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On 1 July 2022 we will become part of the Humber and North Yorkshire Health and Care Partnership. You can find out more about what that means here.

News for Care Providers

This page shows the latest news and developments pertinent to social care providers within the Vale of York area. This include updates around guidance and best practice, opportunities that providers can take advantage of including around workforce and training, as well updates from local services and good news from across our care sector. All providers from across the area receive a weekly Partners in Care Bulletin summarising news and developments relevant to them, and stories that remain current are listed below for providers to refer to. To view the full back catalogue of the Partners in Care Weekly Bulletin please follow this link.

05 July 2022- Diabetes Information and Support for Care Staff

A set of useful resources have been produced by Trend Diabetes (a national network of diabetes networks), which may be useful to care staff across our providers in supporting those with dementia. These can be accessed through the below links- Please note injections guidance would be for registered nurses only.

05 July 2022- Capacity Tracker Update

To reduce the burden on providers a number of questions have amended or been removed effective from today (05 July).

  • 'PPE' section - This will change to a simple Yes/No question with the dropdown menu  being removed
  • Visiting - The total number of questions is being reduced with a number being removed and some being merged 
  • Staff Testing - All questions will be removed

05 July 2022- Comment on NICE’s Draft Advocacy Services Guideline

The National Institute for Health and Care Excellence (NICE) is consulting on its draft guideline on advocacy services for adults with health and social care needs. It includes draft recommendations on:

  • Commissioning and delivery
  • Identifying who should be offered advocacy
  • Providing good advocacy
  • Monitoring and improving services
  • Training and skills.

The consultation is open until 17:00 on Tuesday 19 July 2022. To provide comment- Please follow this link.

27 June 2022- National Patient Safety Alert- Vernacare Hygiene Products

This is to make you aware if you have not yet received it that a national patient safety alert has just been issued regarding the contamination of hygiene products manufactured by Vernacare with Pseudomonas aeruginosa.  Products include wetwipes, bed bath washcloths and shampoo caps produced at its Lancashire facility.

Please can you check if you have any of the affected products and follow the advice on the alert to withdraw them for use. The alert only applies to the products listed on the document.

If your service does not receive safety alerts already, please register to receive these with the central alerting system by emailing safetyalerts@mhra.gov.uk and providing the following information

  • Full name of organisation
  • Business of organisation (e.g., school/charity/care home etc)
  • First name
  • Last name
  • Job title
  • Full postal address
  • Email address for CAS alerts (this should be an email that is checked daily)
  • Contact number 

27 June 2022-Book Your Place- Health and Social Care: Achieving Excellence Together

Following the success of our last conference in late 2019, we will be holding an event this winter designed for care homes and those working to support them from across health and social care. This promises to an exciting opportunity to hear the latest work taking place in our area, and will include an update from Deborah Sturdy (Chief Nurse for Adult Social Care in England) as well around topics including hydration, digital solutions, Liberty Protection Standards, community care and more. Further information on the event can be found through this link. Places are limited and will be allocated on a first come first served basis- To book your place please contact: sam.varo@nhs.net

27 June 2022- Care Home and Supported Living Olympics- Week 2 Update

We have just completed week two of our summer campaign to support providers to get those in their care active and moving to fight de-conditioning. The first providers have now starting hold their events, and teams across the 23 young adults and older adults services currently taking part are working had to plan their activities and compete for our overall care provider Olympic title!   We continue to share our Olympic Update to share how our providers are getting on, as well as ideas and tips to support physical activity. This week's bulletin includes:

  • How the team at Abbey Lea in Barlby made sure everybody was included in their Olympic event, including activities for those residents in bed.
  • Updates from Neville House in Skipton who hosted a wide range of activities for their residents.
  • New from other providers on the plans they have for their event- and compete for the trophies!
  • Active ageing projects currently taking place through York St John University.
  • Support those with learning disabilities through physical activity.

The campaign will run from Monday 13 June and Friday 24 July, and providers are able to host their event on any day of their choosing during that period. There's still plenty of time to enter your provider and challenges for the overall trophies! For information please follow this link which includes our competitor guide, and for queries or to enter please contact sam.varo@nhs.net.

27 June 2022- Elwyn's Story

You may recently have seen in York Press the story of Elwyn, a 98 year old resident at Connaught Court in York who is thought to be the UK's oldest working tailor. Elwyn has been a tailor since the age of the 13 and the home are supporting him to continue to do so, with space set aside for him which he says keeps him "active and occupied, it gives me a focus, provides challenges and keeps my brain working". Recently Elwyn marked National Sewing Machine Day earlier in June, by creating customised waistcoats for his fellow residents and others in the local community, donating all his earnings to charities. The full story can be found through this link.

20 June 2022-Masks and PPE Reminder- Visiting Staff in Care Homes

 We have had a number of queries of care providers in relation to whether visiting staff entering services still need to wear face masks and appropriate PPE. This does still remain the case, and while guidance has changed for wearing these in NHS settings it is a still requirement in social care settings (Both for staff and those visiting). We have reiterated this message to teams from GP Practices and hospital/community teams, but if you have any further queries please don't hesitate to get in touch.

20 June 2022- Health Service Update- Introduction of Integrated Care Systems

From 01 July new legislation will come into place, meaning the NHS Vale of York CCG and all other CCG's nationally will cease to exist and their responsibilities transferred to Integrated Care Systems (ICS's) covering a wider geographical footprint. For our area this will be the NHS Humber and North Yorkshire Integrated Care Board. These changes have been introduced to promote collaborative working between the NHS, local councils, the voluntary and community sector, other health and care and public sector organisations and our local communities. Joint working has been underpinned by a shared belief that we are more successful in bringing about change and improving the lives of our local populations if we work together.

Please be assured that these changes will not impact the support available through the Quality and Nursing team, which will remain available to all providers within our area and staff will be continuing in their posts. Teams and functions across the CCG will continue to operate at local "place" level for both North Yorkshire and York.

Further information can be found through a set of slides shown at last weeks Partners in Care Virtual Forum, and also through our website.

20 June 2022-Project ECHO- Advance Care Planning Network

The local Project ECHO Team would like to invite participants to their upcoming Advance Care Planning ECHO Networks which aim to develop, share and enhance skills needed to lead conversations on end of life care preferences.  More information is contained in through this flyer. Two networks will be running- one in July and one in September. For further information please contact:

ProjectECHOTeam@stleonardshospice.nhs.uk

20 June 2022- Care Home and Supported Living Olympics- Week 1 Update

This week marks the start of our exciting monthly long campaign to support care providers in getting residents active this summer to fight de-conditioning, as well as compete with each other for our overall care provider Olympic title!  There are 18 providers currently signed up from all across the area and from younger and older adults care, who are working hard to put their events together.  We continue to share our Olympic Update to share how our providers are getting on, as well as ideas and tips to support physical activity. This week's bulletin includes:

  • How service users and staff from Sherbutt House in Pocklington are being supported to increase movement and activity through weekly sessions at the local leisure centre. Volunteers help deliver a wide range of fun activities including playing tennis, football, and basketball among others.
  • The latest providers who have registered to take part in the Olympics- Including New Lodge, Riccall House, Sherbutt House, William Wilberforce Care Home, Carentan House and United Response York.
  • How to find activity groups for both staff and service users, for services in the City of York area.

The campaign will run from Monday 13 June and Friday 24 July, and providers are able to host their event on any day of their choosing during that period. There's still plenty of time to enter your provider and challenges for the overall trophies! For information please follow this link which includes our competitor guide, and for queries or to enter please contact sam.varo@nhs.net

20 June 2022-Congratulations Paul Evans MBE

We have previously shared the story of Paul, who works as a Senior Carer at The Lodge Care Home in Hemingbrough. Paul has already received the Silver Award in the Chief Nurse for Adult Social Care Awards, and we're delighted has now been awarded an MBE in the recent Platinum Jubilee honours for his service to social care and nursing. As well as his work within the home supporting those with learning disabilities throughout, he also acts as a communication champion within the community which has included setting up a deaf hub and supporting homelessness services. Congratulations to Paul on your achievement

20 June 2022- Hot Weather and Heatwave Information

In preparation for the summer ahead and the hot weather we have already begun to experience, please see the following links to guidance that can help you plan and be prepared for when we may experience a heatwave.

20 June 2022-For Awareness- Leeds Area Care Home Break In's

We're making providers aware that there have been a high number of break in's (18 over recent months) have been reported in care homes, which have been confined to the Armley and Headingly areas of Leeds so far. Care home break-ins in the past have been known to be by organised crime gangs so please be aware and raise awareness of this issue in your area. You can get additional advice from your local police hub. In Leeds, some officers have conducted inspections of the homes to help them improve security. In North Yorkshire we have seen an increase of contacts and visitors to Care Homes so please ensure you check ID and be extra vigilant around the home and outside

13 June 2022-Proof of Vaccination and Testing Reminder for Those Visiting Care Homes

A reminder that care providers no longer need to ask visitors for proof of vaccination status. Visiting health professionals will continue to perform regular LFT or LAMP testing, however please note that staff who do not interact with residents such as delivery drivers from Medequip and NRS are not required to test.  All visiting staff do however need to ensure good hand and respiratory hygiene (including the use of a fresh mask in the building).  The caveat to this guidance is the situation remains fluid and if we see a rise in cases this may change.

13 June 2022- NHSX Tablet Scheme for Care Homes

We have sent communications to the care homes we understood received iPad's in winter 2020 through national scheme run by NHSX to support remote consultations for residents with health services, and communication with families. It has been confirmed that support for these devices will cease after 30 June 2022. This means that you will need to take the actions detailed in the FAQ's, or any data (including photos, messages and apps) will be erased and the device factory reset. Providers can keep the devices but there is an option to return if you prefer. For further information or queries please contact: ipad.offer@nhsx.nhs.uk

Please note this does not affect the devices from the CCG tablet scheme- Where providers were allocated Samsung Tablets in spring 2020. Support for these devices has been agreed for until March 2024.

13 June 2022-National Apprenticeship Awards- Applications Now Open

The National Apprenticeships Awards are a fantastic opportunity to showcase the apprentices, employers and champions who have gone above and beyond, despite the challenges faced during the last year. Entries to the awards are open until 1 July and it’s free to enter. There are nine categories, which between them recognise exceptional employers, apprentices, and apprenticeship champions. To find out more about the awards and submit your application, please follow this link. In the meantime, you can join the conversation on Twitter using @Apprenticeships and #AppAwards22

30 May 2022-Keeping Hydrated at 5 Whitby Road

Congratulations to all the team at 5 Whitby Road Care Home in Pickering, who are celebrating achieving their bronze target ensuring all fluid balance charts accurate and complete for all residents assessed as being at high risk of dehydration. Fab work by super star hydration champions Jodie-Lea and Kirsty. Well done ladies and keep up the great work

 The home are taking part in the CCG's Improving Hydration in Care Home Residents programme, further details of the programme can be found through this link or contact h.degnan1@nhs.net.

30 May 2022- Introducing the DREaMS Team

The DREaMS Team have been established hosted by East Riding of Yorkshire Council, but covering across Humber and North Yorkshire to work with and support providers in digital care initiatives. Many care homes will have also received an introductory call from them, but they can also be contacted direct and provide advice and signposting on a variety of issues including digital care records, Wi-Fi/connectivity, DSPT and NHS Mail among others. To contact the team you can call 01482 396622 or email dreamsteam@eastiridng.gov.uk.

30 May 2022- Discounts for Social Care Staff Through Blue Light Card- Including 10% off at Asda

Blue Light Card holders can now get 10% off their in-store shop at Asda from midnight tonight until 31 October 2022. To redeem this discount, you will be required to show a valid Blue Light Card at the checkout or self-service area. You may be asked to provide an additional form of ID (bank card, driving licence, etc.) to verify your eligibility. There are a wide range of discounts available with the card, for further information please follow this link.

23 May 2022- Post Covid Inter Care Home and Supported Living Summer Olympics

Last week we launched or summer Olympics challenge for care providers, to support residents in getting active and moving to fight de-conditioning. All care homes and supported living services are able to take part and host their own event on any day between Monday 13 June and Friday 24 July.  Providers can fill their day with events of their choosing (the more creative the better!), but there also a set of "medal events" which are your chance to compete with other providers in these events to rise up our overall medal table!  The provider with most medals overall will be presented with our prestigious trophy, as well as overall gold, silver, and bronze medals to celebrate their achievements.

We want this to be a fun way to promote health and wellbeing following what has been a dreadful couple of years, and we very much look forward to joining you at your events. We will be sharing a weekly update showing how providers have been taking part, including top tips and videos on how you can get moving.  Further information including the competitors guide can be found through this link, and you can register by contacting sam.varo@nhs.net

The message is simply…"Get up, get dressed, keep moving - your muscles, your strengths, your abilities: Use them or lose them" . Exercise or regular physical activity can reduce the risks of major illness, such as heart disease, stroke, diabetes, cancer, and lower the risk of early death by up to 30%. It is an essential factor in weight management and shown to be beneficial in reducing pain, maintaining bone and muscle strength, and even improving skin health. In addition, it can improve self-esteem, mood, sleep quality and energy levels, as well as reducing the risks of stress, depression, and dementia.

23 May 2022-Partners in Care Prompt and Information Cards

The CCG have produced a set of information cards for care home settings, that condense key messages from programmes such as React to Red, React to Falls Prevention, Improving Hydration and Identifying and Responding to Hydration into a resource that can be used as reference in the settings for staff and to reinforce learning. These will be distributed to all homes in due course and can be accessed digitally through this link

23 May 2022- Heatwave Planning and Hydration Prompts

With summer approaching, it has been confirmed that the Heatwave Plan for England for 2022 will remain unchanged from last year. The plan also includes some useful resources aimed specifically at the aged Care sector, and please also find reminder about wearing PPE in warmer weather through this link.

The CCG's Improving Hydration Programme is also available to support any providers who would find it valuable in their setting. Keeping hydrated is more important than ever at this time of year, so please find a set of useful pocket cards through this link to support in spotting the signs of dehydration as well as some top tips. For more information the programme please contact: h.degnan1@nhs.net.

16 May 2022-UTIs in Care Home Residents Research Study

The VENUS Study is about developing a new approach to managing care home residents with possible urinary tract infection. The University of Southampton want to interview nursing staff and carer staff working in care homes, to explore their views about how we can safely manage patients with vague symptoms of UTI without the initial use of antibiotics.

If you think you might be interested in taking part in an interview (lasting 30-60 minutes) then please contact them, and they will send you more information. As a thank you for your participation in an interview you will be offered a £20 Love2Shop gift voucher.

There is more information including contact details on the VENUS study website.

16 May 2022-QNI Care Home Nurse 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.

  • Would you like to be part of a national network of nurses working in the care home setting? 
  • Would you like to learn from and listen to the latest research, best practice, innovation and policy? 
  • Do you want to feel energised and motivated by the network?
  • Do you want to use your voice and get involved in the work the QNI does, to represent your discipline within Nursing?

To join the online network, please register through this link and choose the “Care Home Nurses Network” as your area of interest.  You can also sign up for email updates from us and join other QNI networks. You can also join their Facebook forum for Care Home Nurses where you can network, ask for advice and get support from fellow nurses. The group holds regular meetings and has a newsletter for members.

16 May 2022-Skills for Care Update

Please find through this link, an update on the latest training and learning and development opportunities available through Skills for Care. The update includes details on:

  • Workforce Development Fund
  • Good and Outstanding Care Resources
  • Social Care Masterclasses for Recruitment
  • Funded Learning Opportunities
  • Workforce Wellbeing Resources

16 May 2022-Project ECHO Sessions- May, June and July 2022

The following sessions are available over the coming months through the Project ECHO Team.

  • Palliative Care Skills
  • Learning Disabilities
  • Verification of Expected Adult Death
  • Palliative Care Clinics
  • Advanced Care Planning
  • Coaching Network
  • Syringe Driver (Scarborough, Ryedale only)

ECHO is All teach All learn

For more information or to book contact Chris or Colette at ProjectECHOTeam@stleonardshospice.nhs.uk

09 May 2022-VIVALDI Study- Reducing Infection in Care Homes

Researchers at University College London are leading the national VIVALDI study (COVID-19 in care homes) and would like to partner with providers in England and find new ways of reducing infection in care homes. Information on the Vivaldi study, which is running in 330 care homes in England is available here. If you are interested in taking part please email Professor Laura Shallcross at: covid19@ucl.ac.uk. 

09 May 2022-CCG Quality Improvement and Training Programmes

A reminder that the CCG's 5 current quality improvement and training programmes remain available to any providers who feel they would be beneficial. Further information on all these programmes can be found through our training page, and these can be delivered in person or virtually. The programmes currently available are below- For any queries please contact h.degnan1@nhs.net.

  • Identifying and Responding to Deteriorating Residents (Stop and Watch)- Training develops care staff skills and knowledge in recognising deterioration how to respond to change. Training 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. Care staff are supported to use the tools and how to embed this change in to practice.
  • React to Red for Pressure Ulcer Prevention- Education package using a simple yet effective framework supporting 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. The framework known as ‘SSKIN’ prompts carers to consider key areas important in maintaining skin integrity.
  • React to Falls Prevention- Uses resources including video, workbook and self-assessment skills booklet to support carers in recognising when an individual may be at increased risk of falls, and the steps that can be taken to reduce these risks. Homes encouraged to use a ‘days between falls board’ to monitor falls and celebrate as days between goals are reached; along with a prompt sheet to help carers learn from previous falls, identify residents they have concerns about and discuss appropriate actions they can implement to help reduce those identified risks and concerns. React to Falls Prevention’ identifies 3 key areas of risk: Physical,  Behavioural and Environmental; and the subsequent use of a simple framework that prompts carers to consider these risks.
  • Improving Hydration in Care Home Residents- Face to face training and the use of workbooks to explore ways of improving service user hydration. Care homes will be supported to evaluate their current hydration assessment and monitoring tools and progress improvements where appropriate. Training includes good continence care, catheter hygiene, including advice around the 'No Dip' principles for testing urine in suspected UTI.
  • PPE and Hand Hygiene- Face to face or virtual training around hand hygiene (technique and product) and appropriate use of PPE. This includes donning and doffing- putting on and taking off, where to store, where to don/doff, the correct order to don/doff and safe disposal of used PPE.

09 May 2022-Pulse Oximeter and Tablets for Provider Initiatives

At the start of the pandemic, the CCG allocated pulse oximeter devices to care homes and some supported living providers, to help take observations of a resident who you may have concerns about and in support of virtual consultations (or Telemedicine calls for those who now have the service). There are a stock of devices remaining for any providers requiring them.

The CCG's funded tablet scheme for care homes has also been extended an additional 12 months. The scheme has seen tablets allocated to the majority of care homes as well as 8GB of funded data, to allow residents to communicate with loved ones, staff to access training and to allow homes to take part in virtual consultations, MDT's and further digital working. We do have a small number of spare devices for any providers who would benefit from these.

For further information on these initiatives please contact sam.varo@nhs.net

03 May 2022- Masks in Care Settings Reminder

 A quick reminder that guidance around mask use within care settings has not changed, and staff should still be wearing a face mask when at work. This includes both with residents, and when with colleagues or undertaking training. If staff remove masks for eating/drinking then they should be at least 2m apart. The most recent guidance can be found through this link which includes the requirements for staff and visitors, as well as appropriate PPE to wear when performing specific activities.

03 May 2022: IPC Bulletins- PPE and Respiratory and Cough Hygiene

The latest bulletins from the Community Infection Prevention and Control Team for care homes and domiciliary providers focus on Personal protective equipment’ and ‘Respiratory and cough hygiene. These cover risk assessment to establish the appropriate level of PPE for an activity is, donning and doffing, and a link to a useful respiratory hygiene poster. Links to the bulletins can be found below:

03 May 2022-We are Social Care Nurses

The April edition of the "We are Social Care Nurses" bulletin from Skills for Care can be found through this link. This months bulletin includes columns on the value of preceptorship for social care nurses, an update from the Chief Nurse for Adult Social Care Deborah Sturdy, and thoughts on how social care nurses play an essential role in preventing illness, protecting health and promoting wellbeing. To subscribe to the bulletin please follow this link.

 

25 April 2022-Diabetes- Insulin Administration in Care Providers Pilot

Tara Kadis from the Diabetes Team at York and Scarborough Teaching Hospitals NHS Foundation Trust attended Partners in Care Virtual Forum last week, to share details of a pilot opportunity for carers to take on administer insulin in residents with Type 2 diabetes. This opportunity is open to any care providers (including domiciliary and supported living) who would be interested, and use a competency framework developed and supported by district nurses and the diabetes team. Residents who receive district nursing visits would remain under the care of the team and receive at least weekly visits.

The pilot aims to enhance personalised care by ensuring continuity of care for residents and that they receive injections at a time appropriate to their routine/care plan. It is also designed to support development of care staff, and minimise COVID-19 transmission by reducing number of visiting staff entering your service. The full slides from the update can be found through this link, and for more information you can either speak to your district nurse or contact Tara.Kadis@york.nhs.uk

19 April 2022-DSPT Republication Deadline 2022

The Data Security Protection Toolkit (DSPT) is the online self-completion assessment that care providers are asked to completed to demonstrate compliance with how they are handling data in line with the Data Protection Act and CQC requirements. All care providers who contract with the NHS are required to complete the toolkit, and once it is published the only requirement is to check your submission annually and republish. For those providers who completed the 20/21 toolkit, you will need to republish by 30 June 2022. If you completed to Approaching Standards level previously, you will need to Standards Met this time. If you are unsure if any further action is needed for your service you should receive a flyer through the post to notify you, or can also check yourself through the DSPT website.

There is a wide range of support including workshops, resources, videos and 1:1 support available through the regional DSPT Team for all who would find that beneficial. They can be contacted through england.dsptney@nhs.net

19 April 2022-NHS Mail Drops in Sessions for Care Providers- Every Wednesday 11.00-12.00

Digital Social Care have begun holding weekly drop in sessions all care providers are invited to join as needed, to answer any questions you may have about NHS Mail. Further information and the joining details can be found through this link, and no registration for these sessions are required. For any wider queries around NHS Mail please contact sam.varo@nhs.net.

11 April 2022- Department of Health and Social Care- COVID-19 Guidance for Adult Social Care Providers

The links for the two question and answer sessions held last week for care providers can be found below for those unable to attend (DHSC have been made aware of an error in sending the links which prevented some being able to access). Due to the number of questions raised they have undertaken to provide a set of written responses to frequently asked questions, which we will endeavour to share once available.

11 April 2022- National Patient Safety Alert- Potassium Permanganate

NHS England and NHS Improvement National Patient Safety Team and the British Association of Dermatologists have released a joint alert on the risk of inadvertent oral administration of potassium permanganate. There have been reports of patients ingesting potassium permanganate where: healthcare staff have inadvertently administered potassium permanganate orally; patients have mistakenly taken potassium permanganate orally at home, or when left on a bedside locker; or where potassium permanganate was incorrectly prescribed as oral medication. The alert asks to take action to assess if the benefit of using potassium permanganate outweighs the risk, and, if use is to continue, to ensure safer prescribing and labelling, and to ensure it is stored safely. For more information on the alert please follow this link.

11 April 2022-Immedicare System Pressures Message

Providers who have access to the Immedicare Telemedicine system will have received a message due to the operational situation across the health and social care system has proved increasingly challenging in recent weeks. Hospital sites and ambulance services are now experiencing severe levels of pressure due to increased patient demand.

Given the current situation, we are encouraging that the Immedicare Telemedicine service is used as a clinical support for any urgent non-999 situations. A document is available giving examples of when Immedicare can be used. In a medical emergency call 999 and follow the instructions given by the ambulance service call handler. Please note you can also call Immedicare for additional support and advice ahead of the paramedics arriving. Under these circumstances as part of the Immedicare response they will also liaise with the attending crew and help with handover of clinical details and patient condition.

11 April 2022-Resources to Support Social Care Workers in Discussing Sexuality and Relationships

Skills for Care, in collaboration with Supported Loving, the Care Quality Commission (CQC) and the Department of Health and Social Care (DHSC), has conducted a learning materials review to provide social care staff in England with information on resources to best support people who draw on care and support with matters of sexuality and intimate relationships. The review has now been completed and published on their website, alongside:

  • a supporting personal relationships guide
  • a learning materials review database, cataloguing resources collated within the review
  • an information video with Jim Thomas, Head of Workforce Capacity and Transformation at Skills for Care
  • a podcast covering sexual safety through empowerment from the CQC.

11 April 2022- Meet the Ambassadors Challenging Misconceptions Around what Living with a Learning Disability Looks Like

Mencap have produced a short film of ambassadors challenging stereotypes about what living with a learning disability looks like. Meet the cover model, the athlete, the activist and many more. Why not use the film for a discussion with people who you support about what is possible or even make your own myth-busting film?

04 April 2022-Social Care Day of Remembrance and Reflection Recording

For those unable to attend, you are now able to access the a video shown at the national service hosted in London to mark the Social Care Day of Remembrance and Reflection. This includes reflections from a range of staff across different roles, reflecting on the contributions that all those in the sector have made and challenges they have been faced with over the difficult last 2 years.

 

28 March 2022-Vaccination as Condition of Deployment- Reminder

We have had a few questions with regard to whether providers are required to continue checking vaccination status of visiting professionals, and can confirm that this condition has been revoked for all health and social care staff from 15 March. This means providers do not need to check this for visiting professionals, however they are required to continue checking COVID test status and visiting staff must continue to show proof as a condition of entry. The guidance setting this out can be found through this link.

28 March 2022-Immedicare Telemedicine Service- When to Call

The funded telemedicine service that the majority of our older persons care homes have access to has now been live for 2 months, and has already had over 160 calls made by homes to date. A reminder that this service is there to support you and your staff when you have concerns about a resident, and can provide clinical advice for a wide range of areas including those detailed above. They can also where appropriate make the onward referral to another service, such as your GP Practice, community nurses or out of hours services where they think a face to face visit required. Further details of the service including a useful guide on when to call as well as user guides can be found through our website.

However for any emergency, homes MUST always contact 999 first and are able to then contact the Telemedicine hub for support until the paramedics arrive e.g. for cardiac chest pain, stroke, severe head injury or loss of consciousness. The delay in calling Telemedicine first in these cases could be critical.

28 March 2022-Nutrition Resources for Care Providers and Vitamin D Update

Nicola Sumpter from York and Scarborough Teaching Hospitals NHS Foundation Trust attended Partners in Care last week, to update on the training programme she has been working with Selby care homes on to support the nutritional needs of their resident. However the resources she uses are available to all providers who would find them useful. This includes details of nutritional shot drinks, carbohydrate portion control for those with diabetes, a workbook that staff are able to use and links to further training opportunities. For more information please contact nicola.sumpter1@nhs.net

We have also updated the webpage to include a link to further information and guidance to help providers support those who need to take Vitamin D supplements. PHE/NICE guidance recommends that people living in care homes or who are not often outdoors (for example, people who are housebound) should consider taking vitamin D 10 microgram nutritional supplements all year round. Adult social care providers should have a policy on how you will support people to meet this recommendation.

21 March 2022-Norovirus Spring Alert

Norovirus outbreaks in care homes have risen in recent weeks, leading the UKHSA to remind people of simple steps that can be taken to limit the spread of the bug Early identification of symptoms of Norovirus infections. The Community Infection Prevention Team have put together these useful slides sharing how to early identifying and isolate an outbreak, report and outbreak and break the chain of infection using hand hygiene, PPE and enhanced cleaning.

21 March 2022- Adult Care Specialist Skills Training Funding

The Humber Coast and Vale ICS (Integrated Care System) in partnership with stakeholders across the region, have come together to identify some of the key skills development areas needed to bridge the gap between social care and health and achieve better outcomes for those being supported. All adult care providers will be able to access training fully funded by the ICS and Skills for Care  for your staff in the below areas. Further information including details of how to register for the training, please follow this link.

  • Strength Based Approaches
  • Practice Assessor Preparation
  • Infection, Prevention & Control
  • Loss, Grief and Bereavement
  • Mouth Care
  • Supporting People with Long Term Conditions
  • Recognising and Responding to Patient Deterioration
  • Psychological Wellbeing & Resilience in Social Care
  • Nail Care

21 March 2021- CCG Funded Tablets and CLEAR Dementia Care App

The CCG's funded tablet scheme for care homes has been extended an additional 12 months. The scheme has seen tablets allocated to the majority of care homes as well as 8GB of funded data, to allow residents to communicate with loved ones, staff to access training and to allow homes to take part in virtual consultations, MDT's and further digital working. We do have a small number of spare devices for any providers who would benefit from these. Please contact sam.varo@nhs.net for further information.

Also now available on provider tablets ins the CLEAR Dementia Care App which provides information about dementia and support for carers, including different types, the brain, symptoms, behaviours and loss. The app also includes a function to help record and chart behaviour, and contains illustrations and case examples to help us to understand the perspective of the person with dementia. To add to your tablet you will need to press the F4IT button, and the app will be showing under the app catalogue to download.

15 March 2022-Research Opportunities for Care Providers

At Partners in Care this week we heard from Lizzie Hancock from Fulford Nursing Home who championed how providers can benefit from taking part in research. It can provide new ideas to improve best practice and get a critical eye to challenge ways of working, as well as a great opportunity for staff and residents to get involved. There are a wide range of opportunities available to providers, and care homes are able to join the ENRICH register to automatically notified of news studies. A summary of some the opportunities currently available can be found through this link, which includes:

  • Defining and Measuring Safety in Older Adult’s Care Homes Survey
  • Skyline Study-  Recruiting adults age 60+ who are cognitively unimpaired to receive either a study drug or treatment to prevent the onset of Alzheimer’s Disease
  • ClimaCare Study- Remotely indoor environment and the response of residents and staff in care homes, and sharing advice from international experts on how to improve your resilience in hot weather and heat waves.
  • Join Dementia Research

15 March 2022- Your Partners in Care Website

We are have refreshed our website to help providers be able to easily navigate to the support they need, this includes details of all our training and quality improvement programmes, digital initiatives such as Telemedicine and NHS Mail, support available through the Partners in Care Forum as well as training opportunities, useful links and much more. We have also updated our infographic showing the work the team has been involved with to support care providers during the difficult last 2 years. Did you know over that time we have delivered nearly 600 training sessions, had 819 attendees at the Partners in Care Forum, and allocated nearly 4000 IPC workbooks and nearly 400 digital devices?

07 March 2022-Nutrition and Dietetics Resources- Updated to Include Vitamin D Poster and Carbohydrate Portion Sizes

We have updated the resource set that has previously been circulated to include two additional resources kindly provided by York and Scarborough Teaching Hospitals NHS Foundation Trust to include the below posters:

  • Poster to help providers identify specific carbohydrate portion sizes for those in their care with diabetes, to help control blood glucose levels.
  • Poster highlighting to care homes that they need to offer an over-the-counter vitamin D supplement to care home residents all year round, and the benefits this can provide.

07 March 2022-IPC Bulletins- Standard Infection Control Precautions

The latest Bulletin from the Community Infection Prevention and Control Team focuses on: Standard infection control precautions (SICPs). This will be the first of a series of bimonthly bulletins which will each provide an introduction 2 of the 10 SICPS, with this edition covering hand hygiene and Patient placement and assessment for infection risk. The bulletin for care homes and for domiciliary providers can be found through the below links.

IPC Bulletin for Care Homes

IPC Bulletin for Domiciliary Care

07 March 2022- Medequip Complaints Process and Equipment Returns

For any providers wishing to make a complaint about the Medequip Community Equipment Service, you are able to do so by calling 01423 226240 or emailing north.yorks@medequip-uk.com. The service will log the complaint, and ensure that providers receive a timely response. Providers are encouraged to chase with the service should there be a delay, and if they are able to obtain the log/reference number of the complaint,  know who they reported it to in MQ, be clear about which service user this in relation to  and provide as much detailed information as possible this will ensure their complaint is fully addressed. Should they not be satisfied with the response received are able to escalate to the CCG by contacting sam.varo@nhs.net and supplying the above information. The CCG receive a summary of complaints made into the service which are discussed at regular contract review meetings, to help inform service improvements.

A reminder also that equipment is only for the initial person it was prescribed for and not used by others. To return equipment you can do so using the above contact details and supplying serial number/EIN number.

07 March 2022- Cooking with Confidence for Dysphagia

A new series of videos are being launched delivered by Nestle in partnership with renowned dysphagia chef Gary Brailsford, to provide support to providers in perfecting textured diet recipes. Across the series they will be providing top tips for preparing and presenting meals for IDDSI levels 4, 5 and 6. From menu planning to ideas on how to change up traditional texture modified potato or present the perfect dessert, they will be covering a range of topics to help you feel confident in getting mealtimes right for those in your care with dysphagia. To view the introductory video please follow this link.

07 March 2022- Learning Disability Health Activity Packs

The CCG has worked with North Yorkshire Learning Disability Partnership Board and Self Advocates to make activity packs with helpful health information and fun activities for adults with a learning disability and their families and carers. The first pack created focuses on health activities, which is available to be downloaded and shared. A further pack will also shortly shared which will focus on fitness.

07 March 2022-Elevated Cyber Threat and New Guidance on Digital Surveillance

Care providers are being advised to protect themselves against the elevated cyber threat from the Russian invasion of Ukraine. Digital Social Care and the NHS Transformation Directorate have created the following advice to refer to, which includes keeping your Data Security and Protection Toolkit (DSPT) up to date, updating your cyber security continuity plan and following good back up procedures.

Separately, the Information Commissioners Office has published guidance on the use of video surveillance technology such as CCTV, smart doorbells, and facial recognition technology. Care services who use this type of technology, or who are considering using it, should make sure they are aware of this guidance and the guidance from CQC. Digital Social Care and developing a template DPIA that providers will be able to use. To be involved in this work please contact katie@digitalsocialcare.co.uk

28 February 2022- Trusted Transfer Document/Equivalent Reminder for Attendance at Hospital

 Please can homes ensure when a resident attends hospital, their trusted transfer form (or your organisations equivalent document eg "This is Me") accompanies them.  Please find link to the document held on the CCG website.

28 February 2022- Pulse Oximeters

At the start of the pandemic the CCG allocated pulse oximeter devices to care homes and some supported living providers, to help take observations of a resident who you may have concerns about and in support of virtual consultations (or Telemedicine calls for those who now have the service). The CCG do have a stock of devices remaining, so if you need any additional devices please contact sam.varo@nhs.net.

21 February 2022- New Toolkit to Help Providers Prepare for CQC Inspections

Developed by Skills for Care in partnership with NICE and the Social Care Institute for Excellence, the Go Online inspection toolkit is designed to support providers in meeting the Care Quality Commission’s (CQC) quality standards. The toolkit provides tailored content to help identify areas for improvement and will be regularly updated in-line with the CQC’s assessment framework.

21 February 2022- Notification for CHC Funded Individuals-Admission to Hospital/Respite or Other Break/Change in Care Provision

A reminder that per the terms of the NHS Standard Contract, for any individuals funded by the CCG providers are required to inform the Commissioner within 24 hours or the next working day on weekends, of any admission to hospital/respite care or any other interruption/changes in care provision. This allows for  assessment in relation to retaining the package to be picked up on discharge or if needs have changed and a new package may be required.

During hospital stays or interruption to care the Commissioner will pay a locally agreed reduced payment negotiated on a case-by-case basis. The reduced rate will take into consideration any reduction in overhead costs to the provider whilst the Service User is not under their care.  Where the commissioner is not informed within 24 hours or the next working day on weekends, payment for the period where care has not been delivered will not be made.

22 February 2022- Paying for Social Care- Social Care Talk

If you work in adult social care or health, or if you, a friend or family member pay for their care themselves, this website a really useful source of information- You've got a friend in Social Care Talk - Social care (blog.gov.uk). This short video showcases a new evidence-based resource to help older people become better informed about self-funded social care. It shows a section on Socialcaretalk, which offers information summaries with video and audio clips of people talking about their experiences of self-funding. It’s based on research by Kate Baxter and colleagues in the Department of Social Policy and Social Work at the University of York, and funded by the National Institute for Health Research, Research for Patient Benefit scheme (NIHR RfPB). It aims to help people understand and navigate the social care system.  The CCG Nursing Team contributed towards the development of this module and site. This may be something you wish to share with your staff teams to inform their practice and conversations with those in your care and their families  

14 February 2022-Chief Nurse Awards for Adult Social Care

Deborah Sturdy (Chief Nurse for Adult Social Care, Department for Health and Social Care) launched these awards last year which are an opportunity to recognise the outstanding contribution made by social care staff. The awards are designed to celebrate those who go above and beyond in their work, provide outstanding care, commitment and inspiration to colleagues. We would encourage providers to have a think about staff meet these criteria and deserve recognition. We're happy to support with any nominations, and would love to hear from any providers where staff have already receive the award (or other similar awards) so we can share and celebrate their achievements. Slides from an update at last week's Partners in Care Virtual Forum can be found through this link, and further information and the nomination process through this link.

14 February 2022-T34 Syringe Driver Training Sessions

York and Scarborough Teaching Hospitals NHS Foundation Trust in partnership with St Leonards Hospice have arranged an additional set of T34 syringe driver sessions, which are designed for Vale of York care homes and free to access. These will covering a range of subjects including, when it is appropriate to use a syringe driver, the advantages of using a syringe driver, commonly used medicines and diluents and gaining practical experience of setting up a syringe driver. For further information please view this poster or contact yhs-tr.spocyorkcoordinationservice@nhs.net

 

14 February 2022-Long COVID Peer Support Group

If you’re experiencing symptoms of long-COVID the HCV Resilience Hub health, care and emergency service staff peer support group could help The informal support group is held every Wednesday and offers you the opportunity to meet with peers who are undergoing similar symptoms and share your experiences in a safe environment. You will also have opportunities to seek further support and ask questions to dedicated professionals. Register your interest by emailing tewv.hcv-resiliencehub@nhs.net.

07 February 2022-Improving Hydration in Care Home Residents- Programme Launch

As part of the CCG commitment to supporting independent care providers the nursing team are leading on a quality improvement programme aimed at reducing the incidence of E.Coli bacteraemia across NHS Vale of York CCG and North Yorkshire CCG care homes. Literature acknowledges poor hydration as a major contributory factor to a higher rate of E.coli bacteraemia across the locality, and with this in mind, the team will be embarking on a programme of working with care staff to focus on supporting optimum hydration in residents of care homes. The team recognise many homes have innovative ways of working to help support residents with their drinking, homes will be approached by the nursing team with the offer to participate should they wish. 

The programme will involve face to face training and the use of workbooks to explore ways of improving service user hydration.  As part of the project care homes will be supported to evaluate their current hydration assessment and monitoring tools and progress improvements where appropriate.  The training includes good continence care, catheter hygiene and includes advice around the 'No Dip' principles for testing urine in suspected UTI. Through improving recognition and response to hydration needs of residents in care homes, it is anticipated that the following outcomes might be achieved:

  • Reduce avoidable harm caused through poor hydration
  • Enhance clinical outcomes (reduce need for antimicrobial treatment, hospital conveyance/ admissions)
  • Improve experience for residents in care homes
  • Improve staff experience/ safety culture
  • Improve antimicrobial stewardship

For further information and to see the workbook and resources developed to support this programme, please follow this link. To express an interest please contact h.degnan1@nhs.net or sarah.fiori@nhs.net

07 February 2022- Reminder: LAMP Testing for Entry to Care Homes

We've had feedback from clinical services that some homes haven't been aware of LAMP testing process, and staff have been asked to do an LFD instead. If homes would be able to reiterate the below to staff that would be much appreciated to ensure these staff are able to be admitted to homes. A letter was circulated in November on behalf of the CCG and York and Scarborough Teaching Hospitals NHS Foundation Trust. This details revised guidance for NHS professionals working for the Trust in visiting care homes, which was strengthened following Department of Health and Social Care guidance in order to reduce risks from visits by NHS professionals. Entry should be granted providing one of the below is satisfied:

  • Care homes should see evidence from the professional of a negative rapid lateral flow test within the last 72hrs, which shows they are following the NHS staff testing regime

or

  • NHS professionals visiting care homes should be granted entry if they have a negative test result as part of regular weekly staff testing using LAMP technology.

07 February 2022-Data Security Protection Toolkit- New Animation

Digital Social Care have released a pared down animation on what care providers really need to know about the Data Security and Protection Toolkit and produced a short, snappy animated film. In less than four minutes, the film looks at how the Data Security and Protection Toolkit helps you to check your data and cyber security policies, procedures and practices – and demonstrate that you have good systems in place. helps you to check your data and cyber security policies, procedures and practices – and demonstrate that you have good systems in place. The DSPT is mandatory for providers who hold a CCG contract, as well as requirement for initiatives such as proxy ordering of medication and NHS Mail which are designed to help health services and social care work more closely together. Regional support and training is available through a designated NHS England and Improvement Regional Team. For more information please email: england.dsptney@nhs.net

07 February 2022-York MIND Free Wellbeing Activities

The York Mental Health and Wellbeing Programme is delivered by York MIND in partnership with charity organisations from across the City. The activities programme is open access for people resident in the City of York, aged 18 and over, who have a mental health and wellbeing need, or are an unpaid carer where the activities attended support their wellbeing. Activities include Nordic walking, aquatic activity for health creative journaling, woodland crafts or hatha yoga.  See the brochure for more information

31 January 2022-Student Nurse Placements with York St John University

Dr Ros Bronlow from York St John University attended last weeks Partners in Care Virtual Forum to share details of their student nurse programme. Their aim is to enable students to become compassionate, competent, and confident nurses capable of leading safe, evidence-informed person-centred care. This includes making a positive contribution towards the health and wellbeing of people from diverse communities across their lifespan. As part of this the university are looking to partner with care providers (both homes and domiciliary based providers) who would be interested in offering, placements that can offer whole person care experiences for the students and allow them to contribute to the health and wellbeing of people in a home setting. The full slides can be found through this link. For further information or a discussion please contact: r.brownlow@yorksj.ac.uk.

31 January 2022-Home First, Act Now e-learning Programme 

Health Education England’s e-learning for healthcare (HEE elfh) has worked with NHS England and NHS Improvement, The Queen’s Nursing Institute, Allied Health Professionals and the Department of Health and Social Care, to develop the new Home First, Act Now e=learning programme. The programme supports health and care professionals involved in the discharge process, to act in a way that values patient time and helps facilitate safe and timely discharge from hospital. The e-learning programme also aims to increase awareness around Home First Principles in the Discharge Policy.

By completing the sessions, learners will understand the principles of Home First, benefit from first hand case study examples and be able to share best practice. Home First, Act Now is suitable for a range of health and care professionals including nurses, AHPs, care staff and students across NHS providers, commissioners and social care. Sessions available as part of the programme include:

  • Section 1: The principles of Home First
  • Section 2: Working together
  • Section 3: Valuing people’s time
  • Self assessment questionnaire.

For more information about the e-learning, including how to access it, please visit the HEE elfh Home First, Act Now programme page.

24 January 2022- ClaroCom App- Now Available on CCG Tablets

Following a request by a provider, the ClaroCom app has now been added to all CCG care provider tablet devices. The app helps to replace speech for those with impairments in the production of spoken language. It is suitable for adults with some or full literacy, and can assist users who have limited or no speech and language difficulties. To download the app you will need to press the "F4IT" button and look under the app catalogue. For any other apps you would like to add to the tablets please don't hesitate to get in touch.

17 January 2022- Reminder: LAMP Testing for Entry to Care Homes

Following feedback that some care homes haven't been aware of this, please find a letter circulated in November on behalf of the CCG and York and Scarborough Teaching Hospitals NHS Foundation Trust. This details revised guidance for NHS professionals working for the Trust in visiting care homes, which was strengthened following Department of Health and Social Care guidance in order to reduce risks from visits by NHS professionals. Entry should be granted providing one of the below is satisfied:

  • Care homes should see evidence from the professional of a negative rapid lateral flow test within the last 72hrs, which shows they are following the NHS staff testing regime

or

  • NHS professionals visiting care homes should be granted entry if they have a negative test result as part of regular weekly staff testing using LAMP technology.

17 January 2022- Bronze Award in Quality Improvement E-learning

The Improvement Academy are offering this course free to all health and care staff, which provides and introduction to quality improvement including an introduction to a model of improvement and how to use in practice. The course would be beneficial to those interested in supporting or delivery quality improvement projects. Further information can be found through this flyer.

21 December 2021- Walk in COVID Booster Vaccination Clinics for Social Care Staff

You will be aware of the national push to encourage as many people as possible to receive their COVID Booster Vaccination, to help combat the increase in prevalence of the new Omicron variant. We're aware that there have been difficulties for your staff in accessing appointments flexible to their working hours, so it has been agreed that designated walk in clinics will be set up to allow social care staff to access their booster vaccines (as well as for any yet to receive first and second doses).

To access this staff must bring a proof of employment (such as work photo ID badge). Where possible we would advise staff still to book appointments as there is potential for longer queues depending on demand for walk in's, but the service is designed to provide a more flexible option for access.

Details of all the walk in clinics available including dates and opening times can be found through this link, which will be regularly updated as clinics are added. All the clinics in York are able to take walk in's, and the Askham Bar Vaccination Site and York Sports Centre at the University of York are both open daily.

https://www.valeofyorkccg.nhs.uk/campaigns/book-your-covid-19-vaccine-and-booster-appointment/

20 December 2021-Merry Christmas to all our Care Providers and Partner Organisations

As this is the last bulletin of the year, we would like to take this opportunity to wish a very Merry Christmas to all you and your teams, as well as all your families and those in your care. Thank you for continuing to work tirelessly and going the extra mile in the continued unprecedented times to keep the must vulnerable in our communities safe and well.  We hope you all get a chance to have some well deserved rest at some point over the Christmas period, and wish you all the best for a happy and safe new year heading into 2022.

Sarah, Helen, Maureen, Kate and Sam on behalf of the Quality and Nursing Team and the NHS Vale of York CCG

20 December 2021-Awards to Recognise Exceptional Practice in Adult Social Care Workforce

Earlier in the year Deborah Sturdy (Chief Nurse for Adult Social Care in England) launched an awards scheme to celebrate and recognise all those in adult social care who go above and beyond their everyday roles to provide excellent care, leadership and inspiration. To find out more about the awards and to nominate a member of your team please follow this link.

Senior support worker Paul Evans from The Lodge Care Home in Hemingbrough (run by Action for Care) was one of the first people in the country to receive this award earlier in the year, and was nominated by his manager for going above and beyond in support of those in his care. During the early stage of the pandemic Paul stayed away from home to minimise the risk to his residents, and supported a gentleman at end of life in a bedside vigil as well as being asked to be a pallbearer at the funeral by his family. As well as his work within the home supporting those with learning disabilities, he also acts as a communication champion within the community which has included setting up a deaf hub and supporting homelessness services. A big congratulations to Paul on receiving his silver award on behalf of the CCG, and for all his work to support and keep safe those in his care. If any other providers have staff members who have recently received an award we would love to hear about them and share their achievements with others.

20 December 2021-Get Yourself Active: New Practical Resource for Social Care Staff

Disability Rights UK in partnership with social care and physical activity experts have developed an online resource to support people take up physical activity are it’s hugely important to people’s health and mental wellbeing. It covers practical solutions on getting more active, tackles barriers head-on and provides social workers, care staff/family members with the knowledge and tools to support people to realise their physical activity aspirations. There’s a section about communicating with people with complex disabilities to find out someone’s interests and goals and what may work best for the individual when it comes to getting physically active. Follow this link to access the Get Yourself Active Social Care Activity Pack.

13 December 2021-Queen's Nursing Institute IPC Champions Network

The Queen’s Nursing Institute has launched a new infection prevention and control (IPC) scheme for nurses and their colleagues working in adult social care settings. The new IPC Champions Network builds on measures already in place to maintain and continuously improve standards across the care sector. Lessons learned from the pandemic will be rolled out through the network to help minimise the future spread of infections, including COVID-19 and flu, to protect people living in care homes and receiving home care. The champions will share best practice through a series of virtual meetings, a newsletter and discussion forum.

The Network will is open to frontline social care staff responsible for infection prevention and control in their specific areas or homes. To join the Network, please follow this link.  Information from the network launch which took place on 30 November can be found through this link.

13 December 2021- Good News from Vale of York Providers

At last weeks Partners in Care Virtual Forum the group heard about of some of great work providers in our area have been doing to support those in their care. The full slides from the update can be found through this link, and include:

  • Julie Norman from Heritage Healthcare being recognised as Carer of the Year at the York Community Pride Awards
  • Wilf Ward Family Trust supporting one of their clients to take part in a dragon boat race
  • Staff from Ouse View raising over £1000 through a memory walk in aid of Alzheimer's UK
  • Fulford Nursing Home being nominated Management Team of the Year at the Caring UK Awards
  • Providers across the area supporting those in their care to enjoy Halloween and bonfire night.

06 December 2021-Guidance for Seasonal Decorations

Please find through this link a bulletin from the Community IPC Team with some practical suggestions which will allow residents and staff to enjoy a festive atmosphere over the with decorations over the festive season without having an adverse impact on infection prevention and control. The key points for providers to note are:

  • Place Christmas trees in an area where contact or touching is minimal. If appropriate, arrange a discrete boundary
  • around the tree.
  • Decorations should be single season use and disposed of when taken down unless they are washable or wipeable with
  • a disinfectant.
  • To facilitate frequent cleaning and disinfection of surfaces, try to avoid putting decorations on horizontal surfaces
  • keeping them free from clutter.
  • Decorations that are hung or displayed on walls should be at a height they can’t be touched.
  • Display cloth and knitted toys where they can’t be touched.
  • Residents can display their own Christmas tree and decorations in their room.
  • Remember, if there is an outbreak of infection in the home, after the outbreak is over the decorations must be appropriately cleaned and disinfected or disposed of.

06 December 2021-Research Opportunities for Care Providers

Survey of Care Workers Experiences of COVID-19: The Personal Social Services Research Unit (PSSRU) are seeking views in a national survey of care workers’ experiences during COVID19. This is the second wave of the survey (the first was April-June 2021) but everyone delivering frontline care in the social care sector is eligible to take part, even if you did not take part before. A presentation of the wave one findings is available and highlights the significant impact of COVID-19 on the health and wellbeing of the social care workforce, including raising issues of abuse and working conditions. Those who complete the survey will be given the opportunity to enter a prize draw to win a £50 Amazon voucher.

Care Home Staff Survey on Acute Deterioration Practices: The study is investigating how care home staff recognise and respond to acute deterioration in care home residents. We want to hear from older people care homes – both nursing and residential care home staff involved in caring for residents. This includes mangers, clinical leads, registered nurses and assistant care staff. The findings from the survey will be published in healthcare journals. All survey responses will be anonymous. The survey takes less than 10 minutes. For further information please contact the lead researcher: ntxsyh@nottingham.ac.uk

ClimaCare Research Project: This study is looking into the impact of climate change, in particular at how to mitigate the impact of rising temperatures and overheating. The project has almost 40 care homes already participating, and is remotely monitoring the indoor environment and the response of residents and staff.  There are still have vacancies for interested services - any care home in England can participate.  You will receive tailored advice from international experts on how to improve your resilience in hot weather and heat waves. Further information is available here, and if you are interested in taking part please email April Cole at CQC (April.cole@cqc.org.uk) or Professor Rajat Gupta at Oxford Brookes University (rgupta@brookes.ac.uk).

 

06 December 2021-Staff Wellbeing Slides and Resources

Please find through this link, slides that providers may find supportive to promote wellbeing and signpost staff to support services. This includes ideas of how different providers have been managing this in their settings, as well as links for support from the Humber Coast and Vale Resilience Hub, Tees Esk and Wear Valleys NHS Foundation Trust's mindfulness offer and the Mindfulness Institute.

29 November 2021- Flu Vaccination Letter for Care Providers

Please find through this link a letter addressed by NHS England and Improvement and North Yorkshire County Council to all their care providers but also applicable to providers in other local authority areas, which sets out how providers can access vaccines for both those in their care and their staff. The letter also sets out how providers can support the seasonal vaccination campaign, including making sure each member of staff is aware how to access, keeping your vaccination records up to date and to be able to identify symptoms of flu so the possibility of an outbreak is reduced.

Flu and its complications can be serious and sometimes fatal, particularly for older people, and those who have long term health conditions. The virus spreads rapidly, especially in care homes largely due to the age of the clients (many of whom have co-morbidities/long term conditions) and the close contact between residents and staff, with outbreaks often seen in these settings during winter months. Outbreaks of flu-like illness cause severe disruption to health and social care services as a result of, for example, reduced staffing due to sickness, home closures (due to outbreaks) and delayed discharges from hospital. This therefore makes vaccination of staff caring for these people even more important. All frontline health and social care workers should receive a vaccination this season where possible.

29 November 2021-Humber Coast and Vale Resilience Hub- Trauma and Burnout Workshops

The Resilience Hub have arranged some additional trauma recovery workshops, introducing a larger focus on burnout for the period over winter, when they  anticipate pressures to be significant across health and the care sector. There are 18 workshops to choose from including some exciting new themes and topics, offering more resources and tools for self-reflection and self-compassion, hopefully supporting staff on their recovery journeys to wellness. Please find through this link a brochure for sharing across your teams . The brochure also includes a handy synopsis of each workshop. All workshops will take place virtually/remotely via the Zoom videoconferencing platform so an Internet/Wi-Fi connection and a comfortable, quiet place to sit or lie down will be essential. Following booking you will be sent an Outlook Calendar meeting invite with the joining details.

29 November 2021-Use of Abbott's Tests for Facilitating Discharge

Please find through this link, a letter that the public health team at North Yorkshire County Council have produced which contains the advice they have provided to NHS Colleagues on the use of the above tests to facilitate discharge into care settings.

22 November 2021- Stop the Pressure Day- Pressure Ulcers and Moisture Associated Skin Damage: What Am I Looking At?

Please find through this link a set of slides shared by Sam Haigh from the Tissue Viability Team at York Hospital at last weeks Partners in Care Virtual Forum. This is a guide to providers on what pressure damage is (including the different classifications), it's causes and how to prevent it in your setting. Also available through this link are recordings of a series of webinars held last week by the Tissue Viability Society to mark International Stop the Pressure Day.

15 November 2021-Urgent Care Practitioner Service

Please find through this link a poster that care homes are able to print and display detailing the support that is available through the UCP service. The service operates between 7.00 and 23.00 and can visit for a resident with minor injuries or related

concerns.  You might like to consider calling the UCP desk as an alternative to calling 999 in some circumstances where your patient has minor injuries but is not an emergency. Urgent Care Practitioners (UCPs) can assess your patient as below, can provide a range of medication and direct admission to a ward where appropriate.

  • Musculoskeletal assessment of joints
  • Muscular back pain
  • Witnessed and unwitnessed falls without obvious fractures and severe hip pain, where conscious and alert as normal.
  • Treatment of underlying minor illnesses that have caused Injury- Such as a UTI causing a fall
  • Head injuries with or without wounds, where not on anti-coagulants.
  • Glue, steristrips and suturing for skin tears and wounds.

15 November 2021-Yorkshire Ambulance Service Patient Relations Email

If care providers wish to make a complaint or to highlight an issue or concerns to Yorkshire Ambulance Service, please email yas.patientrelations@nhs.net. Please find through this link a template which you are able to complete, which will ensure they have all the information required to investigate.

15 November 2021-Project ECHO Palliative Care Clinics

Please find through this link a list clinics taking place over the coming year delivered by the Project ECHO team run through St Leonards Hospice and St Catherine's Hospice. These are designed and shaped by the community of Nursing staff working across the region in palliative care. On Zoom, these Hospice-led clinics will provide mutual learning, practical guidance, case studies and support. These include:

  • Delirium
  • Nausea and Vomiting
  • Hypercalcemia
  • Bowel Obstruction
  • Superior Vena Cava Obstruction (SVCO)

08 November 2021-Congratulations Julie Norman- Carer of the Year York Community Pride Awards 2021

We would like to congratulate Julie Norman, Senior Care Coordinator at Heritage Healthcare York who scooped the Carer of the Year at the York Community Pride Awards in October. Julie was recognised for her dedication in supporting the vulnerable and elderly in our community to stay safely in their own homes, both through providing hands on care at night and scheduling care plans and providing training to other members of her care team during the day. Julie has worked for the company since September 2012 and has been a lifeline throughout the pandemic by continued to provide essential support, deliver a sense of normality for those who have found it difficult and be a crucial link for loved ones who have not been able to physically be with family during lockdown. More information on the award is available through this link.

08 November 2021-Revised Guidance for NHS Professionals Visiting Care Homes

As detailed in an email on Friday, a letter has been circulated on behalf of York and Scarborough Teaching Hospitals NHS Foundation Trust and the NHS Vale of York CCG, which details revised guidance for NHS professionals working for the Trust in visiting care homes. This follows strengthened guidance published by The Department of Health and Social Care in order to reduce risks from visits by NHS professionals. We would be grateful for you make your staff aware of the changes which will come into place from Monday 08 November from the introduction of LAMP Testing, and for Thursday 11 November for proof of vaccination in line with national policy.

The key changes in relation to visiting NHS professionals are that:

  • Care homes should see evidence from the professional of a negative rapid lateral flow test within the last 72hrs, which shows they are following the NHS staff testing regime
  • NHS professionals visiting care homes should be granted entry if they have a negative test result as part of regular weekly staff testing using LAMP technology.

Care homes must ask the NHS professional when they were last tested and see proof of the result and date of the relevant professional’s test. Further information on types of proof that are acceptable and a link to the full guidance can be found in the letter, and these slides shown at Partners in Care Virtual Forum last week.

Please also find a letter on behalf of the CCG which details the approach our staff will take to be able to demonstrate proof of vaccination when entering a care home.

02 November 2021-Face Masks Reminder and Poster for Care Providers

One of the biggest ways that staff infect themselves with viruses including Covid-19, D&V etc is through contaminating themselves during removal, or through touching contaminated PPE. A common risk factor is touching face masks as we are required to wear them continually at work when in a health or care environment. We wear a face mask to prevent us from breathing in viral particles – Any airborne particles, rather than entering our nose or mouths as we breath are trapped on the outside of the face mask, protecting us but contaminating the outside of the mask. Should we then touch our contaminated face mask, any viral particles present will contaminate our hands which we can spread to other people or objects by touch/hand contact; or we can infect ourselves by touching our eyes, nose, or mouth. It is therefore important that PPE is used correctly- and combined with good hand hygiene to be effective! If you touch your face mask for any reason, i.e eating, drinking, smoking, adjusting, scratching your face etc then you should remove the mask, dispose of it safely and perform hand hygiene before applying a fresh mask.  

Please share this poster with staff to raise awareness and remember.

02 November 2021-Patient Transport Services Update- Care Home Bookings

Please find through this link an update from the Patient Transport Service. To minimise the number of people entering a care home and avoid any unnecessary cancellations, they are asking for crews to met at the door when residents are mobile where possible and for staff to identify when booking if a resident is being taken to/from a care home setting so fully vaccinated crews can be sent.

For any queries around this update please contact YAS.PTSmessages@nhs.net

02 November 2021-British National Formulary App- Now Available on Care Provider Tablets

Providers with CCG Samsung "Tab A" tablets will now be able to access the British National Formulary app, which allows easy access to up to date guidance on prescribing, dispensing and administering medicines. To install this you will just need to click the "F4IT" Icon which shows a list of all apps available to be downloaded. For any other apps providers would like to request for these tablets please contact sam.varo@nhs.net.

25 October 2021-Humber Coast and Vale Resilience Hub- Free and Confidential Wellbeing Support for Care Staff

Jane Richardson from The HCV Resilience Hub gave an update at Partners in Care Virtual last week about the support that staff and their families are available to access through the service. The hub is a free NHS service that supports anyone who is struggling with the impact of COVID-19, and 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. this 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, they can help. Individual 1:1 and group support is available, and the team are able to do outreach work with teams of staff if you feel appropriate for your service. For more information please www.hcvresiliencehub.nhs.uk for more information. The team can be contacted through tewv.hcv-resiliencehub@nhs.net.

Please share this information with your staff, and find posters below which you may which to display.

HCV Resilience Hub A4 Leaflet

HCV Resilience Hub A5 Leaflet

25 October 2021-Void PCR Tests Reminder

We're aware that providers are still having issues with PCR tests being declared void, a reminder than any tests that have passed their expiry date will be automatically declared as void by NHS Track and Trace when received into labs. These expiry dates can be found on the box they are delivered in and sometimes the exterior plastic bag and vial. 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.

 

25 October 2021-Summary of the Adult Social Care Sector and Workforce in York

Skills for Care using the Adult Social Care Workforce Data Set have produced a summary of the social care workforce in the City of York area. This includes data around retention rates, workforce demographics, breakdowns by roles, levels of pay and qualification levels. To access this summary, please follow this link.

25 October 2021-Role of Multidisciplinary Teams in Enhancing the Health of Care Home Residents

A new animation from NHS England and NHS improvement has been launched for all health and social care professionals working in multidisciplinary teams (MDTs) involved in improving patient care in care homes. Shown through resident Magdalena’s eyes, we find out how health and care home professionals can work collaboratively to improve the health of their residents and to plan proactive and personalised care.

25 October 2021-Skills for Care Wellbeing Update

Supporting the health and wellbeing of the social care workforce continues to be a key priority for Skills for Care. Please find through this link their October wellbeing update which includes their offer of support to registered managers (including a Facebook group, advice line and webinars for wellbeing). They also have a wellbeing resource finder which holds a wide range of support and resources all in one single place.

18 October 2021- International Infection Prevention Week

Please find links to the latest bulletins below from Community Infection Prevention and Control Team as part: International Infection Prevention Week. Also below are links to a selection of posters that are available to download free of charge which you can use in your service. 

18 October 2021- Domiciliary Eyecare Guidance

New guidance has been published from the Primary Eyecare Sector’s Domiciliary Eyecare Committee. This guidance covers how they will meet the needs of people who are unable to leave home unaided owing to physical or mental illness or disability are potentially at higher risk of eye disease and vision problems than the general population. You can read the full guidance on how these providers will support the eye health of people you may provide services to here

18 October 2021- Fire Safety in Care Homes

The National Fire Chiefs Council have created guidance for providers on fire safety in care homes and nursing homes to support with current health and safety practices. The guidance emphasises the critical importance of staffing levels, emergency plans, and fire safety management arrangements in Care/Nursing Homes. They recommend providers find their local Fire Risk Assessors or Local Fire and Rescue Service to support with reviewing your fire risk assessments and management arrangements.

18 October 2021-How to Make the Most of Student Nurse Placements

With the help of practitioners from the workforce and input from people who need care and support, Skills for Care have launched a guide which supports the understanding of nursing placements within social care settings. This is the first time such guidance has been produced following funding from Health Education England. It’s a quick and easy way for employers to identify what type of experience your setting can offer to a student nurse and how it maps to the nursing curriculum (future nurse standards of proficiency) by using the 10 descriptions of different social care settings included in the guide. This gives you a fantastic opportunity to not only develop your training offer but also develop your staff by encouraging them to think about how they could support student nurses in the workplace. To find out more and download the guide please follow this link

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

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.

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.  

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-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-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"

 

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-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.

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

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-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-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.

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.

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- 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

   

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-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 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-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.

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- 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- 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-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-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- 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- 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- 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- 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

 

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.

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-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- 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.

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- 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

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 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

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

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

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

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- 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

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- 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

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.

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

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.

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.

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- 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.

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:

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

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

 

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- 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.

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.

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


  

 

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