Care Provider Visitor Guidance

National Guidance

Visits in to Care HomesClick Here for Guidance

Visits out to Care Homes Click Here for Guidance

Testing for Proffessionals Visiting Care Homes- Click Here for Guidance

Covid-19 Guidance for Supported LivingClick here for Guidance

Hertfordshire County Council Framework for Visiting

This document outlines the approach Hertfordshire will be taking regarding family and nonessential visitors into care homes and includes appeals process and checklists for visiting, testing and residents leaving.

Click here to read

Care Home Types of Visits

 

Type of visit Number PPE requirements Testing requirements When should visits stop?

Essential “care giver”

For all residents

1 consistent

Same requirements as care home staff

Ensure that the visitor has had appropriate training in safe donning and doffing in PPE.

Same testing protocol as Care home staff

*Positive in last 90 days

Visits should continue even if a home has an outbreak
Indoor Visit Unlimited (Two at a time)

Type II R masks, aprons and gloves always and following the home IPC measures.

Visitor should wear eye protection if the resident is coughing, Covid-19 positive or has respiratory symptoms.

Ensure that the visitor has had appropriate training in safe donning and doffing in PPE.

LFD must be taken before each visit and must be negative

If they test positive, the visitor must be given a confirmatory PCR test to take home, immediately be asked to go home and self-isolate.

The area they have been in must be deep cleaned and the home should contact trace within the home for any potential contacts.

*Positive in last 90 days

Visits must be stopped if the conditions are met in the local framework
Screened visits or outdoors

Unlimited

Maximum 2 visitors each time

Type IIR masks are required for screened indoor visits and recommended for outdoors.

Ensure infection control advice and social distancing is maintained.

No testing is required Visits must be stopped if the conditions are met in the local framework

Exceptional circumstances

(end of life)

Based on the individual situation Appropriate PPE for the type of visit

No testing is required

However, the home may choose to use lateral flow testing if identified in their risk assessments

Visits should continue even if a home has an outbreak
Professional visitors n/a Appropriate PPE for this type of visit No testing is required as these individuals are under their own regular testing regime, but proof is required Visits can continue even if the home has an outbreak

Other essential visitors

(e.g maintenance)

n/a Appropriate PPE for this type of visit

Check whether they are part of a regular testing and can show proof

If not, LFD is required

Visits can continue even if the home has an outbreak, but this needs to be risk assessed by the home
Out overnight or for the day with Families or Relatives
Risk Assessment must be completed
n/a Mask and social distancing where possible
Keeping up good hygiene
Avoid indoor locations where possible,
No isolation required when returning from overnight stays if certain conditions are met and based on home’s risk assessment
It is recommended that the Resident is tested on the day prior to overnight stay (LFT) and on their return
The named visitor and where possible, anyone who meets the resident as part of an indoor visit should undertake a lateral flow device test and receive a negative result on the day of the visit.
*Positive in last 90 days
Visits must be stopped if the conditions are met in the local framework

*Positive in last 90 days – Visitors who have recently tested positive for COVID-19 should not routinely be retested within 90 days. These visitors MUST SHOW EVIDENCE OF the result of their positive PCR result to show that they are currently exempt from testing until the 90-day period is over. Once the 90-day period is over, visitors should then continue to be tested. 

Outdoors PPE Guidance

Visitors in Care Homes

It is important that any type of visit in a care home is facilitated in a way that reduces the risks to visitors, residents and staff. Care homes should therefore continue to enable visits in a COVID-secure way including in an outdoor space.

The guidance on Care Home visiting by GOV.UK states that for outdoor visits the visitor and resident should always remain at least 2 meters apart. If this is not in place, then a facemask should be worn by the visitor at all times. Although an outside environment reduces the level of the virus in the space, there is still a risk of the resident and staff being exposed as this is close contact and offers a clear transmission route for Covid-19.

The Test and Trace app identifies all contact inside or out and the self-isolation rules remain the same as there is a risk of transmission specifically with the Delta variant.

It is vital that visitors to care homes continue to observe compliance with facemasks, hand hygiene and social distancing. We understand that all care home settings will differ and therefore the providers themselves are best placed to decide how such visits happen in practice. This includes considering the needs and wellbeing of individual residents, and adapting a visit based on the given layout and facilities of the care home.

In the summary of guidance for the visitors (https://www.gov.uk/government/publications/visiting-care-homes-during-coronavirus/summary-of-guidance-for-visitors–2) by GOV.UK it states that ‘Most importantly, remember to observe social distancing at all times, use whatever PPE the care home asks you to, and keep it on’.

For further queries or information around outdoor PPE guidance and care home visitation please contact the Provider Hub here, which also includes all information and guidance relating to COVID-19.

Tools to Support Care Home Visiting

Visiting In

Visiting Out

Arrangements for visiting out of the care home– Updated 17 August 2021 – Sets out how care homes can support residents on visits outside of the care home.

Change made: Updated guidance to reflect the change in guidance on 16 August that you no longer have to self-isolate after confirmed close contact with a positive case of COVID-19 if you are fully vaccinated or under 18.

This guidance applies from 16 August 2021 and replaces all previous guidance on visits outside of the care home. There are certain types of activity where the risks are inherently higher and the advice is that in these cases the resident should self-isolate for 14 days on their return to the care home. This is to ensure that, in the event they have unknowingly become infected while out of the home, they minimise the chances of passing that infection on to other residents and staff. These activities are:

  • Overnight stays in hospital that are unplanned (an emergency admission to hospital is considered higher risk than an elective procedure)
  • Visits assessed to be high-risk following an individual risk assessment
  • Travel to an amber list country

For planned hospital overnight stays (such as elective admissions), residents do not need to isolate upon return provided they meet the following criteria. Residents should:

  • Be fully vaccinated
  • Receive a negative PCR test following their return to the care home (and isolate until the result is received)
  • Complete daily lateral flow tests for 10 days following their return
  • Avoid contact with other highly vulnerable residents in the care home

If there is a nosocomial outbreak in the part of the hospital where the resident stayed, they should self-isolate for 14 days on their return regardless of whether their overnight hospital stay was planned (elective) or unplanned.

This remains under review, and it is our ambition that guidance on self-isolation following overnight stays in hospital will be amended as soon as the data and evidence show it is safe.

As care homes are high risk settings, residents are advised to limit international travel to and from amber list countries as much as possible, even if fully vaccinated. If residents do travel to an amber list country, they should isolate for 14 days even if they are fully vaccinated.

All other visits out of the care home that are not assessed as high risk should be supported, and not subject to advice to self-isolate on return to the care home, subject to an individual risk assessment (see section on individual risk assessments below). Where applicable, attention should also be given to any additional local guidance provided by the local director of public health (DPH) and director of adult social services (DASS).

Separate guidance is available on planning visits that residents may need to make to a hospital or other healthcare setting: planning visits that residents may need to make to a hospital or other healthcare setting.

Care homes should always support visits out in exceptional circumstances, such as to visit a friend or relative at the end of their life.

View The Updated Guidance Here 

Testing

Visits in and out of Supported Living settings

Maintaining opportunities for visiting and spending time together is critical for the health and wellbeing of people being supported, and their relationships with friends and family. In addition, for many people, there are important reasons for having in-person visits, as not doing so may be difficult to understand and lead to distress.

There are risks that need to be considered – even where people are vaccinated – but these are risks that can be appropriately managed.

As stated above this guidance is intended for supported living settings, but many of the principles are applicable to extra care housing for older people. It may also be a useful resource for the wider supported housing sector, such as retirement or sheltered housing.

The approach described below for developing a policy and mitigating the risks of visits (both into and out of the home) has 3 key elements:

  • people living in supported living settings live in their own homes and should be treated as such. This means they, and their visitors, need to follow the same national restrictions as other members of the public, including following each step in the government’s roadmap around social contact. The roadmap and associated regulations provide some flexibilities which may apply to people in certain supported living settings (such as exemptions for some indoor gathering and in relation to forming support bubbles)

  • supported living managers should seek to support and facilitate these opportunities wherever it is safe to do. They should develop policies for visits into and out of the setting, that are based on a dynamic risk assessment, and include consideration of the individual needs of the people who live there. These risk assessments should be developed in consultation with them

  • supported living managers should also work with the people being supported to identify what further steps they can take in order to manage and mitigate risks that arise from visiting

The default position set out in this guidance is that visits should be supported and enabled wherever it is safe to do so.

To read full guidance details click here