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Updated Government Guidance for Admission and Care of Residents in a Care Home During COVID-19

Published On:

27 November 2020

Published In:

Please read this guidance with:


Summary of changes in this version

This note outlines the changes made to ‘Admission and care of residents during COVID-19 incident in a care home’, originally published on 2 April 2020.

Number Guidance section Overview of changes
1 Introduction Updated in line with recent policy announcements
2 1. Admission, isolation and testing of residents Updated advice on isolation of residents on admission

Updated testing guidance. Includes additional information on testing for residents and staff and managing outbreaks, where to go for further information, and Test and Trace service

3 2. Caring for residents, depending on their COVID-19 status and particular needs Updated advice on monitoring residents for COVID-19 symptoms, and supporting residents who have been exposed to a COVID-19 case

Updated advice on supporting symptomatic residents. Includes additional information on isolation procedures, engagement with the health protection team, and supporting residents who require hospital care

Additional information on primary care and community health services for residents, and supporting residents without relevant mental capacity

4 3. Reporting of COVID-19 cases and outbreak management Additional information on Health Protection Team engagement and advice on admission during an outbreak
5 4. Care for people at the end-of-life and after death Additional information on end-of-life care and end-of-life plans
6 5. Advice for staff Updated advice for staff. Includes additional information on PPE, workforce restrictions, Test and Trace for staff, staff with symptomatic family members, and what staff should do if they test positive or negative for COVID-19

Updated advice for care home managers. Includes further information on sick leave policies and training

7 6. National support available to implement this guidance Additional information on the Adult Social Care Infection Control Fund and care homes support package
8 Annex A: COVID-19 symptoms and higher risk groups Additional information on additional COVID-19 symptoms, NHS mutual aid, and presentation of symptoms in different groups of people
9 Annex B: definitions of COVID-19 cases and contacts Additional information on additional COVID-19 symptoms, definition of ‘contacts’, ‘outbreaks’ and care homes seeking advice from health protection teams
10 Annex C: isolation of residents during periods of sustained transmission Updated advice on isolation procedures
11 Annex D: infection prevention and control (IPC) measures Additional information on using single-resident use devices, PHE support and cleaning and waste disposal
12 Annex E: restricting workforce movement and minimising workforce transmission New section. Updated advice on workforce restrictions to minimise the risk of workforce transmission. Includes additional information and recommendations for staff to reduce the risk of asymptomatic transmission
13 Annex F: provision and use of Personal Protective Equipment (PPE) Updated advice on PPE distribution and utilisation

Additional information on support available to the care sector, hand hygiene, and respiratory and cough hygiene

14 Annex G: decontamination and cleaning processes for care homes with possible or confirmed cases of COVID-19 Additional information on cleaning equipment and disinfectant
15 Annex I: use of the Capacity Tracker Updated advice on using the Capacity Tracker
16 Annex J: interim COVID-19 Waste Management Measures New section. Additional information on the management of healthcare waste from care home settings
17 Annex K: moving from the community into a care home New section. Additional information on testing individuals moving from the community into a care home


To read the full guidance please click here 

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