Referral

Coronavirus (Covid 19) Update

24th December 2020

Following the introduction of a tiered approach in England including the new tier 4, we have reviewed all national guidance, statements and requirements related to Covid-19. We continue to implement the guidance as required across our full range of services, and will keep this page updated to share the latest developments with all our stakeholders.

We have adjusted our visiting and leave arrangements based on the respective tiers that our services are in (where applicable) alongside the national guidance for the particular types of service. If you believe the service supporting your loved one may be affected by these revised national arrangements, please contact the service directly.

If you have any suggestions, feedback or comments on how we are providing our services during these times, please do not hesitate to contact: coronavirusqueries@jeesal.org 

Visiting information

We have recently updated our visiting arrangements to follow the latest guidance and changes. The main objective across all Jeesal Group services remains to facilitate visits wherever we can, while ensuring safety measures are in place.

Currently there are different visiting arrangements in place across our services, depending on the type of service offered there, the potential vulnerability of the service user and where the home is located. However, there are core principles of visiting and we outline these, along with how things have changed below:

What remains the same as before with visiting arrangements?

Please note this section does not apply to Tier 4 in England and national lockdown situations, which is a new change from the 19th of December 2020.

  • Individual Risk Assessment
  • If your loved one does not have capacity, we will have completed a Best Interest meeting, that involves you and their Social Worker. If this has not happened, please get in touch with the Service Manager
  • All visits must be booked in advance and agreed with the Service Manager
  • Hand washing, screening of visitors on arrival, temperature test and signing in a visitors book to aid Track & Trace
  • Wearing of Personal Protective Equipment (PPE)
  • Indoor visits will continue to be supervised as per government guidance, but we will aim to do this discretely, so you can enjoy your visit and have some level of privacy
  • Visitors will have no contact with other residents and minimal contact with care home staff 
  • If any residents in the service become positive or unwell from Covid-19, then this will mean we have to stop visiting until we are clear of infection. We will inform you, if there is Covid-19 in the service.  

What are the recent changes to visiting arrangements?

Please note this section does not apply to Tier 4 in England and national lockdown situations, which is a new change from the 19th of December 2020.

  • In October 2020, the government asked that we limit the visits to a single dedicated person, but this has now changed to two constant visitors, which is the maximum we can accept at one time
  • In extreme exceptions, if you wish to deviate outside of “constant dedicated visitors”, you should discuss this with the Service Manager, with a risk assessment completed. The principle of the maximum of two visitors at each visit will remain, even if there is a change of visitor

 Arranging your visit

Please note that all visits must be arranged in advance, and we ask you to telephone the home before setting off for your scheduled visit to confirm it can go ahead as, for example, if someone is unwell we may have to cancel. It is advised that we limit the visits to a single dedicated person. If there are extenuating circumstances, then please discuss this with your family member’s Key Worker or the Service Manager. However, even with exceptions, we can only have two family or close friend visitors maximum per visit, but the important thing is that they are consistent and not different people each time.

Visiting in England Tier 4 or National Lockdowns

Unfortunately, we are unable to offer any visits in our services or any out of home visits (e.g. back to the family home) in England Tier 4 areas or during national lockdowns.  The only type of visit we can facilitate are window visits with the window closed, video calls and phone calls used for communication.  However, we urge all visitors to observe the national Covid 19 rules regarding Stay Home, Reduce Unnecessary Travel and not to move between Tier 4 and Lower Tier areas or vice versa.   

We will continue to facilitate virtual visits using technology.  Please contact your home as to how these can be booked.  We really want to communicate with you about your loved one at this time, so please discuss with the Service Manager how we can best do this.  

Referrals

We understand that Commissioners and Care Management teams will continue to require accommodation and support for individuals, whose changing placement requirements may need to be responded to swiftly. In particular this may include residents facing home closure or a breakdown in their community placements. We are continuing to accept and review referrals on a case-by-case basis, ensuring strict screening procedures.

Frequently asked questions (FAQs)

Below you will find a helpful list of answers to the frequently asked questions (FAQs) we have been receiving regarding Covid-19.

We will be updating the information on a regular basis, therefore do revisit this website page. If you have any questions or specific placement enquiries, please do get in touch at info@jeesal.org or coronavirusqueries@jeesal.org 

Question - Do staff and residents get tested? 

Answer - Staff and residents in our residential services are tested weekly. This means we can act swiftly to isolate if a person is covid-19 positive but showing no symptoms.

Question - What happens if a resident presents with symptoms? 

Answer - If a resident presents with symptoms, they are isolated immediately and a Covid-19 care plan is put in place to manage their needs. This outlines their treatment, how we will tend to their daily needs and ensure they feel well-supported, and how staff will maintain social interaction in an appropriate manner. If symptoms are mild to moderate, they will continue to be supported in isolation in their own bedroom or flat. If their condition worsens, their GP or 111 will be contacted for advice and where necessary, the resident will be transported via ambulance to the nearest hospital for further treatment. Family and/or carers, and their Care Manager from the Local Authority or CCG, will be informed immediately and kept updated throughout.

Question - What support is there for families and carers? 

Answer - We know that this is a very difficult time for families and carers, who may not be able to see their family member due to the restrictions that are currently in place. However, all sites are being creative in providing additional means for contact to be maintained through phone calls or video calling, as well as ensuring that family members are updated on someone’s wellbeing where consent is given to do so. Please do feel free to leave us any feedback on how you feel we are managing visits at info@jeesal.org

Question - What is lateral flow testing and how will it affect visits?

 

Answer - The government is currently rolling out lateral flow tests to care homes in England and Wales. Lateral flow testing involves a swab of the nose and throat to collect a sample to test people for Covid-19. These tests do not require lab processing and so can return a result much quicker than a polymerase chain reaction (PCR) test. Unfortunately, we cannot offer lateral flow testing in Tier 4 in England or during national lockdowns.

We are still awaiting information for Northern Ireland about lateral flow testing, but they are piloting the PCR testing a day prior to visiting instead until the 8th of January 2021. Until we have further information for these countries, our existing visiting policies are still valid.

At the current time, please continue to book your visits as normal by contacting the home where your loved one lives. When we are ready to use the lateral flow testing, we will let you know. We will also be developing a fact sheet about lateral flow testing to provide families with more information about the procedure that will be in place. Please note, the testing will take place in designated testing areas or we may do this at the Care Home door if a designated room is not available, which is where you would also then receive the result of your test. A designated room has to have a non-porous floor and be able to be cleaned with a bleach product. Unfortunately many of our homes do not have this type of floor on entry as they are homes not hospitals.

Question - When will my loved one receive a Covid-19 vaccine? 

 

Answer - We are preparing for the Covid-19 vaccination programme for our residents and staff, with timings varying across the four nations. The eligibility for the first phase of vaccines is as follows:

 

  1. Residents in a care home for older adults and their carers
  2. all those 80 years of age and over and frontline health and social care workers
  3. all those 75 years of age and over
  4. all those 70 years of age and over and clinically extremely vulnerable individuals
  5. all those 65 years of age and over
  6. all individuals aged 16 years to 64 years with underlying health conditions which put them at higher risk of serious disease and mortality
  7. all those 60 years of age and over
  8. all those 55 years of age and over
  9. all those 50 years of age and over

Question - What is your admissions process for managing new residents?

 

Answer - Where a decision has been made to admit a resident, please be assured that a thorough pre-admission checklist, which will include robust risk assessment, has been completed. This screening and assessment will take into consideration all relevant factors, such as the location the person is coming from, their current health, potential exposure to Covid-19 and the current status of the Priory service into which they will be moving. All residents will also have a Covid-19 test prior to admission and self-isolate for the first 10 days.

All risk assessments will be signed off by a member of the Senior Leadership Team, who are taking every possible step to ensure the continued safety of all residents and staff.

 

Question - What is your process for managing discharges?

Answer - Discharges are being carefully managed and are only going ahead if it is to the resident’s home, or it is the safest option for them to move to a different kind of setting during this time. For example, if someone becomes mentally unwell and needs a specific kind of treatment.

It is important to us to be able to continue to support you and all of the residents during this time. We commit to do all that we can to ensure risks are managed and monitored, whilst continuing to facilitate placements, where all parties deem it safe.