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Coronavirus (COVID-19): Frequently Asked Questions (FAQs)

In response to the coronavirus (COVID-19), we have captured some of your most frequently asked questions for care providers and staff across Wales.

We understand and appreciate the difficulty of the current situation and the impact it is having on many care providers and staff across Wales. We hope the FAQs below answer some of your questions, and we will be updating these regularly as the situation progresses.

General questions

Where can providers find the latest guidance and information on COVID-19?

Providers are encouraged to visit the Public Health Wales website for the latest information. We also encourage you to visit the coronavirus (COVID-19) area of our website, as it holds useful links and information.

Social Care Wales and Welsh Government have a lot of resources to guide you. Also, as part of its working programme for supporting care homes to improve the quality of care for older people across Wales, Improvement Cymru have developed the following as a single point of access for information relating to care homes.

Notifications

What COVID-19 notifications are required by CIW?

You should notify CIW of confirmed cases of COVID-19 of people using the service, and members of staff (and in the case of childminders, other family members living at the premises). 

Domiciliary Support Services employing large numbers of staff can notify us about multiple members of staff in a single notification. Such notifications must not be less frequently than weekly. We would expect to be informed immediately of issues regarding the quality of the care provided or risks to people receiving the service.

Please use CIW Online to notify us and report as you would any infectious disease. If your childcare and play service (including childminders) is now closed please inform us, the relevant notification can be found under “Leadership and Management” on CIW Online

More information can be found on the Public Health Wales website.

Staffing

How can we socially distance when at work?

The well-being of staff is critical but where a service is responsible for looking after or working with children or vulnerable adults, it would not be reasonable to institute rigid physical distancing. The safeguarding of children and vulnerable adults should not be compromised. However, where possible staff should maintain 2m distance from each other e.g. during breaks.

Guidance for Taking reasonable measures to maintain physical distancing in the workplace can be found on the Welsh Government website.

Specific questions relating to those care services registered under the Regulation and Inspection of Social Care (Wales) Act (RISCA)

Do Responsible Individual's (RI) visits and oversight need to continue?

It is especially important for RIs to maintain oversight of services during the pandemic, monitoring quality and outcomes for people.  RIs should ensure they find ways of speaking to people receiving services about their experience.  

What do we do if we cannot obtain sufficient staff to safely meet people's needs?

It is important to have a business continuity plan in place; if having explored your options, you are worried about maintaining safe staffing levels, you should alert the local authority (and health board if they also commission care) as early as possible. You should also notify CIW using online notification and can also phone for advice. Registered nursing support must be provided where people have been assessed as having nursing needs. Decisions should be risk assessed and taken in the best interests of people receiving care and should be clearly recorded, including steps taken.

Can family members or volunteers help to provide care?

We would expect providers to have carried out appropriate checks, and be confident the family members or volunteers can carry out the tasks allocated to them safely. We also expect family members and volunteers to be appropriately supervised. COVID testing should be carried out in line with guidance. 

Do I have to get staff and people living in the care home tested for COVID-19?

Testing is an important way of managing the spread of COVID-19. Providers should follow Welsh Government guidance and facilitate testing, even where people are asymptomatic. The safety and well-being of people must come first. 

No blanket decisions should be made on behalf of people. If people do not have the capacity, individual best interest decisions should be made in line with the Mental Capacity Act. Additional guidance for best interest decisions on the Mental Capacity Act can be found on the Social Care Institute for Excellence website.

What is the guidance about people living in a care home or supported living receiving visitors?

Staying connected with friends and family is really important for people’s well-being and should be supported wherever it is safe to do so. Visits in exceptional circumstances, including but not limited to end of life, should be facilitated at all alert levels. Window visits can still take place if a care home has a COVID outbreak. You can read the visitor guidance here for care homes and for supported living. This should be read alongside the control plan which outlines the guidance at each Alert Level. In addition, Public Health Wales (PHW) has also published its risk assessment guidance for care homes, for visiting into and out of care homes.

What is the process if people living in a care home do not have capacity to consent to the COVID vaccine?

Care home providers should plan to gather consent from relatives or legal power of attorneys for people they consider unable to provide informed consent for themselves. This information should be noted if verbally received, so it can be shared with the vaccination teams on their arrival to minimise disruption to the vaccine delivery.

Health boards have guidelines to follow which includes requesting care home providers obtain this information ahead of the vaccination programme coming to the care home.

If there is no-one to provide consent on the resident’s behalf, health board professionals will speak with the care home manager about the person and undertake the best interest decision. This should be recorded in the person’s personal plan.

For further information please review:

Where can I find guidance on prevention and management of COVID-19 in care homes?

Can staff working in supported living be tested?

Providers of intensive levels of care and support for people in supported tenancies can now register with the online portal for regular PCR testing (in line with the published control plan). CIW wrote to all relevant providers on 14 December setting out how to do this.

Do care staff have to be vaccinated?

We strongly urge all staff to accept the two-dose vaccination course, in order to provide immunity and ensure you can be protected whilst you care for people. We believe there is a professional responsibility to take up this offer, which if accepted at scale in the wider community, will create the conditions where the restrictions of COVID on all our lives can eventually improve, especially for those who are most at risk.

We hope social care workers will do the right thing and support the vaccination campaign.  

Specific questions relating childcare and play services

As a childminder if I develop coronavirus and temporarily stop minding, can I do a deep clean and then reopen after self isolating?

If you or someone in your household develop symptoms at any time, you should follow the latest Public Health Wales guidance and self-isolate for the recommended time period. You should inform the parents of the children you mind. When the isolation period comes to an end, providing that everyone within the household is then well, there is nothing to prevent you from starting to mind children again. 

If your childcare and play service (including childminders) is now closed or has reopened please inform us, the relevant notification can be found under “Leadership and Management” on CIW Online.

 

If a setting is located in a school do they need to inform CIW if there is an outbreak in the school?

No. If there is an outbreak at the school a setting is based in, the setting does not need to notify CIW.  CIW notification is only required where there is a confirmed positive case of COVID-19 at the setting itself.

If any staff or children at the setting are identified as contacts of a positive case in the school (or elsewhere), contract tracing advice should be followed.

If a childminder’s household member is self-isolating should they close their service?

If a member of a childminder’s household is asked to self-isolate due to having COVID-19 symptoms, the whole household must self-isolate for 10 days (or until the symptomatic individual receives a negative test result) and the childminding service should close for this time. 

If a member of a childminder’s household is asked to self-isolate due to being identified as a contact of a positive case, childminders are advised to contact their local Environmental Health Teams or PHW Health Protection Teams (0300 00 300 32) for advice.  In this circumstance, advice will be specific to a childminder’s individual circumstances and the mitigating actions that can be put into place.

Do I need to take part in lateral flow testing?

Testing is an important way of managing the spread of COVID-19. Providers should follow Welsh Government guidance and facilitate testing, even where people are asymptomatic. The safety and well-being of people must come first.

For more information visit the coronavirus information area of our website. Additional questions received by us between March – June 2020 can be found from the downloads section below. If you have any questions regarding coronavirus (COVID-19) not currently included on this page please get in touch with us.

Always check the Public Health Wales website and the Welsh Government’s coronavirus information area for the latest guidance.

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