{"id":4359,"date":"2020-11-16T10:30:57","date_gmt":"2020-11-16T10:30:57","guid":{"rendered":"https:\/\/www.caredocs.co.uk\/?p=4359"},"modified":"2023-06-05T15:16:58","modified_gmt":"2023-06-05T14:16:58","slug":"visiting-arrangements-during-englands-second-lockdown-7-key-point-blog","status":"publish","type":"post","link":"https:\/\/www.caredocs.co.uk\/visiting-arrangements-during-englands-second-lockdown-7-key-point-blog\/","title":{"rendered":"Visiting arrangements during England\u2019s second lockdown \u2013 7 Key points"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4359\" class=\"elementor elementor-4359\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-104d1fad elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"104d1fad\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5f686d51\" data-id=\"5f686d51\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2a185c51 elementor-widget elementor-widget-text-editor\" data-id=\"2a185c51\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tAs England&nbsp;entered&nbsp;its second national lockdown on the 5th of November&nbsp;2020, new&nbsp;restrictions came into effect&nbsp;across the country. The care sector has its own guidance set by the Department of Health and Social Care&nbsp;(DHSC)&nbsp;and&nbsp;is&nbsp;supported by Public Health England&nbsp;(PHE).&nbsp;To&nbsp;help protect care staff,&nbsp;residents&nbsp;and visitors from spreading&nbsp;or contracting&nbsp;<a href=\"https:\/\/www.caredocs.co.uk\/our-products\/caredocs-features\/care-features\/covid-19\/\">COVID-19<\/a>,&nbsp;and to&nbsp;increase infection control measures&nbsp;in care homes,&nbsp;restrictions for visitation have been temporarily upgraded.\n\nLoneliness and isolation&nbsp;can have&nbsp;a major&nbsp;negative&nbsp;impact on the overall health&nbsp;and wellbeing&nbsp;of elderly and vulnerable residents.&nbsp;It can cause anxiety, depression and other&nbsp;adverse emotions or behaviours.&nbsp;Visitors bring many benefits to care homes. It\u2019s a chance for people to socialise, stay up to date with personal interests, and during the pandemic, feel a sense of normality.\n\nSo, what is the new guidance for arranging visits and how long will it last? Here are&nbsp;7&nbsp;key&nbsp;questions&nbsp;answered&nbsp;from the&nbsp;<a href=\"https:\/\/www.gov.uk\/government\/publications\/visiting-care-homes-during-coronavirus\/update-on-policies-for-visiting-arrangements-in-care-homes\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">official guidance<\/a>.\n<h2>1. What is the role of PHE and the directors of public health?<\/h2>\nThe directors of public health (DPH) are part of PHE and its their job to suppress and manage infectious outbreaks at a local level. This means each local council will have an outbreak plan that has been put together by a director of public health, which includes advice for care homes. DPH also have the powers to stop care homes from allowing visitors entirely, except for in exceptional circumstances.\n<h2>2. Who decides the visitation procedures?<\/h2>\nThis is now effectively a joint effort by the care provider&nbsp;and&nbsp;the DPH.&nbsp;Because care settings are all unique in their layout, facilities,&nbsp;resources&nbsp;and resident needs, the DHSC have acknowledged that care providers are best suited to decide how to deliver visits. However,&nbsp;providers&nbsp;have advised&nbsp;to&nbsp;communicate with its staff, residents and the family and friends of residents to reach a decision that works for everyone.\n\nBefore visitors&nbsp;are allowed to&nbsp;enter, the care provider must first create a risk assessment, taking into account the advice issued by the DPH and their own ability to manage visits safely.&nbsp;If the risk is too high and there aren\u2019t enough infection control measures in place, the care provider should consider increasing safety before allowing visitors. If the risk of COVID-19 is too high in a local area, the DPH has the power to stop visitors all together, or issue further specific steps.\n<h2>3. What should be included in a visitation risk assessment?<\/h2>\nIndividualised resident risk assessments should first be carried out to assess the rights and needs of&nbsp;each individual, as well as any vulnerabilities, and whether visitors would play a beneficial part of their&nbsp;ongoing&nbsp;care.&nbsp;Checking your <a href=\"https:\/\/www.caredocs.co.uk\/our-products\/caredocs-features\/care-features\/care-plans\/\">care plans<\/a> is a good way to find out if your residents depend on or benefit from regular visits, or if they might be satisfied&nbsp;temporarily&nbsp;trading&nbsp;visitations for extra safety.\n\nThe general layout, facilities and resources need to be&nbsp;taken into account. Is there a safe area&nbsp;accessible from the outside&nbsp;for visitors to&nbsp;enter through,&nbsp;is there enough space for visitors to pass&nbsp;through safely, is there enough PPE,&nbsp;antibacterial gel&nbsp;or infection prevention equipment&nbsp;to&nbsp;go around,&nbsp;or&nbsp;are&nbsp;there enough staff&nbsp;available&nbsp;to monitor and disinfect meeting&nbsp;rooms? These are some things to consider.\n\nStaff, residents and their family and friends should also be&nbsp;involved in the discussion. Are any residents or staff particularly vulnerable? Do any regular visitors need additional support or accessibility? Are any residents particularly anxious about visitors coming in?\n<h2>4. Are visitors allowed in exceptional circumstances?<\/h2>\nVisitors are to be allowed in exceptional circumstances, no matter what PHE have advised at a local level. However, there\u2019s no definitive list of exceptional circumstances. What can be deemed exceptional seems to be at the care provider\u2019s discretion. However, an end of life situation is frequently mentioned as being the only example.\n<h2>5. What should I consider when arranging visitors?<\/h2>\nThere should be a booking system in place where visitors can choose a slot. This allows&nbsp;time&nbsp;for the provider to&nbsp;prepare and make others aware. Accepting visitors ad hoc&nbsp;is discouraged.&nbsp;Where possible, there should only be one constant visitor per resident,&nbsp;but two&nbsp;at the very most is also acceptable if there is good reason.&nbsp;Care providers should also keep a record of their visitors temporarily, in case any <a href=\"https:\/\/www.caredocs.co.uk\/our-products\/caredocs-features\/care-features\/covid-19\/\">COVID-19<\/a> cases are found and can be reported.\n\nIdeally,&nbsp;visits should take place outside or in an open-air environment, but in the colder months this may be&nbsp;challenging. Alternatively, a conservatory or room that can be accessed from outdoors is acceptable. This is because visitors must enter the space from outside, where possible.\n\nPPE must be&nbsp;used&nbsp;and social distancing measures must be adhered to.&nbsp;A protective screen should be installed to separate the resident from the visitor, and good infection prevention and control&nbsp;practice&nbsp;must be maintained throughout the visit and through the wider area.\n\nYou should clearly communicate all restrictions and measures to staff,&nbsp;residents&nbsp;and visitors to prepare them for these changes in advance.\n<h2>6. Can we have visitors if there are cases of COVID-19 at the setting?<\/h2>\nIn the event of COVID-19 outbreaks, the guidance states visitation arrangements must stop&nbsp;immediately. Some care providers will also have local policy or&nbsp;<a href=\"https:\/\/www.gov.uk\/government\/publications\/reporting-outbreaks-of-coronavirus-covid-19\/covid-19-early-outbreak-management\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">outbreak management<\/a>&nbsp;arrangements in place, which should be followed.&nbsp;After&nbsp;the&nbsp;COVID-19 cases&nbsp;are&nbsp;brought under control, visitation can continue&nbsp;as long as&nbsp;there are appropriate infection prevention and control measures in place, taking into account what was learned from the recent outbreak.\n<h2>7. When will restrictions end?<\/h2>\nWe\u2019re not sure yet.&nbsp;The DHSC will review its guidance before the national lockdown comes to an end on 2nd of December 2020. This means restrictions could potentially stay in place for longer&nbsp;if&nbsp;the number of coronavirus cases and transmission rates haven\u2019t significantly changed. Alternatively, each region could find themselves with different restrictions, as Prime Minister Boris Johnson stated the plans are to return to a tier-based system after lockdown concludes.\n\n[Update 02\/12\/20] The UK has moved into a tier system. To find out visiting guidance for your tier, follow the links below:\n<a href=\"https:\/\/www.gov.uk\/guidance\/tier-1-medium-alert#visiting-relatives-in-care-homes\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Tier 1 \u2013 Medium alert<\/a>\n<a href=\"https:\/\/www.gov.uk\/guidance\/tier-2-high-alert#visiting-relatives-in-care-homes\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Tier 2 \u2013 High alert<\/a>\n<a href=\"https:\/\/www.gov.uk\/guidance\/tier-3-very-high-alert#visiting-relatives-in-care-homes\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Tier 3 \u2013 Very high alert<\/a>\n<h2>Finding the balance<\/h2>\nAlthough visitation has been&nbsp;reviewed and improved&nbsp;since the first national lockdown,&nbsp;there\u2019s still a lot to consider, especially with extra input from PHE. Care providers are now tasked with the delicate&nbsp;job of finding the balance between keeping everyone physically safe and denying&nbsp;its resident&nbsp;a healthy social experience&nbsp;by&nbsp;disallowing&nbsp;visitors.\n\nThere isn\u2019t a win-win situation for everybody, but&nbsp;with proper infection prevention and control measures in place, everyone has a better chance at remaining safe. If care providers&nbsp;do&nbsp;opt to&nbsp;prohibit&nbsp;visitors, technology&nbsp;can&nbsp;offer a great temporary solution in the form of video chatting&nbsp;until&nbsp;it\u2019s&nbsp;safe to commence visitation again.\n\nPlease see the full government guidance to help you plan your visitation process.\n<h2>Using CareDocs<\/h2>\nYour residents\u2019 digital <a href=\"https:\/\/www.caredocs.co.uk\/our-products\/caredocs-features\/care-features\/care-plans\/\">Care Plans<\/a> can be quickly searched to find useful information to form your risk assessment. Once you have finalised your visitation procedures, you can create a new or update an existing digital <a href=\"https:\/\/www.caredocs.co.uk\/our-products\/caredocs-features\/business-management-features\/policies-and-procedures\/\">Policy &amp; Procedure<\/a> document so your staff can easily find it, read it and confirm they have understood it. You can also use our <a href=\"https:\/\/www.caredocs.co.uk\/our-products\/caredocs-features\/care-features\/covid-19\/\">COVID-19<\/a> feature to track visitors and symptoms, so you have a record of who has visited and the name of the resident they saw.\n<h2>Sources<\/h2>\nGOV \u2013 visiting arrangements in care homes for the period of national restrictions:&nbsp;\n<a href=\"http:\/\/www.gov.uk\/government\/publications\/visiting-care-homes-during-coronavirus\/update-on-policies-for-visiting-arrangements-in-care-homes\" rel=\"nofollow\">www.gov.uk\/government\/publications\/visiting-care-homes-during-coronavirus\/update-on-policies-for-visiting-arrangements-in-care-homes<\/a>\n\nGOV \u2013 COVID-19 outbreak management:&nbsp;\n<a href=\"http:\/\/www.gov.uk\/government\/publications\/reporting-outbreaks-of-coronavirus-covid-19\/covid-19-early-outbreak-management\" rel=\"nofollow\">www.gov.uk\/government\/publications\/reporting-outbreaks-of-coronavirus-covid-19\/covid-19-early-outbreak-management<\/a>\n\nLorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>As England\u00a0entered\u00a0its second national lockdown on the 5th of November\u00a02020, new\u00a0restrictions came into effect\u00a0across the country. The care sector has its own guidance set by the Department of Health and Social Care\u00a0(DHSC)\u00a0and\u00a0is\u00a0supported by Public Health England\u00a0(PHE).\u00a0To\u00a0help protect care staff,\u00a0residents\u00a0and visitors from spreading\u00a0or contracting\u00a0COVID-19,\u00a0and to\u00a0increase infection control measures\u00a0in care homes,\u00a0restrictions for visitation have been temporarily upgraded.<\/p>\n","protected":false},"author":8,"featured_media":4365,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[21],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Visiting arrangements during England\u2019s second lockdown \u2013 7 Key points - CareDocs<\/title>\n<meta name=\"description\" content=\"Our blog detailing the new lockdown visiting arrangements in care homes and how they will affect you.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.caredocs.co.uk\/visiting-arrangements-during-englands-second-lockdown-7-key-point-blog\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Visiting arrangements during England\u2019s second lockdown \u2013 7 Key points - 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