (COVID-19): Tips for dementia caregivers in long-term or community-based settings. Chicago, Alzheimer’s Association, 2020, online.


 

Coronavirus Disease 2019 (COVID-19) Preparedness checklist for nursing homes and other long-term care settings (Centers for Disease Control and Prevention, USA)

Coronavirus Disease 2019 (COVID-19) Preparedness checklist for nursing homes and other long-term care settings (Centers for Disease Control and Prevention, USA)

This tool is a checklist to help care homes and other long term care settings ensure that they are prepared for a potential COVID-19. It is meant to be printed and filled in, and asks a variety of questions which can be marked “completed”, “in progress” or “not started”. These questions are sorted into 3 sections (structure for planning and decision making, development of a written COVID-19 plan and elements of a COVID-19 plan), which are meant to be used as a guide by care home staff.


Coronavirus Disease 2019 (COVID-19) Preparedness checklist for nursing homes and other long-term care settings. Centers for Disease Control and Prevention, 2020, 8 p.


 

Coronavirus Disease 2019 Training (Public Health Foundation, United States)

Coronavirus Disease 2019 Training (Public Health Foundation, United States)

Training related to Coronavirus Disease 2019 (COVID-19) is available through the TRAIN Learning Network, a national learning network that aggregates training opportunities for public health, healthcare, and preparedness professionals from thousands of training providers. This includes training from the Centers for Disease Control and Prevention (CDC), World Health Organization, European Centre for Disease Prevention and Control, and other organizations.

Access training on:

  • COVID-19
  • Contact Tracing
  • Crisis and Emergency Risk Communication
  • Infection Control in Long-Term Care Facilities
  • Non-Pharmaceutical Interventions
  • Personal Protective Equipment

Coronavirus Disease 2019 Training. Washington, Public Health Foundation, 2020, online.


 

Coronavirus guidance from Social Care Online (Social Care Institute for Excellence, UK)

Coronavirus guidance from Social Care Online (Social Care Institute for Excellence, UK)

This is a list of the latest resources from Social Care Online, the UK’s largest database of care knowledge and research. It has links to 10 guides on how various social care related fields should handle the COVID-19 crisis.


Coronavirus guidance from Social Care Online. London, Social Care Institute for Excellence, 2020, online.


 

COVID-19 (coronavirus) – Guidelines for nursing homes approved and subsidized by COCOM (Iriscare, Belgium)

COVID-19 (coronavirus) – Guidelines for nursing homes approved and subsidized by COCOM (Iriscare, Belgium)

This document is a series of guidelines for nursing homes during the COVID-19 pandemic.

Firstly, it gives a quick overview of the symptoms of the illness. Secondly, it lists the preventive hygiene measures that need to be taken, including frequent handwashing, keeping a security distance between people and the use of single-use tissues. Thirdly, it gives some organizational measures that need to be taken regarding staff, users, visitors and cleaning. Finally, it outlines the procedure that must be applied when there is suspicion of COVID-19 within the institution. This procedure explains the steps to take when a resident potentially has been infected, the proper maintenance of a room where a resident with COVID-19 lives, and the management of the death of a resident with COVID-19.


COVID-19 (coronavirus) – Consignes aux maisons de repos et maisons de repos et de soins agréées et subventionnées par la COCOM. Bruxelles, Iriscare, 2020, 12 p.


 

COVID-19 and human rights concerns for older persons (AGE Platform Europe, Belgium)

COVID-19 and human rights concerns for older persons (AGE Platform Europe, Belgium)

This document aims to provide measures to ensure older persons’ human rights are met during the COVID-19 pandemic.

In the first place, they remind that everyone has a right to maintaining the highest attainable standard of health, regardless of their age. Following this, the document provides advice on ensuring social inclusion of older people in times of physical distance, and facilitating social, civil and economic participation. There is also a section on addressing discrimination, due to the rise of ageist comments in the media. Finally, the document provides measures for paying attention to the rights of people in vulnerable situations, such as older persons in institutions, who live alone or who receive care in the community.


COVID-19 and human rights concerns for older persons. Brussels, AGE Platform Europe, 2020, 12 p.


 

Covid-19 documents (Spanish Palliative Care Society)

Covid-19 documents (Spanish Palliative Care Society)

This website compiles a variety of links on palliative care and COVID-19 in Spain, aimed mainly at healthcare and long term care staff, but also at friends and family of the person undergoing palliative care. A number of the documents deal with providing safe palliative care during the COVID-19 pandemic, but the topic most frequently addressed is protecting the mental and emotional wellbeing of carers, healthcare professionals and family/friends.


Documentos Covid-19. Madrid, Sociedad Española de Cuidados Paliativos, 2020, online.


 

COVID-19 Guidance for older people (HelpAge International, UK)

COVID-19 Guidance for older people (HelpAge International, UK)

Help Age International has compiled a list of resources on COVID-19 and older people, which aim to serve as guidance. These resources touch on a broad array of issues regarding COVID-19 and older people, such as end of life care, care home management, pensions and more. These resources are provided in multiple languages.


COVID-19 Guidance for older people. London, HelpAge International, 2020, online.


 

COVID-19 guide for care staff supporting adults with learning disabilities or autistic adults (Social Care Institute for Excellence, UK)

COVID-19 guide for care staff supporting adults with learning disabilities or autistic adults (Social Care Institute for Excellence, UK)

This is a guide to help care staff and personal assistants supporting adults with learning disabilities and autistic adults through the COVID-19 crisis. Its aim is to assist high-quality care and support during the pandemic. In particular, the present resource focuses on the following aspects:

  • Helping the person to understand the changes.
  • Social distancing and going out.
  • Maintining relationships.
  • Staying well:
    • Infection control and good peronal hygiene.
    • Supporting people with personal hygiene and cleanliness around the house.
    • Personal protective equipment (PPE).
    • COVID-19 testing.
    • When to self-isolate.
    • Contingency planning.
    • Not sticking to the guidelines.
    • Severe learning disability and behaviour that challenges.
  • Healthcare:
    • Identifying health concerns.
    • Shielding and social distancing.
    • Going into hospital.
  • Advance decisions to refuse treatment and advance planning.
  • Easements of the Care Act 2014 and a framework for decision making.
  • Safeguarding.
  • Death and bereavement.

COVID-19 guide for care staff supporting adults with learning disabilities or autistic adults. London, Social Care Institute for Excellence, 2020, online.


 

COVID-19 guide for care staff supporting adults with learning disabilities or autistic adults (Social Care Institute for Excellence, UK)

COVID-19 guide for care staff supporting adults with learning disabilities or autistic adults (Social Care Institute for Excellence, UK)

This document is a guide which aims to help care staff supporting adults with learning disabilities or autistic adults and during the COVID-19 crisis.

It has advice on a variety of topics: helping the person understand the pandemic, social distancing (and the exemptions that can be made for people with learning disabilities or autistic people), maintaining relationships, staying well (which includes advice on hygiene, managing symptoms, personal assistants and more), healthcare, advance care planning, the CARE act, safeguarding (including the six key principles of safeguarding and detection of abuse) and death and bereavement.

The guide also has a number of links to easy read guides about the pandemic, aimed at helping people with learning disabilities and autistic people understand the current situation.


COVID-19 guide for care staff supporting adults with learning disabilities or autistic adults. London, Social Care Institute for Excellence, 2020, online.


 

COVID-19 guide for carers and family supporting adults and children with learning disabilities or autistic adults and children (Social Care Institute for Excellence, UK)

COVID-19 guide for carers and family supporting adults and children with learning disabilities or autistic adults and children (Social Care Institute for Excellence, UK)

This document is a guide which aims to help carers and family supporting adults and children with learning disabilities or autistic adults and children during the COVID-19 crisis.

It has advice on a variety of topics: helping the person understand the pandemic, social distancing (and the exemptions that can be made for people with learning disabilities or autistic people), maintaining relationships, children and young people (namely the closing of schools and EHC plans), staying well (which includes advice on hygiene, managing symptoms, personal assistants and more), healthcare, advance care planning, the CARE act, safeguarding (including the six key principles of safeguarding and detection of abuse) and death and bereavement.

The guide also has a number of links to easy read guides about the pandemic, aimed at helping people with learning disabilities and autistic people understand the current situation.


COVID-19 guide for carers and family supporting adults and children with learning disabilities or autistic adults and children. London, Social Care Institute for Excellence, 2020, online.


 

COVID-19 Incident or outbreak control tool for social or community care or residential settings (Health Protection Scotland)

COVID-19 Incident or outbreak control tool for social or community care or residential settings (Health Protection Scotland)

This document is a tool aimed at enabling early detection and management of COVID-19 outbreaks in residential centres in Scotland. It defines some key terms and lists the responsibilities the various staff members should have in the event of an outbreak. It also contains a Situation Assessment form aimed at documenting the daily evolution of the outbreak which should be shared with the local Health Protection Team. Furthermore, it contains an Immediate Infection Prevention and Control Checklist, which defines what to do in the event of an outbreak, and a COVID-19 Daily Actions Checklist.


COVID-19 Incident or outbreak control tool for social or community care or residential settings. Glasgow, Health Protection Scotland, 2020, 9 p.


 

COVID-19 infection control training (Department of Health, Australia)

COVID-19 infection control training (Department of Health, Australia)

COVID-19 infection control online training is available for health care workers in all settings. It covers the fundamentals of infection prevention and control for COVID-19. This training is for care workers across all health care settings.

Modules available include:

  • Infection prevention and control for COVID-19.
  • Training for aged care workers.
  • Training focused on rural and remote communities and Aboriginal and Torres Strait Islander health.

COVID-19 infection control training. Canberra, Department of Health, 2020, 20 p.


 

COVID-19-EPIDEMIC : The role of children in the transmission of SARS-CoV-2 (COVID-19) – a rapid review (Norwegian Institute of Public Health)

COVID-19-EPIDEMIC : The role of children in the transmission of SARS-CoV-2 (COVID-19) – a rapid review (Norwegian Institute of Public Health)

This rapid review aims to shed light on the role of children in the transmission of COVID-19.

The review concludes that children are being infected by the virus, and they are a relatively small proportion of all registered cases testing positive (4% in Norway, 2% in China and 5.2% in South Korea). However, the author clarifies that this does not mean that children have a lower rate of infection, but that since adults become ill more often than children, it leads to more adults being tested and this contributes to finding a greater number of positives among adults.

Furthermore, the review states that children do get ill, but they tend to be less severely affected than adults, experiencing mild or moderately serious illness or no symptoms at all. Some children, however may also be severely affected, namely those with underlying conditions. Following this, the review aims to reach a conclusion on whether children transmit the infection, and if so, to whom. However, there are a number of reasons why a conclusive answer cannot be reached. Therefore, even if the evidence points to children not representing a major vector for transmissions, the picture may change when more comprehensive data is obtained.

Finally, the review aims to state the measurable effects of the school/kindergarten closures during the epidemic, but the authors have not found any research reports on the topic, only a few systematic reviews based on studies done in connection with influenza epidemics.

The authors state the possibility of these reviews not being relevant as it is quite possible that children play a small role in transmitting the COVID-19, the opposite of the influenza virus.


COVID-19-EPIDEMIC : The role of children in the transmission of SARS-CoV-2 (COVID-19) – a rapid review. Oslo, Norwegian Institute of Public Health, 2020, 14 p.


 

Covid-19. Organizational and human resources measures in the field of the Domiciliary Care Service (The Government of the Province of Barcelona, Spain)

Covid-19. Organizational and human resources measures in the field of the Domiciliary Care Service (The Government of the Province of Barcelona, Spain)

This website offers links to a series of documents on domiciliary long term care in the context of the COVID-19 crisis. These are technical and legal documents about organizational and HR measures for carers in Catalonia.


Covid-19. Mesures organitzatives i de RH en l’àmbit del SAD. Barcelona, Xarxa Local de Serveis Socials d´Atenció Domiciliària de la Diputació de Barcelona, 2020, online.


 

Covid-19. Protocols for accompaniment and dignified death (Derecho a Morir Dignamente, Spain)

Covid-19. Protocols for accompaniment and dignified death (Derecho a Morir Dignamente, Spain)

This website compiles the various end of life and dignified death protocols that have been put in place around Spain in the context of the COVID-19 crisis. The aim of this is to make the public aware of the dignified death proceedings in their region, and to document the regions that have not yet set said proceedings up. There are two lists of resources: the first is a list of end of life care protocols, and the second is a list of declarations and suggestions by various associations.


Covid-19. Protocolos para el acompañamiento y la muerte digna. Madrid, Derecho a Morir Dignamente, 2020, online.


 

COVID-19: how to work safely in care homes (Public Health England)

COVID-19: how to work safely in care homes (Public Health England)

Guidance for those working in care homes providing information on how to work safely during this period of sustained transmission of COVID-19.

These instruction sheets provide advice to those working in care homes on how to work safely during this period of sustained transmission of COVID-19.

The guidance includes:

  • PPE recommendations for care home staff
  • frequently asked questions on the use of PPE in care homes
  • examples which help to identify the correct use of PPE when undertaking activities that require physical contact or activities which do not require physical contact but are carried out in close proximity to residents
  • guide to putting on PPE for care homes
  • guide to taking off PPE for care homes

How to work safely in care homes. London, Public Health England, 2020, online.


 

COVID-19: how to work safely in domiciliary care in England (Public Health England)

COVID-19: how to work safely in domiciliary care in England (Public Health England)

This resource provides guidance on the use of personal protective equipment (PPE) for care workers delivering homecare (domiciliary care) during sustained COVID-19 transmission in the UK. It explains how PPE guidance applies to the homecare (domiciliary care) setting.

This resource is primarily for care workers and providers delivering care in the following contexts: visiting homecare, extra care housing, and live-in homecare.

There are guides for:

  • putting on PPE for home carers
  • taking off PPE for home carers

COVID-19: how to work safely in domiciliary care in England. London, Public Health England, 2020, online.


 

COVID-19: Information and Guidance for Care Home Settings (Public Health Scotland)

COVID-19: Information and Guidance for Care Home Settings (Public Health Scotland)

This guidance is to support those working in care home settings to give advice to their staff and users of their services about COVID-19. It should be used for care home settings including nursing homes and residential care where appropriate.

This guidance is based on what is currently known about COVID-19. Health Protection Scotland (HPS) (now part of Public Health Scotland) will update this guidance as needed and as additional information becomes available.

It contents measures to prevent spread of COVID-19 and to protect residents and staff.


COVID-19: Information and Guidance for Care Home Settings. Version 1.2. Public Health Scotland, National Services Scotland, Glasgow, 2020, 26 p.


COVID-19: Managing the COVID-19 pandemic in care homes for older people (British Geriatrics Society)

COVID-19: Managing the COVID-19 pandemic in care homes for older people (British Geriatrics Society)

This document is a good practice guide to help care home staff manage the COVID-19 pandemic in care homes.

Firstly, it offers a list of key recommendations on a variety of topics, including training of staff, material, treatments, communication with other healthcare professionals, management of the care home, etcetera. Secondly, it offers a quick guide on identifying residents who may have COVID-19, how to respond, and the organizational changes care homes should make in order to make detection and response easier and more efficient. Thirdly, it gives advice on isolation residents, especially considering those residents who “walk with purpose”, and explains the challenges of asking residents to stay in their room and ban them from shared spaces. There is also a section on advance care planning in the context of the pandemic, and another one specifically on how decisions about escalation of care to hospital should be taken. Finally, this document contains a section on supporting care home residents and staff, namely through the national COVID-19 online care home community, led by Anita Astle.


COVID-19: Managing the COVID-19 pandemic in care homes for older people. London, British Geriatrics Society, 2020, online.


 

COVID-19: Our Action Plan for Adult Social Care (Department of Health & Social Care, UK)

COVID-19: Our Action Plan for Adult Social Care (Department of Health & Social Care, UK)

This document details the action plan for adult social care designed by the UK’s Department of Health and Social Care in the face of COVID-19.

Firstly, it gives guidelines on controlling the spread of infection in care settings, explaining how to keep care settings safe, PPE, outbreaks and discharge from the NHS to social care settings. Secondly, it explains how to best support the workforce. For this, it describes how to ensure there is enough staff, how to support their security and wellbeing, how to use technology to support social care and quality of life, and offers appreciation for social care staff. Thirdly, it illustrates how to support independence, people at the end of their lives and those with individual needs. Finally, it explains how to support local authorities and the providers of care. For this, it mentions the new social care funding plan, collaboration across services, local and national oversight, emergency monitoring, explains the various monitoring tools that have been put in place and describes how to prioritise duties and needs using CARE’s Ethical Framework.


COVID-19: Our Action Plan for Adult Social Care. London, Department of Health & Social Care, 2020, 34 p.


 

Dementia in care homes and COVID-19. Supporting residents, supporting carers, supporting homes (Social Care Institute for Excellence, UK)

Dementia in care homes and COVID-19. Supporting residents, supporting carers, supporting homes (Social Care Institute for Excellence, UK)

This quick guide from the Social Care Insitute of Excellence will be useful for carers in care homes supporting residents living with dementia during the coronavirus (COVID-19) pandemic. It will discuss four clinical situations that may help to illustrate some challenges. These include: – Understanding signs of COVID-19 – Helping residents with confusion – Managing behavioural challenges – Supporting residents with end-of-life care


Dementia in care homes and COVID-19. Supporting residents, supporting carers, supporting homes. London, Social Care Institute for Excellence, 2020, online.


 

Disability considerations during the COVID-19 outbreak (World Health Organization)

Disability considerations during the COVID-19 outbreak (World Health Organization)

This document offers some guidelines for disabled people and their families, carers and employers in regards to the COVID-19 crisis and disability.

To begin with, it explains why people with disabilities need specific measures to face this pandemic, and lists some ways in which they could be more vulnerable during this crisis. Following this, it offers a list of measures that people with disabilities and people in their household should take during this crisis. These include measures to:

  1. Reduce exposure to COVID-19
  2. Make sure that support is continued
  3. Prepare household members in case the person with disability contracts the illness
  4. Protect the health of household members

 

Subsequently, there is a list of measures governments should take to make sure that public health information and communication are accessible, and that people with disabilities and their carers get support. Furthermore, it lists measures that healthcare professionals should take in order for people with disabilities to safely access healthcare. There is also a list of measures directed towards carers, both professional and informal, to make sure their care is continued and safe. Finally, there are some measures for the community at large, including the general public, employers, business owners and friends/family.


Consideraciones relativas a la discapacidad durante el brote de COVID-19. Ginebra, Organización Mundial de la Salud, 2020, 14 p.


 

Employers and directors of establishments or services for elderly and disabled people. Information on how to deal with professionals and the public (families and people welcomed) in the COVID-19 coronavirus epidemic (Ministry of Solidarity and Health, France)

Employers and directors of establishments or services for elderly and disabled people. Information on how to deal with professionals and the public (families and people welcomed) in the COVID-19 coronavirus epidemic (Ministry of Solidarity and Health, France)

This is a guideline for care home staff on handling the COVID-19 epidemic. It touches on the activation and management of emergency plans (plans bleus), prevention and protection measures, identification of COVID-19 cases and finally care and management of said cases. It answers frequently asked questions on these topics.


Employeurs et directeurs d’établissements ou services accueillant des personnes âgées et handicapées. Informations sur la conduite à tenir envers les professionnels et publics (familles et personnes accueillies) en phase épidémique de coronavirus COVID-19. Paris, Ministère des Solidarités et de la Santé, 2020, 9 p.


Employers and directors of establishments or services for elderly and disabled people. Information on the conduct to be followed by professionals relating to the care of the body of a deceased patient infected with the SARS-CoV-2 virus (Ministry of Solidarity and Health, France)

Employers and directors of establishments or services for elderly and disabled people. Information on the conduct to be followed by professionals relating to the care of the body of a deceased patient infected with the SARS-CoV-2 virus (Ministry of Solidarity and Health, France)

This document gives instructions to care home staff on handling the bodies of people infected with COVID-19. It explains the conditions under which the deceased person’s family can visit them, and gives instructions to handle the body when the person passed away in a care home bedroom.


Employeurs et directeurs d’établissements ou services accueillant des personnes âgées et handicapées. Informations sur la conduite à tenir par les professionnels relatifs à la prise en charge du corps d’un patient décédé infecté par le virus SARS-CoV-2. Paris, Ministère des Solidarités et de la Santé, 2020, 4 p.


Ethical and clinical recommendations for decision-making in the residential environment in the context of the Covid-19 crisis (UVic-UCC University, Spain)

Ethical and clinical recommendations for decision-making in the residential environment in the context of the Covid-19 crisis (UVic-UCC University, Spain)

This document is a tool which aims to help in clinical and ethical decision-making in a context of crisis and limited resources. This tool is in the format of a table and contains important questions and issues to take into account when making decisions about a patient, aimed towards the patient, their family, the staff team and other resources.


Recomendaciones éticas y clínicas para la toma de decisiones en el entorno residencial en contexto de la crisis de Covid-19. Vic, Universitat de Vic-Universitat Central de Catalunya, 2020, online.


 

Future Learn (Open University)

Future Learn (Open University)

Future Learn offers a diverse selection of courses from leading universities and cultural institutions from around the world. These are delivered one step at a time, and are accessible on mobile, tablet and desktop, so you can fit learning around your life. Future Learn is a private company jointly owned by The Open University and The SEEK Group. The Open University have 50 years of experience in distance learning and online education.

Using Future Learn

Pick a course

Browse our course list to find something that you’d like to learn about. We have courses in a diverse range of subjects and are always adding more. Courses vary in length. Most are six to ten weeks long but we also have some shorter two and three week courses.

Perhaps you might want to invite a friend to take part with you? You can do this via email and social media when you join.

Learn for free, upgrade, or buy Unlimited

You can choose how you learn on our online short courses. Here’s the difference between learning for free, upgrading, and buying Unlimited:

  • Free:
    • Access to the course for its duration + 14 days, regardless of when you join.
  • Upgrade:
    • Access to the course for as long as it exists on FutureLearn.
    • Access to course tests if there are any.
    • A printed and digital Certificate of Achievement or Statement of Participation when you’re eligible.
  • Unlimited:
    • Access to your choice of hundreds of online short courses and tests for a year.
    • A printable digital Certificate of Achievement on all short courses once you’re eligible.
    • The freedom to keep the content of any of the courses you’ve gained a digital Certificate of Achievement on.
    • The flexibility to complete your short courses in your own time within a year.

 

At present, it offers the following courses relating to covid: https://www.futurelearn.com/search?q=covid


Future Learn. Milton Keynes, The Open University, 2020, online.


 

Guidance for Managers and Decision Makers in Supporting Care Home Workers during COVID-19 (COVID Trauma Response Working Group). (University College London, UK)

Guidance for Managers and Decision Makers in Supporting Care Home Workers during COVID-19 (COVID Trauma Response Working Group). (University College London, UK)

This document is a Guidance for Managers and Decision Makers in Supporting Care Home Workers during COVID-19.

It highlights the unique challenges care workers face during the COVID-19 crisis and following this it lists some ways in which managers and decision makers can support care workers in a number of contexts. Finally, there is a short list of helpful resources.


Guidance for Managers and Decision Makers in Supporting Care Home Workers during COVID-19 (COVID Trauma Response Working Group). London, University College London, 2020, 3 p.


 

Guidelines and recommendations regarding support from health facilities to facilities for dependent elderly people (Ministry of Solidarity and Health, France)

Guidelines and recommendations regarding support from health facilities to facilities for dependent elderly people (Ministry of Solidarity and Health, France)

This document gives advice to healthcare establishments on offering support to medicalized nursing homes during the COVID-19 crisis.

It firstly reminds care home professionals that mild cases of COVID-19, both suspect and confirmed, should be handled within the care home, in order to not saturate hospitals. It also lists the geriatric resources that are currently in place for COVID-19 patients, such as a hotline for care home staff, mobile geriatric teams and support for decision-making. Furthermore, it states that domestic care services have been put in place to look after older people with mild cases of COVID-19. In addition, it explains the support care homes can get in palliative matters, and finally gives a quick overview of the health and hygiene resources that have been put in place for care staff.


Consignes et recommandations concernant l’appui des établissements de santé aux établissements hébergeant des personnes âgées dépendantes. Paris, Ministère des Solidarités et de la Santé, 2020, 9 p.


 

Guidelines for care homes (Ministry of Solidarity and Health, France)

Guidelines for care homes (Ministry of Solidarity and Health, France)

As part of the end of the lockdown, announced by the Government on 11 May 2020, this fact sheet presents the conduct to be kept up-to-date for care homes. It must be adapted to local situations.


Conduite à tenir pour les résidences autonomie. Paris, Ministère des Solidarités et de la Santé, 2020, 8 p.


 

Guidelines for preventing respiratory illness in older adults aged 60 years and above living in long-term care (Toronto's St. Michael’s Hospital, Canada)

Guidelines for preventing respiratory illness in older adults aged 60 years and above living in long-term care (Toronto's St. Michael’s Hospital, Canada)

Background
The overall objective of this rapid review was to identify infection protection and control recommendations from published clinical practice guidelines (CPGs) for adults aged 60 years and older in long-term care settings.

Conclusion
The recommendations from current guidelines overall seem to support environmental measures for infection prevention and antiviral chemoprophylaxis for infection management as the most appropriate first-line response to viral respiratory illness in long-term care.


Rios, Patricia, et al., Guidelines for preventing respiratory illness in older adults aged 60 years and above living in long-term care. St. Michael’s Hospital, Toronto, 2020, 270 p.


 

Guidelines for the care of elderly people in care homes for the context of coronavirus (COVID-19), applicable to the family environment (HelpAge International, UK)

Guidelines for the care of elderly people in care homes for the context of coronavirus (COVID-19), applicable to the family environment (HelpAge International, UK)

This guide offers advice on caring for elderly people during the COVID-19 crisis. The advice is mostly directed towards care homes but it can be helpful in a domestic care setting too.

Firstly, it lists some behaviours that should be adopted by both carers and users, such as hand washing and social distancing. Secondly, it gives advice to be followed within the home and tips on interacting with the outside. Thirdly, it explains how care homes should be managed and directed, and how they should provide information on their situation. Finally, it gives measures to follow when a person has been infected.


Pautas para el cuidado de personas mayores en residencias para el contexto del coronavirus (COVID-19), aplicables al ámbito familiar. Londres, HelpAge International, 2020, 6 p.


 

Guides for families and professionals supporting autistic adults and adults with learning disabilities during the coronavirus (COVID-19) crisis (Social Care Institute for Excellence, UK)

Guides for families and professionals supporting autistic adults and adults with learning disabilities during the coronavirus (COVID-19) crisis (Social Care Institute for Excellence, UK)

This document is a guide which aims to help carers and family supporting adults and children with learning disabilities or autistic adults and children during the COVID-19 crisis.

It has advice on a variety of topics: helping the person understand the pandemic, social distancing (and the exemptions that can be made for people with learning disabilities or autistic people), maintaining relationships, children and young people (namely the closing of schools and EHC plans), staying well (which includes advice on hygiene, managing symptoms, personal assistants and more), healthcare, advance care planning, the CARE act, safeguarding (including the six key principles of safeguarding and detection of abuse) and death and bereavement.

The guide also has a number of links to easy read guides about the pandemic, aimed at helping people with learning disabilities and autistic people understand the current situation.


Guides for families and professionals supporting autistic adults and adults with learning disabilities during the coronavirus (COVID-19) crisis. London, Social Care Institute for Excellence, 2020, online.


 

Handbook of COVID-19 Prevention and Treatment (Zhejiang University School of Medicine, China)

Handbook of COVID-19 Prevention and Treatment (Zhejiang University School of Medicine, China)

This document aims to give advice to staff and users of Social, Community and Residential care centres regarding COVID-19.

It offers extensive measures to prevent the spread of the illness and protect people at increased risk of severe illness. These measures include but are not limited to ways of preventing spread of infection, measures for users in shielding categories, the use Personal Protective Equipment, environmental decontamination, staffing and caring for someone who has died.

It also contains 7 Appendixes, which are mostly graphics and tables on a variety of related topics, such as putting on and removing PPE, decontamination of reusable non-invasive patient care equipment and PPE tables.


Handbook of COVID-19 Prevention and Treatment. Hangzhou, Zhejiang University School of Medicine, 2020, online.


 

Helping day centres to 'unlock lockdown'

Helping day centres to 'unlock lockdown'

The COVID-19, or Coronavirus, pandemic and the lockdown of society from March 2020 were unprecedented. Most day centres closed to regular users.

Because adult day centres are not a regulated service, and tend to be invisible in terms of guidance provided, we have put together Helping adult day centres to ‘unlock lockdown’. This document aims to support manager or voluntary co-ordinators and staff generally, into the ‘new normal’ after the lockdown. There is strong evidence that attending a day centre brings quality of life and so, despite risks, enabling people to have the choice of going to a day centre is something worthwhile.

Part 1 covers some of the practicalities of re-opening. It draws on guidance related to Coronavirus or COVID-19, but also on other guidance related to social care, and relevant guidance, advice, and action points for regulated settings (e.g. early years day care, care homes), some of which is also relevant to day centres.

Part 2 prompts providers to reflect on what has happened, what else you may wish to think about, the process of moving forwards and any learning that will be helpful for the future. Individual sections can be completed according to the stage providers are in.


Helping day centres to ‘unlock lockdown’. London, King’s College London, 2020, 14 p.


 

How China has addressed the specific challenges of people living with dementia during the COVID-19 outbreak (Alzheimer’s Disease International, UK)

How China has addressed the specific challenges of people living with dementia during the COVID-19 outbreak (Alzheimer’s Disease International, UK)

A video from Professor Huali Wang, Executive Vice President of Alzheimer’s Disease International’s member association in China, Alzheimer’s Disease Chinese (ADC), explaining how China has addressed the specific challenges of people living with dementia during the COVID-19 outbreak. It provides advice based on local experience and may help Alzheimer’s and dementia associations globally, as well as health and care professionals, people affected by dementia and their carers.


Covid-19: Sharing experience and advice from ADI’s member association in China. London, Alzheimer’s Disease International, 2020, online.


 

Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review

Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review

This document is a rapid systematic review of 61 studies on the impact of providing healthcare during or after health emergencies caused by viral epidemic outbreaks on healthcare workers mental health. The review concluded that the mental health condition that was most prevalent amongst healthcare workers was anxiety, followed by depression, acute stress disorder, burnout and post-traumatic stress disorder. The prevalence of these issues was high during and after the outbreak.

The review also identified a broad number of sociodemographic, social and occupational risk factors for these conditions. Five interventions which aimed to prevent said mental health problems were also reviewed, and the various approaches taken (both educational and based on training and organisational changes) produced positive results.

The review concludes by stating that these problems not only have a long-lasting effect on the mental health of HCWs, but also hinder the urgent response to the current COVID-19 pandemic, by jeopardising attention and decision-making. Therefore, according to the review, governments and healthcare authorities should take urgent actions to protect the mental health of HCWs, taking into account the aforementioned risk factors.


Ricci-Cabello, I. et al. Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review. Pre-print. 2020, 92 p.


 

Infection control e-learning course (Social Care Institute for Excellence, UK)

Infection control e-learning course (Social Care Institute for Excellence, UK)

Infection prevention and control are essential to prevent the spread of coronavirus (COVID-19). This video-based course for care providers in care homes and home care will teach you about the spread of infection and what you can do to protect both yourself and the people you care for.

Understanding infection control will provide you with the tools to help prevent COVID-19 from spreading.

Course content:

  • What is coronavirus (COVID-19)?
  • Preventing the spread of infection
  • Managing the environment
  • About your general health

 

Learning outcomes:

  • Understand how infections spread and how to prevent it
  • Learn about hand hygiene and guidance
  • Manage the care environment
  • Manage laundry safely
  • Keep safe with personal protective equipment
  • Understand waste disposal

Infection control e-learning course. London, Social Care Institute for Excellence, 2020, online.


 

Infection Prevention and Control guidance for Long-Term Care Facilities in the context of COVID-19 (World Health Organization)

Infection Prevention and Control guidance for Long-Term Care Facilities in the context of COVID-19 (World Health Organization)

This interim guidance is for LTCF managers and corresponding IPC focal persons in LTCF. The objective of this document is to provide guidance on IPC in LTCFs in the context of COVID-19 to:

  1. Prevent COVID-19-virus from entering the facility,
  2. Prevent COVID-19 from spreading within the facility, and
  3. Prevent COVID-19 from spreading to outside the facility. WHO will update these recommendations as new information becomes available.

Infection Prevention and Control guidance for Long-Term Care Facilities in the context of COVID-19. Geneva, World Health Organization, 2020, 5 p.


Instructions in relation to disinfection of residential resources in the Emergency Phase of the epidemic before COVID-19 (Government of Catalonia, Spain)

Instructions in relation to disinfection of residential resources in the Emergency Phase of the epidemic before COVID-19 (Government of Catalonia, Spain)

This document aims to outline the guidelines for disinfecting long term care residential centres in the context of the COVID-19 pandemic in Catalonia.

Firstly, it explains how disinfecting these centres is especially important given the vulnerability of their users. Secondly, it highlights the entities which perform disinfecting work for these centres and explains how to contact them and arrange said disinfection. Thirdly, it establishes certain criteria to prioritize some centres over others in order to create a list according to which centres will be disinfected. It also outlines the organizational measures for this disinfection, including explaining how and where to make the petition and describing how the disinfection service operates. Finally, it defines what needs to be done after the centre has been disinfected.


Instruccions en relació a la desinfecció als recursos residencials en la Fase d’emergència de l’epidèmia davant el COVID-19. Barcelona, Departament de Treball, Afers Socials i Famílies de la Generalitat de Catalunya, 2020, 6 p.


 

Interim guidance on COVID-19 PCR testing in care homes and the management of COVID-19 PCR test positive residents and staff (Health Protection Scotland, UK)

Interim guidance on COVID-19 PCR testing in care homes and the management of COVID-19 PCR test positive residents and staff (Health Protection Scotland, UK)

This document is a guidance on managing COVID-19 PCR testing and positive tests in care homes.

It explains the ways in which certain care homes will be prioritized for testing, states that everyone with symptoms should be tested even if they already have contracted the virus, gives some evidence relating to asymptomatic carriage of the virus and explains the guidance development process. Finally, it gives some recommendations for resident and staff.


Interim guidance on COVID-19 PCR testing in care homes and the management of COVID-19 PCR test positive residents and staff. Glasgow, Health Protection Scotland, 2020, 16 p.


 

IPC guidance for long-term care facilities in the context of COVID-19 (World Health Organization)

IPC guidance for long-term care facilities in the context of COVID-19 (World Health Organization)

This document is the World Health Organization’s guidance for Infection Prevention and Control guidance for Long-Term Care Facilities in the context of COVID-19. It is an extensive guide which firstly offers prevention measures and secondly measures for responding to a COVID-19 case.


IPC guidance for long-term care facilities in the context of COVID-19. Geneva, World Health Organization, 2020, 5 p.


 

Measures and technical recommendations for action in relation to the essential services to be provided within the framework of the home care service in the face of the extraordinary situation generated by COVID-19 (Government of Catalonia, Spain)

Measures and technical recommendations for action in relation to the essential services to be provided within the framework of the home care service in the face of the extraordinary situation generated by COVID-19 (Government of Catalonia, Spain)

This document is a tool which aims to help in clinical and ethical decision-making in a context of crisis and limited resources. This tool is in the format of a table and contains important questions and issues to take into account when making decisions about a patient, aimed towards the patient, their family, the staff team and other resources.


Mesures i recomanacions tècniques d’actuació en relació als serveis essencials que es prestaran en el marc del servei d’atenció domiciliària (SAD) davant la situació extraordinària generada per la COVID-19. Barcelona, Departament de Treball, Afers Socials i Famílies de la Generalitat de Catalunya, 2020, 6 p.


 

Measures for the prevention and control of SARS-COV-2 infection in residential and health and social care facilities (Government of Navarra, Spain)

Measures for the prevention and control of SARS-COV-2 infection in residential and health and social care facilities (Government of Navarra, Spain)

This document is an infection prevention and control guidance for long-term care facilities in the context of COVID-19. It explains the informative measures that should be implemented, general measures for controlling and preventing the spread of the virus, what to do in the face of a suspected case and finally what to do when it is decided that a suspected/confirmed case will be staying in thee centre.


Medidas para la prevención y control de la infección SARS-CoV-2 en centros residenciales y sociosanitarios. Pamplona, Departamento de Derechos Sociales del Gobierno de Navarra, 2020, 8 p.


 

Online activities for individuals living with dementia (Alzheimer’s Society, UK)

Online activities for individuals living with dementia (Alzheimer’s Society, UK)

Alzheimer’s Society is a charitable organisation in the UK providing resources for people living with dementia and their carers. Here you will find links and video examples of helpful ways to incorporate technology to provide engaging activity for individuals living with dementia.


Online activities for individuals living with dementia. London, Alzheimer’s Society, 2020, online.


 

OpenWHO (World Health Organization)

OpenWHO (World Health Organization)

OpenWHO is WHO’s new, interactive, web-based platform that offers online courses to people preparing to work in epidemics, pandemics and health emergencies or already doing so.

The OpenWHO platform delivers WHO’s and partners’ expertise closer to where it is needed and provides information in user-friendly formats for frontline responders and decision-makers. The platform is managed by the Learning and Capacity Development unit in the WHO’s Health Emergencies Programme.

Users take part in a worldwide, social learning network that is based on interactive, online courses and materials covering a variety of subjects. OpenWHO also serves as a forum for the fast sharing of public health expertise and in-depth discussion and feedback on key issues.

The platform provides training materials for the following areas:

  • Outbreak.
  • Preparing for Pandemics.
  • Ready for Response.
  • Get Social.
  • Covid 19.

OpenWHO. Geneva, World Health Organization, 2020, online.


 

Practical guide for care homes for people with intellectual or developmental disabilities in the context of Covid-19 coronavirus pandemic (Plena Inclusión, Spain)

Practical guide for care homes for people with intellectual or developmental disabilities in the context of Covid-19 coronavirus pandemic (Plena Inclusión, Spain)

This document is a guide aimed towards staff of residential centres which house intellectually or developmentally disabled people. It is an extensive guide which explains the (organizational, hygiene, medical, etc) measures that need to be taken in a variety of scenarios.


Guía práctica para residencias de personas con discapacidad intelectual o del desarrollo ante la pandemia de coronavirus COVID-19. Madrid, Plena Inclusión, 2020, 76 p.


 

Practical recommendations for ethical and clinical decision-making in the residential environment in the context of the Covid-19 crisis (UVic-UCC University, Spain)

Practical recommendations for ethical and clinical decision-making in the residential environment in the context of the Covid-19 crisis (UVic-UCC University, Spain)

This document is a tool aimed at helping residential centre staff make ethical clinical decisions. It is a table that asks questions and offers suggestions for the patient themselves, their family, the care team and other resources. There is also specific support for patients with dementia, and some information on ensuring the emotional wellbeing of the staff and involved in the decision-making.


Recomanacions pràctiques per a la presa de decisions ètiques i clíniques en l’entorn residencial en context de la crisi de covid-19. Vic, Universitat de Vic-Universitat Central de Catalunya, 2020, 4 p.


 

Preventing and Managing COVID-19 infections in Long-Term Care Facilities

Preventing and Managing COVID-19 infections in Long-Term Care Facilities

Comprehensive set of standard operating procedure for long-term care facilities covering:

1) infection prevention,

2) testing and screening,

3) managing infection/outbreak, and

4) broader policies and planning.

This document aggregates useful information, offering detailed step-by-step procedures, examples and scenarios and taking into account variations in resource availability and government support. It also draws on the experience of managing an outbreak at Highlands House care, a nursing home in Cape Town, South Africa. This document was developed in South Africa and makes some reference to South Africa in terms of testing procedures but operating procedures should have general applicability in other Low and Middle Income Countries. Care facilities may need to adapt these procedures to their individual circumstances, budgets and operating models.


Kelly, G., Geffen, L., Preventing and Managing COVID-19 infections in Long-Term Care Facilities. Cape Town, Samson Institute For Ageing Research, 2020, 52 p.


 

Prevention and control guide against COVID19 in nursing homes and other residential social services (Ministry of Health, Spain)

Prevention and control guide against COVID19 in nursing homes and other residential social services (Ministry of Health, Spain)

This document offers extensive guidelines on preventing and controlling the spread of COVID-19 in care homes and other residential centres. It explains the measures that need to be taken in various aspects, and also gives guidelines on what to do in specific scenarios. The guidelines are mostly of a hygienic nature (it explains how to wash and disinfect surfaces, manage laundry and dishes, handle bodies and more) but there are also organizational measures, such as contingency plans.


Guía de prevención y control frente al COVID19 en residencias de mayores y otros centros de servicios sociales de carácter residencial. Madrid, Ministerio de Sanidad, 2020, 14 p.


 

Professional resources for social and health care during the COVID-19 pandemic (Matia Foundation, Spain)

Professional resources for social and health care during the COVID-19 pandemic (Matia Foundation, Spain)

This website compiles a wide variety of resources on COVID-19 and older people, mostly aimed towards carers, both informal and professional. There is a list of technical documentation, a series of videos on PPE, a number of infographics and finally some useful links.


Recursos profesionales para la atencion sociosanitaria durante la pandemia COVID-19. Donostia-San Sebastián, Matia Fundazioa, 2020, online.


 

Recognising deterioration and supporting people with acute care needs during COVID-19 (Public Health Scotland, Scottish Social Services Council)

Recognising deterioration and supporting people with acute care needs during COVID-19 (Public Health Scotland, Scottish Social Services Council)

A guide for social care workers supporting people in care homes or their own home. This guidance highlights the essential skills and actions to respond to and care for people, living in care homes or their own home, who have acute care needs due to COVID-19.

It contains the following categories:

  • Deterioration.
  • Observations.
  • Safe administration of oxygen.

Recognising deterioration and supporting people with acute care needs during COVID-19. Public Health Scotland and Scottish Social Services Council, 2020, onlie.


 

Recommendations for children with autism spectrum disorder during the Covid-19 epidemic (Health Ministry, Spain)

Recommendations for children with autism spectrum disorder during the Covid-19 epidemic (Health Ministry, Spain)

This document gives some basic advice on caring for autistic children during the COVID-19 epidemic.

It has some advice for parents, such as maintaining healthy eating, sleeping and exercise habits, and presenting activities as choices or games rather than impositions. There are also some suggestions of activities appropriate for children with autism that can be done indoors.

Finally, it reminds parents to carry their disability certificate when going on walks and gives guidelines on what to do if the carer or the child feel ill.


Recomendaciones para niños y niñas con trastorno del espectro autista durante la epidemia del Covid-19. Madrid, Ministerio de Sanidad, 2020, 1 p.


 

Recommendations of the Basque Government’s Department of Health and the Basque Health Service regarding the Domiciliary Care Service. Covid-19 (Basque Government, Spain)

Recommendations of the Basque Government’s Department of Health and the Basque Health Service regarding the Domiciliary Care Service. Covid-19 (Basque Government, Spain)

This document provides advice to domiciliary long term care workers in the context of the COVID-19 crisis. After giving some general explanations on the nature of the illness, it gives advice to protect both the caregiver and the user. There is also specific advice for a variety of scenarios, and information on training and coordination with healthcare professionals.


Recomendaciones del Departamento de Salud y Osakidetza . Servicio de Ayuda a Domicilio (SAD). Covid-19. Vitoria-Gasteiz, Eusko-Jaurlaritza-Gobierno Vasco, 2020, 5 p.


 

Recommendations to nursing homes and social health care residential settings for COVID-19 (Ministry of Health, Spain)

Recommendations to nursing homes and social health care residential settings for COVID-19 (Ministry of Health, Spain)

This technical document gives advice to care homes and other long term residential settings on infection prevention and control. It contains some general measures aimed at directors, measures for when a COVID-19 contact or case has taken place and general measures aimed at protecting staff’s health. It also offers advice on cleaning and disinfecting surfaces, waste management, laundry and dishes, and identification of contacts.


Recomendaciones a residencias de mayores y centros sociosanitarios para el COVID-19. Madrid, Ministerio de Sanidad, 2020, 9 p.


 

Remote Peer Support Network for people living with rare dementia (Rare Dementia Support, UK)

Remote Peer Support Network for people living with rare dementia (Rare Dementia Support, UK)

 

Rare Dementia Support is a charity based in the UK providing support to six low prevalent types of dementia: primary progressive aphasia, posterior cortical atrophy, behaviour variant frontotemporal dementia, and familial frontotemporal dementia and Alzheimer’s disease.

As part of their response to the Covid-19 they have created a remote peer support network to put in touch people living with these low prevalent conditions during the lockdown.


Remote Peer Support Network for people living with rare dementia. London, Rare Dementia Support, 2020, online.


 

Responding to COVID-19: the ethical framework for adult social care (Department of Health & Social Care, UK)

Responding to COVID-19: the ethical framework for adult social care (Department of Health & Social Care, UK)

This framework is aimed at planners and strategic policy makers to support response planning and organization of social care during and as COVID-19 develops. It outlines 8 ethical values and principles that should be considered in decision-making. These values are respect, reasonableness, minimising harm, accountability, proportionality and community. Each value has a series of associated actions to be used as a checklist.


Responding to COVID-19: the ethical framework for adult social care. London, Department of Health & Social Care, 2020, online.


 

Risk prevention and control measures for the spread of Covid-19 and other infectious diseases transmitted by contact (including drops) in nursing homes (Avalia-t, Health Knowledge Agency, Spain)

Risk prevention and control measures for the spread of Covid-19 and other infectious diseases transmitted by contact (including drops) in nursing homes (Avalia-t, Health Knowledge Agency, Spain)

This rapid review aims to identify the necessary measures to prevent and control the dissemination of COVID-19 and other infectious diseases that are transmitted via contact in nursing homes.

The review states that there is a need for educating and training staff on control measures and management of cases, and that basic and widely accessible information on this topic should be available. It also expresses the need for identification of external and internal contact points, action plans for outbreak control and the capacity and ability for isolating residents. Finally, it emphasizes the need for the proper handling and availability of stock (masks, gloves, soap, etc).


Medidas de prevención y control de riesgo de diseminación del Covid-19 y otras enfermedades infecciosas de transmisión por contacto (incluido gotas) en las residencias de ancianos. Santiago de Compostela, Unidad de Asesoramiento Científico-Técnico de la Agencia del Conocimiento en Salud (Avalia-t), 2020, 9 p.


 

Senior-friendly initiatives at the municipal level during the health crisis and confinement by Covid-19 (IMSERSO-Institute for the Elderly and Social Services, Spain)

Senior-friendly initiatives at the municipal level during the health crisis and confinement by Covid-19 (IMSERSO-Institute for the Elderly and Social Services, Spain)

This newsletter explains what Spanish cities within the Global Network for Age-friendly Cities and Communities are doing to adapt their aid to the COVID-19 crisis.

Firstly, it explains the phone calling initiative that has taken place in order to make sure elderly people do not feel lonely and have their basic necessities covered. Secondly, it describes the various services and benefits local authorities are offering, including home care service, provision of groceries, extended telecare services and economic benefits. Thirdly, it gives a quick overview of the online resources local authorities have put in place, as well as the use of social media and apps as communication tools.

In addition, the newsletter explains how various municipal programs and activities have been adapted to the current situation using technology. Finally, it describes the work citizen solidarity networks, volunteer groups, Civil Protection groups and similar entities are doing to help elderly people during this crisis.


Iniciativas amigables con las personas mayores en el ámbito municipal durante la crisis sanitaria y confinamiento por Covid-19. Newsletter de la Red de Ciudades y Comunidades Amigables con las Personas Mayores, nº33. Madrid, IMSERSO, 2020, 14 p.


 

Sheet for health professionals, home hospitalization and home services. Care of elderly persons at home outside residential settings in the context of the management of the Covid-19 epidemic (Ministry of Solidarity and Health, France)

Sheet for health professionals, home hospitalization and home services. Care of elderly persons at home outside residential settings in the context of the management of the Covid-19 epidemic (Ministry of Solidarity and Health, France)

This document is a guideline on caring for older people who are not living in medicalized care homes. It touches on two main topics. The first one is ensuring the continuity of care, medico-social accompaniment and social accompaniment. The second one is caring for older people with comorbidities, older people with loss of autonomy and very elderly people, who may have contracted COVID-19.


Fiche professionnels de santé, hospitalisation à domicile et services à domicile. Prise en charge des personnes âgées à domicile hors EHPAD dans le cadre de la gestion de l’épidemie de Covid-19. Paris, Ministère des Solidarités et de la Santé, 2020, 7 p.


Social relationships are important for the mental health of people living in long-term care (LTC) homes

Social relationships are important for the mental health of people living in long-term care (LTC) homes

Good social connectedness is associated with better physical and mental health and wellbeing. However, the concepts of social connectedness and strategies to address it have distinct considerations for people living in long-term care (LTC) homes; LTC residents are typically older and have complex health needs that can impact social connectedness, yet they live in congregate settings and receive daily care as well as group social and recreational programming. This scoping review summarizes research literature linking social connectedness to mental health outcomes, specifically among LTC residents, as well as observational and interventional research that might identify strategies to build and maintain social connectedness in this population.

This infographic poster summarizes preliminary results of the research.


Snowball, E., Social relationships are important for the mental health of people living in long-term care (LTC) homes. Toronto, Enhancing the Care of the Older Adult, 2020, 1 p.


 

Strategy for the care of elderly persons in residential care settings and at home in the context of the management of the Covid-19 epidemic (Ministry of Solidarity and Health, France)

Strategy for the care of elderly persons in residential care settings and at home in the context of the management of the Covid-19 epidemic (Ministry of Solidarity and Health, France)

This document outlines the French Health Ministry’s strategy for managing the needs of people older than 70 in the context of the COVID-19 pandemic.

Firstly, they intend for regional Health Ministries, which are the main entities aiming to stop the spread of the virus, to create a sub-section dedicated to older people. They also have enhanced prevention measures in care homes, and have organised and strengthened older people’s access to healthcare. In addition, there are guidelines on the hospitalization of older people during the crisis, and on managing death and bereavement. Furthermore, they explain the need for expanding staff numbers in residential care. Finally, the document explains how to help carers and healthcare workers make decisions, and look after their mental health.


Stratégie de prise en charge des personnes âgées en établissements et à domicile dans le cadre de la gestion de l’épidemie de Covid-19. Paris, Ministère des Solidarités et de la Santé, 2020, 9 p.


 

Strengthening the Health Systems Response to COVID-19. Preventing and managing the COVID-19 pandemic across long-term care services in the WHO European Region (World Health Organization, Europe)

Strengthening the Health Systems Response to COVID-19. Preventing and managing the COVID-19 pandemic across long-term care services in the WHO European Region (World Health Organization, Europe)

The guidance, developed in cooperation with colleagues at the International Long-term care Policy Network and informed by the LTCcovid country reports, will shape the assistance and work that WHO Euro will be doing with Member States in response to the pandemic.

This technical guidance identifies 10 policy objectives for decision-makers, policy-makers and national or regional health authorities as they strive to prevent and manage the COVID-19 pandemic in long-term care settings.

While those tasked with making decisions for long-term care systems are often structurally separate from those managing health systems, during the various stages of the COVID-19 pandemic certain objectives should be pursued in cooperation and given equal weight in official guidance, public communication and planning measures. Such cooperation not only would help to strengthen and secure the availability of long-term care services for people receiving these services, but would also help to minimize pressure on health systems during the pandemic.

The focus here is on older people above the age of 65 years who use long-term care services in their homes, day centres or designated facilities (residential homes and nursing homes).


Strengthening the Health Systems Response to COVID-19. Technical guidance #6: Preventing and managing the COVID-19 pandemic across long-term care services in the WHO European Region. Denmark, World Health Organization, 2020, 31 p.


 

Support material for people with dementia and their families and carers (University of Chile)

Support material for people with dementia and their families and carers (University of Chile)

Materials to support people with dementia and their carers through COVID19, from Chile. This printable leaflets offer information about prevention, difficulties in understanding the situation, tips to manage changes on daily activities and for behavior disorders, etc.


Material de apoyo a personas con demencia y sus familias y cuidadores. Santiago de Chile, Universidad de Chile, 2020, online.


 

Support materials against COVID19 for people with intellectual disabilities and caregivers (Plena Inclusión, Spain)

Support materials against COVID19 for people with intellectual disabilities and caregivers (Plena Inclusión, Spain)

This website by Plena Inclusion, a Spanish organization which aims to represent developmentally and intellectually disabled people, offers their COVID-19 related resources. These measures include an app, videos, news articles, online events and more. There is also an easy read guide which explains the pandemic and the Spanish State of Emergency.


Materiales de apoyo frente al COVID19 para personas con discapacidad intelectual y cuidadoras. Madrid, Plena Inclusión, 2020, online.


 

Supporting end of life care in social care settings during Covid-19 (Social Care Wales)

Supporting end of life care in social care settings during Covid-19 (Social Care Wales)

Social care settings provide end of life care and bereavement support in often difficult environments. Their work is now significantly complicated by the restrictions and challenges Covid-19 presents. Here are resources offering support and practical advice on aspects of providing end of life care and in offering bereavement support. They have been chosen by Social Care Wales with the help of people from across the UK.

This page contains the following resources:

  • Offering comfort to someone who is dying without their relatives or closest friends.
  • Offering compassionate care and effective communication when wearing PPE.
  • Having difficult discussions with someone who is seriously unwell or dying.
  • Offering comfort and delivering bad news to relatives who cannot be with their loved ones.
  • Supporting bereaved children and young people.
  • Recognising when your team is grieving and leading and responding with compassion.
  • Advice on post-death care and funeral arrangements.
  • Social work and end of life care.
  • Expressing end of life wishes, advance care planning and advance care plans.
  • Supporting advance care planning conversations.
  • Supporting end of life wishes for those without capacity.
  • Digital legacy.
  • Advance Decisions to Refuse Treatments (ADRT).

Supporting end of life care in social care settings during Covid-19. Cardiff, Social Care Wales, 2020, online.


 

Supporting people to keep in touch when care homes are not accepting visitors (Care Inspectorate, UK)

Supporting people to keep in touch when care homes are not accepting visitors (Care Inspectorate, UK)

This document is a short guide on helping care home users keep in touch with their friends and family when visitors are not being accepted due to the COVID-19 crisis. It outlines the video calling software that can be used for this purpose, explains what is needed for a video call and provides a link to a resource on disinfecting tech devices.


Supporting people to keep in touch when care homes are not accepting visitors. Dundee, Care Inspectorate, 2020, 6 p.


 

Supporting people with long-term conditions (LTCs) during national emergencies (Centre for Evidence-Based Medicine, UK)

Supporting people with long-term conditions (LTCs) during national emergencies (Centre for Evidence-Based Medicine, UK)

This rapid review aims to identify the best measures for supporting people with long-term conditions (LTCs) during national emergencies, including but not limited to the COVID-19 crisis. The review concludes that disruption of care, diversion of healthcare resources, and interruptions to medical supplies can all impact patients with long term conditions (LTCs) during national emergencies. Some LTCs may be further exacerbated by increased stress and changes in diet and activity patterns. The data does not rule out any LTCs as not being at risk of neglect, but particularly highlights cardiovascular disease, diabetes, older people and people in deprived areas as being at increased risk. Suggestions for mitigation strategies can be grouped into planning and response phases, and broadly focus on collaboration, communication, and continuity planning.


Supporting people with long-term conditions (LTCs) during national emergencies. Oxford, Centre for Evidence-Based Medicine, 2020, online.


 

Technical document of recommendations for action from the social services of home care in front of the crisis by Covid-19 (Ministry of Social Rights and 2030 Agenda, Spain)

Technical document of recommendations for action from the social services of home care in front of the crisis by Covid-19 (Ministry of Social Rights and 2030 Agenda, Spain)

This document offers advice for people who manage domestic care (at an administrative and managerial level) in the context of the COVID-19 crisis. It emphasizes the need for basic attention care to be uninterrupted, gives advice on the reconfiguration of care, explains how to reorganize care according to priority, and more.


Documento técnico de recomendaciones de actuación desde los servicios sociales de atención domiciliaria ante la crisis por Covid-19. Madrid, Ministerio de Derechos Sociales y Agenda 2030, 2020, 8 p.


 

Updated information on what to do concerning visits of home service providers to elderly and disabled people in Covid-19 epidemic stadium (Ministry of Solidarity and Health, France)

Updated information on what to do concerning visits of home service providers to elderly and disabled people in Covid-19 epidemic stadium (Ministry of Solidarity and Health, France)

This document offers information on how to manage domestic care for disabled and older people in the context of the COVID-19 crisis. It touches on three main topics: the prioritisation of certain professional domestic care services above others, the measures to take when providing domestic care to a person who has contracted the virus and recommendations for those receiving care services, namely vulnerable children and families.


Information actualisée sur la conduite à tenir concernant les visites services à domicile intervenant auprès de personnes âgées et handicapées en stade épidemique de Coronavirus (Covid 19). Paris, Ministère des Solidarités et de la Santé, 2020, 6 p.


Virtual peer support groups for people living with dementia (The Zoomettes, part of the Deep Network. UK)

Virtual peer support groups for people living with dementia (The Zoomettes, part of the Deep Network. UK)

A guide and video on using Zoom for virtual peer support groups, by and for people living with dementia. The guide was developed by the Zoomettes, a virtual peer support group that is part of the Deep Network, a UK wide network of groups of people living with dementia.


Virtual peer support groups for people living with dementia. London, The Zoomettes, 2020, online.


 

Workforce support and wellbeing during the COVID-19 outbreak (Scottish Social Services Council)

Workforce support and wellbeing during the COVID-19 outbreak (Scottish Social Services Council)

This document gives advice and guidance to social service workers on looking after their own wellbeing and that of others.

To begin with, it gives advice on looking after oneself, using various graphics which highlight ways to manage stress, emotions, balance, rest, etcetera. In addition, it explains how to provide support to people the social worker cares for using the 7 key components of Psychological First Aid. Lastly, it offers some resources for looking after colleagues, such as those created by the NES or a video on Trauma Informed practice.


Workforce support and wellbeing during the COVID-19 outbreak. Dundee, Scottish Social Services Council, 2020, online.


 

[COVID-19] Online training for hospital staff (Public Assistance - Paris Hospitals)

[COVID-19] Online training for hospital staff (Public Assistance - Paris Hospitals)

In the current epidemiological context and in view of the large influx of patients with severe respiratory impairment related to CoV-2 SARS (COVID-19), there is a need for accelerated training tools for the management of respiratory failure in these patients in order to make a maximum number of healthcare professionals operational.

In this context, an online training course has been created, consisting of training courses dedicated to the management of patients with severe respiratory impairment related to CoV-2 SARS (COVID-19).

The pedagogical content of this training will evolve according to the proposals of the expert/recommendation centres and may be subject to modifications/updates.

Currently, five training courses are offered:

  • B.A-BA of ventilation.
  • COVID-19 in resuscitation.
  • Management of COVID-19 patients: what precautions for dressing – undressing according to the care sector.
  • Medical Students Training.
  • COVID-19 and Pregnancy.
  • COVID-19 and Geriatry.

[COVID-19] Online training for hospital staff. Paris, Assistance Publique – Hôpitaux de Paris (AP-HP), 2020, online.