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 accross our care sector. All providers from accross the area recieve a weekly Partners in Care Bulletin summarising news and developements 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.
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 email@example.com
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- Safeguarding Week: 20-24 June 2022
Safeguarding Week will take place in June across North Yorkshire, City of York and the East Riding. Developed for both professional and public audiences, the online programme of seminars offers a packed schedule of over 50 sessions across the week, which will each be delivered by inspirational and motivational speakers, all of whom are experts in their field. The programme of events will be delivered virtually allowing attendees to fit the sessions into their working day or evening activities..
The sessions designed for the public will raise awareness of key issues and provide insight into how every member of the public can safeguard themselves, their families and support the wider community.
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: firstname.lastname@example.org.
16 May 2022-CPAP Respiratory Equipment Available
The CCG has the following equipment in stock which would be available free to any providers who may have residents/client using this particular model. The stock is manufactured by Intersurgical and consists of the below- which has a shelf life until summer 2024.
- FDC317- Breathing System for Bi Level CPAP 1.6m length adult smoothbore 22m/15f with swivel and proximal monitoring line (Box of 25)
- FDB857- Breathing system 22mm smoothbore breathing system with monitoring line and exhalation valve 1.6m (Box of 20)
For further information please contact email@example.com
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-What Made You and Your Colleagues Chose to Work and Stay in Social Care?
Rakhshan Butt, Health Policy Advisor in the Department of Health and Social Care, is undertaking a Dissertation of Practice focussed on the adult social care workforce as part of her MSc in Health Policy. The research is focusing on what the major motivational factors are that influence the decision of health and care workers to initially embark on a career in adult social care and then to continue working in the field?
To support the research there is a short survey. Rakhshan would be grateful if you and your colleagues could take four minutes to complete. If you're interested in further engagement fill out your contact details at the end of the survey. All answers you provide will be treated confidentially, and be collated and reported on anonymously.
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-York's Dead Good Festival
Running from 3 to 15 May, York’s Dead Good Festival coincides with Dying Matters Awareness Week, with the aim of encouraging people to be more open about dying, death and bereavement. Lots of events throughout York including performances, informative talks, crafts, discussions, and more, many of which are free. This includes a free Playback Theatre evening, where you can come and share your stories of life, death and everything in between and have them transformed into theatre right in front of you. Some of the events taking place over the coming week include:
- Tuesday 10 May- Experiences of Grief During COVID-19
- Wednesday 11 May- A Look Behind the Scenes at York Crematorium
- Thursday 12 May- Mindful Walking at Rossmoor Park
- Friday 13 May- Self Care Following Bereavement
- Saturday 14 May- Nutrition and Bereavement
- Sunday 15 May- Showing of "Dead Good" Documentary at CityScreen
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: firstname.lastname@example.org.
09 May 2022-Mental Capacity Act Code of Practice- Consultation
The government is updating the Mental Capacity Act Code of Practice and considering a new system of safeguards. This new system will replace the Deprivation of Liberty Safeguards. Find the main consultation here. DHSC are holding events for people with lived experience to provide feedback on their new system, to sign-up for the events please fill in and submit this form
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 email@example.com.
- 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 firstname.lastname@example.org
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- Has the National Recruitment Campaign Helped You?
The Department of Health and Social Care’s national recruitment campaign for adult social care, ‘Made with Care’, came to an end on 31 March after six months of advertising. Campaign evaluation is now underway, and they need to know whether it has been effective in supporting the adult social care sector to recruit new staff. Please complete this survey by Friday 13 May to tell them about the impact it’s had on your organisation. Any future phases of the campaign will be developed based on the results of this survey, along with wider sector research and insight.
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.
03 May 2022-Dying to Talk Café- Pickering
When: Friday 6 May 1.30-3.30 at Pickering Methodist Church
St Leonards Hospice are holding a free session this week in Pickering, which you can drop into at any time for tea, cake and conversation around death, dying and bereavement. A poster for the event can be found through 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
25 April 2022-Infection Prevention Society-Care Home Special Interest Group Event
When: Wednesday 8 June 2022 9.30-15.00 at Clay Cross, Derbyshire.
The IPS Care Home Special Interest Group will be holding a full day event in Derbyshire in June. There will be several presentations throughout the day for learning and reflection. Presentations will include "Negating the effects of diarrhoea and vomiting in a care
home environment", "Protection from Infection in the Care Home – Does Behaviour need to change in a Post Pandemic World" and "The Infection of Infection on Frailty". Further information can be found through this link. There is a small attendance cost for non members.
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 email@example.com
19 April 2022- Care Home Digital Survey
Digital Social Care are conducting a survey of care homes, and would really like to hear your thoughts and experience of digital initiatives as well as any needs you have. By completing this short 3-4 minute questionnaire, you are helping to shape the future of your sector. The ICS to select for any providers completing is "Humber Coast and Vale"- and you can complete anonymously should you prefer.
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 firstname.lastname@example.org.
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- Changes to COVID-19 Guidance for Adult Social Care Providers- Summary and Webinars
Please find through this link, a summary published by DHSC on 31 March summarising the changes that have been made to guidance including in relation to testing, PPE, admission/discharge and visiting arrangements. 3 upcoming webinars have been scheduled to summarise the changes and answer any questions providers may have:
- 6 April 2.30-3.15- DHSC webinar on changes to COVID-19 measures in care homes from April
- 7 April 3.00-3.45- DHSC webinar on changes to COVID-19 measures in non-care home services (including homecare) from April
- 29 April 10.15-11.15- DHSC webinar on supporting implementation of the Infection Prevention and Control: Resource for Adult Social Care guidance
We know the situation remains extremely challenging for all those working in social care. If there is anything we can do to assist, then please don't hesitate to contact any member of the Partners in Care team.
04 April 2022- Capacity Tracker Update
Please note that from this evening, the following amendments will be made to questions care homes are asked through the Capacity Tracker. These have been made following feedback to ensure only information is still required is collected, and to reduce time taken to complete. The domiciliary care/supported living questions are remaining under review, and the only change at this stage will be removal of flu vaccination questions.
- Care homes are asked to continue updating bed vacancy information daily, as this makes a big difference in supporting rapid discharges from hospital into the community.
- The following fields will be removed altogether- Flu vaccination, IPC questions, operating status, testing, training requirements and clinical support questions.
- The remaining questions are now required to be updated weekly, which includes a new field added to reflect residents who have received their spring booster dose. They are used by ourselves and your local authorities to target support to those requiring it, and used nationally to understand challenges faced by the sector.
04 April 2022- #Celebrating Social Care
During April, Skills for Care are celebrating the importance of social care. It’s been two years since COVID-19 first spread in the UK and the country went into lockdown. Throughout these two years our social care sector has faced challenges never seen before, and the people working in social care have continued to adapt and show up to keep our communities safe and supported.
While they work hard to recognise and support the achievements of the social care sector year-round, this dedicated month is a time to encourage everyone to really take time to shout out the importance of social care and the dedication and skills of the people who work within it. They would love you to join in and ‘shout out’ your colleagues and partners or share something you’re particularly proud of that you did during the pandemic via social media. So, during April, please share your own message or short video using #CelebratingSocialCare. You can follow this link for more ideas about how to take part.
04 April 2022- Introducing our new Become a Care Home Friend Challenge!
My Home Life England have created an exciting 10 week challenge for young people aged 5-14. Through completing fun activities each week, they will
- Learn about care homes and the people that live and work in them
- Make/write something to share with a nearby care home
- Think more about different ages and different generations
At the end they will earn their very own Care Home Friend certificate. The Challenge starts on 25 April in Global Intergenerational Week and ends in Care Home Open Week. Activities have been written by teachers and are tailored to Key Stages 1, 2 and 3. Please share with anyone who might be interested. They would particularly encourage schools to take part. Further information on the challenge can be found through this link.
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-Outbreak Period for Care Homes
Please note that the outbreak period for care homes has been reduced down from 14 days to 10 days. The guidance on admissions to care homes and visiting care homes has been updated to reflect this. The updated admissions guidance goes on to say that in some cases, an outbreak may be considered over at day 7, subject to local advice on a case by case basis. Your local authorities are looking at what this may look like in terms of decision making and will provide an update in due course.
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 email@example.com
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 firstname.lastname@example.org 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- Nursing Time Awards- Nominations Now Open
Nominations are now open for the Nursing Times Awards 2022 which close on Friday 13 May, and are open to the independent sector as well as the NHS. Categories this year include Nursing in Social Care, Care of Older People, Learning Disability Nursing, and Nurse Leader of the Year. Further information can be found through this link.
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.
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 email@example.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 firstname.lastname@example.org 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 email@example.com
28 February 2022- Healthwatch North Yorkshire- Registered Manager Surveys and Focus Group
Healthwatch North Yorkshire are conducting research to better understand the support and development requirements of Registered Managers working in adult social care settings across the North Yorkshire local authority footprint (including domiciliary care, residential care, nursing and supported living).
They understand that due to staff shortages and ongoing service pressures on the health and social care sector that managing your service and looking after your own well-being is getting more difficult. Therefore, they are running both a survey and online focus groups to find out what is working well, what challenges you are facing and where you feel further support or training is needed. This research will help inform North Yorkshire County Council on how best to support you now and in the future.
Help us, help you by having your say!
- If you are a Registered Manager and would like to share your feedback and drive change, please complete this short survey which should take no longer than 10 minutes to complete:
- If you would like to speak in more depth about this topic then please sign up to one of the online focus groups which are running at the start of April by following this link:
If you would like more information on this project please get in touch with Alicia Rose, from Healthwatch North Yorkshire, by emailing firstname.lastname@example.org or by calling 07305 078136. Alicia will be joining us at a future Partners in Care Virtual Forum to give an update on this piece of work.
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 email@example.com.
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.
- Please inform CHC at the earliest convenience via email: firstname.lastname@example.org
- Should you have any questions please email: email@example.com
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 firstname.lastname@example.org
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 email@example.com.
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 firstname.lastname@example.org or email@example.com
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
- 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: firstname.lastname@example.org
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: email@example.com.
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
- 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.
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: firstname.lastname@example.org
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.email@example.com) or Professor Rajat Gupta at Oxford Brookes University (firstname.lastname@example.org).
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 email@example.com. 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:
- Nausea and Vomiting
- Bowel Obstruction
- Superior Vena Cava Obstruction (SVCO)
15 November 2021-North Yorkshire Social Care Staff Support Network
As previously shared, the Project ECHO Team from St Leonard's and St Catherine's Hospices have committed to establish a network following feedback, to support the needs from social care staff from both care homes and domiciliary/supported living. This is designed to be an online peer support and learning network to help as we move out of Covid. Please find a flyer through this link. Consultation with care providers has begun, aiming for launch in the New Year, and the feedback is positive so far. Please do let your care staff know.
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 firstname.lastname@example.org.
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 email@example.com.
Please share this information with your staff, and find posters below which you may which to display.
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 firstname.lastname@example.org.
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.
- Care Home Bulletin
- Domiciliary Care Bulletin
- 5 Moments for Hand Hygiene in Care Homes
- 5 Moments for Hand Hygiene in Domiciliary Care
- Respiratory and Cough Poster
- Wearing a Mask- Do's and Don'ts
18 October 2021- Capacity Tracker- Beds Available versus Vacant Beds
To improve accuracy of reporting, The Capacity Tracker have changes planned so that care homes can report on both available and vacant beds. Until this has been implemented, they are asking that providers enter the number of available beds in the vacancies box. For example If a provider has five empty beds but for whatever reason can only fill three of them then the number of 'vacancies' will be three. If the providers has 60 beds, and there are 3 vacancies then that shows 2 beds are unable to be admitted to at present.
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 email@example.com. 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 firstname.lastname@example.org
11 October 2021-Funding Now Available for Essential Training
Skills for Care have recently confirmed that fully funded Essential training is now available. This training is available as three individual packages of learning:
- Rapid induction (aimed at new staff)
- Refresher training (aimed at existing staff)
- A volunteer programme.
Their aim is to help employers quickly train new recruits to ensure that all workers can complete their duties safely. Employers can select from 12 endorsed training providers, some of which are new additions this year. These providers have been awarded grants to deliver the rapid induction programme. Please note, all training will be delivered virtually. For more information please follow this link
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- Capacity Tracker Changes- COVID and Flu Vaccine Recording
As part of the upcoming booster COVID-19 programme and flu season, the respective fields will be changing on the evening of Tuesday 31 August to allow providers to record this data.
Care homes will no longer be required to split out workforce vaccination levels by job role type (nurses, care-giving staff, non-care giving staff). Instead they will only record the total number of residents, directly employed staff and agency staff vaccinated will need to be recorded against each of the following vaccination questions.
- Number known to have had the first dose of the Covid vaccination
- Number known to have had the second dose of the Covid vaccination
- Number known to have had the Covid vaccination booster*
- Number known to have had this season's flu vaccination
Home Care providers will be required to record information on the COVID-19 Update relating to the total numbers of staff who have face-to-face contact with people your Organisation supports. against each of the following vaccination questions:
- Number known to have had the first dose of the Covid vaccination
- Number known to have had the second dose of the Covid vaccination
- Number known to have had the Covid vaccination booster*
- Number known to have had this season's flu vaccination
31 August 2021-Free Government Funded Care Home Website and Energy Efficiency Tool
The Building Research Establishment (BRE) have created a free energy efficiency assessment tool that will help small and medium sized care home providers improve the energy efficiency of their care homes and save money. They were commissioned by the Department for Business Environment and Industrial Strategy (BEIS) to create the tool and website.
The tool lets you input simple information about your building and creates a bespoke list of potential improvements with the associated costs and savings of each measure. You can then use the website information pages to find:
- Ways to fund and procure these improvements
- Trusted suppliers and contractors
- Current energy efficiency standards and regulations
To access the tool, please follow this link.
24 August 2021-COVID in Pregnancy- Posters
All pregnant women are being recommended to access the COVID-19 vaccination to protect themselves and their baby. The Royal College of GP's have produced a series of posters which may be helpful to display or share with staff, which summarises the data behind this guidance as well as how to avoid catching COVID-19. To access these, please follow this link.
16 August 2021-Track and Trace Data on Capacity Tracker
From the evening of Monday 16 August 2021, Care Homes and Home Care providers will be able to view their own testing data within the Capacity Tracker. A DHSC pilot provided Adult Social Care managers with visibility of their testing. This resulted in 92% of managers taking meaningful action to encourage staff testing, leading to an increase in the number of registrations for both PCR and LFTs across the pilot settings. It is hoped that sharing this information wider with all Care Home and Home Care providers will help build on this success.
The Test and Trace data imported into Capacity Tracker is based on the number of registrations that have been recorded within the NHS Test and Trace system that have also included a Unique Organisation Number (UON). To ensure all information is accurately captured and aligned to a provider, Care Home and Home Care staff are asked to continue supplying their UON details when registering test kits for their organisations via Register test kits for your organisation - GOV.UK (test-for-coronavirus.service.gov.uk) (PCR tests) or https://www.gov.uk/report-covid19-result (lateral flow tests)
In addition, ALL Capacity Tracker registered users will now be able to view aggregate Test and Trace statistics on either a National, Regional, or more localised level via the Capacity Tracker reports function. This will enable all providers and health and social care professionals to review their own setting/area and make comparisons with other areas etc. Further guidance on how to use the Capacity Tracker Test and Trace Statistics report will be posted on the Resource Centre on the evening of Monday 16 August 2021
16 August 2021-Guidance on Internet Connectivity for Care Providers
As organisations use more technology, Digital Social Care are often asked for advice on how social care organisations can improve their access to the internet. They have therefore worked with NHSX and care providers to produce 3 quick guides on internet connectivity.
- A quick guide to care home broadband
- A quick guide to Wi-Fi for care providers
- A quick guide to mobile and satellite internet for care providers
09 August 2021-COVID Vaccination in Pregnancy
Since the 16 April the Joint Committee on Immunisations and Vaccinations has recommended that pregnant women should be offered either the Pfizer or Moderna vaccine. Any pregnant staff should already be supported in conversations relating to encouragement of the vaccine as part of their antenatal care, but there are also a series of posters in the style opposite and guidance available through Public Health England which may be useful to support you in any discussions you are having with any pregnant staff who remain vaccine hesitant.
This PHE guidance which is written for women to read prior to vaccination can be found through this link, which states:
"The Joint Committee on Vaccination and Immunisation (JCVI) has advised that pregnant women should be offered COVID-19 vaccines at the same time as people of the same age or risk group. In the USA, around 90,000 pregnant women have been vaccinated mainly with Pfizer and Moderna vaccines and no safety concerns have been identified.
Evidence on COVID-19 vaccines is being continuously reviewed by the World Health Organization and the regulatory bodies in the UK, USA, Canada and Europe.
Pfizer and Moderna vaccines are the preferred vaccines for pregnant women of any age who are coming for their first dose.
Anyone who has already started vaccination and is offered a second dose whilst pregnant, should have a second dose with the same vaccine unless they had a serious side effect after the first dose"
09 August 2021-Skills for Care "Moving Up" Programme
This programme is aimed at black, Asian and minority ethnic leaders who are wanting to take the next step in their learning and development. The programme itself supports managers who have the desire and drive to progress in their career but are facing blockages and resistance preventing them from doing so. Previous participants have come from local government, social care, commissioning organisations, charities, third sector, nurses and occupational health. Please note, the Moving Up programme will be delivered through blended learning – a combination of self-learning modules and live online sessions. To find out more please follow this link.
02 August 2021- Management of Staff and Exposed Patients and Residents in Health and Social Care Settings
As detailed in correspondence providers will have received last week, colleagues at City of York Council and North Yorkshire County Council have agreed a joint process for decision making on isolating staff coming into work for care providers in both areas. This is underpinned by a flowchart detailing the process providers will need to follow if they wish to establish why this staffing resource is so critical.
Returning staff into work when they have been ‘pinged’ comes with significant risks and it should only be considered as an absolute last resort when all other avenues have been exhausted and customer safety is at risk.
Attached is an email NYCC will their providers will have received detailing their approach and support available. Contact details for both local authorities should you have any queries are:
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 email@example.com
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: firstname.lastname@example.org
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.
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:
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 email@example.com for more information. IPC information and advice is also available at any time here, with CQC registered providers receiving hard copies of the policies earlier this year though CCG or NYCC. We still have a small number of domiciliary policy folders and domiciliary IPC workbooks for those needing them.
Vaccination – If staff and residents have not received their 1st or 2nd vaccine continue to encourage them to do so, as this helps to protect them and others. Starting Friday 25 June, drop-in clinics will be popping up across the city allowing people aged 18 and over to easily access the vaccine without needing to book an appointment in advance, but appointments can be booked through GPs if needed. Please can providers promote the clinics with new starters /any remaining staff yet to receive the 1st vaccine and look to support attendance though rotating /shift patterns etc.
- The clinics are being held at selected venues across the city over the weekend and throughout next week as shown below, with the full list of times and locations available at NHS Vale of York Clinical Commissioning Group - #GrabAJab from this weekend (valeofyorkccg.nhs.uk) or Nimbuscare Ltd - More pop-up vaccination clinics planned
- Clinics outside York are in this link here https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/find-a-walk-in-coronavirus-covid-19-vaccination-site
- After a patient gets their first vaccine dose at a drop-in clinic, they can book their second dose through the national booking service, online or by phoning 119, from 24 hours afterwards. If you have any questions, you’ll be able to chat on-site before you have your jab.
- We are mostly seeing case rises among those yet to get the vaccine so please encourage your staff to book an appointment /attend one of the walk in clinics if they haven’t already. The vaccine works to protect people from serious effects of Covid infection and helps to break the chain of onward transmission so there are reasons to be optimistic. We just need to be careful as we vaccinate more of the population in the coming days and weeks.
- The latest official “validated” rate of new Covid cases per 100,000 of population for the period 13.6.21 to 19.6.21 in York was 127.7 (269 cases).
- The national and regional averages at this date were 101.5 and 112.7 respectively (using data published on Gov.uk on 24.6.21).
- As at 23.6.21 a total of 133,510 CYC residents have had the first dose of the vaccine. This represents 76.7% of the estimated adult (18+) population of York.
- As at 22.6.21 a total of 92,574 CYC residents have had both doses of the vaccine. This represents 53.2% of the estimated adult (18+) population of York.
Testing – The testing requirements in place for staff, residents, visitors and visiting professionals must still be followed.
Visiting (in and out) – Ensure awareness and compliance with current visiting guidance
Also, a reminder please to be mindful of the government guidelines around a "contact" relating to staff travelling to work or taking breaks:
A contact is a person who has been close to someone who has tested positive for COVID-19. You can be a contact any time from 2 days before the person who tested positive developed their symptoms (or, if they did not have any symptoms, from 2 days before the date their positive test was taken), and up to 10 days after, as this is when they can pass the infection on to others. A risk assessment may be undertaken to determine this, but a contact can be:
- Anyone who lives in the same household as another person who has COVID-19 symptoms or has tested positive for COVID-19
- Anyone who has had any of the following types of contact with someone who has tested positive for COVID-19:
- Face-to-face contact including being coughed on or having a face-to-face conversation within one metre
- Been within one metre for one minute or longer without face-to-face contact
- Been within 2 metres of someone for more than 15 minutes (either as a one-off contact, or added up together over one day)
- A person may also be a close contact if they have travelled in the same vehicle or plane as a case
28 June 2021-New Forum Launch: Partners in Care Forum- LD and Autism Focused
The CCG are launching a quarterly forum designed specifically around the needs and challenges of our care providers who support those with learning disabilities and autism. We have directly invited providers who fit into that cohort, but are aware that many of you in predominantly older adults focused care will also help support individuals in these groups. Therefore if you have any staff from your service who would find it valuable to join this network please let us know.
The first meeting will take place on Wednesday 21 July from 2.00-3.00 through Zoom. There will be an update around the annual health checks that GP practices now provide for those with LD, including what is a good health check, what to expect and how to prepare and support your service users when having one. We will also be getting feedback from providers on how you are finding these so far and the role of action plans that come out of them. The forum is open to all, and if anybody would like to suggest any topics to cover or ask any questions then either let us know or raise at the forum itself.
21 June 2021-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 firstname.lastname@example.org
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- Warmer Weather – Aged Care Sector
With the arrival of warmer weather and the enjoyment that this can bring, it is important to remember that an increase in temperature can also result in increased risk for particular groups in the community.
People in residential and care settings can be at particularly high risk of illness and death especially when temperatures reach 26 degrees or above. It is important to be aware of the increased risk to residents and to know what actions can be taken to address this to keep residents safe during any periods of increased heat. Further information and a handy checklist which may help in preparing for warmer weather and heatwaves can be found by following this link
The Heatwave Plan for England remains unchanged for Summer 2021, however additional actions may be needed due to COVID-19. There are a number of useful resources, including advice for care home managers and staff which you may find helpful. These can be found here
04 June 2021-Nurse LifeLine
The new Nurse Lifeline Charity is the first national, free, confidential, peer-led listening service in the UK run by nurses and midwives, for nurses and midwives. This initiative was developed by nurses and midwives, for nurses and midwives and as a peer-led listening service, provided space for those in need to offload and chat with someone who gets it.
The Nurse Lifeline volunteers are there to reduce isolation within our professional community, together. To find out more about this service please visit their website or follow on twitter at @nurse_lifeline. A poster is available through this link which you can display. To access the service please call: 0808 801 0455.
04 June 2021-Lifetime Skills Guarantee
Angela Thompson from Skills for Care updated at last weeks Partners in Care Virtual Forum around the Lifetime Skills Guarantee.
This is a Government initiative designed to support the economy and help adults develop their job prospects by gaining in-demand skills. The initiative includes full funding for almost 400 level 3 qualifications. Any adult aged 24 or over, who doesn’t already hold a full level 3 qualification (A-Level or equivalent), can access the funding. There’s a wide range of certificates and diploma qualifications which can support the adult social care workforce, including the Level 3 Diploma in Adult Care. For more information please follow this link
01 June 2021-NHS Mail Help Video for Care Providers and Update
To help you and your staff in using these accounts, we have created a brand new video guide which you can refer to as needed. This is broken into easy to find sections, covering why NHS Mail is needed, what is should be used for, how to access your homes shared mailbox and much more.
Health services are now in the process of making the transition to using NHS Mail exclusively where possible to communicate securely with care providers, beginning with GP practices, mental health services and continuing healthcare with further services to follow. This is because regular care provider email systems do not meet the security level required to send and receive information of this nature. They will be primarily using the "shared mailboxes" which are usually in the format care.VABCD@nhs.net and all NHS mail users from each home will be able to access from their individual NHS Mail account.
It's important that all homes have sufficient staff set up with access to communicate with the health services, and most homes have now been contacted about this. If you need any further help and guidance then please contact email@example.com, 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.
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 firstname.lastname@example.org
18 May 2021-Vitamin D Food Supplement Update
Please find through this link, information for care homes about the ongoing use of vitamin D 10 micrograms food supplements once the free supply from DHSC comes to an end.
18 May 2021-Shortages in Community Equipment in York and North Yorkshire
Due to factors beyond Medequip's control there are shortages in some community equipment products, to ensure patients have ongoing access to equipment we need to request equipment not being used be returned to Medequip so it can be recycled for someone else to gain use of.
Any Community Equipment (issued from Medequip Assistive Technology) not being used at patients homes or at Care/Nursing/Residential Homes by the prescribed patient please return these to Medequip.
There are a number of ways in which you can support by:
- The patient/carer/family member to call Medequip direct to ask for the item(s) to be collected, 01423 226240 or they can email email@example.com. It would be really helpful to provide the barcode numbers that are on each item, so Medequip are aware of which items they are collecting.
- Patients/family members can also be directed to Amnesty Bins, where unused loans equipment can be left for Medequip to collect; there is one at York Hospital or at Archways site.
- If you are a Prescriber or professional you can raise a collection on TCES against the items on the patient record. Please check out the document library if you are unsure how to do this.
Thank you for your help to keep York and North Yorkshires patient population safe, at home and as independent as they can be.
18 May 2021-COVID-19: Deaths of Employees and Volunteers in the Adult Social Care Sector
Michelle Dyson, Director General for Adult Social Care, Department of Health and Social Care (DHSC) has written to all local authorities and social care providers, encouraging employers to tell DHSC about the deaths of all workers in the adult social care sector, regardless of role or employer, including volunteers. DHSC is committed to doing all it can to ensure that employers, families, and the people who they cared for are given the support they need. Completing this information ensures their response remains as effective as possible. If you have any queries regarding this process, please send them to ASCcovidinform@dhsc.gov.uk. You can read the letter here, which shares how you can submit this information.
18 May 2021-Trainee Nursing Associates- Happy International Nurses Day
Joseph Rowntree Housing Trust have shared this message written by Paul and Ellie who are training nursing associates (TNA's) working across their care homes and services in York. In it, they reflect on their experiences of managing the challenges of the last year alongside their study as well as the opportunities the role has provided them. The TNA programme allows staff to bridge the gap between healthcare assistants and registered nurses, combining study days and experience in different setting with the day job to help develop their knowledge and skills. Paul and Ellie have used this learning and experience from residential care to support the Independent Living Service during an outbreak earlier in the year. The advert for the next intake of TNA's is due very shortly and will be shared with providers through the bulletin.
18 May 2021-Heatwave Plans 2021
Public Health England have confirmed that the heatwave plan for England remains unchanged from last year. There are additional considerations for COVID, which are outlined in a powerpoint presentation and there are some useful resources aimed specifically at the Aged Care sector which can be found along with the plan through this link.
18 May 2021 Guide to Mental Health and Wellbeing in York
You can download the 4th edition of the 'Guide to Mental Health and Wellbeing in York'. The free guide, collated by Healthwatch York is available to anyone in York who wants to know more about the help available for people experiencing mental ill health. Printed copies available by emailing: firstname.lastname@example.org.
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
26 April 2021-Updated North Yorkshire and York PPE Flowchart
Please find through this link the latest North Yorkshire and York PPE flowchart which has been updated following recent changes to national PPE guidance.
26 April 2021-Data Protection Security Toolkit (DSPT)
Please slides through this link that were delivered by Liz Howarth from NHS England and Improvement at last weeks Partners in Care Virtual Forum. This is an annually reviewed self-assessment to demonstrate your organisation/services compliance with data protection legislation and CQC KLOE's. A reminder this is mandatory for all care homes and providers with a standard NHS contract and strongly recommended as good practice even for providers without one. Going forward it will act as your password to joined up care between providers and health/social care, and underpins initiatives such as NHS Mail, proxy ordering of medication and shared care records as well as further programmes of work in the pipeline nationally. The slides cover.
- How to register for the DSPT
- The difference between "Approaching Standards" and "Standards Met"
- What support and resources are available to help you complete
There are a number of support sessions taking place every week which are detailed in the slides. To book on or for queries please contact email@example.com. A reminder that the deadline for care homes to publish at at least "Approaching Standards" is 30 June 2021 and for all other providers is 31 October 2021.
26 April 2021-Identifying and Responding to Deteriorating Residents- Training and Workbooks
The workbook for this training programme delivered by the CCG has been updated, and an additional workbook has now also been developed for staff supporting residents with autism or learning disabilities. Training both face to face and virtually is still available to both care homes and domiciliary settings, and aims to develops care staff skills and knowledge in recognising deterioration how to respond to change. Training also includes communication skills and how to use the SBAR (situation, background, assessment and recommendations) tool to help care staff relay accurate, relevant and timely information to other health and care services including GPs and District Nurses. To access the updated workbooks and for more information on the training please follow this link.
26 April 2021-NICE Quick Guide: Creating a Safeguarding Culture in Care Homes
Based on their recent safeguarding adults in care homes guideline, NICE's new quick quide provides concise practical guidance on how to develop a positive culture that encourages open conversations about safeguarding. Registered managers of care homes may find this resource useful. The quick guide includes advice on:
- Safeguarding policy
- Systems and procedures
- 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- Qwell: Mental Health and Wellbeing Support
Qwell is A free, safe and anonymous mental health and wellbeing service commissioned by the CCG for adults within the Vale of York. There are no waiting lists, no referrals and no thresholds required to access the service. The service encourages peer-to-peer support via moderated discussion forums and self-help through reading or submitting content. Qwell also gives access to online counselling from qualified counsellors who are available from midday to 10pm every week day and from 6pm to 10pm at weekends. You can drop in for one-to-one instant text-based chats or book a session in advance.
06 April 2021- 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: firstname.lastname@example.org
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: email@example.com
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 firstname.lastname@example.org 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 email@example.com
30 November 2020- Performing CPR on Symptomatic Individuals
Following the guidance from Department of Health and Social Care that has been circulated recently, The Resuscitation Council have produced some guidance which may be more helpful to care homes and community care providers.
30 November 2020-The Care Exchange: Exciting New Podcast for Managers
Skills for Care have launched a new podcast series, and will be inviting guests to join them as they celebrate the role of managers in social care. They’ll be talking to managers about their experiences, providing a place where managers can listen to other managers and pick-up ideas to support them in their own role. Listen now to the first episode in ‘The Care Exchange’ podcast series.
30 November 2020- NEW – Deputy Manager Networks
Skills for Care have launched a new network specifically for deputy managers, team leaders and assistant managers. The networks will be a great opportunity for deputies to meet the challenges they face in their day-to-day work, provide the opportunity to build supportive connections and a peer support network and facilitate the sharing of best practice and learning. To find out more please follow this link
30 November 2020- 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 firstname.lastname@example.org
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 email@example.com
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 firstname.lastname@example.org
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: email@example.com
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
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 firstname.lastname@example.org
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: email@example.com 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 firstname.lastname@example.org. 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.
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: email@example.com 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: firstname.lastname@example.org 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: email@example.com 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.
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: firstname.lastname@example.org 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: email@example.com 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.
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:
- Webinar Slides
- The Greater Manchester Community Delirium Toolkit, which is referred to in the presentation. This is shared as a ‘working draft’ - Greater Manchester Health and Social Care Partnership – Dementia United
- Yorkshire and Humber Clinical Network ‘Think Delirium’ resources
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: firstname.lastname@example.org 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: email@example.com 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.
- Covid-19 and MCA Decision Making Tool
- MCA and COVID-19 Testing
- Mental Capacity Assement
- Having a Nose and Throat Swab
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 firstname.lastname@example.org if you have any queries or requests for support.
08 June 2020- Care Home and Dementia Team Update
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: email@example.com 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: firstname.lastname@example.org 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 email@example.com
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 firstname.lastname@example.org
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: email@example.com 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: