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Supporting health and social care providers in Devon

Supported living, day services, enabling and extra care

Last Updated 10:00am, 20 December 2021


Key COVID-19 information sources

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

Supported living

National supported living guidance

Guidance for providers of supported living settings. Please read it carefully in order to enable safe visiting based which balances the principle that supported living settings are classed as an individual’s own home against the need for local risk assessments.

New guidance for admission into supported living

Admission into supported living has been updated. Any individual moving into a supported living setting should self-isolate for a 10-day period. This should increase to 14 days if deemed necessary following a local risk assessment. Self-isolation should begin from the day the individual moves into their home. If the person is being admitted from their own home they do not need to isolate. Service users do not need to undertake an enhanced testing regime as per care home guidance.

Current residence Moving to destination Need to isolate Period of isolation
hospital supported living yes 10 -14 days
care home supported living yes 10 -14 days
home supported living yes 10 -14 days

Debt Respite Scheme (Breathing Space) guidance for creditors

The Debt Respite Scheme

Eviction notice periods during coronavirus

New eviction notice periods have come into effect from Monday 2 August and landlords risk up to six months imprisonment and a £5,000 fine for illegal eviction if they do not abide by the new law, as explained in this guidance for landlords and tenants.

Infection Prevention and Control (IPC) tool for supported living and extra care housing

CQC have adapted their care home IPC methodology to be used in community settings such as supported living and extra care. This tool has been developed as a way to seek and give assurance that where providers have responsibility for IPC, they are following best practice guidance and working with other relevant agencies to keep people safe.

Testing for extra care and supported living settings

Extra care and supported living services can register for regular COVID-19 testing. Regular retesting involves weekly staff testing and monthly resident testing. Supported living services are now able to access the rapid lateral flow device (LFD) testing, in addition to the existing polymerase chain reaction (PCR) testing regime.

To register your organisation please visit this webpage.

For high risk supported living and extra care setting, who qualify for LFD, please make your order for LFD tests for your organisation via GOV.UK.

Visitors to extra care and supported living settings can now conduct a rapid lateral flow self-test at home, at the discretion of setting managers. Testing on site remains the preference for assurance reasons.

Visitors must report all tests online and using the Unique Organisation Number (UON) of your setting. Housing or support managers should ensure visitors are aware of the setting’s UON.

Please read the updated policy on visiting and testing in extra care and supported living settings.

Day care centres now have a similar testing regime to care homes and some extra care and supported living settings of weekly PCR and twice weekly LFT for staff. In addition, where possible, service users are being asked to conduct twice weekly LFT.

Currently, care home residents and some extra care and supported living residents conduct monthly PCR testing as part of their regular testing regime.

Where service users are part of regular monthly PCR testing and have taken a PCR test in the same week as their visit to a day care centre and received their result, they do not need to also do rapid LFTs that week. They should continue doing regular LFTs if visiting the day care centre on all other weeks.

Free to download COVID-19 information and consent form in an easy read format. The purpose of this document is to help services to support individuals in understanding what COVID-19 is and what the testing process involves. This will support informed decisions and the document is able to capture the consent for the procedure.

Housing with Support forum

The Housing with Support forum meets fortnightly on Wednesdays from 10am until 11am. It‘s a chance for organisations who provide supported living, enabling, extra care, shared lives and the homeless support services that are commissioned by DCC, to get together to discuss or raise any strategic or process issues rather than individual service users issues.
The main aim is to unblock any blocks we encounter when working across this market, escalate issues appropriately and basically join up our work better. If you deliver these services and would like to join the forum then please contact us: socialcarebusinessrelations-mailbox@devon.gov.uk

Forums in 2022: 12 January, 26 January, 9 February, 23 February, 9 March, 23 March, 6 April, 20 April, 4 May, 18 May, 1 June, 15 June, 29 June.

Devon Housing with Support WhatsApp group

We would encourage all registered managers and owners to join the group using the online registration form.

Day services and enabling

Testing for day centre workers

Rapid Lateral Flow Testing is now available for all staff and service users in adult day care centres in England

After the completion of a successful pilot study, DHSC are pleased to inform you that NHS Test and Trace is making regular lateral flow testing available to all staff and service users in adult day care centres in England, to be conducted alongside the existing weekly staff PCR testing.

Please follow this link to view the guidance in full and instructions on how to begin testing.

Further daycare resources:

Support groups permitted

Support groups that have to be delivered in person can continue with up to 15 participants where formally organised to provide mutual aid, therapy or any other form of support but they must take place at a premises other than a private home.
Where a group includes someone covered by an exception (for example, someone who is working or volunteering), they are not generally counted as part of the gatherings limit. This means, for example a tradesperson can go into a household without breaching the limit if they are there for work, and the officiant at a wedding would not count towards the limit.
Please read the section on ‘Where and when you can meet in larger groups’ listed under the subheading ‘Support and Childcare bubbles‘ within the ‘National lockdown: Stay at Home’ guidance.

Delivering safe, face-to-face adult day care - new SCIE guidance

As the restrictions of lockdown are eased, this guide aims to support you, day care managers, social workers, commissioners and providers, to restart or continue activities. It is focused on community-based day services, day centres (with and without personal care), including specialised day centre environments, and those with outdoor spaces.
Please sign up to receive updates from SCIE.

This webinar recording from 24 March, gives an overview of SCIE’s guide to delivering safe, face-to-face adult day care. The speakers give practical examples of how providers have remained open or re-opened, during the pandemic, the key challenges and responses.

Government guidance for the safe use of multi-purpose community facilities

From 4 July 2020, managers of community facilities will have discretion over when they consider it safe to open for any activity permitted by legislation and may decide to remain closed if they are not able to safely follow the advice in the relevant guidance, to make the space COVID-19 secure.

To assist managers in making these decisions, on 30 June 2020 the Government published some key principles relevant to  multi-use indoor community facilities.

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 services and group based support financial arrangements from 30 September 2020

The support to providers of day services 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 2020.

From 30 September 2020 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 services 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 services risk assessment advice

Devon County Council issued this letter and Risk Assessment Checklist on 2 July 2020.

Community transport advice and guidance

National not for profit passenger transport guidance is available on the application for and use of transport permits under the Transport Act and DCC has a guide to community transport on the Travel Devon Website.


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