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Supporting health and social care providers in Devon

Regulated personal care, day opportunities and enabling

Last Updated 14:07pm, 24 September 2020


Introduction

If you have any specific issues or questions that you would like to raise with us please do so as follows:

Support to the market

Devon County Council made its first offer of support to the market on 24 March 2020 (Financial Support Arrangements letter).

The support has been reviewed and updated with effect from July 2020. (Financial Support Arrangements letter July 2020).

Regulated personal care

National Guidance on working safely in domiciliary care

How home care providers can support Test and Trace

Staff from NHS Test and Trace or other public health professionals may contact home care providers if one of their staff or service users has tested positive for coronavirus in order to alert those who have been in close contact with them. Home care providers can assist NHS Test and Trace by keeping a temporary record of their care staff and recipients of care. Many providers will already have the necessary record systems to store and provide this information on request. In these cases, providers do not need to duplicate records.
If you do not currently have a system to record this information, this should be done in a way that is manageable for your business, but sufficiently detailed to effectively support NHS Test and Trace.
It is recommended that providers ensure that their systems are set up in such a way that this information can be reported rapidly on request and identify the person(s) who can produce this information at short notice.
If a provider is contacted, the following information may be requested at short notice:

  • the name and telephone number for a home care worker
  • the dates and times that a home care worker is at work
  • a log of the care worker’s visits to individuals receiving care for the previous 21 days. This should include, where possible, arrival and departure times of their visit, as well as a record of the name and residence of any individual(s) they provided care to (‘the client’)
  • the name and telephone number of the client and/or the client’s representative
  • the names and telephone numbers of other home care workers, when working in close proximity (for example, during a ‘double up’ visit)

National guidance for home care contains further information and there is guidance on How NHS Test and Trace works and on maintaining records of staff, customers and visitors.

Support to Regulated Personal Care from July

From 1 July we will revert to only paying for actual hours commissioned.

A payment to cover additional PPE costs up to the end of September will be paid to providers, calculated individually for each provider based on the scale of commissioned business.

Prioritising care

All providers should be prioritising the most vulnerable people, using the prioritisation tool which Devon County Council has circulated.

You will be advised when decisions are made to deprioritise individuals care and support. We also recognise that you may have to deprioritise individuals care and support to respond to staffing pressures in your own organisation.

If you have to implement such measures please advise us as soon as possible by emailing adultsc.adultcarehealthcovid19-mailbox@devon.gov.uk

Refusal of care delivery to service users with coronavirus

If a service user has coronavirus and a provider will not deliver care then, in the first instance, advice and reassurance should be offered to the care worker around the use of personal protection equipment. If they continue to be unwilling to provide care an alternative care worker should be identified if possible.

If no care worker will attend then the provider should immediately escalate this to the COVID-19 Incident Management Team by emailing adultsc.adultcarehealthcovid19-mailbox@devon.gov.uk

The Team will either try to arrange alternative care for the person in their home or take other action depending on the presenting risk.

Financial support for regulated personal care

As well as the original market support offer, on 6 April Devon County Council announced a major investment in the price paid for regulated personal care.

Here are the financial support measures Devon County Council is working on to increase support to domiciliary care providers.

Day opportunities and enabling

QR codes and social care

Providers are no doubt aware that new guidance has been published outlining the expectation to display a NHS QR code poster at certain venues for use with the new NHS COVID-19 app. Whilst this requirement does not apply explicitly to adult social care settings, such as care homes and day centres, the government encourages you to create a QR poster for the entrance of your venue if it is one that is visited by members of the public and has a space where people congregate together in close proximity for extended periods of time. Given that care settings are routinely collecting information about visitors, the addition of the QR poster is likely to be beneficial. You will still need to offer a manual option for recording visitors’ contact details for people who do not have a smartphone or do not want to use the NHS COVID-19 app.

Further information about creating a QR poster can be found on the government website.

Day Opportunities and Group Based Support financial arrangements from 30 September

The support to Providers of Day Opportunities and holders of Supporting Independence ‘Lot 1’ contracts for Group Based Care and Support has been reviewed and the financial flexibilities will cease from 30 September 2020, as explained in this letter issued on 11 September.

From 30 September providers should resume the normal practice of only being able to invoice for time and activities that have been fully delivered as per their contracts. Most Day Opportunities providers have discussed the changes they are making in response to the pandemic with Devon County Council but any who are unclear about the new arrangements should contact socialcarebusinessrelations-mailbox@devon.gov.uk

Day Opportunities risk assessment advice

Devon County Council issued this letter and Risk Assessment Checklist on 2 July.

Financial support to Supported Living, One to One Enabling, Day Services, Shared Lives and Extra Care Housing from July

We recognise that this is not a single market and requires a differentiated approach.
From 1 July we will no longer pay for voids, other than those that form part of a pre-existing contractual agreement.

The additional costs of PPE will, for most providers, be met to the end of September through a single payment, calculated for each provider.

Community transport advice and guidance

National guidance is available on the application for and use of transport permits under the Transport Act and Devon County Council has a guide to community transport on the Travel Devon Website.


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