Dovehaven summary of changes to COVID19 guidance
Guidance for visitors to care homes, admissions into care homes in COVID 19, workplace testing guidance and resident testing guidance has now been replaced by the below guidance
Staff in adult social care should test twice a week with lateral flow tests. Following a positive case, staff in care homes and high-risk extra care and supported
living settings should do daily testing for 5 days. This testing is not extended if furtherpositives are found in these 5 days.
Care Homes in Outbreak
During an outbreak, if the community health protection team (HPT) /PHE agree, visits will continue in well-ventilated spaces with substantial screens, visiting pods or from behind windows. Rooms should be left to ventilate with external doors and windows open between uses wherever possible if a comfortable temperature for residents and visitors can be maintained.
Subject to a risk assessment by the health protection team (HPT), outbreak restrictions may be lifted if 14 days have passed since the onset of symptoms in the most recent case, a round of PCR recovery testing of all residents and staff is undertaken, and there are no PCR positive results.
Personal protective equipment
Staff should only use FFP3 masks when carrying out an Aerosol Generating Procedure on someone who is suspected or confirmed to be COVID-19 positive or
who has another infection that could be spread by the droplet or aerosol routes.
Where no infection is suspected or confirmed, a type IIR mask can be used for AGPs.
Staff should wear a type IIR mask, eye protection, apron and gloves when giving personal care to someone suspected or confirmed to have COVID-19, or when
cleaning their room. When undertaking other tasks within 2 metres of someone suspected or confirmed to have COVID-19, a type IIR mask and eye protection
should be worn. An apron and gloves should also be worn if it is risk assessed that contact with bloody or body fluids is likely.
When carrying out personal care (or other tasks involving likely contact with blood or body fluids) for someone who is not suspected or confirmed to have COVID-19, a type I, II or IIR mask should be worn along with an apron and gloves. Eye protection should also be worn if risk assessed that splashing is likely.
If a staff member is symptomatic, tests positive or is a contact of someone with COVID-19
Staff with symptoms should take a lateral flow test as soon as they develop symptoms and take another lateral flow test 48 hours after the first test. Symptomatic
staff should stay away from work and conduct the lateral flow tests at home. Staff should only come into work if both lateral flow test results are negative. For those
who test positive the guidance on ending self-isolation early through additional testing remains the same.
Staff should not carry out additional testing or self-isolate if they are a contact of someone with COVID-19, but a risk assessment should be undertaken.
Regular asymptomatic testing for COVID-19
There should be no regular asymptomatic testing for residents
Discharge from hospital into a care home
People who test positive prior to discharge can be admitted to a care home if the home is satisfied that they can be cared for safely.
A person will receive a PCR test prior to discharge, or a lateral flow test if they have tested positive for COVID-19 in the past 90 days.
Care home residents should not be required to self-isolate when discharged back to the care home following an admission into hospital, subject to a negative PCR or
lateral flow test. Residents will still need to self-isolate for 10 days if they have been discharged from a part of hospital where there is an active outbreak.
Admission to care home from the community or another care setting
Residents admitted from the community, or another care setting should take a PCR test within the 72 hours before they’re admitted (or a lateral flow test if they have
tested positive for COVID-19 in the past 90 days) and a lateral flow test on the day of admission (day 0).
These tests should be provided by the care home. If an individual tests positive on either of these tests and continues to be admitted to the care home, they should be
isolated on arrival.
If a care home resident is symptomatic, tests positive or is a contact of someone with COVID-19
Residents who test positive for COVID-19 should isolate for 10 days and take part in daily lateral flow testing from day 5. They can end self-isolation after receiving 2
consecutive negative tests 24 hours apart, or after 10 days’ isolation.
Residents who are close contacts of a COVID-19 case do not need to isolate nor undertake additional testing. Instead, they should: minimise contact with the person who has COVID-19, avoid contact with anyone who is at higher risk of becoming
severely unwell if they are infected with COVID-19, especially those with a severely weakened immune system, and follow the advice regarding testing and isolation if
they develop symptoms of COVID-19
Visiting arrangements in care homes
Every care home resident should have one visitor who can visit in all circumstances (including during periods of isolation and outbreak). End-of-life visits should alwaysbe facilitated.
Only visitors providing personal care should test before visiting. They will not need to test more than twice a week.
NHS staff should be able to provide evidence of a negative test within the last 72 hours.
CQC inspectors should test before their inspection, up to a maximum of twice a week if they are in care settings 2 times or more per week.
Other visiting professionals should be tested with tests provided by the care home if they are providing personal care, as per the guidance for visitors providing personal care.
Care home residents should only self-isolate if they test positive for COVID-19, or if they are admitted from a hospital where there is an active outbreak.
Face masks will continue to be worn by all visitors to Dovehaven Care Homes.
Dovehaven Care Homes will still continue to complete temperature checks of all visitors and record these on the temperature log
If there are any questions, please be advised these can be directed to: firstname.lastname@example.org