Displaying items by tag: care homes
Care homes: infection monitoring
The UK Health Security Agency (UKHSA) has introduced the Vivaldi social care pilot, aiming to collect and analyse data from over 500 care homes across England to combat infections. This initiative builds on the success of the Vivaldi study conducted during the pandemic, expanding its focus to a broader range of infections. UKHSA aims to monitor infections such as Covid-19, flu, norovirus, and urinary tract infections in care homes for older adults. This pilot addresses the initial lack of data and surveillance infrastructure in care homes during the pandemic, which left them susceptible to infections. The Vivaldi research aided decisions such as limiting staff movement and advocating for sick pay for care home workers. Through this pilot, UKHSA aims to continue improving the understanding of infections in care homes, supporting their mission to prepare for, prevent, and respond to health threats and ultimately save lives.
Twindemic this year
NHS England says up to half of all hospital beds in England could be occupied by patients with respiratory infections. The warning came as NHS bosses set out details of its plans to help the health service cope this winter, like rapid response teams for people who fall at home and ‘data war rooms’ to monitor work pressures. The usual seasonal viruses plus Covid will place huge strains on hospitals. It is important to be prepared as winter comes hot on the heels of an extremely busy summer. With the combined impact of flu, Covid and record NHS staff vacancies, we are facing more than the threat of a 'twindemic' this year. Pray for wise decisions to be made by the NHS in their preparations for winter. Pray for doctors’ surgeries and rapid response teams to be able to keep patients out of hospitals.
Care homes closing doors as Omicron spreads
Hundreds of care homes are refusing new admissions for 14 to 28 days because of Omicron, increasing pressure on hospitals unable to discharge patients into the community, and adding another pressure to an already challenging situation. 70% of MHA homes, a not-for-profit care provider, are refusing new residents because of Covid outbreaks and staff shortages. Four Seasons Healthcare has two or more cases in 40% of its homes: government guidance is not to accept new arrivals. The chief executive of NHS Providers said, ‘Patients deteriorate if they are fit to discharge but can’t leave their hospital beds’. He said it was also difficult to find room for serious cases coming via accident and emergency departments. Temporary settings may be installed to allow hospital patients to be released, and some health trusts have set up temporary care facilities in hotels with live-in staff from abroad.
Care home visitor scheme to be piloted
A scheme to allow family members to regularly visit loved ones in care homes will be piloted in England. The trial will allow a relative or friend to be treated as a key worker and given frequent access, while abiding by the same rules as staff - weekly testing and wearing PPE. Campaigners said the value of regular contact to dementia patients would be huge, but action was needed immediately. All face-to-face care home visits were banned during the height of the first wave of the pandemic. While current guidance in England allows visits on a ‘limited basis’ where alternative arrangements are not possible, visits have been severely curtailed or prohibited entirely in those areas subject to enhanced restrictions. The care homes will determine their own policies, following the advice of local public health officials and carrying out dynamic risk assessments on the impact of visits on residents and staff.
Government ‘neglectful’ in caring for elderly
Pilgrim's Friends Society, which runs Christian care homes, said the government has been worse than neglectful in its care for elderly people for years. Successive governments have put the prospect of good social care plans in the 'too difficult to do' basket. The society was responding to a report which stated that the Government ignored care homes during the coronavirus pandemic. The evaluation of the readiness of the NHS and care homes for the Covid-19 crisis found they were just about able to cope, but it was a different story for adult social care. The report said, ‘Years of inattention, funding cuts and delayed reforms were compounded by slow, inconsistent and at times negligent government approaches to giving the support needed during the pandemic: discharging 25,000 patients from hospitals into care homes without making sure all were first tested for Covid-19, and continuing the patient moves even after it was realised that people could transfer the virus without ever having symptoms.’
Coronavirus problem in care homes
There are 15,517 care homes in England, and 200 hospitals. HC-One, operating 350 homes, had 311 coronavirus deaths. The Methodist Homes Association reported 210 deaths in 131 homes. However the official statistics at the same point recorded only 217 coronavirus deaths in care homes in England and Wales. Pray for the Care Quality Commission to investigate and update recorded deaths daily from the 15,517 residential and nursing homes. Care workers see up to twenty clients during a shift. The Government's advice to residential care is almost the same as for hospital workers: single-use disposable gloves, aprons, and face masks. Pray for speedy delivery of these nationally. The government now promises that care home residents who develop symptoms will be tested. Care providers are reporting at least a quarter of their staff in isolation. Pray that the Government is able to keep its promise to recruit 20,000 social care staff by July and test the vulnerable for coronavirus.
Care homes’ unfair fees
The Competition and Market Authority found some care homes applied large upfront costs, and charged families for weeks after their relatives had died. The watchdog also highlighted how those paying for themselves were charged an average of 40% more than council-funded residents - effectively paying a multi-million pound subsidy every year to keep the ailing £16bn sector afloat. It said another £1bn of government money was needed to create a fair and properly-funded system. Also highlighted were an inadequate complaints system, making it difficult for families to raise concerns; unclear terms and conditions; fees being raised after residents moved in; insufficient support at a national level to help families navigate their way round the system; and people being unfairly banned from visiting.