Covid-19 experiences and learning in Coventry Care homes

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Summary of report content

Healthwatch Coventry undertook telephone interviews with 25 out of 35 local residential care homes in Coventry about the impact of the Covid-19 situation, support and things that were learnt.

Care homes had almost all changed the way they delivered care during the pandemic.  Almost all reported a marked impact on staff and residents.

Most managers had put in place alternatives to normal visits by loved ones and the care homes were evolving these when we spoke to them as the guidance had been changed.

The interviews covered how care homes had been supported by other organisations: both NHS organisations/services and the local council. The responses showed that a lot of local support had been provided and that care home managers welcomed this and found the input of other agencies helpful. There was specific praise for individuals from the Council and Clinical Commissioning Group (CCG) who had provided link roles and support.

Almost all managers commented the district nurses employed by Coventry and Warwickshire Partnership Trust had maintained face to face care to support residents.  Whilst there were no direct questions about GPs, there was some feedback on this topic – about the effectiveness of remote consultations.

The care homes were asked about support from the hospital, hospital discharge and the assessment of residents ongoing care needs. There had been mixed experiences of communication from and with the hospital related to the discharge of patients to care homes, and the speed at which residents were discharged.

Most care homes felt that the virtual assessment of care needs by the local council social care department worked ‘ok’, four indicated it was working well and three highlighted concerns.

The research highlighted areas which worked well, including staff commitment and team working; good communication across organisations and knowing the Covid-19 status of new residents.  It also identified areas that didn’t work so well, including concerns about accessing testing for residents and staff in care homes and the hospital discharge process.

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General details

Report title 
Covid-19 experiences and learning in Coventry Care homes
Local Healthwatch 
Healthwatch Coventry
Date of publication 
Tuesday, 8 September, 2020
Date evidence capture began 
Monday, 6 July, 2020
Date evidence capture finished 
Friday, 7 August, 2020
Type of report 
Report
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Health protection
Holistic support
Information providing
Lifestyle and wellbeing
Quality of staffing
Staff attitudes
Staff levels
Staff training
Other information of note about this report 
Meaningful Activities
Healthwatch reference number 
Rep-7765

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Structured interview
How was the information collected? 
Research
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Social care services 
Residential care home

Details of people who shared their views

Number of people who shared their views 
25
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Service manager
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
No
Does the information contain a response from a provider? 
Not applicable
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
Not known

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.