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Public Health Scotland Information and Guidance for Care Home settings published
Public Health Scotland has updated its COVID-19: Information and Guidance for Care Home Settings (Adults and Older People) to version 2.2. This provides COVID-19 advice for those working in care home settings for adults and older people and those organisations supporting care homes. There are a number of important updates relating to measures to prevent the spread of COVID, caring for residents during the pandemic, admission of COVID recovered patients from hospital and admissions from the community.
The key updates to note include:
The majority of the IPC advice has been removed and the guidance now links to the ARHAI Scotland Scottish Care Home IPC addendum for this information.
Expanded ventilation advice by including advice on the use of fans in residents’ private rooms and communal areas.
Sampling testing: now advises the local HPT determines whether sample screening of residents on a regular basis is required or not.
Added information on the use of Lateral Flow Device (LFD) tests in care homes (reflecting current guidance on LFD testing).
Admission of COVID-19 recovered patients from hospital to the care home - advice has been updated to advise negative PCR testing before admission is no longer required if the resident has clinically recovered and completed 14 days self-isolation in hospital.
Admissions from the community - advice has been updated to reflect a Protection Level approach to self-isolation on admission. In Protection Levels 0-2, a risk assessment can be undertaken to determine if 14 days self-isolation is appropriate but in Protection Levels 3-4, 14 day isolation on admission is still required. A negative PCR test before admission is also still required.
The section on Residents who temporarily leave the care home section has been updated based on Scottish Government Open with Care: outings away from the care home guidance and associated Open with Care guidance on visiting. The updated advice also includes that residents have the choice of self-isolating at the care home or with friends/family if they become symptomatic, confirmed case, or close contact whilst on a visit outwith the care home.