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News

This page shows the latest news and developments relating to social care providers within the Vale of York area. For the latest training and development news and events please follow this link, and to view the full back catalogue of the Partners in Care Weekly Bulletin please follow this link.

11 October 2021-Flu Pack for Care Homes

Please find through this link below a pack of flu resources from Public Health England. This is to help homes detect outbreaks of influenza-like illness promptly, notify them to the Yorkshire and Humber Health Protection Team (HPT) and undertake immediate action to minimise transmission within the care/residential home.

11 Ocrober 2021-HCV Resilience Hub Bereavement Support

The Humber, Coast and Vale Resilience Hub offers a COVID-19 bereavement support group for anyone who works in health, care or emergency services across North Yorkshire, The Vale of York and Humberside and has experienced a loss during the COVID-19 pandemic. The groups run in seven weeks blocks every Monday between 4-5pm and give you the chance to meet with others who are going through similar experiences in a safe, supportive and therapeutic environment.

The  next group starts on 18 October and you can find out more and register your interest through this link or by emailing tewv.hcv-resiliencehub@nhs.net. Please share this message with your staff, and if you have social media you may also wish to share the below message. A poster for you to display can be found through this link.

"If you work in health, care or emergency services across Humberside, North Yorkshire or the Vale of York and have experienced a bereavement during the COVID-19 pandemic we can help. Find out more about the HCV Resilience Hub bereavement support groups by visiting https://www.hcvresiliencehub.nhs.uk/support-groups/ #HCVResilienceHub"

11 October 2021-Playlist for Life- Using Personal Playlists to Support Those with Dementia

At last weeks Partners in Care we heard about the power personal music playlists can have for those living with dementia, benefits of which can include all of the below.

  • Can help people connect and reunite families
  • Recall memories or abilities
  • Restore a sense of self
  • Help manage mood
  • Reduce need for psychotropic medication
  • Improved nutritional intake
  • Improved continence
  • Reduction in falls
  • Reduction in use of restraint
  • Making difficult tasks easier (e.g. personal care)

Playlist for Life is national charity working to raise awareness and are able to support families and care providers in embedding these in practice. The slides from the session can be found through this link, and the powerful full length version of the Harry and Margaret video that was shown can be found through this link. They would be very interested in hearing from anybody who would be interested in undertaking a pilot in their provider. To express an interest and for any further information please contact jan.tuson@playlistforlife.org.uk

11 October 2021- Research Opportunity- Contact Pilot

Fulford Nursing Homes and The Chocolate Works Care Village or both taking part in a pilot for the "CONTACT" study being led by University of Leeds. This would look to track infection spread through the home by recording all interactions, so if the homes were to get a positive of any infection they would know who has been near who and for how long. There are opportunities for other homes who wish to be involved with this pilot.

For any homes wishing to be involved the contact for the study is A.K.DaffuOReilly@leeds.ac.uk, or Lizzie for Fulford Nursing Home is also happy to talk to any homes who are considering involved. The home have been involved in a number of research programmes and find the knowledge providers can gain from this is invaluable.

11 October 2021-Funding Now Available for Essential Training

Skills for Care have recently confirmed that fully funded Essential training is now available. This training is available as three individual packages of learning:

  • Rapid induction (aimed at new staff)
  • Refresher training (aimed at existing staff)
  • A volunteer programme.

Their aim is to help employers quickly train new recruits to ensure that all workers can complete their duties safely. Employers can select from 12 endorsed training providers, some of which are new additions this year. These providers have been awarded grants to deliver the rapid induction programme. Please note, all training will be delivered virtually. For more information please follow this link

04 October 2021-Extension of PPE Portal and Consultation

The portal for free PPE for social care  providers  has been extended to March  2022. Full details are available through this link. DHSC have launched a consultation on continuing this service beyond  this time. Responses are welcomed from across the sector to help the Government make a well-balanced and considered decision, to comment please follow this link.

To note: From Monday 4 October 2021, the new phone number for emergency PPE requests will be: 0800 876 6802 (lines open Mon-Sun 7am-7pm). The National Supply Disruption Response line (0800 915 9964) remains in use to report disruptions to any medical products."

04 October 2021-Guidance on Medical Exemption from COVID-19 Vaccination and Capacity Tracker Reporting

DHSC have published guidance on how people can apply for official proof that, for medical reasons, they are unable to be vaccinated and/or tested for COVID-19. All exemptions will be confirmed by a doctor, specialist clinician or midwife. If approved, the NHS COVID Pass can then be used by an individual to prove their status

 The possible reasons for exemptions are limited, and include:

  • People receiving end of life care where vaccination is not in the person’s best interests
  • People with learning disabilities or autistic individuals, or people with a combination of impairments where vaccination cannot be provided through reasonable adjustments
  • A person with severe allergies to all currently available vaccines
  • Those who have had an adverse reaction to the first dose (for example, myocarditis)
  • Short-term exemptions will also be available for those with short-term medical conditions and as an option that some pregnant women may choose to take. Exemptions for pregnant women will expire 16 weeks post-partum, in order to allow them to become fully vaccinated after birth.

To assist in recording exemptions, from 7 October 2021 Care Homes will be asked to update their Covid vaccination information within Capacity Tracker for numbers of staff with a medical exemption certificate. They will also be asked to record the numbers of staff that have received a Covid vaccination abroad e.g. Janssen vaccination.

04 October 2021-Celebrating Homecare Day- 22 September

Celebrating Homecare Day took place for the very first time earlier in the month. This important initiative, developed by the Homecare Association in conjunction with the Care Workers' Charity, is dedicated to highlighting the amazing difference homecare services make in people’s lives every day. Deborah Sturdy, Chief Nurse for Adult Social Care, joined many other organisations and individuals, flying the flag for homecare colleagues, by recording a special video message, celebrating their incredible contribution to the health and happiness of friends, families and loved ones during these difficult times.

She also took the opportunity to encourage colleagues to nominate their fellow care workers for the Chief Nurse for Adult Social Care AwardsFind out more in her blog, which launched the awards earlier this year, including links to the nomination forms.

04 October 2021-Free London Symphony Orchestra Thank You Concert for Care Homes

London Symphony Orchestra (LSO) are performing a free live streamed concert for care home staff and residents to say thank you for your hard work and resilience through the pandemic. The concert is being broadcast from Bath Forum and is made possible by a partnership between Bristol Beacon and Bristol Care Homes, who wanted to extend the opportunity to watch the concert to all care homes across the country.

For one night only, the concert will be broadcast live via YouTube at 7:15pm on Thursday 7 October 2021. Any care home in the country can tune in for free to this special thank you broadcast. LSO would like to see photos of you watching the concert together, so please share them on social media using the hashtag #ThankYouCareHomes and tagging @Bristol_Beacon and @londonsymphony

In order to play the stream on your Smart TV, follow this instruction guide

27 September 2021-Update Regarding Voided of Expired Test Kits by NHS Track and Trace

A number of providers have had issues where expired tests submitted have been declared as void by NHS Track and Trace when received into labs. Guidance has been ciruclated by them  to help providers identify any expired test kits. If you think you have been sent kits that have already expired, then please send an email with a photo attached of expiry dates on the box, the packet and the vial to carehometesting@dhsc.gov.uk.

27 September 2021-Skills for Care Workforce Development Fund 2021-22

The Workforce Development Fund for this year is now open to adult social care employers in England to support the development of their staff at all levels, offering funding for a wide range of qualifications, learning programmes and digital learning modules. This year the WDF will continue to provide enhanced funding for completion of leadership and management qualifications, learning programmes and digital learning modules. The funding will support registered managers and other frontline managers with their Continuing Professional Development (CPD) Certification, ensuring that they’re able to access learning opportunities to continue to develop their knowledge and skills to effectively lead and support the workforce. Additional priorities may also emerge during the year in response to COVID-19 recovery.

For more information please follow this link

09 September 2021- Falls Awareness Week 2021

The CCG are asking providers to support us with spreading the message that falls aren't an envitable part of ageing, but taking part in Falls Awareness Week 2021. Preventing falls is everybody's business, so it would be great to involve all residents, families and staff. Feel free to use these resources, and send any pictures/details of what you get up to so we can share what you are doing and raise awareness for all.

For queries to send details of what you get up, please contact h.degnan1@nhs.net or sam.varo@nhs.net

09 September 2021-Capacity Tracker Updated Questions and How is Your Data Used?

Following on from the changes that have recently come into place to reduce number of questions for providers as well as prepare for the upcoming flu and COVID booster programmes, providers were updated at Partners in Care Forum on these changes. Following feedback from providers we also gave an overview of how the data providers submit is used, as well a chance to see what the data your CCG/local authority see looks like and how it is important to helping us to provide support as well as get a overview of any area trends. To see these slides please follow this link.

09 September 2021-Partners in Care Good News- Stories from Summer

 At this weeks Partners in Care we shared some of the many good news stories from our care providers in how they have supported those in their case despite the difficult circumstances over the summer months. To see the full slides please follow this link, but highlights include:

  • Staff and residents getting into the sporting spirit to cheer on England during the Euro's and Olympics
  • Awards for both Care mUm and Blossom Care Tadcaster in the Yorkshire and Humber Round of the Great British Care Awards.
  • Virtual skydiving for residents at Grimston Court as part of an awareness week to support the British Heart Foundation
  • Connaught Court organising a special balloon ride for a resident who played a vital role on D-Day
  • Home Instead working with Barclays Digital Eagles to support clients with digital skills.
  • Somerset House getting into the Hawaiian spirit to keep residents hydrated
  • Support workers at Avalon Care helping a client to create a Toy Story drinks table and stormtrooper loo roll dispenser.

09 September 2021-Writing a DNACPR Form Guidance

Please find through this link guidance that York and Scarborough Teaching Hospitals NHS Foundation Trust have recently developed to their staff, to support clinicians in how to complete the DNACPR forms. In light of a number of queries we have received, this may also be useful for care providers to have sight of to understand the process.

09 September 2021-Reporting Patient Safety Concerns for Providers- Reminder

York and Scarborough Teaching Hospitals NHS Foundation Trust have earlier in the year, agreed a new process for reporting patient safety concerns about the Trust. By sending through to this dedicated generic email, it will allow the Trust to continuously receipt, acknowledge and investigation the patient safety concerns of our neighbouring organisations. Please send your patient safety concerns that involve the trust to: yhs-tr.s2s@nhs.net

06 September 2021-Building Resilience – New Bitesize Guides

Resilience is the ability to cope under pressure and recover from difficulties. Skills for Care have developed two bitesize guides to highlight some of the key areas in our ‘Building your own resilience, health and wellbeing’ guide, including:

  • Coping in the moment and beyond
  • What is resilience and why does it matter?

The aim of these shorter guides is to provide you with some quick support on how to build your own resilience.  

06 September 2021-Care Home Feedback Survey- Digital Connectivity

Over the course of the pandemic we have been working hard to support care homes and your residents through digital care initiatives to increase connectivity between care providers the health and social services who support you.

Ahead of winter, we are re-running a short 5 minute survey we first took last year to see how things have changed in how these are being used across our area, and will also be surveying clinical colleagues to see how they are working from their perspective. This will be a chance to take of stock of these initiatives are working in your setting, and gather feedback (Whether good or bad) to identify how those could work differently to provide the best support possible.  For any further feedback please contact sam.varo@nhs.net

The survey can be accessed through this link.

06 September 2021-Vaccination as a Conditions of Employment in Care Homes- Webinar

From 11 November 2021, all care home workers must be fully vaccinated against COVID-19, unless exempt. The Department of Health and Social Care recently hosted a webinar to answer questions about how the regulations will work in practice. If you missed it, you can watch the full webinar by clicking this link. This covers questions on topics including:

  • How requests for exemptions will be managed
  • How to record vaccination status of staff, and visiting staff entering the home
  • How the condition of employment will be enforced by CQC

31 August 2021-Key Messages for Providers

Following feedback from providers and from visits conducted, we felt it would be helpful to share the following key messages for providers to remain mindful of during the current climate.

  • Workforce Checks- as part of regulation 18 providers must ensure screening of staff and that also applies to agency staff.  Please remain robust and curious when checking staff.
  • Reminder re the use of FFP3 masks when a resident is in receipt of AGPs and to ensure clearance for 30 mins afterwards as per the current North Yorkshire and York PPE chart. FFP3 masks require fit testing and providers should ensure this is performed for all staff undertaking procedures
  • To remain vigilant with covid guidelines, recent increase in cases being recorded in residents despite receiving double vaccination and residents showing symptoms
  • Be aware there is a rise in the incidence of Norovirus and to remain vigilant with appropriate IPC measures including washing hands with soap and water to kill the virus and not hand gel
  • Please do escalate any issues/ challenges to the CCG and local authority teams as early as possible as we are here to support you as best we can and will work with you to find solutions if something is proving difficult.

31 August 2021-Humber Coast and Vale Resilience Hub

The Humber, Coast and Vale Resilience Hub is a free NHS service that supports anyone who is struggling with the impact of COVID-19 and is open to all care staff across North Yorkshire, Humberside and the Vale of York, as well as to their families

The service is completely confidential and offers advice and support that can help with a range of issues from emotional wellbeing to bereavement, debt, domestic violence and relationship issues. The Hub builds on but is independent of existing organisational health and wellbeing services and our dedicated team can help you to quickly access the best advice or treatment when you need it. Whether you need signposting to self-help information or wider services that can support you, or more intensive psychological wellbeing support, we can help. Visit www.hcvresiliencehub.nhs.uk for more information.

Promotional resources are below for you to use in staff noticeboards, newsletters etc.

HCV Resilience Hub A4 Leaflet

HCV Resilience Hub A5 Leaflet

31 August 2021- Capacity Tracker Changes- COVID and Flu Vaccine Recording

As part of the upcoming booster COVID-19 programme and flu season, the respective fields will be changing on the evening of Tuesday 31 August to allow providers to record this data.

Care homes will no longer be required to split out workforce vaccination levels by job role type (nurses, care-giving staff, non-care giving staff). Instead they will only record the total number of residents, directly employed staff and agency staff vaccinated will need to be recorded against each of the following vaccination questions.

  • Number known to have had the first dose of the Covid vaccination
  • Number known to have had the second dose of the Covid vaccination
  • Number known to have had the Covid vaccination booster*
  • Number known to have had this season's flu vaccination

 

Home Care providers will be required to record information on the COVID-19 Update relating to the total numbers of staff who have face-to-face contact with people your Organisation supports. against each of the following vaccination questions:

  • Number known to have had the first dose of the Covid vaccination
  • Number known to have had the second dose of the Covid vaccination
  • Number known to have had the Covid vaccination booster*
  • Number known to have had this season's flu vaccination

31 August 2021-Free Government Funded Care Home Website and Energy Efficiency Tool

The Building Research Establishment (BRE) have created a free energy efficiency assessment tool that will help small and medium sized care home providers improve the energy efficiency of their care homes and save money. They were commissioned by the Department for Business Environment and Industrial Strategy (BEIS) to create the tool and website.

The tool lets you input simple information about your building and creates a bespoke list of potential improvements with the associated costs and savings of each measure. You can then use the website information pages to find:

  • Ways to fund and procure these improvements
  • Trusted suppliers and contractors
  • Current energy efficiency standards and regulations

To access the tool, please follow this link.

24 August 2021-COVID in Pregnancy- Posters

All pregnant women are being recommended to access the COVID-19 vaccination to protect themselves and their baby. The Royal College of GP's have produced a series of posters which may be helpful to display or share with staff, which summarises the data behind this guidance as well as how to avoid catching COVID-19. To access these, please follow this link.

16 August 2021-Track and Trace Data on Capacity Tracker

From the evening of Monday 16 August 2021, Care Homes and Home Care providers will be able to view their own testing data within the Capacity Tracker. A DHSC pilot provided Adult Social Care managers with visibility of their testing.  This resulted in 92% of managers taking meaningful action to encourage staff testing, leading to an increase in the number of registrations for both PCR and LFTs across the pilot settings. It is hoped that sharing this information wider with all Care Home and Home Care providers will help build on this success.

The Test and Trace data imported into Capacity Tracker is based on the number of registrations that have been recorded within the NHS Test and Trace system that have also included a Unique Organisation Number (UON). To ensure all information is accurately captured and aligned to a provider, Care Home and Home Care staff are asked to continue supplying their UON details when registering test kits for their organisations via Register test kits for your organisation - GOV.UK (test-for-coronavirus.service.gov.uk) (PCR tests) or https://www.gov.uk/report-covid19-result (lateral flow tests)

In addition, ALL Capacity Tracker registered users will now be able to view aggregate Test and Trace statistics on either a National, Regional, or more localised level via the Capacity Tracker reports function. This will enable all providers and health and social care professionals to review their own setting/area and make comparisons with other areas etc. Further guidance on how to use the Capacity Tracker Test and Trace Statistics report will be posted on the Resource Centre on the evening of Monday 16 August 2021

16 August 2021-Guidance on Internet Connectivity for Care Providers

As organisations use more technology, Digital Social Care are often asked for advice on how social care organisations can improve their access to the internet. They have therefore worked with NHSX and care providers to produce 3 quick guides on internet connectivity.

  • A quick guide to care home broadband
  • A quick guide to Wi-Fi for care providers
  • A quick guide to mobile and satellite internet for care providers

09 August 2021-COVID Vaccination in Pregnancy

Since the 16 April the Joint Committee on Immunisations and Vaccinations has recommended that pregnant women should be offered either the Pfizer or Moderna vaccine. Any pregnant staff should already be supported in conversations relating to encouragement of the vaccine as part of their antenatal care, but there are also a series of posters in the style opposite and guidance available through Public Health England which may be useful to support you in any discussions you are having with any pregnant staff who remain vaccine hesitant.

This PHE guidance which is written for women to read prior to vaccination can be found through this link, which states:

"The Joint Committee on Vaccination and Immunisation (JCVI) has advised that pregnant women should be offered COVID-19 vaccines at the same time as people of the same age or risk group. In the USA, around 90,000 pregnant women have been vaccinated mainly with Pfizer and Moderna vaccines and no safety concerns have been identified.

Evidence on COVID-19 vaccines is being continuously reviewed by the World Health Organization and the regulatory bodies in the UK, USA, Canada and Europe.

Pfizer and Moderna vaccines are the preferred vaccines for pregnant women of any age who are coming for their first dose.

Anyone who has already started vaccination and is offered a second dose whilst pregnant, should have a second dose with the same vaccine unless they had a serious side effect after the first dose"

 

09 August 2021-Visiting in Care Homes- Named Visitors and Essential Visitors 

A reminder that the guidance on visiting in care homes has been updated this week in reference to section 2.1 (named visitors) and section 2.2 (essential visitors). All residents may benefit from a visit from a loved one who provides a greater degree of personal care or support, to maintain their health and wellbeing. All residents should be enabled to have an essential care giver, who should be able to visit more often. Essential care givers will need to be supported to follow the same testing arrangements, and the same PPE and infection control arrangements, as care home staff. The care and support provided may still be critical even if it is not provided every day.

09 August 2021-Skills for Care "Moving Up" Programme

This programme is aimed at black, Asian and minority ethnic leaders who are wanting to take the next step in their learning and development. The programme itself supports managers who have the desire and drive to progress in their career but are facing blockages and resistance preventing them from doing so. Previous participants have come from local government, social care, commissioning organisations, charities, third sector, nurses and occupational health. Please note, the Moving Up programme will be delivered through blended learning – a combination of self-learning modules and live online sessions. To find out more please follow this link.

02 August 2021- Management of Staff and Exposed Patients and Residents in Health and Social Care Settings

As detailed in correspondence providers will have received last week, colleagues at City of York Council and North Yorkshire County Council have agreed a joint process for decision making on isolating staff coming into work for care providers in both areas. This is underpinned by a flowchart detailing the process providers will need to follow if they wish to establish why this staffing resource is so critical. 

Returning staff into work when they have been ‘pinged’ comes with significant risks and it should only be considered as an absolute last resort when all other avenues have been exhausted and customer safety is at risk.  

Attached is an email NYCC will their providers will have received detailing their approach and support available. Contact details for both local authorities should you have any queries are:

NYCC-  socialservices.contractingunit@northyorks.gov.uk

CYC- Adultscommissioning@york.gov.uk

02 August 2021- Returning Community Equipment Poster

Please find a poster available through this link which may be useful to display in your care setting, detailing how to return any community equipment once no longer required. With the current shortages of raw materials impacting supplies, it's really important for any equipment to be returned rather than reused.

02 August 2021-Partners in Care Autism and LD Bulletin

Through this link you can find a copy of the first edition of Partners in Care Autism and LD Bulletin, which follows on from the first meeting of the new Partners in Care Autism and LD Forum. This edition includes:

  • Slides from the forum detailing what service users and care providers can expect from an annual LD health check that practices offer, as well as how to be added to a practices' LD register to ensure you are offered one.
  • A survey allowing you the chance to determine what the forum focuses on going forward, to help best support care provider and professionals supporting those with LD or autism
  • Details of upcoming "Red Flag" roadshows designed for those with LD to help recognise signs and symptoms of cancer

The bulletin automatically goes to all individuals invited to the Autism and LD forum, but if you wish to be added to this list then please contact sam.varo@nhs.net

27 July 2021- Mandatory Vaccinations for Care Home Staff

The government have decided to make full COVID vaccination a condition of employment in care homes from 11 November, meaning the last date to get a first dose will be 16 September. Please note this will apply to all staff including visiting staff such as maintenance staff, hairdressers and entertainers. This guidance and infographic may help care homes manage this for their setting.

27 July 2021-Urine Colour Guide to Hydration Poster

In the current warm weather it's more important than ever to keep hydrated. Our team have produced a poster which may be useful to display in your setting, showing how different urine colours demonstrate the need for re-hydration. Good hydration can help avoid UTI's, headaches, constipation and pressure ulcers among other complaints.

To access the poster please follow this link

27 July 2021-Heat Stress and PPE

Wearing personal protective equipment (PPE) in warm/hot environments increases the risk of heat stress. This occurs when the body is unable to cool itself enough to maintain a healthy temperature. Heat stress can cause heat exhaustion and lead to heat stroke if the person is unable to cool down.

Measures to control the temperature of clinical environments and enable staff to make behavioural adaptations to stay cool and well hydrated should be made. Staff may require more frequent breaks and the frequency of PPE changes may increase, with a resulting increase in demand. Further information and actions are available on the CAS website.

23 July 2021-Introducing Kate

Kate has recently joined the team as a Project Assistant where she will be supporting the delivery of quality improvement programmes across our care providers. Her previous roles prior to joining the team was as a Smoking Cessation Practitioner with North Yorkshire County Council and also with Leeds Teaching Hospitals NHS Trust delivering support within a clinicals trials team for the Leeds Lung Health Check. Her most recent role was as a Health Trainer within the Public Health Team at City Of York Council where she supported clients to make healthy lifestyle changes in respect of diet, exercise, and smoking cessation.

To contact Kate please contact: kate.fraser10@nhs.net

23 July 2021-How Care Homes Can Engage in Research Studies

Carla Bratten from NIHR attended last week's Partners in Care Virtual Forum to discuss how care homes can engage in research, and the benefits this can provide for the organisation and it's residents and staff. This includes as a learning and development opportunity for staff, service improvement and encouraging residents to take an increased interest in their health and wellbeing.

  • To receive communications about research trials you may be interested in (including questionnaires, interviews and interventions) you can join the ENRiCH register through this link.
  • Any individual can register for Join Dementia Research, which is a partnership between NIHR and Alzheimer’s Society. This is a database where people can register their interest in taking part in dementia research, contributing to our understanding of the disease and how we can manage it.

The full slides from the session can be found through this link. For any queries please contact carla.bratten@nihr.ac.uk

23 July 2021-What's My Step Campaign-New Videos

The What's My Step Campaign has been set up by local authority and health partners in York to help residents to rebuild the fitness that many of us have lost during lockdown. The NHS recommends at least 150 minutes of moderate intensity activity a week or 75 minutes of vigorous intensity activity a week for adults. Adults should do some type of physical activity every day and any type of activity is good: in fact the more you do, the better.

York and Scarborough Teaching Hospital NHS Foundation Trust have added 3 new videos which may be helpful for your teams and those in your care:

What's My Next Step - Balance

What's My Next Step - Stair Stepping

What's My Next Step - High Knees

20 July 2021-Nursing Associate Guide for Employers 

 Skills for Care have launched ‘An employer’s guide to the deployment of qualified registered nursing associates in social care settings’ which aims to support employers, commissioners and registered nursing associates to have a clear understanding of the role of a registered nursing associate and how it can add value to the care being provided. It includes examples of how registered nursing associates are working in different social care settings and how the scope of practice can differ depending on the team and situation.

12 July 2021-Long COVID Support for Staff

Many staff are now returning to work who may have been away from the workplace for some time due to the effects of COVID-19 and Long COVID, and many other staff are continuing to balance the pressures of work alongside a Long COVID diagnosis. The Humber, Coast and Vale Resilience Hub has set up Long COVID Peer Support Groups. These groups are delivered remotely and take place weekly on a Wednesday afternoon in blocks of 8 sessions.

Staff can access the group through referring themselves into the Resilience Hub by completing the wellbeing questionnaire online.

05 July 2021-Trainee Nursing Associate in Social Care Role

At Partners in Care last week there was a joint update from Humber Coast and Vale Workforce Hub and the Joseph Rowntree Housing Trust, about the relatively new role of trainee nursing associate. This can sit in between the role of senior carer and registered nurse, and providing an opportunity for ambitious carers to develop. The course takes 2 years and a variety of funding opportunities are available for care providers to take advantage of. Providers must have a registered nurse available to help support the TNA, but as discussed there are also opportunities for non-nursing setting to host placements also. The slides detailing the course and application details are available through this link, and a quick guide for interested providers through this link.

Joseph Rowntree Housing Trust have had 2 TNA's in place for the last year across their York homes, and shared how they have benefited from having them in place and it has helped them retain and develop talented staff within their organisation. Ellie and Paul their two TNA's, talked inspiringly about how the course has helped them develop their skills and work closely alongside the nurses within the homes. The slides from their update are available through this link.

For further information or if you would like to discuss what support might be available please contact: Victoria.Wilkins@hey.nhs.uk

05 July 2021-Audiology and Hearing Aid Update

Emily Litherland attendees Partners in Care last week, to share an update on how care providers can help support those in their care with hearing impairments (including how to get the most benefit from their hearing aid). The slides from the update and may be useful to share with your teams. The main take home messages from the session were.

  • The importance of washing hearing aids daily.
  • That hearing aids should be kept in all day to allow an individual to get most benefit, not put in just when having conversations.
  • Making sure the hearing aids is put in the correct ear, and inserting correctly to avoid a pressure sore.
  • That the symptoms of dementia and a hearing impairment can be confused.
  • That wearing of makes of masks means you may have to speak louder to be heard.
  • Specialist adjustments for clinics for those with dementia or LD can be made.

For further information or any queries the York audiology team can be contacted through 01904 726741

28 June 2021- COVID Update and IPC Reminder

You may be aware that the Vale of York, like many other regions in England, is experiencing an increase in cases of Covid-19. This may be causing concern for yourself and colleagues, residents, service users and family members, especially given the vulnerability of people in your setting. Whilst cases in care settings remain at a low level we are starting to see a small increase across the region and anticipate that this will continue, especially given the impact of new variants of Covid-19. Therefore we are asking people to please be vigilant with IPC practice both in and out  of the working environment as the delta variant spreads more easily.

The system of controls that you all have in place to prevent Covid-19, alongside the vaccination of those who need to have one or both injections, is essential to help prevent cases of Covid-19 and ensure that where cases do occur wider transmission can be prevented.

All staff have been working so hard to keep everyone safe for a long time and no doubt everyone is exhausted but continuing all the hard work yourself and colleagues have been doing is the best way to keep everyone safe.

Infection Prevention and Control Everyone must continue to follow the required measures for safe living, working and visiting in care settings.  This includes the correct use of PPE, cleaning and hand hygiene.  A reminder that our team are still available to provide refresher IPC training either virtually or in person. Please contact h.degnan1@nhs.net for more information.  IPC information and advice is also available at any time here, with CQC registered providers receiving hard copies of the policies earlier this year though CCG or NYCC. We still have a small number of domiciliary policy folders and domiciliary IPC workbooks for those needing them.

Vaccination If staff and residents have not received their 1st or 2nd vaccine continue to encourage them to do so, as this helps to protect them and others. Starting Friday 25 June, drop-in clinics will be popping up across the city allowing people aged 18 and over to easily access the vaccine without needing to book an appointment in advance, but appointments can be booked through GPs if needed. Please can providers promote the clinics with new starters /any remaining staff yet to receive  the 1st vaccine and look to support attendance  though rotating /shift patterns etc.  

  • The clinics are being held at selected venues across the city over the weekend and throughout next week as shown below, with the full list of times and locations available at NHS Vale of York Clinical Commissioning Group - #GrabAJab from this weekend (valeofyorkccg.nhs.uk) or Nimbuscare Ltd - More pop-up vaccination clinics planned
  • Clinics outside York are in this link here  https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/find-a-walk-in-coronavirus-covid-19-vaccination-site
  • After a patient gets their first vaccine dose at a drop-in clinic, they can book their second dose through the national booking service, online or by phoning 119, from 24 hours afterwards. If you have any questions, you’ll be able to chat on-site before you have your jab.
  • We are mostly seeing case rises among those yet to get the vaccine so please encourage your staff  to book an appointment /attend one of the  walk in clinics if they haven’t  already. The vaccine works to protect people from serious effects of Covid infection and helps to break the chain of onward transmission so there are reasons to be optimistic. We just need to be careful as we vaccinate more of the population in the coming days and weeks.
  • The latest official “validated” rate of new Covid cases per 100,000 of population for the period 13.6.21 to 19.6.21 in York was 127.7 (269 cases).
  • The national and regional averages at this date were 101.5 and 112.7 respectively (using data published on Gov.uk on 24.6.21).
  • As at 23.6.21 a total of 133,510 CYC residents have had the first dose of the vaccine.  This represents 76.7% of the estimated adult (18+) population of York.
  • As at 22.6.21 a total of 92,574 CYC residents have had both doses of the vaccine.  This represents 53.2% of the estimated adult (18+) population of York.

Testing – The testing requirements in place for staff, residents, visitors and visiting professionals must still be followed.

Visiting (in and out) – Ensure awareness and compliance with current visiting guidance

Also, a reminder please to be mindful of the government guidelines around a "contact" relating to staff travelling to work or taking breaks:

A contact is a person who has been close to someone who has tested positive for COVID-19. You can be a contact any time from 2 days before the person who tested positive developed their symptoms (or, if they did not have any symptoms, from 2 days before the date their positive test was taken), and up to 10 days after, as this is when they can pass the infection on to others. A risk assessment may be undertaken to determine this, but a contact can be:

  • Anyone who lives in the same household as another person who has COVID-19 symptoms or has tested positive for COVID-19
  • Anyone who has had any of the following types of contact with someone who has tested positive for COVID-19:
    • Face-to-face contact including being coughed on or having a face-to-face conversation within one metre
    • Been within one metre for one minute or longer without face-to-face contact
    • Been within 2 metres of someone for more than 15 minutes (either as a one-off contact, or added up together over one day)
    • A person may also be a close contact if they have travelled in the same vehicle or plane as a case

28 June 2021-Next Forum Launch: Partners in Care Forum- LD and Autism Focused

The CCG are launching a quarterly forum designed specifically around the needs and challenges of our care providers who support those with learning disabilities and autism. We have directly invited providers who fit into that cohort, but are aware that many of you in predominantly older adults focused care will also help support individuals in these groups. Therefore if you have any staff from your service who would find it valuable to join this network please let us know.

The first meeting will take place on Wednesday 21 July from 2.00-3.00 through Zoom. There will be an update around the annual health checks that GP practices now provide for those with LD, including what is a good health check, what to expect and how to prepare and support your service users when having one. We will also be getting feedback from providers on how you are finding these so far and the role of action plans that come out of them. The forum is open to all, and if anybody would like to suggest any topics to cover or ask any questions then either let us know or raise at the forum itself.

21 June 2021-Recall Alert: Co-Codamol 30/500 Effervescent Tablets. Batch 1K10121. Zentiva Pharma UK

Please note the this alert which may have already been communicated to you through your own channels or your pharmacy, relating to the detailed batch of co-codamol. This is being recalled due to a precautionary risk of causing overdose. Details of actions providers are required to complete is included in the alert.

21 June 2021-Oral Health Resources for Care Homes

At least weeks Partners in Care Virtual Forum we discussed with care providers how they are supporting residents with their oral health needs. There are series of national resources available through this link which may prove useful, including training slides for care staff, an assessment tool and a quick guide for managers. We are happy to discuss this training in more detail with homes who would find that helpful. For more information please contact h.degnan1@nhs.net

21 June 2021-IPC Resource- Use of Portable Fans

The Community IPC Team have created a poster appropriate to all care providers regarding use of portable fans. These have been linked to cross-infection in some health and social care settings. Dust and debris can naturally accumulate within the internal body of the blades of fans and this provides a reservoir for microorganisms. Each use and reuse should be risk assessed. Decontamination and maintenance schedules must be in place. To view the poster please follow this link.

21 June 2021-Viral Gastroenteritis- Resources and Handwashing Reminder: Slides Now Available to Assist

Following the reminder last week regarding a recent increase in suspected outbreaks of viral gastroenteritis in the area, Caroline Gent from the Community IPC Team attend Partners in Care Virtual Forum to share a set of slides which may help providers prevent and manage outbreaks in their settings. Also available to support you are a special bulletin published by the Community IPC Team for North Yorkshire and York, as well as a poster the CCG have also created which can be printed off and displayed to reiterate messages to staff.

21 June 2021-Skills for Care Workforce Update

Please find through this link the June update from Skills for Care showing the latest workforce and learning development opportunities available to social care providers. This includes their new wellbeing resource finder, guidance and training on supporting individuals with face coverings and learning from events training

21 June 2021-Good News From VOY Care Providers            

At last weeks Partners in Care Virtual Forum we took time to have a look at some of fantastic work taking place across our area from providers in supporting both their staff and those in their care. The full good news update can be found through this link, which this month includes:

  • Staff at New Lodge and The Oaks virtually experiencing what it can be like to live with dementia, during a visit from the virtual dementia bus.
  • Great Care Company appointing a Parkinson's champion to learn, fundraise and educate other staff to help support the care they offer.
  • Chocolate Works Care Village recognising their contribution their nurses make by baking "International Nurses Day" in doughnuts!
  • Staff at Ebor Court and Meadowbeck undertaking Dementia Friends Training
  • Fantastic fundraising efforts at Ouse View, Home Instead Senior Care, Handley House and Ebor Court among others.

14 June 2021-Viral Gastroenteritis- Resources and Handwashing Reminder

The Community IPC Team have recently dealt with a number of outbreaks of suspected viral gastroenteritis in North Yorkshire and York. They have been asked by CCG’s to produce a special bulletin for North Yorkshire and York. The bulletin details symptoms of gastroenteritis and what to do when you suspect and outbreak, as well as the importance of handwashing to prevent spread of infection. Please note the alcohol hand gel is not effective against gastroenteritis.

The CCG have also created a poster which can be printed off and displayed in care settings, which reiterates the importance of effective handwashing and contains a case study from the area showing the devastating consequences an outbreak can have on those receiving care as well as staff and their families.

14 June 2021-CAS Alert- Personal Protective Equipment And Heat: Risk Of Heat Stress

The MHRA have released an alert regarding wearing  personal protective equipment (PPE) in warm/hot environments increasing the risk of heat stress. This occurs when the body is unable to cool itself enough to maintain a healthy temperature. Heat stress can cause heat exhaustion and lead to heat stroke if the person is unable to cool down. For more information on this alert please follow this link.

Measures to control the temperature of clinical environments and enable staff to make behavioural adaptations to stay cool and well hydrated should be made. Staff may require more frequent breaks and the frequency of PPE changes may increase, with a resulting increase in demand.

14 June 2021-NICE Quick Guides   

NICE have produced a pair of new quick guides appropriate to registered managers in social care services. The first provides advice on training staff about safeguarding. It’s designed to help everyone work together to prevent abuse and neglect. The second covers promoting positive mental wellbeing in older people, including around personal identity and meaningful activity.

14 June 2021-IPC Bulletins- Keeping Hydrated

The latest IPC Bulletins from the Community Infection Prevention and Control Team for Care Homes and Domiciliary Care focus on: Summer has arrived – keeping hydrated will help prevent urinary tract infections (UTI’s). Please follow the links below to view the bulletins:

Care Home Bulletin

Domiciliary Care Bulletin

04 June 2021- Warmer Weather – Aged Care Sector

With the arrival of warmer weather and the enjoyment that this can bring, it is important to remember that an increase in temperature can also result in increased risk for particular groups in the community.

People in residential and care settings can be at particularly high risk of illness and death especially when temperatures reach 26 degrees or above. It is important to be aware of the increased risk to residents and to know what actions can be taken to address this to keep residents safe during any periods of increased heat. Further information and a handy checklist which may help in preparing for warmer weather and heatwaves can be found by following this link

The Heatwave Plan for England remains unchanged for Summer 2021, however additional actions may be needed due to COVID-19. There are a number of useful resources, including advice for care home managers and staff which you may find helpful. These can be found here

04 June 2021-Nurse LifeLine

The new Nurse Lifeline Charity is the first national, free, confidential, peer-led listening service in the UK run by nurses and midwives, for nurses and midwives. This initiative was developed by nurses and midwives, for nurses and midwives and as  a peer-led listening service, provided space for those in need to offload and chat with someone who gets it.

The Nurse Lifeline volunteers are there to reduce isolation within our professional community, together. To find out more about this service please visit their website or follow on twitter at @nurse_lifeline. A poster is available through this link which you can display. To access the service please call: 0808 801 0455.

04 June 2021-Lifetime Skills Guarantee

Angela Thompson from Skills for Care updated at last weeks Partners in Care Virtual Forum around the Lifetime Skills Guarantee.

This is a Government initiative designed to support the economy and help adults develop their job prospects by gaining in-demand skills. The initiative includes full funding for almost 400 level 3 qualifications. Any adult aged 24 or over, who doesn’t already hold a full level 3 qualification (A-Level or equivalent), can access the funding. There’s a wide range of certificates and diploma qualifications which can support the adult social care workforce, including the Level 3 Diploma in Adult Care. For more information please follow this link

 

01 June 2021-NHS Mail Help Video for Care Providers and Update

To help you and your staff in using these accounts, we have created a brand new video guide which you can refer to as needed. This is broken into easy to find sections, covering why NHS Mail is needed, what is should be used for, how to access your homes shared mailbox and much more.

Health services are now in the process of making the transition to using NHS Mail exclusively where possible to communicate securely with care providers, beginning with GP practices, mental health services and continuing healthcare with further services to follow. This is because regular care provider email systems do not meet the security level required to send and receive information of this nature. They will be primarily using the "shared mailboxes" which are usually in the format care.VABCD@nhs.net and all NHS mail users from each home will be able to access from their individual NHS Mail account.

It's important that all homes have sufficient staff set up with access to communicate with the health services, and most homes have now been contacted about this. If you need any further help and guidance then please contact sam.varo@nhs.net, and for technical queries like password resets you can find the contact details for the national helpdesk in the video. Where helpful we are able to visit homes to assist if needed.

01 June 2021-CQC Strategy 2021

CQC have launched their new strategy which has been shaped contributions from the public, service providers and partners organisations. This means their regulation will be more relevant to the way care is now delivered, more flexible to manage risk and uncertainty, and will enable them to respond in a quicker and more proportionate way as the health and care environment continues to evolve. To read the new strategy in full please follow this link.

01 June 2021-Urgent Recall Alert- Clinell Universal Wipes

REF CW200. Lot numbers UBV1033020A, UBV2033020A, UBV3033020A, UBV4033020A, UBV6032920A.

Please find through this link an urgent recall alert for the above wipes of the above batch numbers, which have been discovered to be contaminated with a pathogen. Providers are asked to check any stocks and take action as detailed in the alert should any be discovered.

01 June 2021- Funding to Support Functional Skills for All Care Workers 

Health Education England (HEE) recently announced that funding for software to support functional skills has now been extended to all social care providers. The software can help people to improve their own skills in maths (numeracy), English (literacy) and IT (digital skills). It can be used to study towards a functional skills exam (e.g. for enrolling onto an apprenticeship), to generally improve competence and confidence, and for job satisfaction and retention. For more information please follow this link.

24 May 2021-New Award to Recognise Exceptional Practice in Adult Social Care Workforce

A new set of awards have been launched by the government to recognise the outstanding contribution made by social care workers and nurses in England and their enormous range of skills, expertise and enduring compassion. Presented as gold and silver awards, they represent an important step towards bringing recognition in line with the NHS workforce and recognise the extraordinary commitment of the adult social care workforce. This new award is the first of its kind for adult social care and is open to the workforce from all settings and parts of the sector. The awards will be on an application basis and awarded throughout the year. Nominations will be considered by a panel of NHS and adult social care chief nursing officers and adult social care sector representatives. The Chief Nurse for Adult Social Care aims to present the first award later this year.

The gold award will recognise outstanding achievements and performance demonstrated by a nurse or social care worker in their sphere of practice. This may be clinical practice, education, research or leadership. The award recognises the exceptional contribution by an individual with a distinguished career in nursing or social care. The silver award recognises performance that goes above and beyond the expectations of the everyday role that the nurse or social care worker is expected to perform. Again, this could be demonstrated in education, research, patient and carer experience, leadership, tackling diversity and health inequalities, and could be awarded to either an individual or a team.

The awards will not be limited to registered nurses and will be extended to include all carers across all care settings, not only care homes.

Applications are available for the gold award and silver award which should be supported by 2 signatories:

24 May 2021-Recording and slides from PHE COVID -19 Webinar on Implementing the How to Work Safely in TWS in Care Homes PPE Guidance

Please find presentation slides here from this webinar which took place last week, and please click on the following link to access the recording.

24 May 2021-Capacity Tracker Updates

  • A national survey for care homes on proxy ordering of medication is currently live on the tracker which would be greatly appreciated for homes to complete. This will close on 31 May.
  • The flu vaccination questions for care home have now been removed from the tracker, and will be reinstated later in the year prior to flu season. The question relating to numbers of staff who have received a letter from their local authority offering them a COVID vaccination has also been removed for all care settings.
  • For care homes answering "no" to the IPC question relating to residents being allowed to receive visitors, you will now be asked to give more information on what challenges and barriers you are experiencing that prevent this.

24 May 2021-Family Members of Frontline Health and Social Care Workers’ Experiences and Views During COVID-19

University College London are keen to hear from any family member (spouse, parent, child over 18) or supporter (neighbour, friend) of any frontline healthcare worker (nurse, doctor, midwife, physiotherapist, OT, radiographer, anaesthetist, healthcare assistant, care worker, administrator, porter, cleaner, mortuary worker or anyone working in a healthcare setting during COVID-19). So far attention has been paid to the impact on frontline healthcare workers themselves, but no one has been paying attention to the impact that working on this pandemic is having on their families. They want to change this and would like to invite family members to take part in A one off 45-minute online interview about their experiences and views

More information on the study is available through this poster. If your family member is interested in taking part, or for more information please contact sahra.tekin.20@ucl.ac.uk

24 May 2021- Yorkshire Ambulance Service Dementia Friendly Strategy

YAS has made a commitment to become a Dementia Friendly organisation as part of its Clinical Strategy (2019-2024). Information on how they are working towards this can be found in these slides from last week's Partners in Care Virtual Forum. This includes training of staff and innovative CPD opportunities including a dementia bus and sessions delivered by dementia champions, as well as making documentation dementia friendly. They have received 123 dementia patient friendly patient transport vehicles, and engaging with dementia awareness groups and health professionals/services involved in the care of those with dementia to get their views. If you would like to share any experiences or ask any queries please contact laura.williams47@nhs.net

24 May 2021-Community Resources and Approaches for Parents with Learning Disabilities Study

As updated at Partners in Care Virtual Forum last week, this study being led by the National Institute for Health Research is aiming to explore how community resources and community-centred approaches can help parents with learning disabilities. We want to find out about community resources that are available in York, Calderdale, Kirklees and about the characteristics of community resources and community-centred approaches that are useful for parents. This information will help a range of organisations adapt their services for parents with learning disabilities. In the longer term, this project will inform future research to identify evidence-based approaches to support parents with learning disabilities. Further information on the project including details of how get involved are available through these slides.

                  

18 May 2021-Vitamin D Food Supplement Update

Please find through this link, information for care homes about the ongoing use of vitamin D 10 micrograms food supplements once the free supply from DHSC comes to an end.

18 May 2021-Shortages in Community Equipment in York and North Yorkshire

Due to factors beyond Medequip's control there are shortages in some community equipment products, to ensure patients have ongoing access to equipment we need to request equipment not being used be returned to Medequip so it can be recycled for someone else to gain use of.   

Any Community Equipment (issued from Medequip Assistive Technology) not being used at patients homes or at Care/Nursing/Residential Homes by the prescribed patient please return these to Medequip. 

There are a number of ways in which you can support by:

  • The patient/carer/family member to call Medequip direct to ask for the item(s) to be collected, 01423 226240 or they can email north.yorks@medequip-uk.com. It would be really helpful to provide the barcode numbers that are on each item, so Medequip are aware of which items they are collecting.
  • Patients/family members can also be directed to Amnesty Bins, where unused loans equipment can be left for Medequip to collect; there is one at York Hospital or at Archways site.
  • If you are a Prescriber or professional you can raise a collection on TCES against the items on the patient record.   Please check out the document library if you are unsure how to do this.

 Thank you for your help to keep York and North Yorkshires patient population safe, at home and as independent as they can be.

18 May 2021-COVID-19: Deaths of Employees and Volunteers in the Adult Social Care Sector

Michelle Dyson, Director General for Adult Social Care, Department of Health and Social Care (DHSC) has written to all local authorities and social care providers, encouraging employers to tell DHSC about the deaths of all workers in the adult social care sector, regardless of role or employer, including volunteers. DHSC is committed to doing all it can to ensure that employers, families, and the people who they cared for are given the support they need. Completing this information ensures their response remains as effective as possible. If you have any queries regarding this process, please send them to ASCcovidinform@dhsc.gov.uk. You can read the letter here, which shares how you can submit this information.

18 May 2021-Trainee Nursing Associates- Happy International Nurses Day

Joseph Rowntree Housing Trust have shared this message written by Paul and Ellie who are training nursing associates (TNA's) working across their care homes and services in York. In it, they reflect on their experiences of managing the challenges of the last year alongside their study as well as the opportunities the role has provided them. The TNA programme allows staff to bridge the gap between healthcare assistants and registered nurses, combining study days and experience in different setting with the day job to help develop their knowledge and skills. Paul and Ellie have used this learning and experience from residential care to support the Independent Living Service during an outbreak earlier in the year. The advert for the next intake of TNA's is due very shortly and will be shared with providers through the bulletin.

18 May 2021-Heatwave Plans 2021

Public Health England have confirmed that the heatwave plan for England remains unchanged from last year. There are additional considerations for COVID, which are outlined in a powerpoint presentation and  there are some useful resources aimed specifically at the Aged Care sector which can be found along with the plan through this link.

18 May 2021 Guide to Mental Health and Wellbeing in York

You can download the 4th edition of the 'Guide to Mental Health and Wellbeing in York'. The free guide, collated by Healthwatch York is available to anyone in York who wants to know more about the help available for people experiencing mental ill health. Printed copies available by emailing: healthwatch@yorkcvs.org.uk. 

18 May 2021-Hairdressing Guidance Update

 Please find through this link, guidance on enabling hairdressing in care homes which has been created by North Yorkshire County Council in partnership with the Independent Care Group.

18 May 2021-Patient Safety Alert- Starch Thickeners

The MHRA has issued a safety alert around Polyethylene glycol (PEG) laxatives and starch-based thickeners and their potential interactive effect when mixed, leading to an increased risk of aspiration. We have also had a resource shared with us around thickening agents/thickened fluids and how they interact with medicines which may be helpful to you.

18 May 2021- Get Involved in the Nursing and Midwifery Council’s Consultation on New Draft Standards for Community and Public Health Nursing

 Nurses working in the community deliver excellent care every day, across a range of settings including people’s homes, hospices, care homes, prisons, schools, workplaces, GP surgeries and clinics. The Nursing and Midwifery Council (NMC) has been working with people who receive this care, nurses and other groups to develop new standards to reflect how modern care is delivered by these nurses. The NMC wants to hear from you via an online survey. Your views will help them develop new standards that will shape the education and ongoing development of community and public health nurses, seeking to improve people’s wellbeing. You can find out more about the consultation on the NMC website. You can download the draft standards, all the supporting information and access the survey. The consultation is open until Monday 2 August 2021

10 May 2021-COVID-19 Vaccination FAQ's

Please through this link updated FAQ's produced by North Yorkshire County Council. These cover questions you and your staff may have about the vaccine including:

  • Why should I get a COVID-19 Vaccine?
  • I'm worried that the vaccines aren't safe
  • Do I need two doses?
  • What's the difference between the 3 vaccines?
  • I'm pregnant, should I still have the vaccine?

10 May 2021-Applications for Queen’s Nurse Are Now Open

The application process to become a Queen’s Nurse via The Queen’s Nursing Institute is now live. Details including guidance on how to register for a  Unique Reference Number, general criteria, and application process can be found here. The deadline for applications and all supporting contributions is 5pm on 15 June 2021.

10 May 2021-Good News and Shared Learning Across Vale of York Care Providers

At last week's Partners in Care Virtual Forum we took time to reflect on good news stories, shared learning and innovative activities and support that our care providers have been providing for those in their care. This month's update includes fundraising challenges, a manager being shortlisted for the Great British Care Awards, a domiciliary care assistant using her art skills to support staff with dementia and a home who have kept in touch with their local primary school through the power of poetry.

 If you have any good news stories you would like to share form your provider then we would love to hear them.

04 May 2021- Nursing Times Awards- Nursing in Social Care Category

This year the National Time Awards have launched a new category to recognise the enormous contributions that nursing staff working in social care make. They are keen to recognise the leadership of nurses working in care homes, learning disability or autism services, domiciliary care and other social care settings. However, entry is open to all. Such roles are often multi-faceted, with nurses managing complex health needs, carrying out assessments and providing leadership for other staff. Nurses in social care also play a critical role in championing innovation, all of which they want to recognise and celebrate through this new award category.

To discover more about this category please follow this link or contact Rafael.Younes@emap.com. The closing dates for applications is Friday 4 June

04 May 2021- Deconditioning of Older Adults due to COVID-19

Yorkshire and Humber Public Health Network have a series of resources on their website following a webinar around reversing the effects of deconditioning and preventing further harm which took place late last year. This includes reports on the long term effects of COVID and deconditioning, behavioural changes approaches to prevent deconditioning and embedding physical activity in adult social care.

                                               

04 May 2021-World Hand Hygiene Day - 5 May 2021.

The Community IPC Team have produced a pair of bulletin to support care homes and domiciliary services on World Hand Hygiene Day

Care Home Bulletin

Domiciliary Care Bulletin

04 May 2021-Skin Hygiene in Residential Care Survey

The Improvement Academy in partnership with Birmingham City University and University of Leeds are seeking to understand the barriers and facilitators to skin hygiene (washing, moisturising, emollients) in residential homes (with and without nursing).  If you or any of your staff would be happy to complete a 15 minute survey that can be accessed through this link.  Or if you would like a hard copy of the survey and a stamped addressed envelope please contact Fiona.Cowdell@bcu.ac.uk.

04 May 2021- The Queen’s Nursing Institute - Care Home Nurses Network

The Care Home Nurses Network is a jointly funded initiative by the Chief Nursing Officer England, the Queen’s Nursing Institute and the RCN Foundation and is available to all registered nurses working in care homes. To join the online network please register your details through this link

04 May 2021-My House of Memories App- Now Available on CCG Tablets

 My House of Memories has been created by National Museums Liverpool and has been designed for people living with dementia and their carers. The app lets you browse through objects from across the decades and reminisce about a range of everyday objects, from school life to sport.

You can save your favourite objects to your own memory tree, memory box or memory timeline to look at again later.  Other features include  activities to do together, such as collecting your favourite objects and displaying them in a memory tree, memory box or timeline

To download this on a non CCG Tablet please follow this link. For CCG tablet queries and additional app requests please contact sam.varo@nhs.net

26 April 2021- COVID Testing for Domiciliary Providers

Following queries at last week's Partners in Care Virtual Forum, the national guidance continues to be that domiciliary staff and personal assistants are required to take a weekly PCR test. Should domiciliary providers wish to access LFD tests, these can be accessed through 3 drop in sites in York, all of which also offer click and collect for home tests also. More information on accessing these can be found through this national link.

26 April 2021-Updated North Yorkshire and York PPE Flowchart

Please find through this link the latest North Yorkshire and York PPE flowchart which has been updated following recent changes to national PPE guidance.

26 April 2021-Recall Alert- Gloveon Paloma Examination Gloves- NPC GVNI074, 0175 and 0176

Please find a product recall of Gloveon Paloma Nitrile recall gloves through this link

Actions to take if you have any in stock are:

  1. Undertake a review of your Nitrile examination glove stock and identify if you have any of the product in question.
  2. Please inform the NHS Product Enquiries Team on productqueries@ppeenquiries.com quoting Ref: Gloveon Paloma and confirming the volume of product in stock
  3. The National PPE team will then make arrangements to collect any stock you have and replacement stock as appropriate

26 April 2021-Data Protection Security Toolkit (DSPT)

Please slides through this link that were delivered by Liz Howarth from NHS England and Improvement at last weeks Partners in Care Virtual Forum. This is an annually reviewed self-assessment to demonstrate your organisation/services compliance with data protection legislation and CQC KLOE's. A reminder this is mandatory for all care homes and providers with a standard NHS contract and strongly recommended as good practice even for providers without one. Going forward it will act as your password to joined up care between providers and health/social care, and underpins initiatives such as NHS Mail, proxy ordering of medication and shared care records as well as further programmes of work in the pipeline nationally. The slides cover.

  • How to register for the DSPT
  • The difference between "Approaching Standards" and "Standards Met"
  • What support and resources are available to help you complete

There are a number of support sessions taking place every week which are detailed in the slides. To book on or for queries please contact england.dsptney@nhs.net. A reminder that the deadline for care homes to publish at at least "Approaching Standards" is 30 June 2021 and for all other providers is 31 October 2021.

26 April 2021-Identifying and Responding to Deteriorating Residents- Training and Workbooks

The workbook for this training programme delivered by the CCG has been updated, and an additional workbook has now also been developed for staff supporting residents with autism or learning disabilities. Training both face to face and virtually is still available to both care homes and domiciliary settings, and aims to develops care staff skills and knowledge in recognising deterioration how to respond to change. Training also includes communication skills and how to use the SBAR (situation, background, assessment and recommendations) tool to help care staff  relay accurate, relevant and timely information to other health and care services including GPs and District Nurses. To access the updated workbooks and for more information on the training please follow this link.

26 April 2021-NICE Quick Guide: Creating a Safeguarding Culture in Care Homes

Based on their recent safeguarding adults in care homes guideline, NICE's new quick quide provides concise practical guidance on how to develop a positive culture that encourages open conversations about safeguarding. Registered managers of care homes may find this resource useful. The quick guide includes advice on:

  • Safeguarding policy
  • Systems and procedures
  • Whistleblowing
  • Roles and responsibilities
  • Management and supervision.

19 April 2021- COVID Vaccine Updated FAQ's, National Booking Portal and Principles of Vaccinating in Care Homes

North Yorkshire County Council have updated their vaccine FAQ's for care staff, which covers questions including:

  • Is the vaccine safe?
  • Will the vaccine protect me?
  • Do I need two doses?
  • If I've already have COVID-19 why do I need the vaccine?

We have also been advised self-referral route for frontline eligible health and social care workers through the National Booking System will be re-instated by 19 April. When using the online or telephone service, social care workers will need to self-declare at the point of booking and will be asked for identification and written authorisation when they attend their vaccination appointment. Appropriate forms of identification include a work photo ID card, authorisation letter from the local authority, a signed letter of authorisation from their employer or wage slip that is dated within the last 3 months. Where work photo ID is not available, alternative photographic identification is required to support verification.

 Please find through this link the guidance and principles of vaccinating within care homes that vaccination teams are being asked to follow, focusing on communication, preparation and outbreaks/transmission. If you feel that these principles are not being followed in your home please don't hesitate to challenge.

19 April 2021-Dementia and Older People's Mental Health- Guidance for PCN's and Care Homes

One of our GP's has shared this useful resource with us that has been created by South East Clinical Delivery and Networks and discusses the role of primary care networks (PCN's) and MDT working in supporting deliver enhanced care in care homes. This comprehensive guidance is designed for both PCN/practice staff and care home staff. The topics covered include how to support MDT working, the importance of structured medication reviews and identifying and supporting residents with a range of mental health needs including dementia, delirium, anxiety, psychosis and walking with purpose. To access this guidance please follow this link. It is also available through our "Useful Resources" webpage.

12 April 2021- AstraZenca COVID Vaccination Update

We're aware some staff within care providers have been concerned following recent media stories relating to the AstraZenca vaccine. As per the JCVI statement on use of the AstraZeneca COVID-19 vaccine: 7 April 2021 - GOV.UK (www.gov.uk), please find information and responses to frequently asked questions below that will hopefully reassure:
The key messages for individuals are
• Please come forward when invited, these vaccines are saving lives.
• The MHRA’s advice remains that the benefits of the vaccines against COVID-19 continue to outweigh any risks and that the public should continue to get their vaccine when invited to do so.
• JCVI currently advises that it is preferable for adults aged <30 years without underlying health conditions that put them at higher risk of severe COVID-19 disease, to be offered an alternative COVID-19 vaccine, if available. People may make an informed choice to receive the AstraZeneca COVID-19 vaccine to receive earlier protection.
• To date, there are no reports of the extremely rare thrombosis/thrombocytopenia events following receipt of the second dose of the AstraZeneca COVID-19 vaccine. All those who have received a first dose of the AstraZeneca COVID-19 vaccine should continue to be offered a second dose of AstraZeneca COVID-19 vaccine, irrespective of age. The second dose will be important for longer lasting protection against COVID-19.


Effectiveness of the vaccine
Since the start of the pandemic over 4 million COVID-19 infections have been confirmed in the UK causing more than 120,000 deaths. Over 30 million people have received their first dose of COVID-19 vaccine since the start of the programme, which Public Health England (PHE) estimate has prevented at least 6,000 deaths in the first 3 months of 2021. Analysis of infection data since the introduction of the COVID-19 vaccines in the UK demonstrates that vaccination is highly effective and substantially reduces the risk of infection and severe COVID-19 disease.


Blood clots
There have been reports of an extremely rare adverse event of concurrent thrombosis (blood clots) and thrombocytopenia (low platelet count) following vaccination with the first dose of AstraZeneca ChAdOx1 nCoV-19 vaccine (AZD1222). There has been no signal for thrombosis/thrombocytopenia following receipt of other COVID-19 vaccines approved for use in the UK (Pfizer-BioNTech and Moderna). Given the very low numbers of events reported overall, there is currently a high level of uncertainty in estimates of the incidence of this extremely rare adverse event by age group. However, the available data do suggest there may be a trend for increasing incidence of this adverse event with decreasing age, with a slightly higher incidence reported in the younger adult age groups. In contrast, the risks of severe disease associated with COVID-19 increases steeply with age, with the youngest adults at lowest risk. There are currently no known risk factors for this extremely rare condition, which appears to be an idiosyncratic reaction on first exposure to the AstraZeneca COVID-19 vaccine.


Their advice

Alternatives to the AstraZeneca COVID-19 vaccine currently approved for use in the UK include the Pfizer-BioNTech BNT162b2 and Moderna mRNA-1273 vaccines. JCVI has weighed the relative balance of benefits and risks and advise that the benefits of prompt vaccination with the AstraZeneca COVID-19 vaccine far outweigh the risk of adverse events for individuals 30 years of age and over and those who have underlying health conditions which put them at higher risk of severe COVID-19 disease. JCVI currently advises that it is preferable for adults aged <30 years without underlying health conditions that put them at higher risk of severe COVID-19 disease, to be offered an alternative COVID-19 vaccine, if available. People may make an informed choice to receive the AstraZeneca COVID-19 vaccine to receive earlier protection.

Advice for the under 30’s

There are some adults <30 without underlying health conditions who are in phase 1, who were prioritised due to an increased risk of exposure and/or to reduce the risk of passing the infection on to vulnerable individuals. This includes health and social care workers, unpaid carers and household contacts of immunosuppressed individuals. Acting on a precautionary basis, if these persons are still unvaccinated, it is preferable for them to be offered an alternative COVID-19 vaccine, if available. JCVI is currently finalising its advice on phase 2 of the programme, particularly for healthy people under 30 years of age, and this will be published in due course.

What if you have already had your first dose?

To date, there are no reports of the extremely rare thrombosis/thrombocytopenia events following receipt of the second dose of the AstraZeneca COVID-19 vaccine. All those who have received a first dose of the AstraZeneca COVID-19 vaccine should continue to be offered a second dose of AstraZeneca COVID-19 vaccine, irrespective of age. The second dose will be important for longer lasting protection against COVID-19. JCVI advises that all individuals offered a COVID-19 vaccine should be fully informed about the benefits and risks of vaccination. This should include clear information on the extremely rare thrombosis/thrombocytopenia adverse event, how to monitor for symptoms that might be related to the adverse event, and what action should be taken by individuals and health professionals in the event of such symptoms arising. PHE is preparing updated information for those being offered COVID-19 vaccines, and for health professionals, which will be available through the GOV.UK website.

12 April 2021-React to Red App- Now Available on CCG Tablets   

The React to Red Pressure Ulcer Prevention App is now available on all CCG provided tablets devices. This is an effective framework which supports carers in recognising when an individual may be at increased risk of pressure ulcer development and the simple steps that can be taken to avoid them. It contains the same content as the CCG's React to Red Training Programme which is still available to providers. For non CCG tablets the app can be downloaded for free through this link.

For more information on React to Red please contact: h.degnan1@nhs.net

If you have any further apps you would like adding to your CCG tablet please contact: sam.varo@nhs.net

12 April 2021- Palliative Care for People with Learning Disabilities

The PCPLD Network brings together service providers, people with a learning disability and carers working for the benefit of individuals with learning disabilities who have palliative care needs. As well as resources and podcasts they have a wide range of webinars available to support providers.

06 April 2021- Message from Kay Ford

I would like to say goodbye to everyone I have met during my 2 years with the CCG team. The homes, managers and staff have always made me feel welcome and part of your teams. I will miss that sense of camaraderie and willingness to engage with new ideas.  It is because of you the training & quality improvement programmes I have been involved with have been so successful.  I leave after nearly 45 years of nursing and I am very excited to be  seeing more of my grandchildren and doing all the things I love but haven't always had time for, including just sitting in the garden appreciating life. I wish you all the very best and thank you all for doing an amazing job especially during the last year. Goodbye and Stay Safe. Kay 

06 April 2021- Reporting Patient Safety Concerns for Providers

York and Scarborough Teaching Hospitals NHS Foundation Trust have agreed a new process for reporting patient safety concerns about the Trust. By sending through to this dedicated generic email, it will allow the Trust to continuously receipt, acknowledge and investigation the patient safety concerns of our neighbouring organisations. Please send your patient safety concerns that involve the trust to: yhs-tr.s2s@nhs.net

06 April 2021- Qwell: Mental Health and Wellbeing Support

Qwell is A free, safe and anonymous mental health and wellbeing service commissioned by the CCG for adults within the Vale of York. There are no waiting lists, no referrals and no thresholds required to access the service. The service encourages peer-to-peer support via moderated discussion forums and self-help through reading or submitting content. Qwell also gives access to online counselling from qualified counsellors who are available from midday to 10pm every week day and from 6pm to 10pm at weekends. You can drop in for one-to-one instant text-based chats or book a session in advance.

06 April 2021- Data Security and Protection Toolkit (DSPT)

As per the email sent to providers last week, the support package available to complete the DSPT is now confirmed. This will include webinars running you through all the questions and how to complete them, and individual 1:1 support as required. The DSPT is the  annual self-assessment for care providers that demonstrates compliance with GDPR legislation/CQC KLOE’s/Health and Social Care Act data protection section. Completion of this links to ongoing NHS Mail access and further digital initiatives that will be open to care providers, such a proxy ordering of medication. There is a requirement for all care homes to have completed to at least the new "Approaching Standards" level by 30 June 2021, and for all other CQC registered providers by 31 October 2021.

For more information and to book onto a workshop, please contact the DSPT North East and York Team: england.dsptney@nhs.net. Liz Howarth from the team will be providing an update at Partners in Care Virtual Forum later in April, and the team are also hosting bitesize 15 minute introductory sessions which can be booked on through the above email.

06 April 2021- Motor Neurone Disease Resource

A newly-launched resource for nursing staff caring for people with Motor Neurone Disease (MND) has been developed in partnership with the National Hospital for Neurology and Neurosurgery the Motor Neurone Association and Neuroscience Forum

29 March 2021- NICE Safeguarding Adults in Care Homes Guidance

Christine Pearson (Designated Professional for Adult Safeguarding) gave an overview at last week's Partners in Care Virtual Forum on the new NICE safeguarding adults in care homes guidance. The slides from Christine's update can be found through this link, which includes summaries of the main points to consider, visual summaries and audit/improvement resources.

This is designed to support care home providers with practical advice on developing a strong safeguarding culture, helping to keep adults in care homes safe from abuse and neglect. It includes indicators that should alert people to the possibility of abuse or neglect on both an individual and organisational level. It contains advice for care home providers, commissioners, local authorities, Safeguarding Adults Boards and safeguarding practitioners on:

  • Care home policy and procedures on safeguarding, whistleblowing and record-keeping
  • Safeguarding staff training and support for staff in care homes
  • Involving the resident at risk
  • Improving the quality of referrals to local authorities
  • Cross-agency communication and collaboration.

The recommendations from this guideline have been included in the NICE Pathway on safeguarding adults in care homes, which brings together everything they have said on safeguarding adults in care homes in an interactive flowchart.

Following this update there was a discussion on how learning from safeguarding adults reviews can be better shared with care providers, and we will working to incorporate a chance to reflect on lessons learned as a recurring feature of future Partners in Care sessions.

29 March 2021-Mindfulness for Care Staff and Skills for Care Wellbeing Resource Finder

Rachel Instone from TEVW came to Partners in Care Virtual Forum last week to share the mindfulness courses and support that care staff can access. Mindfulness is the natural capacity we all have to bring awareness and interest to what is happening in the present moment. There is now very good evidence that becoming more mindful can support out mental health and well-being. During these difficult times, looking after ourselves as well as our residents has never been so important.

The slides from Rachel's update can be found through this link. You can try a taster session (an hour and a half long) via Microsoft Teams where you will join a group led by one of the Trust’s Mindfulness teachers. There will be information on what mindfulness is, some mindfulness practice and an exploration of ways that you could practice mindfulness to support your well-being. You can just do this taster session, or you can use it as a stepping stone to the full 9 week course. You can sign up for free and no prior experience is required. For more information, please email: tewv.mindfulness@nhs.net

Additionally, Skills for Care have created a useful resource finder that allows care colleagues to easily access a wide range of wellbeing tools and advice. The finder helps you access self-help, support for others, or find someone to talk to in confidence, about your mental health or other issues.

29 March 2021- Weekend Discharges for Capacity Tracker

Hospital Discharge Hub colleagues have asked if care homes can ensure they are  putting a note each Friday in the ‘free text’ notes field alongside your  main entry  on the capacity tracker on arrangements for weekend discharge.

Please can you include:

  • If you are accepting weekend admissions for the upcoming weekend  ( if you are not, please can you indicate this to save a call for everyone)
  • Who is the named contact for admissions  and their contact details ( if different to those listed in main entry)

For guidance on how to edit the free text notes field please see page 12 through the user guide

29 March 2021- Infection Prevention and Control Bulletin- Beating E. coli – What you can do to break the ‘Chain of infection’

Please follow this link to view the latest bulletin for care homes from the community IPC team. This gives an overview of what E.coli is and how to prevent infections in your setting.

23 March 2021- Second Dose of COVID Vaccination for Care Home Staff

There have been a number of enquiries recently regarding access to second dose vaccinations by social care workers.  We would like to reassure staff that there will be options for vaccination made at a local level and agreed between your Care Home Manager and Care Homes Vaccination Team through the GP Practice

  • The Care Home Manager will be asked by the vaccination team to provide numbers of staff to be vaccinated at the same time the vaccination team visits your care setting for residents also;
  • Numbers of staff who will require vaccination by attendance at the Askham Bar Vaccination site

This aims to reduce footfall within the home on vaccination day and allow for workforce planning.  This approach also allows for the vaccination teams to plan accurate supply, appointments and staffing. If a Care Home Manager has not received notification of a visit within 10 weeks of the 12 week window please contact the Vaccination Team via the GP Practice.

Due to national supplies being centrally controlled this means there are limited opportunities for flexibility in appointments. 

The Vaccinations Teams appreciate your patience and support in ensuring your whole home are vaccinated in a timely manner.

23 March 2021- Diabetes Medication Stock Reminder

In the last month there have been some serious incidents relating to residents with diabetes. These have included residents not receiving oral medication or insulin as required.  All diabetic medication as you appreciate is time critical and in one incident insulin could not be administered at the right time due to there being no stock available when the vial being used was identified as out of date.

District Nurse colleagues would like to ask that all care homes ensure that residents have sufficient stock of medications, particularly for those with diabetes. The Head of Nursing – Community will ensure the DN teams make you aware of expiry dates for opened insulin to enable further stock to be ordered without the need to stock pile, but that will prevent delays in your residents care.

If you wish to discuss this further please feel free to contact Tracy Means HoN – Community.

23 March 2021- NHS Mail Discounts

Did you know that your NHS Mail account is able to be used as verification for registering for both Health Service Discounts and  for Blue Light Card? These websites offer a larger number of special discounts online as well as cards that can be used instore a number of high street brands There are also a number of offers available through the NHS England and Improvement website which you can access using your NHS Mail account.

23 March 2021- Barclays Digital Eagles 

Barclays Digital Eagles are providing online direct support to the adult social care sector and training to staff including accessing healthcare appointments online, keeping residents connected to friends and family and accessing entertainment/hobbies online. Tailored e-learning and virtual learning sessions to meet the requirements of your care organisation are also available. To find out more information please follow this link

15 March 2021-Patient Electronic Record Reminder

 A reminder that discharge staff are not permitted to take screenshots of resident's electronic record. Therefore care providers will be required to accept results emailed from an NHS Mail account or included in the discharge documentation.

15 March 2021- Baseline Observation Training and Workbooks

As discussed at last weeks Partners in Care Virtual Forum, the CCG is available offer training and a workbook to support taking of baseline observation. Carrying out clinical observations can support clinical decision making and these valuable skills can be learnt in any care home setting.

Training on why and how to take blood pressure, pulse, temperature and oxygen levels (using pulse oximeters) is available virtually and face to face. There is also a supporting workbook which can be found through this link. The workbook accompanies the practical element of the training.  Following training the trainees will need to be observed as competent within the workplace. For more information regarding this training please contact sam.varo@nhs.net

08 March 2021- Humber, Coast and Vale Resilience Hub

A new resilience hub has launched to support health, care and emergency services workers across the Humber, Coast and Vale area.

The Humber, Coast and Vale Resilience Hub provides independent and confidential support for health, care and emergency service workers who may be struggling with the impact of COVID-19.

The Resilience Hub is completely confidential and offers frontline workers and their families advice and support for a range of issues such as emotional wellbeing to bereavement, debt, domestic violence and relationship issues. People can also access mental wellbeing support via an expert team of psychologists and health professionals where needed, by completing an online wellbeing questionnaire which assesses people’s level of need

08 March 2021- Department for Work Pensions Programmes Supporting Recruitment

  • The DWP Sector Based Work Academy Programmes can support employers to create a skilled workforce and could be helpful in targeting roles where there may be recruitment difficulties. Sector-based work academies help prepare those receiving unemployment benefits to apply for jobs in a different area of work. The academies are based around work place placements and include pre-employment training.
  • The Kickstart Scheme provides funding to create new job placements for 16 to 24 year olds on Universal Credit who are at risk of long term unemployment. The Kickstart Scheme has changed – employers no longer need a minimum of 30 job placements to apply directly for a grant.  Employers can now apply for a Kickstart Scheme grant by either – applying online themselves or – get help from a Kickstart gateway organisation. 

08 March 2021-CARE Badges

CARE badges are still available for all staff working in adult social care across England.

If you have placed an order but now need more badges for new and existing staff, use this link below to place additional orders.

01 March 2021-Skills for Care February 2021 Workforce Update

Please find through this link the slides delivered by Angela Thompson at last week's Partners in Care Virtual Forum which covering the latest resources and support available through Skills for Care.

  • Webinars and bitesize resources
  • Video guidance to help providers prepare for CQC Transitional Monitoring Approach (TMA)
  • Workforce wellbeing resources
  • Guidance to help support personal relationships
  • Funded rapid induction and refresher training
  • Digital learning for managers
  • CareFriends refer a friend recruitment app

01 March 2021-CAS Alert- Nitri-Hand Non Sterile Examination Glove (Product Codes FTG813, FTG814, FTG815, FTE9936, FTE9940, FTE9941)

The MHRA have released a CAS alert following information suggesting it does not meet the DHSC specification for examination gloves. Distribution has been ceased while this is investigated, and providers are asked to check their stocks and quarantine any of the above. Further information and contact details for any queries are available through the alert.

 

08 February 2021-Making Sense of COVID-19 Testing and Shedding- Updated Guidance

Please find attached through this link updated clinical guidance around shedding which is based on the guidance originally created by Dr Andrew Lee and shared last May. This provides answers to frequently asked questions around interpreting test results, as well as contacts for further support.

08 February 2021-Donning and Doffing of PPE

The latest Bulletins from the Community Infection Prevention and Control Team Care focus on ‘Donning and doffing of personal protective equipment’. 

01 February 2021- Vitamin D Supplements Guidance for Care Providers

As updated at Partners in Care last week, The vitamin D supplements being provided free by the Government should be arriving at all care homes shortly (and some have already received) . The DHSC has published guidance to advise care homes on how to offer the supplements safely including what records must be kept. The full guidance must be read carefully and can be found here. The guidance gives a clear direction for residents who should be offered the supplements and for when advice should be sought from a healthcare professional (see section 2 of the DHSC guidance). Where advice is required this should be done as a routine (not urgent) query. Starting the supplements can be delayed until the advice can be obtained. Record the action you have taken in the person’s care plan.  Further information on how to put the guidance into practice, including contact details for further advice is available in this document.

Information is also available on supporting people to take vitamin D from CQC which is relevant to all adult social care providers including domiciliary and supported living.

Karen Lepper who gave the update at Partners in Care is also happy to take queries and can be contacted at: karenlepper@nhs.net

01 February 2021- Recognising and Responding To Deteriorating Residents- Workbook Training Now Available Online

Not recognising quickly that someone is becoming unwell can lead to delay in getting help and possible  admission to hospital and longer stays in hospital.  The STOP and WATCH  training  supports staff to understand why and how to recognise deterioration if someone becomes unwell , regardless of setting.  The training also covers how to use easy prompt tools to support that recognition and how to respond and escalate and communicate with colleagues and other health and care professionals . Clinical observations give important information about individuals, they give baseline information and can help in making clinical and care decisions regardless of setting.  The workbook has also been updated with pulse oximetry guidance.

The training is available virtually, face to face and via a workbook which can be now be accessed directly through our website as needed. For more information on this training and to access the workbook please follow this link.

01 February 2021-Standards of Education and Practice for Nurses New to Care Home Nursing

The Queens Nursing Institute have published the first ever standards for nurses working in residential homes.

The standards are augmented by a Practice Portfolio developed with Skills for Care. The QNI was commissioned by NHS England/Improvement to develop the new standards to support the transition of a Registered Nurse who is new to working in the Care Home sector. Currently there are 36,000 registered nurses employed by adult social care (2020) and the care required by residents is becoming more complex and technologically sophisticated. The QNI worked with a representative group of Care Home providers and commissioners to address and identify specific education and practice standards. The resulting standards are comprised of a set of benchmarks that can be used to assess the skills and knowledge that the Registered Nurse will need to demonstrate in the Care Home setting. For information and to view the standards, please follow this link.

01 February 2021-University of Hull: 'Coping with Behaviours that Challenge in Dementia' e-Learning

This online evidence - based course was developed in 2009 to support practitioners in treating some of the most costly aspects of dementia care. It is aimed at staff / practitioners supporting people with dementia and families. It is not intended for use by people with dementia or families. The term ‘challenging behaviour’ does not imply ‘misbehaviour’ that can undermine dignity in people living with a dementia. It has been used to reflect the health and psychosocial need(s) of people with dementia that ‘hands-on-staff’ and family carers can have significant difficulty in responding to. Module 3 in particular has been found useful by the using it, as it assists staff to make rational decisions on unmet health and psychosocial needs in people with dementia who challenge caregivers. It also helps signpost professionals to what care homes and family carers may need to deliver these ‘biopsychosocial’ support plans.

To access this training you will need to create an account. For more information please follow this link

22 January 2021-Pulse Oximetry Update

Please find through this link a poster that has been created to help staff when using pulse oximeters, including how to use them, how to interpret the readings and what you should do based on these readings.  There is also information regarding evidence that pulse oximeters may underestimate blood oxygen levels in individuals with darker skin. A baseline oxygen saturation should be taken when first assessing SpO2 rates and any changes in readings then compared to this baseline

We are working on creating a dedicated pulse oximetry page on the Partners in Care website so this information is easily accessible for staff. This will also link to further information and resources around Identifying and Responding to Deteriorating Residents, including the workbook version of the training which many providers have completed.

The CCG do have additional advice available should providers need them, please contact sam.varo@nhs.net for more information. Also a reminder that there have been reports nationally of a small number of defective devices, however if you do discover one in your setting then please let us know and we will swap it for you.

21 December 2020- Merry Christmas

As this is the last bulletin of 2020, we would like to take the opportunity to thank all care providers and their staff across the Vale of York for their tireless work in delivering care to our most vulnerable in the most difficult of circumstances this year. The way you have all pulled together to adapt to new ways of working and challenges to keep those in your care safe has been amazing. It has been an emotionally difficult year so hopefully you all get some well-deserved rest at some point over the festive period.

We wish all of you and your families and residents a safe and Merry Christmas, and all the best for 2021.

From Sarah, Helen, Kay, Maureen, Sam and the Quality and Nursing Team

21 December 2020- Capacity Tracker Poster

We have created a poster designed for all homes which can be printed off and used as prompt on which sections need to be updated and when, and all so you have contact details available for any problems or queries. The poster can be accessed through this link.

21 December 2020- End of Life Nutrition Leaflet

The British Dietetic Association have produced an accredited leaflet which can be used to support you in providing nutrition to a resident or service user at the end of life. This includes guidance on the importance of nourishment over nutrition at this time and how to support this with food, drink and snacks.

14 December 2020- DHSC Wellbeing for Social Care staff 

DHSC have updated the wellbeing guidance for those working  in social care. This includes tips, advice and toolkits that employers and managers can use to help build the resilience of their team and address any concerns their staff may have. There is also a section that provides guidance on how all those working in social care can manage their personal mental health in the current circumstances.

 

07 December 2020- React to Falls Prevention- Training Resources

The resources for the CCG’s React to Falls Prevention training are now available through our website to access at any point.

The programme aims to reduce falls risks by implementation of a person centered, peripatetic approach to prevent and manage falls which is applicable across all care settings including domiciliary care and can be used by health professionals and informal cares alike. React to Falls Prevention’ identifies 3 key areas of risk: Physical,  Behavioral and Environmental; and the subsequent use of a simple framework that prompts carers to consider these risks and … ‘REACT’… to reduce the risk of falls.

Guidance on how to work through the resources is on the website. If you have any feedback, queries or requests for formal training please contact h.degnan1@nhs.net

07 December 2020- Queens Nursing Institute Educational Grants for Nurses Working in Care Homes and Adult Social Care (Up to £1000)

The QNI supports Continuing Professional Development for care home nurses as a way of promoting high quality care. If you want to do a short course or module and need financial support then please apply! They are particularly supporting programmes in wound management including leg ulcer management although all courses would be considered. You can apply online through this link or alternatively download a form If you would like to discuss further, please contact joanne.moorby@qni.org.uk

 

30 November 2020- Performing CPR on Symptomatic Individuals

Following the guidance from Department of Health and Social Care that has been circulated recently, The Resuscitation Council have produced some guidance which may be more helpful to care homes and community care providers.

30 November 2020-The Care Exchange: Exciting New Podcast for Managers

 Skills for Care have launched a new podcast series, and will be inviting guests to join them as they celebrate the role of managers in social care. They’ll be talking to managers about their experiences, providing a place where managers can listen to other managers and pick-up ideas to support them in their own role. Listen now to the first episode in ‘The Care Exchange’ podcast series.

30 November 2020- NEW – Deputy Manager Networks

Skills for Care have launched a new network specifically for deputy managers, team leaders and assistant managers. The networks will be a great opportunity for deputies to meet the challenges they face in their day-to-day work, provide the opportunity to build supportive connections and a peer support network and facilitate the sharing of best practice and learning. To find out more please follow this link

30 November 2020-Covid-19 - Are YOU staying ok through all of this?

Are you supporting others at work, or at home but not looking after you?  Are you finding furlough tough?  Is working from home getting harder? Is returning to the office daunting?   Has your family/work situation changed? Do you feel separated from family and friends?

Covid-19 has challenged us this year, in ways that were hard to imagine 12 months ago.

We ALL need to look after our own mental health and well-being to navigate this difficult time.   

Ask yourself – how am I?  Then ask again – How am I really?

York Mind, we understand that a lot of us have been thrown off track and our lives have changed significantly.  We may be working hard to help others and forget ourselves. Sometimes we need a bit of support – York Mind are here to help. Thanks to the National Lottery Community Fund we are able to offer that help – 1:1 Well-being coaching and 1:1 telephone support are available.  Take that first step to find out more – contact us today.  We are accepting self-referrals.

  • Email: activities@yorkmind.org.uk or Telephone: 01904 643364 option 5
  • For further information including the referral form please follow this link

30 November 2020- Capacity Tracker- Domiciliary Providers and Supported Living

From today, all CQC registered domiciliary and supported living providers are being asked to report in through the Capacity Tracker daily to answer COVID-19 questions previously reported to the CQC direct. Providers should have received a communication directly from the CQC regarding these changes.

The information on the tracker it accessed by the CCG and local authority to help support providers, and also goes into national reporting.

If you have any questions regarding the tracker please contact sam.varo@nhs.net

The tracker also has a helpdesk who can be contacted for any technical issues- the number is: 0191 691 3729

20 November 2020- NHS Deep Cleaning Support and Advisory Service

Please find through this link a flyer from the NHS Deep leaning and Advisory Service. These services are available to the wider community and may be suitable in facilitating additional support where deep cleaning is required . In the last 4 months, they have delivered proactive and reactive deep cleaning and bio decontamination services, training in NHS standard cleaning protocols and advisory service to a number of services. They can deliver one-off or a bespoke programme of proactive deep cleaning.  Depending on requirements, they would usually begin by conducting a site visit to assess the work involved in carrying out the clean.  In the event of a Covid positive case (or a virus outbreak of any other nature), they can provide a rapid response deep clean and bio decontamination service to assist in making premises safe to enter again. More information on the service is also available through their website 

16 November 2020- Yorkshire Ambulance Service- Supporting Information for Care Providers

Following the session delivered by Sam Pinder and Natalie Howson and Partners in Care Virtual Forum last week, the slides are now available through this link on the Partners in Care webpages.

These slides are designed as a resourced for care provider staff of all levels, including as training for new starters. They are a useful guide for what to expect when calling 999, 111 and PTS services (including around waiting times, who will take your call, what to mention and what paperwork to have ready) as well when to call each of these.

In order to help get an idea about how much the care homes know about 111/999, YAS are inviting care homes to fill out this survey. If you have any feedback about the session or these resources please contact samanthapinder@nhs.net

16 November 2020- Personal Assistant Support Flyer

As part of its offer of support to care providers and professionals across the Vale of York, the CCG has produced a flyer detailing support opportunities for personal assistants. We will be circulating to personal assistants funded by the CCG, but please share with any personal assistants you may work with.

09 November- Flu Vaccinations for Care Home Staff

We are aware of the challenges you have faced obtaining a flu vaccination for your staff. We fully recognise how important it is to keep your staff well and to protect your residents from flu.

For any members of staff who are registered with one of the York City GP Practices (including Pocklington Group Practice, practices detailed below), we have agreed that staff can book with immediate effect a vaccine through the Drive through at Askham Bar.  

  • Dalton Terrace Surgery
  • Front Street Surgery
  • York Medical Group
  • Priory Medical Group
  • Haxby Group Practice
  • Jorvik Gillygate Practice
  • MyHealth
  • Unity Health
  • Old School Medical Practice
  • Elvington Medical Practice
  • Pocklington Group Practice

Please ask staff individually complete the form and booking on the following the link that has been circulated to homes. They will need to know their own GP, their NHS number and car reg. As always to avoid the risk of covid transmission – Do not car share unless absolutely necessary – then use face masks, and passenger sit at the rear

Nimbuscare federation is providing this service on behalf of the city practices. This means unfortunately it is not available for staff registered outside of these practices.

For staff registered with other GP Practices, please be patient, we have communicated with all GP Practices to ensure you are able to book a vaccine with them. Please contact your practice direct. Community pharmacies are now also able to reorder supplies, so may be able to take bookings shortly.

In all circumstances your vaccine should be free and no provider whether it is a community pharmacy or GP practice should be requesting payment.

09 November 2020- Medical Devices Safety Bulletin- T34 Syringe Drivers

Please find through this link a pilot bulletin that the MHRA have put together with the latest updates regarding T34 Syringe Drivers. This includes an update on previous that had previously be put in place on sales of pumps, as well as an update on battery issues that have been experienced.

09 November 2020- Swabbing and Donning/Doffing Competency Videos

The Department of Health and Social Care have produced two useful instructional videos which demonstrate correct swabbing and donning/doffing technique which may be useful to care providers.

02 November 2020- Why Hypothermia is a Bad Sign in Infections

Often, a systemic infection like sepsis will cause a patient to develop a high fever as part of the body’s immune system response. In some cases, though, a patient will develop hypothermia, or low body temperature instead.

When an individual develops hypothermia during sepsis, there is an increased risk of fatality than when a patient develops a fever. The reason body temperature can change is the body normally “resets” itself at a higher preferred temperature and begins to expend energy keeping the body warmer as a means of fighting infection. When this does not happen or when the body resets at a colder temperature, the body is at a disadvantage because decreased blood flow and circulation already occurs with blood vessel dilation with sepsis, and cold temperature further decreases this blood flow.

Although further research is needed, hypothermia during sepsis can be indicative of larger immune system problems and an ominous course.

Health Education England have produced a resource on Systemic Inflammatory Response Syndrome (SIRS) (of which sepsis is one such cause) – where hypothermia is one of the recognized features to look out for (in addition to tachycardia, tachypnoea or low blood pressure.

02 November 2020- Congratulations William Wilberforce

A big congratulations to the team at William Wilberforce Care Home in Pocklington who are pictured with their certificate for completing the Recognising and Responding to Deterioration training (Stop and Watch). The training is designed to develop care staff skills and knowledge in recognising deterioration  and how to respond to change. Training also includes communication skills and how to use the SBAR (situation, background, assessment and recommendations) tool to help care staff  relay accurate, relevant and timely information to other health and care services including GPs and District Nurses.

For more information on this training please follow this link or contact kay.ford3@nhs.net

02 November 2020- NHS Mail- Resources and Guidance

Following on from the session delivered by Liz Howarth from NHS England/Improvement to providers last week, please find the below resources available through this link to help embed NHS Mail in your provider. A reminder that inactive individual accounts are being deleted in mid-November, the Partners in Care Team are contacting providers with accounts in this category to assist them in accessing these accounts.

  • NHS Mail and DSPT Presentation
  • Weekly NHS Mail Webinar Flyer
  • NHS Mail User Guide
  • NHS Mail Frequently Asked Questions
  • DSPT Registration Guide
  • DSPT Entry Level Guide

 For any queries relating to NHS Mail or DSPT please contact sam.varo@nhs.net

30 October 2020- Continence Support and Training for Nursing Homes

Please find through this link a flyer from the provider of continence products for nursing patients in the Vale of York. They are able to support homes with continence education, correct use of products, profiling and product selection with your nursing care home staff . This training and support can be available virtually and there is also Virtual an abundance of support literature.

26 October 2020- Nutritional Wellbeing Virtual Training

In response to the national call to help support Care/Nursing Homes, the Department of Nutrition and Dietetics at York Hospital has developed a comprehensive virtual training package designed to support staff in the identification and management of malnutrition to help promote residents’ nutritional wellbeing.

Since rolling out the programme on 1 October 2020, training has already been delivered to three Care/Nursing Homes. Training is available to any Care/Nursing Home in the Vale of York CCG. Expressions of interest should be emailed to: Nutrition&Dietetics@york.nhs.uk

Did you know that Care/Nursing Homes within the Vale of York CCG can refer residents directly to the outpatient dietetic service at York Hospital, without obtaining a referral from their GP? The referral form can be accessed from the York Teaching Hospital NHS Foundation Trust website. Completed referral forms should be emailed from an nhs.net email address to: yhs-tr.yorkdietitians@nhs.net

20 October 2020- Best Practice Guidance Examples and Resources

Please find below a selection of resources shared with us by North Yorkshire County Council which may be useful for your service. The 5 moments for hand hygiene and visiting instructions documents have been updated:

12 October 2020- The Courage of Compassion-  Supporting Nurses and Midwives to Deliver High-Quality Care

The Kings Fund have published a report aim to showing how to transform nurses’ and midwives’ workplaces so that they can thrive and flourish and are better able to provide the compassionate, high-quality care that they and those they serve wish them to deliver. The report examines the workplace stressors, organisational cultures, working contexts and leadership styles that impact on nurse and midwife wellbeing and mental health, both before and during Covid-19. It sets out how these can be changed to provide dramatically improved working environments and contexts for nursing and midwifery practice, thereby benefiting nurses, midwives, patients, women, families and communities.

The report’s scope covers all areas of practice and all care settings where nursing and midwifery staff operate, including primary care, secondary care, mental health, community care and social care. To read the summary version of this report please follow this link, and for the full version please follow this link.

05 October 2020- Flu Vaccination for Health and Social Care Workers

Having the flu vaccination every year is important, but this year it is vital to make sure we do all we can to support and protect the NHS and care services due to the potential impact of flu and COVID-19 circulating at the same time.

Flu can be deadly and is easily spread from person-to-person, even amongst those not showing any symptoms. Unvaccinated and asymptomatic, but nevertheless infected, staff may unknowingly pass the virus on to vulnerable residents, friends, family and colleagues.

Flu outbreaks can have a serious effect on the social care sector. Every year there are flu outbreaks in care homes despite high flu vaccination rates for residents. This is partly because as people age, they do not produce as good an immune response to vaccinations. The vaccination against flu protects the people we care for and protects staff, their family and friends, helping to keep services running safely during winter.

How can I support staff flu vaccinations?

If you are a manager, Public Health England produces resources specifically for those working in the social care sector and you can access these here.

Please help the fight against the flu virus this year by encouraging your team and colleagues to book their flu vaccination.

If you're a frontline health and social care worker, your employer should offer you a flu vaccine. They may give the vaccine at your workplace. Ask your employer how they will be offering staff the flu vaccine this year.

You can also have the flu vaccine if you provide health or social care through direct payments or personal health budgets, or both. The NHS website has more information.

Thank you to all our social care workers for your hard work and commitment during these profoundly challenging times, and we thank you in advance for your support by getting your flu vaccine this year!

05 October 2020- PRINCIPLE Study

Individuals who have been diagnosed with or who are showing symptoms of COVID-19 and are aged 65 or over (or 50-64 with certain conditions) are able to self-enrol into the PRINCIPLE study. This is a national trial to find treatments that reduce hospital admissions and improve symptoms. To join the study, please follow this link.

 For further information, the poster and patient information leaflet can be found through these links.

05 October 20: Text Message Wellbeing Support Pilot Launched

Skills for Care launching a text message pilot to support the wellbeing of leaders and managers working in adult social care. The study is based on wellbeing programmes that have supported other frontline professions which we believe can also promote wellbeing in social care. Text messages will be sent weekly for 15 weeks starting on 19 October and will include tips and prompts to help you look after yourself and help with your own wellbeing. Places are limited so take a look at the Skills for Care Website for more information and register now.

28 September 2020- Care Home Frequent Caller Support Project - Yorkshire Ambulance Service

As updated at the last Partners in Care Virtual Forum, Yorkshire Ambulance Service is currently working on a project involving Care Homes. This includes Residential and Nursing Homes, Mental Health and learning disability homes/units. The frequent caller team are using the quantity of calls to 999 as an indication that the home may need further support with alternative local services and are focusing on homes which make either 8 or more calls in a calendar month or three or more calls in a day. 

The project involves contacting the care homes, identifying trends, liaising with agencies within the different areas. They are collaboratively working with local provisions and support networks to assist the care home staff. Due to the pandemic and the additional support Care homes have required, they have adapted our project and our supporting role. We are temporarily increasing the projects scope to incorporate all CCG areas YAS cover. Discussions include; what support is available, EOL care plans, GP involvement, Covid-19 cases within the care home, use and availability of PPE, and falls information.

This work has enabled the team to get a greater understanding of what is currently available for the care homes to access other than 999 and 111. They continue to successfully share information with community care home teams, community matrons and social care, providing them up to date and relevant information for individual’s ongoing care. Their ultimate aim is to improve working relationships between YAS and Care homes across Yorkshire.

For further information please contact

Natalie Howson                 

email: Natalie.howson@nhs.net

Tel: 07342093414

Samantha Pinder    

email: samanthapinder@nhs.net

Tel: 07767827673

28 September 2020- Additional Apps for Care Provider Tablets

Following recent requests, the below apps have been rolled out automatically to care provider tablets

  •  Skype
  • Care Workforce App
  • Facebook Messenger

 If you have any requests for additional apps or have any queries regarding these devices please call sam.varo@nhs.net

21 September 2020- Medicines Reuse Scheme Reminder

Following the discussion at Partners in Care last week, a reminder to all homes that are operating a medicines for reuse scheme that it can only be used when it is not possible to obtain a supply for the person in a timely fashion by the usual routes. Attempts should be made to obtain supplies in the usual fashion as the first step. Further information on the scheme can be obtained through this link

21 September 2020- Admission to Hospital Reminder

As we head into the winter season where infectious diseases traditionally rise, it is important that the hospital can plan for isolation effectively when admitting residents to prevent spread of infection. When a resident is admitted to hospital, please can homes ensure ambulance crews and hospital staff are fully informed of:

  • Any risk of infectious disease for the resident
  • If possible when they were last tested for Covid-19 and the result
  • Please also bear in mind any potential contacts the resident may have had within your home that could increase risk of infection

The Trusted Transfer document or your organisations equivalent will have opportunity for this information to be included, along with the Inter Health and Social Infection Control Transfer Form.  Please ensure it is clearly identified for receiving staff. To access the Trusted Transfer document and inter health and social care infection control transfer form please follow this link.

 If you have any queries please contact sarah.fiori@nhs.net

14 September 2020- Direct Referrals for Dietetics, Physiotherapy and Occupational Therapy (Care Homes Only)

Following a suggestion at the Partners in Care Virtual Forum, the guidance for homes on making a direct referral in the above specialities has been amended to ask that homes also send a copy of the referral to their GP practice for information. This way the information is shared with practice directly after the referral has been made.

This has been added to the webpage where the forms and guidance are available.

 

14 September 2020- T34 Syringe Driver Alert: Incorrect Batteries

 Please find through this link an internal alert from York Teaching Hospital NHS Foundation that has been shared for your information.  This is to note that PROCELL batteries are not suitable because they are significantly smaller and will lose contact, causing issues with infusion. NX batteries are a much tighter fit and are the best batteries to choose.

14 September 2020- Press Release: Vale of York CCG’s Quality and Nursing Team up for another Nursing Times Award

 NHS Vale of York Clinical Commissioning Group (CCG) could win a Nursing Times award later this year thanks to their work with care homes and domiciliary providers, which has helped reduce avoidable harm and improved the deterioration of residents within our community.

A partnership was formed with the CCG and Yorkshire and Humber Patient Safety Collaborative to achieve this work, after a rise in residents being admitted to hospital in an emergency. The aim of this initiative was to reduce these unplanned admissions, and increase the staff confidence in recognising the signs for deterioration.

To achieve the increase in confidence, sessions were held face to face within the care homes prior to COVID. However since social distancing guidelines, a handbook was developed for care homes to work through themselves.

The team also organised and hosted a conference in Recognising and Responding to Deterioration, which focused on the ‘STOP’ and ‘WATCH’ tool. To read more about this tool, click here.

 To read the press release in full please follow this link

08 September 2020- CHC Assessment Resumption Update

Anita Griffiths updated on the resumption of CHC assessments at last week’s Partners in Care Virtual Forum. For an audio version of this update please get in touch.

NHS England has stated from 1 September all CHC teams nationally should resume their assessment work DST’s: People have being placed on the waiting list for DST’s since 19 March 2020, are now been brought forward for their DST’s. In order to give a robust assessment, the CHC assessor and the SCA will need access to their care plans and daily records, and a member of staff who is familiar with their daily care needs. We are inviting family to join the meeting virtually, and in some cases the social care assessor may also do this.

  • Checklists’: CHC assessors will resume completing Checklists, not nursing home managers’ at this time
  • Change in condition: resume completing and sending these to CHC
  • FNC referrals: submit as usual, CHC will complete a health needs assessment and a checklist if appropriate
  • Reviews:  will continue, with virtual families, but will need to access care homes for these from now
  • CHC Staff will have masks and gloves for direct access visits

08 September 2020- Vale of York Care Home Team Update

We are delighted to welcome Maureen Hole to the team as Project Nurse for LD and Autism. Maureen qualified in 1994 and has held a variety of nursing posts in acute and community settings. Her last post prior to joining the CCG was as a health trainer with City of York Council. Maureen’s main focus within the team is to support care providers for people with a learning disability and/or autism. To contact Maureen, please email Maureen.hole@nhs.net

01 September 2020- Direct Referrals to Therapies and Dietetic Advice (Care Homes)

Care homes no longer need to go through a GP to refer a resident for community physiotherapy, occupational therapy or dietetic advice.

This will be supported by the York Community Therapy Team who are part of the named Multidisciplinary Team available to support local care homes as we move into the recovery phase of the COVID-19 pandemic.

If therapy needs arise, care homes can refer directly using a referral form and contact the Community Therapy Team for support if needed.

The below referral forms are available through this link:

  • Community Physiotherapy / Occupational Therapy Referral
  • Dietetic Advice

The teams are also able to offer virtual consultation training through the Attend Anywhere platform, which is available through Google Chrome and be accessed through the tablets allocated to care homes by the CCG.

If you have any queries please contact the respective teams through the contact details on the forms. Please note that exclusion criteria apply to both referrals and they are only open to residents who have a Vale of York GP.

24 August 2020- Temperature Screening Device Alert

Following on from questions at last week’s Partners in Care ECHO Forum, it has been clarified that the recent IPC alert specifically relates to temperature screening devices you walk up to a screen and it takes your temperature. These were designed for building sites and are being missold to care establishments and only measure surface skin temp and highly inaccurate. The hand held infra-red ones that are medical devices like you see in hospital are excellent and are preferable to the in the ear one for IPC purposes.

The government guidance that came out can be found through this link. The specific information relating to these products is below:

The Medicines and Healthcare products Regulated Agency (MHRA) states that “There is little scientific evidence to support temperature screening as a reliable method for detection of COVID-19 or other febrile illness, especially if used as the main method of testing”.

Temperature readings from thermal cameras and other ‘temperature screening’ products, e.g. hand held non-contact thermometers, measure skin temperature rather than core body temperature. In either case, temperature variations can occur in healthy people, therefore, these readings are unreliable for detection of COVID-19 or other illness causing fever. Additionally, infected people who do not develop a fever or do not show any symptoms (asymptomatic) would not be detected by a temperature reading and are more likely to spread the virus unknowingly. Only use medical devices for temperature screening which are regulated by MHRA.

24 August 2020- Care Home and Dementia Team (CHAD) York Update

This week we wanted to share links to a couple of music resources. Music for Dementia, a radio station that plays music from different eras from 30s to the 70s to promote reminiscence. It can be accessed via Alexa and has a video about how this can be set up.

We also have Playlist for Life which has a downloadable personal music journal booklet that can be completed to help document a person’s musical preferences to build up a picture of likes and dislikes and music that can be calming or invigorating.

As ever, if you would like any support for your care home and staff during these difficult times, please get in contact with the Care Home and Dementia Team and we will do our best to help. You can email us on: tewv.chad.york@nhs.net or reach us by phone on our professionals only line: 01904 461196.

 

24 August 2020- Emollients: Fire Risk and Precautions Campaign

The MHRA and National Fire Chiefs Council have launched a new campaign to raise awareness of fire risk and precautions that need to be taken by users of skin creams. This contains a short video and a PowerPoint presentation for staff training and information. Also links to other resources such as posters and information for people who use the products. The resources can be found through this link.

17 August 2020- Partners in Care Virtual Forum

The CCG will be relaunching the Partners in Care Forum virtually on Thursday 03 September. This follows the assistance of the Project ECHO team at St Leonards Hospice who have helped support us run the Partners in Care Project ECHO Covid-19 Support Network since the start of the current outbreak.

The forum is open to all care homes and domiciliary providers from across the Vale of York, and is designed to provide support with the latest guidance, updates from across health and social care and a chance to ask questions of both health professionals and fellow care sector colleagues. There forum is also open to and attended by partner organisations who support care providers from acute care, mental health, local authority and Skills for Care among others.

The forum will take place every 2 Weeks on a Thursday from 2:00-2:45. The sessions will take virtually place using Zoom and calendar invites will be sent out to all partners very shortly.

As before, Partners in Care is a collaborative forum that is shaped by and intended to support the care sector. So if you have any topics for discussion or updates you would like to request please contact sam.varo@nhs.net. All are welcome so please forward the invites to any colleagues who would like to attend.

17 August 2020- Data Security and Protection Toolkit Registration

 

As you may be aware the deadline for completing the Data Security and Protection Toolkit (DSPT), which enables you to be compliant with national guidance around Information Governance has been extended due to Covid.  The requirement to complete the DSPT in order to access NHS Mail has also temporarily been waived. Following discussion at a national level, the new deadline for DSPT completion is 31 March 2021.

The only action that is required at this stage is for individual care homes/domiciliary providers to register an account for the DSPT by 30 September. By registering for this, you will be able to access a training programme which is currently being designed at a national and regional level to help guide you through completion from October-March.

To register

 Please note that no action is required at this stage if your provider has already completed the DSPT to Standards Met or Entry Level stage. If your provider has already registered for the DSPT previously but not completed then you will also have an account already registered so no action required. For any questions at this stage please contact sam.varo@nhs.net

17 August 2020- Infection Prevention and Control Team Bulletin and PPE Guidance

The latest bulletin from the Community IPC Team focuses on COVID-19 Advice on 'Fogging' and 'Temperature screening'. To access the bulletin please follow this link

Public Health England have also published a useful 'PPE guide for community health and social care settings: What PPE to wear and when - an illustrative guide' 28/07/20.  This can be accessed from the following link

11 August 2020- Nutrition Training  (Care Homes Only)

Dr Sarah Baker, Professional Lead for Dietetics updated at last week’s Partners in Care ECHO Network around the offer of nutritional training that her team are able to provide Vale of York Care Homes. The training is anticipated to take 30 minutes-1 hour and will help those taking part a greater knowledge of nutrition to help embed in their service. To express an interest in this training please email Nutrition&Dietetics@YORK.NHS.UK

11 August 2020- New Apps for Care Provider Tablets

 Following a request from a care home, the following 5 apps will be made available on all care provider tablets.

  • React to Red- App based upon to React to Red pressure ulcer prevention training programme
  • ISTUMBLE- Health assessment tool that can be used following a fall
  • Yellow Card- MHRA resource for monitoring and collecting information on adverse reactions to medication, as well as safety alerts.
  • IDDSI- Framework for looking up IDDSI food and drink consistencies
  • NHS Safeguarding- Tool to raise awareness of safeguarding requirements

 If there is an app that you think would be beneficial to add to your device, please contact sam.varo@nhs.net

11 August 2020- Supporting BAME Across Social Care

Skills for Care is currently undertaking some work to find out more about the experiences of adult social care workers from a black, Asian and minority ethnic (BAME) background during the COVID-19 pandemic. The BAME workforce plays a vital role in the day-to-day care of people in our communities and it is critical we know more. Four webinars have been created which can be viewed through their website, covering supportive leadership, building alliances to support BAME staff, mental wellbeing and creating collaborations and supportive networks within organisations.

04 August 2020-Care Home and Dementia Team (CHAD) York Update

This week we wanted to share some resources about creating psychological safety with your teams and why it is important to do so. Here is a link to the key elements leaders need to utilise to build psychological safety in their teams.

We are also attaching a flyer and checklist about setting up a staff wellbeing group to enable reflection during these extraordinary times.

 As ever, if you would like any support for your care home and staff during these difficult times, please get in contact with the Care Home and Dementia Team and we will do our best to help. You can email us on: tewv.chad.york@nhs.net or reach us by phone on our professional’s only line: 01904 461196.

04 August 2020- Updated NHS Mail User Guide

NHS England and Improvement have created a really useful user guide to help those starting out with NHS Mail to navigate the system and provide a guide to completing tasks including:

  • Adding more NHS Mail accounts for colleagues within your service
  • Resetting or changing passwords
  • Gaining access to the shared mailbox for your care home/provider
  • Searching for an NHS employee’s email address through the NHS directory

The guide is designed for those using the NHS Mail website, but the same principles apply for those using Outlook. Having an account will allow your provider to share patient identifiable information securely and directly with a wide variety of NHS services as well as local authority. If you have any queries or needed assistance in accessing your account for the first time then please contact sam.varo@nhs.net

27 July 2020- Apprenticeships and Traineeship

Claire Ryan from the Humber Coast and Vale Excellence Centre attended last week’s Partners in Care ECHO Network to discuss her new role supporting care providers among other organisations in accessing information and support around Apprenticeships. The work she helps support can be broken down into the following.

  • Support with setting up and using Digital Apprenticeship Service (DAS) accounts
  • Receiving levy transfers from other organisations or reserving funds from the ESFA
  • Guidance on using apprenticeships in workforce development & planning
  • Support with accessing government incentives

Claire is contactable  via email at Claire.Ryan@hey.nhs.uk if you have any questions relating to Apprenticeships.

21 July 2020- Randox Test Kits for Coronavirus Testing

All providers are being asked to immediately pause use of the Randox testing kits following the notification from the government last week.

Please all of your unused Randox kits in a safe place to ensure that they are not used or mixed with other test kits, and one of our team will be in contact with you next week to confirm next steps.

All impacted care homes will be assisted to get replacement kits as soon as possible. The national track and trace team will be in contact over the to confirm arrangements. The Coronavirus (COVID-19): getting tested guidance has been updated following on from this notification

The alternative type of test  in use is Kingfisher. This is the updated link to register completed Kingfisher  tests for staff and resident. Instructions on using non Randox kits can be found through this link.

Providers  who have not yet registered on the site for whole site testing  can do so through this link as this is  now the first port of call for routine regular whole site testing of residents and staff.  A series of webinars from DHSC on whole home testing are scheduled and can be booked onto through this link

21 July 2020- Apprenticeship and Traineeship Update

Following the announcement from the Chancellor last week around ‘Plan for Jobs’ and the additional funding for traineeships and apprenticeships, we are happy to announce two major updates to the support available to businesses:

  • Businesses will receive a £1,000 bonus payment from the Government for every trainee they offer a work experience placement to.
  •  Businesses will be given £2,000 for each new apprentice they hire under the age of 25. This is in addition to the existing £1,000 payment that the Government already provides for new 16-18-year-old apprentices and those aged under 25 with an Education, Health and Care Plan.

 The Excellence Centre are currently working on a project across the Humber, Coast and Vale to support GP Practices, Nursing  and Care Home and Hospices to become digitally ready to access the apprenticeship funding available and receive transferred funds from other organisations who have had unspent apprenticeship levy funds.

Additionally, a key focus of the project is to support your service with workforce development and the potential to use apprenticeships within their practices; either as new recruits or to up skill substantive employees.

If you would like to discuss using apprenticeships within your workforce or utilising the apprenticeship funding available or would like to request webinars on anything specific relating to apprenticeships or workforce development, please contact Claire Ryan, Project Manager at claire.ryan@hey.nhs.uk

21 July 2020- Care Home and Dementia Team (CHAD) York Update

This week we have a booklet put together by Tees, Esk and Wear Valley NHS Trust that is about meeting the needs of residents in care homes during the Covid-19 Pandemic. Within the booklet you will find links to some seminars from other NHS Trusts and also a link to an excellent animation about meeting residents’ needs:

As ever, if you would like any support for your care home and staff during these difficult times, please get in contact with the Care Home and Dementia Team and we will do our best to help. You can email us on: tewv.chad.york@nhs.net or reach us by phone on our professional’s only line: 01904 461196.

20 July 2020- Community Health Services Education, Training and Guidance Resources

Please find through this link a useful document that brings together providers free national training for care providers into one document.

The document also links to a site which holds all the government and PHE information for the adult social care sector on responding to the coronavirus pandemic in one central holding. This includes:

  •  How to work safely in care homes
  • Admission and care of people in care homes
  • Coronavirus (Covid-19) Health & wellbeing of the adult work force
  • Coronavirus (Covid-19) How to work safely in domiciliary care

 Details of further training opportunities, including those hosted by the CCG can be found through this link.  

15 July 2020- Care Home and Dementia Team (CHAD) York Update

This week we have a printable calendar for your staff room with tips on easy ways to maintain our well-being and a leaflet on keeping your residents active with some ideas of activities for different abilities.

As ever, if you would like any support for your care home and staff during these difficult times, please get in contact with the Care Home and Dementia Team and we will do our best to help. You can email us on: tewv.chad.york@nhs.net or reach us by phone on our professional’s only line: 01904 461196.

06 July 2020- Use of Tablets and Digital Devices by Independent Care Providers

Independent care providers across the Vale of York  are using digital technology to a greater extent recently (including tablets allocated to a number of services by the CCG)  to enable virtual consultations, additional clinical use and by residents.  This is a reminder to follow best IPC practice when using these devices in care settings. Please ensure regular cleaning and between use. It is good practice to limit use of an individual device to individual units where possible. For those providers who have been allocated multiple tablets by the CCG, the number allocated was partially based on the number of floors to help support limiting risk of cross infection

09 July 2020- Trusted Transfer Documentation for Care Homes

Following recent discussions around discharge related issues (including at a recent Partners in Care/ECHO Network where representative from the discharge team responded to feedback from care home managers), a reminder for care homes to use the Trusted Transfer of Care Document where appropriate to accompany residents on admission to hospital either electronically or through paper copy.

The document can be found through this link, and a brief for care homes through this link. For an example document please follow this link.

Please note the completion of the Trusted Transfer of Care Document is the responsibility of the care home with the exception of any changes during the hospital stay which must be documented on the variance sheet (by hospital staff). Any patients who are a new admission to your care home will not be transferred with the Trusted Transfer of Care Document but we still expect that full information and supporting documents and medications are provided by the discharging hospital unit.

For any issues experienced such as missing documents or medication on discharge please let us know as soon as possible so we can follow this up with YTHFT partners.

To report any feedback, or if you would like to discuss the discharge process in more detail, please contact: Sarah Fiori, Head of Quality Improvement and Research. Email address: sarah.fiori@nhs.net and mobile: 07702 657592

06 July 2020- Care Home and Dementia Team (CHAD) York Update

This week we have a short video by Teepa Snow showing how the same activity can be adapted for different stages of dementia , and a link to Ken’s quiz site. Here you will find a free on line quiz resource with many different categories that we hope you find fun if not a little brain teasing for you and your residents.

As ever, if you would like any support for your care home and staff during these difficult times, please get in contact with the Care Home and Dementia Team and we will do our best to help. You can email us on: tewv.chad.york@nhs.net or reach us by phone on our professional’s only line: 01904 461196.

06 July 2020- Community Infection Prevention and Control Team Bulletin -  ‘Correct order for putting on and removing personal protective equipment’.

Please find the latest bulletins from the community IPC team for care homes and domiciliary providers through the below links:

29 June 2020- Care Home and Dementia Team (CHAD) York Update

We have a couple of items to share this week. One is a poster for your staff room following on from the Partners in Care/Project ECHO call last week which is a delirium wheel redesigned to include COVID-19.

We are also attaching a booklet full of ideas for managing your mental wellbeing by connecting with nature. It may be a nice resource to share with staff, family or involve some of your residents in them. It is full of simple ideas to make the most of the nature we find all around us.

As ever, if you would like any support for your care home and staff during these difficult times, please get in contact with the Care Home and Dementia Team and we will do our best to help. You can email us on: tewv.chad.york@nhs.net or reach us by phone on our professional’s only line: 01904 461196.

29 June 2020- Delirium Webinar Resources

As mentioned during the Partners in Care/Project ECHO session last week, please find resources from the webinar “Delirium and considerations during the Covid-19 pandemic” which was hosted by the Dementia Policy Unit at NHS England and Improvement  on 24th June 2020. As promised, please find enclosed:

22 June 2020- Free Psychological First Aid in Emergencies Training

Public Health England have created a free psychological first aid in emergencies training for frontline staff and volunteers. Training will equip staff to provide support and recognise people at risk of distress

The course follows a globally recommended model for supporting people during emergencies, tailored to the specific challenges of coronavirus (COVID-19). This training takes place over 3 weeks and those who register are asked for a 1 hour per week learning commitment.  To register and for information please follow this link.

22 June 2020- Care Home and Dementia Team (CHAD) York Update

This week we have two information sheets giving ideas on how to support a resident living with dementia who ‘walks with purpose’ and how to maintain wellbeing and reduce distress using reminiscence, simulated presence therapy and virtual entertainment with links to a host of online resources and to Chatter pack which we hope you and your residents will find both informative and enjoyable

One of our team may have already rung you or will be ringing you to see how you and your team are during these extraordinary times and asking if there is anything we can do to help support you. In the meantime, as ever, if you would like any support for your care home and staff during these difficult times, please get in contact with the Care Home and Dementia Team and we will do our best to help. You can email us on: tewv.chad.york@nhs.net or reach us by phone on our professional’s only line: 01904 461196.

22 June 2020- Public Health England Active at Home Booklet

For most of us we are able to go out to exercise, but this is not the case for a lot of older people or people who are shielding. Public Health England have adapted a Sheffield initiative on becoming more active at home to suitable for wider audience An electronic version of this is available through this link for you to print off.

22 June 2020- Care Staff Support Resources and Contacts

Below are a number of the resources that are available to managers and staff should they need support or wish to talk to somebody during the current challenging times. The Quality & Nursing Team recognize the immense challenge our colleagues are facing and would like to offer our support and again reiterate thanks for the personal sacrifices you are all making at home and work to ensure residents and teams are able to continue being safe.  Please do contact sarah.fiori@nhs.net if you have any queries or requests for support.

  • National NHS line operated by Samaritans. Call: 0300 131 7000 (7am – 11pm, seven days a week) Text: FRONTLINE to 85258
  • St Leonards Hospice Bereavement Support Line.  01904 777772 Monday to Friday 10am – 4pm  (until 7pm on Thursdays). A suite of resources designed by the Hospice to help support staff within your setting that were presented at the Project ECHO/Partners in Care Forum can be found through this link.
  • Bereavement and Trauma Support Line by Hospice UK. Call: 0300 303 4434 (8am-8pm, seven days a week).
  • Skills for Care has a dedicated support and information line available to all registered and front line managers during the Covid 19 pandemic.  For details on how to access the service, please follow this link. They also have a Facebook group open to all managers, and are setting up WhatsApp and support groups at local level. Regular support webinars are also regularly scheduled. Previous webinars can be found through this link.
  • A number of apps are currently available to health and social care staff including SilverCloud, Sleepio, Daylight and Stay Alive. For more information please follow this link.

15 June 2020- Care Home and Dementia Team Update

This week, we have a link to a podcast from Martin Bromiley OBE discussing simple ways to prepare for a confident working environment. It includes tips on mentally practising new techniques like taking off PPE and starting the day with effective team meetings:

Also a great poster you can print and share on your staff room wall which gives  practical steps based on Acceptance and Commitment Therapy (ACT) that will help your staff deal with the COVID crisis.

If you would like any support for your care home and staff during these difficult times, please get in contact with the Care Home and Dementia Team and we will do our best to help. You can email us on: tewv.chad.york@nhs.net or reach us by phone on our professional’s only line: 01904 461196.

15 June 2020- Covid-19 Testing: Mental Capacity Guidance

 Please find below information for local care homes and domiciliary care providers that has been approved by the Mental Capacity Act group for the Yorkshire and Humber region.

 Whilst recognising that many care providers have significant plans in place, this information; designed by North Yorkshire County Council and agreed by the local MCA group, has been developed to be a supportive tool to care providers supporting those without capacity.

 To complement the MCA tool documents the group is also developing other supportive information that will be circulated soon. The topics include:

  • Capacity and isolation periods;
  • The role of Public Health England and the powers it can exercise;
  • The impact of the recently launched track and trace programme.

08 June 2020- Bereavement Support and Resources

Dr Jonathan Bauer, Bereavement Support Manager at St Leonards Hospice led a powerful session at Thursday’s Partners in Care/Project ECHO network around bereavement and support in care settings focusing on the specific challenges faced by colleagues working in the independent care sector . The session focused on the emotional impact of the current outbreak of residents, relatives/ friends and staff. A number of resources were shared which are available through this link. This includes the presentation that was delivered, some prompts around difficult conversations, resources for those who would value bereavement support as well as case studies to help thinking about approaches. Providers are encouraged to use and adapt these resources for their own use as required.

The Quality & Nursing Team recognise the immense challenge our colleagues are facing and would like to offer our support and again reiterate thanks for the personal sacrifices you are all making at home and work to ensure residents and teams are able to continue being safe.  Please do contact sarah.fiori@nhs.net if you have any queries or requests for support.

08 June 2020- Join Social Care Online

 Angela Thompson, Locality Manager, Skills for Care updated at the Partners in Care/ECHO Network, that “Join Social Care” has been developed to accelerate the recruitment process for Adult Social Care, making it easier for care providers to reach people in their local areas looking to work in the sector. Skills for Care is co-ordinating training for people coming into the social care sector through this platform using endorsed providers offering the rapid induction training programme. More information on how to utilise the platform for your setting can be found through this link.

08 June 2020- Care Home and Dementia Team Update

This week wanted to focus on ideas for supporting your teams.  This information sheet has lots of tips for calming a racing mind as well as links to other online resources.

We heard this week on the Partners in Care/Project ECHO call that some care home teams feel much closer having created a safe place to talk about how they are feeling. This resource provides tips on how to set that up in your home and an easy guide for running them, the ‘Care home team wellbeing group guide’.

And finally, some distraction for your residents and staff, with some free resources from the Wildlife Trust for June.

 If you would like any support for your care home and staff during these difficult times, please get in contact with the Care Home and Dementia Team and we will do our best to help. You can email us on: tewv.chad.york@nhs.net or reach us by phone on our professional’s only line: 01904 461196.

08 June 2020- Cleaning a Commode Pan Manually: Resources

Infection, Prevention, Control have created a set of resources detailing appropriate cleaning processes and protocols for cleaning a commode. These can be found through the links below:

01 June 2020- Care Home and Dementia Team Update

This week we are resending an activity you might like to use with your residents and a tips sheet for helping reduce their anxiety about PPE. We are also resharing a great animation from Newcastle Dementia Service about meeting needs during lockdown:

 If you would like any support for your care home and staff during these difficult times, please get in contact with the Care Home and Dementia Team and we will do our best to help. You can email us at: tewv.chad.york@nhs.net or reach us by phone on our professional’s only line: 01904 461196.

01 June 2020- Heatwave Plans

Bright, hot summer days are what many of us look forward to for the rest of the year – especially in cold, wet England! However, while we’re enjoying the balmy days of summer, we should not forget that the temperature can get high, become uncomfortably hot, and for some, it can become dangerously hot.

The heatwave alert levels will be triggered by temperature thresholds. The Met Office website will be the first place where the alert level is available. NHS Choices can provide additional advice on heatstroke and other heat-related conditions. We also recommended that patients and the public can phone NHS 111 or their GP if they are concerned about their health or others.

 Advice for Care home managers and staff has been produced. Staff will need to make themselves familiar with and look out for signs of heat stress, heat exhaustion and heatstroke. There is also a useful poster for care homes. Please ensure that staff are aware of your heatwave plans. There are lots of resources and information available on the Heatwave Page.

 Other information includes:

01 June 2020- Wearing a Mask: Do’s and Don’ts

The Community Infection, Prevention and Control Team have produced a poster detailing do’s and don’ts for using a face mask within care homes and domiciliary providers. These can be printed off and displayed in your setting

 

26 May 2020- Care Home and Dementia Team Update

This week, we wanted to share a leaflet that Tees, Esk and Wear Valleys NHS Foundation Trust have created for coping with the death of someone that you know. The leaflet covers common symptoms that you might experience and some tips of how to deal with them.

 We also wanted to share again the leaflet from Namaste Care that gives advice on how to help residents have a sensory-rich end of life with ideas about soothing touch, sound, smell, taste and vision.

18 May 2020 -Care Home and Dementia Team Update- Psychological Safety and Music for Wellbeing

Feeling safe as a team is really important at the moment: Psychological Safety is about creating a working environment in which everyone feels comfortable sharing their thought and concerns. This week we have a poster for your staff room and a flyer about a free support pack that will help you promote psychological safety within your team.

A free new online resource, which combines science and technology to provide a catalogue of soothing and calming music and videos, has been developed to support people who may feel anxious during the COVID-19 pandemic. The Recovery College Online and Trauma Informed Care teams have joined forces with music technology company X-System; Northumbria University and the Calm Foundation to provide a series of specially designed playlists that can help people to physically relax, manage their mood, be enlivened or helped to breathe and move. The playlists are being made freely available.  For more information follow this link

18 May 2020- IPC Coronavirus Page and Deep Cleaning Guidance

The community Infection, Prevention, Control team have a produced a webpage with guidance for managing Covid-19 within your setting. This includes useful posters that can be displayed, access to an online learning package and in depth deep cleaning guidance for care homes. The page can be found through this link.

 Caroline Gent from the team pulled together a couple of slides following a discussion at a recent Project ECHO sessions, which gives detail around which cleaning solutions are suitable and unsuitable, as well as guidance on using wipes.

12 May 2020- Care Home and Dementia Team Update

This week we are sharing a document that is a synthesis of current research, clinical opinion and experiences of care home managers that aims to provide guidance for managers supporting care home staff.

 We also wanted to share an animation that has been produced by the Newcastle Dementia Service which highlights some of the innovative ways care homes have been managing to continue to meet the needs of their residents during the Coronavirus pandemic.https://youtu.be/blJjUwBhVpk

If you need to get in touch with us about support for you and your staff, please email tewv.chad.york@nhs.net

 

12 May 2020- CARE Workforce App

 A national app has been launched for the adult social care workforce. It will act as a one stop shop for learning resources, guidance, mental health support, discounts and additional support.

The app is available to download from on the Apple App Store and Google Play Store, as well as being accessible online through this link. For more information please follow this link

04 May 2020- Reuse of Medication in Care Homes- New Guidance

New national guidance has been published to allow the safe re use of medicines between residents living in the same care home or staying at the same hospice in exceptional circumstances. This includes where a supply cannot be obtained for a person who needs it in a timely manner and the medication is no longer needed by the person it was prescribed for.  

 The guidance, including the process, to be followed is available here https://www.gov.uk/government/publications/coronavirus-covid-19-reuse-of-medicines-in-a-care-home-or-hospice (The guidance may change so always check the website for the latest version.)

 Please read this guidance fully to be able to recognise when medication can be used in this way, the records you need to keep, and the consents that should be obtained wherever possible (See Table 3 in the guidance).  Information on the guidance is also being sent to GPs and pharmacists.

 Medication that may be suitable for reuse can be retained. Keep this separate from the in use medication but ensure it is stored safely according to the usual medication storage requirements for that medication, including the temperature and controlled drug requirements. Ensure that the medication is identified as being kept for possible reuse.    

 The Medicines Management Team will be providing further support on implementing this guidance. Any questions or comments at this stage are welcome and should be sent to Karenlepper@nhs.net

04 May 2020- Partners in Care Lessons Learnt: Partners in Care COVID-19 ECHO Response Network

A summary bulletin has been produced by care providers represented at the ECHO Response Network who have experienced an outbreak of COVID-19 within their care setting. This is designed to provide shared learning and guidance to fellow care providers around

  • How cases presented and what symptoms were shown
  • How infections manifested themselves and how providers managed them
  • How staff wellbeing was promoted

Please share and use this resource within your organisation as appropriate. More details on the network and how to join can be found below.

04 May 2020- Care Home and Dementia Team Update and Change of Number

 In response to a new Mental Health and Crisis Response Line the York Care Home and Dementia Team now have a dedicated number for professionals to contact the team directly.  This number is a dedicated referral / contact number for professionals, partner agencies and stakeholders, please do not share with service users or carers. The York Care Home and Dementia Team professional only number is 01904 461 196. To confirm the Number that can be given out to Service Users is 01904 556 748.

 This week we have a printable poster with tips on how to manage prolonged periods of stress both at work and at home, the ‘Self-Care Tree’. During  the ECHO session on Thursday, there was an excellent presentation about advance care planning and end of life care. ‘Namaste care’ is a gentle approach to end of life that complements the medical needs and life-long beliefs of the individual, please see this document for more information.

As PPE becomes more necessary, some of the people we work with may struggle to understand why the people that care for them look so different. This activity has been developed to help residents understand that beneath all the gear, their friendly carers are still there. You are welcome to print the poster as it is, amend it to suit your needs or use it as an activity with individual residents to build up your own collage.

If you have any innovative and creative ways that you are using to help meet the needs of your residents, please let us know. We have heard of homes using technology to keep up resident and family connections, screening old movies and avoiding the news about COVID-19. If you have any you’d like to share with us, please email tewv.chad.york@nhs.net


27 April 2020- Care Home and Dementia Team Update

This week we have an image based downloadable prompt sheet designed by our OT, Karen Melody, which you can use to talk to your residents about covid-19. You are free to adapt this if you wish to suit individual residents. There is also a booklet of ideas from the Health Innovation Network to keep your residents active and occupied during these times. The following link will take you to free resources that explain what happens in our brains and bodies in the face of anxiety and a toolkit of ideas to help us cope: https://beyond-coaching.co.uk/nhs-online-toolkit/. If you need resources around a particular idea, please email us at: tewv.chad.york@nhs.net and we will do our best to help.

27 April 2020- COVID-19 Training and Resources

Please find through this link an updated list from Health Education England of training currently available, updated versions of this will be circulated to providers. Skills for Care also have a comprehensive section on fully-funded training on their website relating to Rapid Induction, Care Certificate and other skills-based training specific for our sector – again this is being updated and refreshed on a daily basis and can be accessed here

There are also details of further training and resources for care providers through the Six Steps to Success in End of Life Care Programme

27 April 2020- Single Point of Coordination for End of Life Care

An updated leaflet has been produced regarding how to access the single point of coordination for end of life care guidance. The service has been developed by the CCG and St Leonards Hospice, and is accessible from 8:00am to 12:00pm Monday-Sunday. This is available to all Vale of York care homes and domiciliary providers among other organizations. The contact number for the point of access is: 01904 777770

Also available through this link, are  a set of clinical guidance relating to symptom control for COVID-19 patients, which was presented by Dr Anne Garry (Palliative Care Consultant) at the ECHO Network.

21 April 2020- Aerosol Generating Procedures

 As promised at the Project ECHO call on Thursday, please find through this link a list from Public Health England to clarify which procedures and are not classified as aerosol generating.

03 April 2020- Coronavirus (COVID-19) Related Deaths in the Community: Guidance for Medics, Care Homes and Hospices

 Please find through this link a document which amalgamates guidance from the Coroner’s Office, City of York Council and North Yorkshire County Council (Among other organisations) with regard to COVID-19 related deaths. This includes guidance around handling for care settings, and an update on changes to the Medical Certificate of Cause of Death (MCCD). We will look to advise further on this guidance at upcoming Project ECHO Networks.

27 March 2020- COVID-19 eLearning Programme- Free

Health Education England e-Learning for Healthcare have created a free eLearning programme available to all staff across health and social care. The programme includes key materials to help the health and care workforce respond to Coronavirus including essential guidance from the NHS, Government and WHO, infection prevention and control, personal protection equipment and more

27 March 2020- Fire Safety Guidance for Care Providers

The North Yorkshire Fire and Rescue Service are  reassuring providers that they are still here to help. Please find some guidance which you may find useful, In addition there is further information through their website. If you have any specific queries or concerns, there is also the facility to ask a question via the website.

09 March 2020- Happy Birthday Join Dementia Research!

Join Dementia Research has recently celebrated its fifth birthday. Although still young, the service has already had a lot of success - making it easier for people to take part in research. Over 25,000 participants have taken part in studies and made a key contribution to the understanding.

To help you spread the word about their work and to get more people involved their work, they have created a digital greetings card that you can send to someone you know who might be interested in research. The more people who register with Join Dementia Research, the faster we can make a difference to the lives of everyone affected by dementia.

02 March 2020- Congratulations Mickle Hill

Congratulations to Mickle Hill in Pickering, who have been rated as outstanding by CQC. Their supported living service was praised for its focus on inclusion and treating people as partners in their care and support, and for a clear focus on patient, relative and staff engagement.

02 March 2020- CQC Report: Promoting sexual safety through empowerment

CQC have published a report looking at how adult social care services keep people safe from sexual incidents. It also looks at how services can support them to express their sexuality. This is part of an aim to build culture of openness in which people can talk about sexual safety and sexuality within adult social care settings, as a first step towards protecting and supporting them. The report can be accessed through this link

18 February 2020- Congratulations Somerset House

A big congratulations to all the team at Somerset House for their hard work during the last year, which has resulted in them being rated Good by CQC this week

10 February 2020- Guidance on employing workers aged 16 and 17

Skills for Care have updated their guidance on employing 16 and 17 year olds, which can be accessed through this link. This guidance has been endorsed by CCG, and recognises the valuable contribution individuals in that age group can make to adult social care. Recommendations made in the guidance include around working hours, pay, training, and coaching and buddying.

04 February 2020- IPC Bulletins: Respiratory and Cough Hygiene

Please follow this link to the latest bulletin produced for care homes by Infection Prevention Control. This bulletin focuses on respiratory and cough hygiene, which has been identified by NHS England and NHS Improvement as one of 10 items within their ‘Standard infection control precautions’ (SICPs).

Previous bulletins produced by IPC include around transfer documents, norovirus, gastroenteritis and nutrition.

04 February 2020-York Advocacy Hub

Jan Tuson attended Partners in Care to update on the services available through the York Advocacy Hub, and how those in receipt of care can benefit from receiving advocacy. The service is a free, independent and quality assured and currently employs 11 advocates across 7 streams of advocacy. More information on these streams can be found within the meeting slides.

If you are unsure if an individual would benefit from an advocate, please don’t hesitate to call 01904 414357

04 February 2020- January Partners in Care Forum: Thank You

A big thank you to all those who attended a packed meeting of Partners in Care on Wednesday 28 January. An audience of 50 representatives from care homes and domiciliary providers, CCG, acute services, research, ambulance service, mental health and primary care took part in an engaging and collaborative afternoon. Updates included around the importance of completing the Data Security Protection Toolkit, closer working between acute services and providers around discharges processes, and how individuals in receipt of care may benefit from an advocate.

6 January- Congratulations Connaught Court

A big congratulations to Connaught Court, who have been recognised as outstanding by CQC. The inspectors remarked that the environment at the home was exceptional, and that best practice in relation for people with dementia was followed and embedded within the service. This creates a calm and homely environment for people to receive care.

It was allow remarked that the home has passionate and forward-thinking managers, who lead the service and provide an inclusive service that engages proactively with people, their relatives and the staff team.

24 December- New UCP Service Poster

Following on from the update Tim O’Dowd delivered to Partners in Care in November, please find attached an updated poster through this link reflecting the new operating hours of the UCP service. Please replace all existing posters with this version.

The service can be accessed by care homes to arrange a visit for minor injuries as an alternative to 999 and 111 for non-emergencies. Services the team can assist with include witness or unwitnessed calls without signs of fracture, muscular back pain, wound care and head injuries.

24 December 2019- The Inter-Health and Social Care Infection Control Transfer Form

The Inter-health and Social Care Infection Control Transfer from has been developed, to help healthcare organisations share information in the transfer of patients/residents to and from health and social care facilities.

 This supports The Health and Social Care Act 2008: Code of Practice on the prevention and control of Infection and related guidance (Department of Health 2015), which states  that “suitable accurate information on infections be provided to any person concerned with providing further support or nursing/medical care in a timely fashion”.

 The Inter-health and Social Care form, should accompany the patient/ resident and, where possible, a copy filed in their notes. The information provided is vital in facilitating the receiving health and social care facility to implement the necessary infection control measures, and help to reduce the risk of spreading infectious organisms. To access the form, please follow this link

16 December 2019- Discharge Collaboration with Partners in Care

Two of our care home managers from York attended the York Complex Discharge Sub Group to share their perspectives on discharge and to help identify areas for collaboration and relationship building. The group listened to stories of when discharge works and when it doesn’t always go to plan.  The CCG will be supporting further work in collaboration with the York Teaching Hospital NHS Foundation Trust and key stakeholders, and hope all of our Partners in Care will contribute to this.  This is a real opportunity for Partners in care to influence and shape discharge standards alongside colleagues.

16 December 2019- Wolfson Bursaries for Care Homes

Hospice UK have a range of bursaries available for palliative care training which available to nurses, healthcare assistants and allied health professionals within care homes. Individuals can apply for up to 75% of a module or course cost (subject to funding being available), or up to £1500 over a year or £3000 over 3 years. Further information around criteria and examples of eligible courses and conferences can be found through the attached leaflet.

To access the online application form please follow this link. For any queries please contact grants@hospiceuk.org

16 December 2019- Fax Machine Usage in GP Practices

As you may or may not be aware following on from Securing Excellence in Primary Care (GP) Digital Services: The Primary Care (GP) Digital Services Operating Model 2019-2021, by April 2020 practices will no longer use fax machines for either NHS or patient communications. From speaking with Practices, it has become apparent that care homes and domiciliary providers often send communications to them via fax. Therefore, this will affect the way you communicate with practices if this has been your chosen method of communication. Practices will most likely start to use a regularly monitored and secure NHS Mail e-mail address; these e-mail addresses are currently being collated/created and can be provided in due course.

9 December 2019- Returning of Community Equipment

Pam Bolderson from the CCG and Darren Clark from Medequip attended November Partners in Care to reiterate the importance of returning equipment which is no longer being used, or being used by an individual it wasn’t prescribed for. Due to the loans based model the community equipment contract is based on, all equipment is still being paid for by the NHS and social care until it is returned (upon which 90% of the equipment cost is returned to the NHS). Anybody can call Medequip to request a collection through the details below. More information on community equipment can be found through the meeting slides.

Call: 01423 226240 or Email: north.yorks@medequip-uk.com

9 December- Bisphosphonates

Following a number of reports of incidents of finding that bisphosphonates such as alendronic acid have been administered at the wrong times or in the wrong way, Karen Lepper and colleagues have produced this poster to highlight the issues.

This poster covers:

  • What bisphosphonates are
  • How they should be taken
  • What happens if instructions are not followed

For any further queries please contact karenlepper@nhs.net

9 December 2019- Recognising and Responding to Deterioration Conference: Slides

Thank you all those who attend the conference around recognising and responding to deterioration on 26 November in York. The day focused on the trial of the STOP and WATCH tool to help identify deterioration in residents through softer signs, and included input from care homes, domiciliary providers, GP’s, the care home and dementia team at Tees, Esk and Wear Valleys NHS Foundation Trust. There was also discussion around topics including falls prevention, sepsis, dementia and oral health.

 The slides can be accessed in 3 parts below:

 Slides Part 1

Slides Part 2

Slides Part 3

25 November 2019- Guidance on Using Social Media

With Christmas approaching, partners from across the Vale of York are understandably keen to share what is happening  in their organisation.  The Nursing and Midwifery Council have produced a set of guidance that may be of assistance in deciding what is and isn’t appropriate to share through social media, and how to balance the benefits from and responsibilities of its use. The main principles of the guidance are:

  • Be informed
  • Think before you post
  • Protect your professionalism and your reputation

The guidance applies to registered nursing staff, but also the same principles apply to other colleagues and management staff.

To read the guidance please follow this link

25 November 2019- Social Care Digital Self-Assessment

Skills for Care working in partnership with Digital Social Care to create a digital self-assessment tool for social care employers.

The free online tool will help to measure:

  • How capable staff are in harnessing the benefits of digital tools and skills
  • Whether they have the right infrastructure in place to use more digital tools.

It will also help employers to understand where they may have gaps that could be preventing them from working in a more digital way. Once completed, an email report will be sent based on the responses and include ‘top tips’ and resources to help employers progress on their digital journey.

To Access the tool, please follow this link.

18 November 2019- Reduce length of stay: New e-learning resource

A new e-learning tool called ActNow has been developed for health and care staff to help them prevent delayed transfers of care. The tool can be used by nurses, allied health professionals and care staff to ensure patients have the best outcomes possible following care received in hospital. It includes resources to help staff take prompt practical actions and use every opportunity to ensure patients are cared for in the best place.

Please pass them on to relevant colleagues and teams within your organisations. If you would like any further information about Act Now Home First support, please contact emma.self@nhs.net

28 October 2019- Stop and Watch Success at Apple Tree Care Home

Congratulations to Apple Tree Care Home who have completed Stop and Watch training, and are now are successfully using the tool effectively to recognise and respond to deterioration in residents. Deputy Manager Sharon Clemitt received a certificate on Thursday to recognise the work their staff have undertaken to embed Stop and Watch tool in the home.

21 October 2019- Well Done Alison!

Congratulations to Alison Redhead, Manager of Minster Grange who was a finalist in Thursday’s York Press Community Pride Awards. Alison was nominated in the Health Service Hero category for being an exemplary example of a caring, committed and passionate nursing home manager who is dedicated to ensuring that the service provided is of the highest standard.

21 October 2019- Tips From a Manager: How to Manage Flu Season in Your Provider

Linda Donnellan-Beevers from Amarna House Care Home has kindly provided the below summary of how she manages her home during flu season, to give ideas you could implement in your setting.

“We are doing the flu clinic again this year and I put up flyers. All staff are welcome to have one, and my residents have all completed consent forms we are have wine and cheese after for the brave. This will be our second successful year and everyone looks forward to it because we make it fun but with a serious note on the importance. I liaised with the GP and District nurses and we agreed to hold flu clinics on site. I encouraged staff to let the GP practice know they worked here and they were added to the list. I achieved 98% staff vaccinated last year . Boots also gave me cards to give out for free flu jabs for health workers and 5 staff used this service. We were also awarded the Gold award for vaccinating staff from NHS England and Improvement”

14 October 2019- NICE Quality Improvement Resource

The National Institute for Clinical Effectiveness (NICE) have developed a resource to help providers and commissioners of adult social care to map NICE guidelines against CQC key lines of enquiry. The tool can be used to

• Find quality statements (from our quality standards)

• Look at recommendations (from our managing medicines guidelines)

• Start conversations with provider colleagues to agree ways to improve quality of care in your area

• Agree ways to measure quality improvements.

To access the tool please follow this link

14 October 2019- Social Care Institute for Excellence Bulletin

The Social Care Institute for Excellence produce a bulletin that may be of interest to partners. The October edition includes guidance on strengths based leadership, dementia awareness e-learning, and a webinar on giving medicines covertly. To register for the bulletin please follow this link.

06 October 2019- Fire Door Safety Week

September 23 - 29 marked #FireDoorSafetyWeek, an awareness week  launched in 2013 in response to a legacy of fire door neglect. The campaign aims raise awareness of the role that fire doors play in protecting life and property. 

Often fire doors are neglected and not maintained properly, which can have devastating effects. Issues around the installation of fire doors are often seen by the fire service, and building owners are encouraged to check the operation and condition of their fire doors and report those that aren't satisfactory.

Resources and more information on how to ensure you are doing everything possible to maintain fire doors and more can be found on the Fire Door Safety Week website.

06 October 2019- Adrenaline and Flu Update from Partners in Care

Following discussions at the last Partners in Care around adrenaline and flu PGD’s, Karen Lepper has asked that the following guidance be shared.

A PGD is not needed for adrenaline 1:1000 up to 1mg for intramuscular use in anaphylaxis as it is listed in Schedule 19 of the Human Medicines Regulation 2012 which allows administration without a prescription for the purpose of saving life in an emergency.

If organisations are considering offering to immunise their own staff the flu vaccine, this resource should be used.

06 October 2019- Skills for Care Nursing News Bulletin

Skills for Care have launched a new Nursing News subscription facility on their website aimed exclusively at adult social care managers delivering services with nursing.  This gives update on their work to support the 41,000 nurses in adult social care. The first bulletin includes information from the NMC and newly released videos around the role of Nursing Associate. To subscribe to these bulletins and for more information please follow this link.

 

 

 

 

 

 

 

 

 

 


  

 

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