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Supporting health and social care providers in Devon

Service-specific guidance

Last Updated 10:00am, 13 November 2020


Introduction

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

Carers

Letter to carers

We recognise that this is a stressful and uncertain time for carers, so we have written to them to outline the support that is available to help them to continue caring during the current coronavirus situation.

Extra Care housing

Regulated personal care, day opportunities and enabling

Supporting Independence: Group Based Support Communication

Letter sent to providers – request for important information about providers’ services and staff (2nd April 2020)


Postponement – 4th entry point opportunity for Supporting Independence Lot 1 and Lot 2

Dear Providers,

CP1329-16 Supporting Independence
OJEU Reference 2017/S 042-076945, 2018/S 053-118116 & 2019/S 058-134932

Ref:  Lot 1 – Group Based Care & Support
Lot 2 – Individualised Care & Support

Due to the escalating situation regarding COVID 19, Devon County Council have decided to postpone the 4th entry point opportunity for Supporting Independence Lot 1 and Lot 2. The decision when to reinstate the remaining entry point for new providers will be made later in the year.  However the opportunity for providers who are already on the framework and wish to refresh and resubmit their current prices for 1st October 2020 onwards, will be available towards the end of the summer.

As stated in the original tender documentation, DCC reserves the right to amend the timetable at any time during the process.

We apologise for any inconvenience and will communicate the opportunity to refresh and re submit pricing towards the end of summer 2020.

Yours faithfully

Devon Procurement Services
Devon County Council

Personal assistants

The identification of key or ‘critical’ workers during lockdown
How to obtain a ‘critical worker’ letter from Devon County Council

PPE Guidance

Useful publications:
Mark Bates Ltd: Managing coronavirus issues at work – a guide for individual employers
Mark Bates Ltd: Guide for self-employed service providers in home careAcas: Coronavirus advice for employers and employees
GOV.UK: COVID-19 guidance for supported living provision
GOV.UK: stay at home guidance for households with possible coronavirus (COVID-19) infection

Personal care at home

Home Care Webinar

The Department for Health and Social Care is arranging interactive home care webinars, which will be of interest to all those working in and around home care, both providers and commissioners.

The webinars will consist of an overview of the guidance through short presentations, following by opportunities for Q&A.

The webinars will be run several times between Wednesday and Friday this week and prospective participants can register here.


Message from Councillor Andrew Leadbetter

Dear Provider,

On 6th April Devon County Council announced a major investment in the price paid for regulated personal care.  This is intended to improve the pay and conditions for care workers and ensure that they are paid a minimum of £10.00 per hour for all contact and non-contact time and demonstrates the commitment of the Council and its partners to the social care market.

This decision came on top of the commitment that was made on 24th March to give much needed financial support to all social care providers during the Covid-19 outbreak and a major recruitment campaign led by our Proud 2 Care team. In the first week this has led to an unprecedented level of interest from the public in becoming part of our health and social care workforce, with over 700 enquiries to date.

The Council and its partners value care workers and other staff who work right across our health and social care markets and, having made the investment in the personal care workforce, are now reviewing the position in relation to care homes and a wider range of organisations that work in other sectors such as Supported Living, Day Opportunities and 1:1 support.  Further consideration is being given to these markets and we will give further details as soon as possible.

In so doing we are also mindful that many people buy their services with a Direct Payment or Personal Health Budget and we are considering our approach to the budgets that are also provided to those service users.

Kind regards

Cllr Andrew Leadbetter
Devon County Council’s Cabinet Member with responsibility for adult care and health


Updated Support for Domiciliary Care Providers

Here are the financial support measures Devon County Council is working on to increase support to domiciliary care providers, please check the Indicative Heatmap showing urban areas, which accompanies these proposals.

Replacement care services

Residential and nursing care homes

WEBINAR COVID-19 in care homes. How to prevent and manage infection and what to wear

We are pleased to invite you to the second in the series of webinars for Devon care homes.

It will take place on Thursday 23 April at 2 pm and you can join using this meeting link

This week we want to discuss two issues:

  • how to practically manage an outbreak or suspected outbreak of COVID – 19 and
  • how the most recent guidance on PPE affects you.

A number of key leaders from the NHS in Devon and local authorities will share information with you and answer any questions you have. The agenda for the webinar can be found below.

Agenda:

  1. ‘You said, we did’ – emerging themes from the webinar on 16/4/20 – Tim Golby and Philip King
  2. Infection prevention and control – some practical guidance on outbreaks and management – Rob Porter, Darryn Allcorn, Sarah Ogilvie and Fiona Baker.
  3. Personal Protective Equipment – what you need and when (new guidance) – Penny Edwards and Sarah Ogilvie.

Panel members:

  • Philip King, CCG
  • Tim Golby, CCG and DCC (Chair)
  • Darryn Allcorn, NDHT
  • Rob Porter, RD&E
  • Fiona Baker, NDHT
  • Vanessa Crossey, CCG
  • Sarah Ogilvie, DCC
  • Penny Edwards, PHE
  • John Bryant, Torbay Council

The webinar from last week (16/4/20) can be found here – Google Drive. We will also update that Google folder with the relevant Q&As from last week.


The Devon Residential and Nursing (DRN) WhatsApp Group

A number of providers have reflected that good, timely communication is of significant benefit to the sector. With this in mind a WhatsApp group has been set up for Devon Residential and Nursing Home Managers and owners. We would encourage all Registered Managers and Owners to use the form below to join the group.


Care home safety guidance

Public Health England issued new guidance for care homes on 17 April, on how to work safely during this period of sustained transmission of COVID-19. The new guidance includes a ‘How to work safely’ document and a video on ‘Putting on and removing PPE’.


Temporary Hospital Discharge Pathway and Fee Rate

Temporary Hospital Discharge Pathway and Fee Rate – Royal Devon & Exeter Hospitals & Northern Devon Hospital Trust Hospitals

In order to support system flow during the current period, the government has issued revised guidance covering hospital discharges. As a result of this, with immediate effect, all Care Home placements will be fully funded by CCG’s, with assessments for CHC, and social care eligibility suspended until the current escalation comes to an end. This pathway will replace all existing hospital discharge processes including those previously self-funded and those funded by the RDE, NDHT, Social Care, CCG Interim Funding and CHC Fastrack.

NHS Devon CCG recognises that providers are facing additional cost pressures at this time, and that due to the deferment of statutory assessments, the current interim fee rate is unsustainable. Therefore, the CCG is implementing an enhanced single fee rate that will be paid for all hospital discharges. This fee rate is based on the existing DCC personalised fee rate, but with an additional allowance to reflect the cost pressures providers are currently facing (e.g. PPE, staffing costs, etc.)

The temporary rates that apply are as follows:

Nursing Bed – £1200 per week (inclusive of FNC)
Non-Nursing Home £825 per week

Payments for beds will be made through the DCC payment run on behalf of the CCG.

These rates will remain in place for the duration of the current escalation for all new discharges made from today into homes within the Devon County Council patch. At the end of the current escalation individuals will remain on these fee levels until they are assessed and a future funding stream agreed. Where individuals become social care funded, individuals will have a resource allocation tool undertaken to determine the ongoing fee against the personalised fee model. If the individual is determined eligible for CHC funding then an ongoing fee will be negotiated through personal brokerage.

Should you have any questions regarding this approach, please contact the CCG using the email address  mailto:D-CCG.PersonalHealthBudgets@nhs.net


COVID-19: admission and care of people in care homes guidance webinar

Slides used in the ‘COVID-19: admission and care of people in care homes guidance’ webinar are now available.
The webinar talked through the admission of people into a care home setting and outlined the key headlines on admission arrangements, capacity tracker, NHS Mail, PPE,  and IPC and end of life care.

Guidance regarding people with Dementia in relation to COVID-19 was also distributed.


Emergency planning guidance for Medication administration in Care Homes

Act now to help avoid a crisis where you have no staff to manage or administer medication.

Please ensure you have as many staff as possible staff who understand and are familiar with the process for ordering and booking in medicines.

Please promptly train and check competency in administration of medicines for as many staff as possible.

Please liaise with any other care home nearby to see how you could support each other if the need arises.

You need to prepare for the possibility that a person who does not know the people you support may need to administer their medication.

The following guidelines will help you prepare:

  • Check each person has a recent photograph that is a close likeness of them
  • Check all PRN protocols are up to date and appropriately detailed (Sheet no 17)
  • Ensure you have clear medication care plans available that describe exactly how people like to take their medicines. Remember: you are telling a stranger how to support this person with their medicines. Please indicate where there may be a choking risk and how you mitigate this.

Think – what do you know about this person that they need to know to ensure medicines are administered safely and with dignity?

  • Ensure all allergy information is up to date
  • Check you have clear documentation that is easily accessible for crushed or covert medicines. This will include relevant medical/pharmacy authorisations and may include Mental Capacity assessment and Best Interest decisions
  • Make your staff signature sheet accessible for any person not in your employment to sign
  • Check stock levels regularly, particularly for any new admissions
  • Prepare a handover sheet for a person who does not work for your organisation to include other key information such as:
    • Time critical medicines
    • How to access your eMar system if you use one
    • Location of storage cupboards – you could label/colour code keys and cabinets
    • Location of Management of Medicines policy
    • Location of other relevant documentation e.g. authorisation for covert or crushed medicines

It may be helpful to undertake a Medicines round as if you did not know anyone.
Do you have all the information you need to hand?
Are the MAR sheets clear and easy to read?

Resources:

NICE guidelines for Managing medicines in care homes

DEVON CCG Caring for Care Homes team information, guidance sheets and resources

Guidance produced by Devon County Council’s Quality Assurance and Improvement Team, April 2020


Managing the COVID-19 pandemic in care homes
The British Geriatrics Society guidance has been developed to help care home staff and NHS staff who work with them to support residents through the pandemic.


Admission and Care of Residents during COVID-19 Incident in a Care Home
This guidance is intended for care homes, local health protection teams, local authorities, clinical commissioning groups (CCGs) and registered providers of accommodation for people who need personal or nursing care. This includes registered residential care and nursing homes for people with learning disabilities, mental health and/or other disabilities.


Care Home Fees 2020/21

The increase to care home fees for 2020/21

Fee Uplift Summary Response


Supporting Independence Notice of Contract Extension 2020-2021

The Authority intends to exercise its discretion to enter into Extension Period 3 of the above-mentioned contract and therefore will open an Entry Point to allow for:

• New entrants onto the Supporting Independence Framework
• Tenderers who have previously submitted a Tender unsuccessfully, further opportunity to tender again
• Providers who are already on the Supporting Independence Framework will have an opportunity to re-submit prices should they wish.

Please read further details

Care Home Fees Consultation 2020/21

Please see consultation pack below for Annual Review of Care Home Fees 2020/2021.

Care Home Fees Inflationary Uplift letter 2020

Care Home Fees Increase 2020 Executive Summary

Annex 1 Care Home Fees Inflation Approach 2020

Care Homes Fees Annual Increase 2020 Impact Assessment

The consultation will close at midnight on Monday 10th February 2020. Please send your feedback on the proposals to: socialcarebusinessrelations-mailbox@devon.gov.uk

 

Supported living

The Devon Housing with Support WhatsApp Group

A number of providers have reflected that good timely communication is of significant benefit to the sector.  With this in mind a WhatsApp group has been set up for Devon Housing with Support Owners and Managers.   We would encourage all Registered Managers and Owners to use the form to join the group.


GOV.UK: COVID-19 guidance for supported living provision

This guidance sets out key messages to support planning and preparation in the event of an outbreak or widespread transmission of COVID-19.


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