Many care home residents are particularly vulnerable to COVID-19 due to complex medical problems and advanced frailty. Primary care can work with care homes to ensure that any advance care planning conversations are completed and where possible documented on CMC.
Video conferencing with care homes should be used where possible.
COVID-19 in care home residents may commonly present with non-respiratory tract symptoms, such as new onset/ worsening confusion or diarrhoea.
Residents who ‘walk with purpose’ require specific consideration with regards to isolation. Physical restraint should not be used. A behavioural/psychosocial approach should be used to understand the behaviour and try to modify it where possible.
Public Health England and the Care Quality Commission have produced a useful guidance document for care homes on caring for residents according to their Covid-19 status, keeping asymptomatic residents safe and caring for those with symptoms. The document covers a range of key areas including testing residents and reporting COVID-19 cases; infection control and decontamination; providing care after death; PPE and advice on communications and visiting.
A clinical guide was issued by the NHS on 13 May for supporting compassionate visiting arrangements for those receiving care at the end of life.
There is updated guidance on visiting arrangements in care homes. This guidance applies for the period of the national restrictions beginning 5 November 2020, and the guidance supersedes previous guidance on visiting policies for care homes.
For more information and support, please visit our dedicated Care Homes webpage.