Welcome

Thank you for visiting the Adult Care and Community Wellbeing COVID-19 page. Please find below information, advice and guidance for all colleagues to follow during this time.

OVERALL CONTENT

  

Introduction

(Last updated: 28/07/2020)

This section provides guidance and sets out the underpinning principles which inform Adult Care and Community Wellbeing processes during the COVID 19 pandemic. Wherever possible, the guidance in this section is common to all teams, service areas and settings across Adult Care.

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Social Distancing and Stay at Home Guidance

This guidance is for everyone, including children. It advises on social distancing measures we should all be taking to reduce social interaction between people in order to reduce the transmission of coronavirus (COVID-19).

Staying alert and safe (social distancing)

Stay at home: guidance for households with possible coronavirus (COVID-19) infection

An Easy Read document about COVID-19 and how to look after your feelings and body can be accessed here.

The Government’s test and trace programme is part of national plans to dampen down infection spread of Covid-19 as we further reduce lockdown rules. LCC’s role is focused on investigating and resolving complicated local outbreaks. The government has asked councils to develop local political leadership through setting up outbreak management boards with our key local partners. If small outbreaks in communities, schools or even an individual street are identified, the board can take measures to isolate the problem. Instead of national lockdowns, individual isolation and local action will tackle an outbreak.

Lincolnshire Covid outbreak management plan

 

Coronavirus Useful Information and Advice

A guidance section has been set up under the Coronavirus – Useful Information and Advice page, which can be found on George. This is to ensure that the relevant guidance and up to date information can be accessed from one central place.

 

COVID-19 e-learning

To support staff develop their understanding of the COVID-19 virus and ensure they have all the information required to protect their health and wellbeing; there are two 2 e-learning modules available to all Adult Care and Community Wellbeing staff. These are available on the LSAB Virtual College site. If you have any queries, contact ASCworkforceinfo@lincolnshire.gov.uk

 

Adult Care and Community Wellbeing COVID-19 Working Groups

Working groups are in place to report issues daily to Senior Leadership to speed up actions and decision making where possible. Senior Leadership group then escalates direct to Corporate Leadership Team where there are issues which cannot be addressed in the working groups or by Adult Care and Community Wellbeing Senior Management Team.

If you have any ideas or questions that your line manager is unable to implement or resolve, they should escalate these via their line manager so that where needed information can feed into the subgroups in the diagram found here.

 

Safeguarding

(Last updated: 06/05/2020)

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Adult Safeguarding arrangements in Lincolnshire

Safeguarding is everyone’s business, so it is important that we remain alert to possible abuse or neglect concerns. Local Authorities, social care providers, the health voluntary sector and our communities must continue work to prevent and reduce the risk of harm to people with care and support needs, including those affected by COVID-19. The briefing note attached here sets out the arrangements in Lincolnshire.

 

Guidance on managing and prioritising Safeguarding Referrals during COVID-19

The guidance located here sets out how Lincolnshire County Council (LCC) Adult Safeguarding Team will manage and prioritise safeguarding adult referrals during the COVID-19 pandemic. This guidance has been agreed by the Executive Director of Adult Care and Community Wellbeing and the Principal Social Worker to ensure the same level of safeguarding oversight and application of Section 42 to the people of Lincolnshire during this exceptional period.

 

Hospital Discharge Safeguarding

The Section 42 duty requires consideration of the following criteria under Section 42 (1) and (2) of the Care Act (2014):

S42 (1) whether there is “reasonable cause to suspect” that an adult

  1. has needs for care and support
  2. is experiencing, or is at risk abuse or neglect, and
  • as a result of their needs is unable to protect themselves

Where this criteria is met, S42 (2) requires the local authority to make (or cause to be made) whatever enquiries are necessary, deciding whether action is necessary and if so what and by whom.

In some circumstances, this duty may be triggered by an unsafe discharge. The document located here gives guidance on when these circumstances might occur.

 

Continuing Health Care Safeguarding

The CHC safeguarding email has now changed to lccg.chcsafeguarding@nhs.net

 

Police Safeguarding Hub

In light of the continued government restrictions around COVID-19, and the working practices of the Police Safeguarding Hub, external access is now just by email until further notice. Upon receipt of an email a member of the PSH will be in contact.

The email is PVP-PSH@lincs.pnn.police.uk

 

BASW Safeguarding Guidance

This has been developed by the British Association of Social Workers (BASW) in consultation with practitioners, managers, academics and sector leaders to help social workers in any role or setting to safeguard adults.

The pandemic is putting pressure on safeguarding and is raising new safeguarding issues. This guidance anchors social workers by grounding their work in the purpose and ethics of social work, and by highlighting the support needed for social workers. This is generic guidance for all social workers across the UK. You can find it on the BASW website.

 

Legal and Legislation

(Last updated: 28/07/2020)

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Coronavirus Act 2020 and Care Act Easements-

NOTE: these are not enacted in Lincolnshire

What are Care Act Easements?

The Coronavirus Act relaxes some of the duties placed on local authorities to comply with their duties under the Care Act once it is decided by the Government that they can be activated. These are termed “Easements”. You may well have seen the guidance.  Whilst they are now available to use nationally, it is a matter for each Local Authority when and if it may be appropriate to fall back on these easements. The possibility cannot be ruled out that in the coming period Local Authorities will need to take difficult decisions and may need to be able to focus their resources on prioritising accordingly to meet the most urgent needs, even if this means not meeting some of their statutory duties, or taking longer to meet these duties.

While these may be enacted in the future in Lincolnshire this is very much a last resort and the decision to do so will be made by the Executive Director and Leader of the Council with input from the Principal Social Worker and partner agencies.

 

Statutory Responsibilities

As the Care act Easements have not been enacted in Lincolnshire this means that we must continue to meet our Statutory Care Act Duties. We must continue to undertake assessments, reviews, care and support planning and safeguarding enquiries amongst other things in line with our duties.

Lincolnshire County Council and providers will continue to do everything we can to meet all the needs in line with the Care Act. LCC continues to have a vital role in providing care and support for some of the most vulnerable people in society.

 

What has changed?

We are still working under the Care Act Duties.  However, where safe and appropriate, practitioners should undertake assessments, reviews and support plans remotely. This decision should be made considering risk and using your professional judgement / curiosity alongside discussion with your Lead Practitioner. You must record on the person’s record that you have had a conversation with the person / representative and reasons for undertaking the assessment, review etc. remotely or in person.

If you undertake a visit in person you must follow social distancing guidance and guidance on the use of PPE.

 

Where teams are having difficulty workings safely please speak to your Line Manager who will provide advice and support or escalate for further advice.

Where can I find out more?

While the Care Act Easements have not been enacted in Lincolnshire at this time you can find the guidance here.

The guidance should be read alongside the Department’s Ethical Framework for Adult Social Care, published on 19 March. COVID-19: ethical framework for adult social care to support the planning and organisation of adult social care during the coronavirus (COVID-19) outbreak. This will support decision making and sets out key values & principles for decision making 

You can find the Ethical Framework here.

The values and principles

1.Respect

2.Reasonableness

3.Minimising harm

4.Inclusiveness

5.Accountability

6.Flexibility

7.Proportionality

8.Community

 

Mental Capacity Act (2005) (MCA) and Deprivation of Liberty Safeguards (DoLS) during the Coronavirus (COVID-19) Pandemic

This guidance is only valid during the COVID-19 pandemic and applies to those caring for adults who lack the relevant mental capacity to consent to their care and treatment. The guidance applies until withdrawn by the Department. During the pandemic, the principles of the MCA and the safeguards provided by DoLS still apply.  The guidance and additional guidance can be found here.

 Jonathan Auburn and Joanne Clement have produced a webinar on Care Act Easements and MCA/DoLS. Easements have NOT been implemented in Lincolnshire; however, this useful webinar covers undertaking capacity assessments during the Lockdown.

Link to the recording of the webinar can be found here. Access Password: 8P@r$%zV

PDF’s of the PowerPoints can be found here and here.

The Department of Health and Social Care has asked SCIE to develop a series of webinars to support you and your team to understand the MCA and gain an understanding of what it means in practice. Each webinar will explore a different aspect of the MCA. Attend one-off sessions to refresh your learning in a particular area or sign up to all five for a complete overview and introduction to the Act.

www.scie.org.uk/care-providers/coronavirus-covid-19/virtual-courses/mca-training-webinar-series

 

NHSE / DHSC Guidance on the Mental Health Act under COVID-19

NHSE and DHSC joint guidance on legal issues relating to the Mental Health Act and COVID-19. This includes ethical considerations, the use of digital and video, flexibility of the code of practice and a range of other issues.

Legal guidance for mental health, learning disability and autism, and specialised commissioning services supporting people of all ages during the coronavirus pandemic can be found here.

 

Department of Health and Social Care-Action Plan for Social Care

The government published an action plan to support the adult social care sector in England throughout the coronavirus outbreak. This is an important plan to familiarise yourself with and contains useful information and guidance and includes information on:

  • New action plan to reduce outbreaks in care homes, support care staff and providers and maintain independence of those receiving care
  • Plans to boost access to PPE, ramp up testing for care sector and recruit more staff
  • Unifying new ‘care’ brand for care workers with NHS-style identity, to ensure recognition and access to benefits during crisis and in response to ask from sector

You can find it here

 

Cases of interest

Authorisation granted depriving individual of liberty during COVID-19 pandemic (Court of Protection)

COVID-19: Hospital entitled to seek injunction removing patient with confirmed care package (High Court)

The cases of interest PDF can be found here.

 

Operational

(Last updated: 28/07/2020)

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Coronavirus Act 2020 and Care Act Easements

Lincolnshire County Council currently has not enacted Care Act Easements. Information about what are Care Act Easements, Statutory responsibilities, and Ethical Framework can be found in the Legal and Legislation section.

Lincolnshire County Council is still working under the Care Act Duties. Where safe and appropriate practitioners should undertake assessments, reviews and support plans remotely. This decision should be made considering risk and using your professional judgement / curiosity alongside discussion with your Lead Practitioner. You must record on the person’s record that you have had a conversation with the person / representative and reasons for undertaking the assessment, review etc. remotely or in person.

If you undertake a visit in person you must follow social distancing guidance and guidance on the use of PPE. Where teams are having difficulty working safely, speak to your Line Manager who will provide advice and support or escalate for further advice.

 

Adult Care Vulnerable Persons and RAG Rating Process during COVID-19 Pandemic

The RAG (Red, Amber, Green) Rated Vulnerable Persons List will be provided to Operational Teams every Tuesday and Thursday. The report is required to be reviewed on a regular basis. This will allow for:

  • consideration of new service users who do not have a RAG rating to be risk assessed and a RAG rate applied.
  • review and adjustment of RAG rated scores if service user and carer circumstances alter.

The full guidance can be found here.

 

Contingency Case Note

The document located here is intended to be used as a prompt / guide for things which are important to consider and capture when completing the case note. Remember professional judgement and curiosity are some of the most important tools you have!

 

Visit guidance

Face to face visits should be kept to a minimum and only take place once all other options have been considered. Any visits should be based on the risk to the individual and should give due consideration to the protection of staff.  The below Face to Face Visit Guidance should support decision making and be considered in conjunction with the full advice detailed in the embedded document.

Should a face to face visit be needed, ensure the flowchart in Appendix A of the guidance is followed to determine whether Personal Protective Equipment (PPE) will be needed. The home visit checklist should be completed in Mosaic by the practitioner and authorised by their line manager before any visit is undertaken.

The face-to-face guidance can be found here.

 

Checking the effectiveness or support arrangements

In all circumstances where support services or interventions have been arranged, practitioners should ensure that checks are made within the first week and no later than two weeks to ensure the initial effectiveness of those interventions. This should involve establishing with the customer, representatives and providers, where required, that the plan is fulfilling needs and making any necessary adjustments. This activity should usually be conducted as a desktop / telephone exercise unless circumstances suggest a visit is required.

This is not a review. The phone contact or visit should be recorded in the customer’s case notes. If this check finds a significant change in needs then a review should be undertaken by bringing forward any previously scheduled review with a reassessment undertaken as required.

 

Reviews for on-going support

Arrangements for reviews, including the frequency, who should be involved, and the type of review, should be agreed as part of the care and support planning process.

A first review should take place within 6-8 weeks of support starting, both for new or former customers with new care and support, and for existing customers where new services have been arranged. This review should be undertaken by the original assessor/team responsible for the assessment and planning work and may be a light touch review if appropriate. This should be scheduled as a light touch review in MOSAIC in the Care and Support Plan. See additional information here.

Thereafter, people should have a review scheduled in MOSAIC at least once per year, as a minimum requirement.

There may be circumstances where more frequent reviews are required. This should be based on a professional decision determined by the person’s needs and circumstances, for example, in response to changes in the person’s needs or where the elements of the support arrangements are problematic.

Additional information can be found in the procedures manual here.

Undertaking 1-2 week follow ups and 6-8 week reviews since the start of lockdown and going forward, visits that are not essential, for pieces of work like; assessments, support plans, reviews and all other work should be undertaken via telephone where possible.

Continue to follow the home visit guidance.  This needs to be considered on an individual case by case basis in conjunction with the home visit guidance /risk assessment and discussed with the line manager. While the procedures manual guidance states that some reviews should not be carried out over the phone, the home visit guidance supersedes this while we are operating under social distancing measures.

 

Continuing Healthcare (CHC) – Important Update

How do I access CHC funding / support? (Adult Frailty and Long Term Conditions only)

Due to the COVID-19 outbreak, emergency measures for CHC were introduced by the Government. This includes the cessation of all CHC assessments.

The majority of the emergency measures remain in place. However CCGs are now looking at recovery processes and the following are for immediate action.

Completing Checklists

With immediate effect practitioners should complete Checklists where it is appropriate and send them to the CHC Team as they were doing pre-COVID. This means both negative and positive Checklists.  Where the Checklist is positive an Adult Care Needs Assessment must also be sent. Also ensure the CHC Monitoring Form in Mosaic is completed.

Here is the attached guide to support you in your decision as to whether it is appropriate for a Checklist to be completed.

Where practitioners submit a positive checklist and believe that an individual in their own home or in a placement requires healthcare that can’t be provided through community health services they should  contact CHC either by email  liwccg.chc@nhs.net  or by phone 01522 515344. Ask to speak to one of the CHC managers/Band 7. You may be given another number to phone or they may take your number for someone to call back.

Once in contact you will be able to discuss the person and what additional healthcare you believe they need.  If the manager/Band 7 agrees that additional health care is required they will be able to agree it on a ‘funding without prejudice’ basis. On-going funding will be dependent on the outcome of a future DST.

This process also applies where FNC is required for an individual to move to a nursing placement from their own home and where an individual needs to move from a residential (care only) placement to a nursing bed. It also applies where Fast Track would have been requested.

The CHC Team will undertake regular telephone reviews of those individuals they have agreed funding for. If at any time it is identified that the healthcare provision is no longer needed the COVID funding will be withdrawn.

Please ask the CHC manager/Band 7 to confirm the agreement by email with reference to ‘funding without prejudice’ or you can send an email to them to confirm the agreement.

 

Requests to jointly review/ complete Checklists

As a result of the changes to CHC practice due to COVID-19 there is an inevitable backlog of cases. In order to start addressing this the CHC team will be sending requests for Adult Care practitioners to participate in Microsoft Team meetings to review existing positive Checklists and complete new ones for those people who have had their care funded through COVID-19 monies (either through health or LCC), or urgent funding from the CCG.

Positive Checklists are being reviewed as due to the time that has passed since some of them were completed the person’s needs may have changed and they may no longer screen in for a DST to be completed. Whilst some of these Checklists may have been completed by a community nurse the CHC team want to ensure there is a joint approach with LCC Adult Care in reviewing them to ensure that DSTs are only completed where essential and to help prevent disagreements and disputes on outcomes.

 

When can we contact CHC colleagues?

CHC office staff will be available 9am – 5pm with a skeleton clinical team operating between 8am to 8pm to support HD & Complex placement queries. Contact by phone 01522 515344 or you may be directed to call 07971 340557.

 

What if I believe the person would normally be eligible for CHC or have health needs and this has not been agreed?

Where you have contacted CHC colleagues and have been unable address what you believe are unmet health needs please contact our CHC coordinators by email to AdultCareCHC@lincolnshire.gov.uk and attach a copy of a completed checklist. Ensure you record on the customer record (Case Note) that you have contacted CHC stating clearly why you believe health support should be in place. This needs to be comprehensive enough to inform a retrospective DST (if required) and should reference the four key characteristics: Nature, Intensity, Complexity and Unpredictability. LCC CHC Coordinators will review the checklists and then start sending them on to CHC colleagues where appropriate. We are keen that we limit these to the people where we think there is some eligibility, not just we have ‘managed’ to get a positive checklist.

What about on-going support if CHC funding is not agreed?

We need to ensure any services LCC provide remain in place while we make contact with CHC colleagues (funding without prejudice) so that there are not gaps in meeting the person’s needs.

The CCG will pick up urgent health funding that is needed without a checklist or DST based on the needs of the individual.  Where that request is declined you now need to complete a checklist and send it to AdultCareCHC@lincolnshire.gov.uk. LCC will keep a record of where we believe a person should have been entitled to Health Funding, these people will need to be assessed in an agreed coordinated way at a future date. CHC will keep a record of all people that have been funded without prejudice by CHC and will pick this up post COVID-19.

 

Brokerage

Brokerage continues to broker support. While there are additional pressures, the team are identifying packages of support when requested to do so.

Brokers are working as normally as possible and will still prioritise anything that is urgent. Contact details of Brokers can be found here.

 

Customers Cancelling Care Calls (suspension of home support guidance)

Service Users are making decisions to self-isolate and are therefore cancelling care calls and/or may not have a full understanding of what this means to them. Once operational teams are notified, practitioners should as always assess the individual risk, review and update the RAG rating recorded in Mosaic.

Practitioners should make sure the service user has alternative support in place if needed and understands the implications of their decision.  Please ensure that people know who to call should their situation change.

Providers will let Brokerage know when someone cancels their call and should not stop until Brokerage have confirmed that this is appropriate with the area operational team. It is important that you record the reasons for your decision.

If an informal carer will be providing additional support please ensure that they know about carers’ services support.

The Suspension of Home Support Guidance can be found here and the Suspension of Care Package flowchart can be found here.

 

Advocacy

Now more than ever people must be supported to be involved as fully as possible in all aspects of interaction with Adult Care.  This includes assessment, support planning or review and any safeguarding enquiry or review. When people have substantial difficulty and there is not an appropriate person to support them, an Independent Advocate must be provided.  You can find more information and the referral pathway here.

 

Contacting the Mental Health SPA

(AMHP’s have their own contacts so will not use this route)

The Mental Health Single Point of Access (SPA) are now on a 7-day rota, covering 9am-5pm and including weekends and Bank Holidays.

The SPA advisors are available to deal with queries for Mental Health social care colleagues and Community Mental Health Teams.

Contact details for the SPA:

Telephone: 0303 123 4000

Email: Lincs.spa@nhs.net

 

Hospital Team Guidance

The Hospital Discharge Pathways document can be found here. The Community Hospital / Transitional Care Discharge Pathways document can be found here.

Due to the urgency to discharge people from hospital it has been agreed that an Immediate Emergency Services Request Form is to be used as an interim measure only by hospital teams, acute and non-acute, to provide brokers with the information they need to discuss with providers. The pathway PDF can be found here.

 

Guidance for care staff supporting adults with learning disabilities and autistic adults 

The guidance can found here

It is largely good practice advice which covers:

  • IPC and use of PPE
  • Supported living and homecare services
  • Admission to and care of people in care homes

 

Fake News – Be mindful of the sources of information you use and share

Be mindful of the sources of information you come into contact with and the validity of their source. Many articles and claims about COVID-19 are being shared widely on social media and less reputable media streams. While these may purport to come from reliable sources, it is vital that we follow and share only information from trusted sources such as the NHS and Public Health.

The impact of incorrect information or false claims about preventions, treatments and symptoms could put you or others at risk.

 

Carers

(Last updated: 04/06/2020)

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Carers – Mosaic Risk rating

Carers Mosaic records with a COVID risk rating (RAG) – a warning has been added on the records of the adult or child they care for so workers can quickly identify those with carers who are potentially higher risk of being unable to support the person should the situation change.

Young carers – while colleagues from Early Help will be getting in touch with young carers who are known, please ensure that you are mindful of identifying those who are not identified as young carers.

 

Assessments – Identifying Informal Carers

Changes have been made to the ‘My Family, Friends and Support Networks’ section of the Needs, Transition Needs and OT Specialist Assessments within Mosaic to ensure all informal carers are identified and their information, assessment and support needs are met as part of Adult Care involvement. All of the ‘Show guidance’ icons have been reviewed and updated within this section to help answer the questions appropriately.

 

Carers First

What Carers First are doing:

  • Any new carer referrals are still being taken by the CSC on 01522 782224
  • Carers Hub remains open Monday-Thursday 9am – 5pm and Fridays 9am – 4:30pm. Carers already being supported by Carers FIRST can contact them on 0300 303 1555
  • The evening virtual drop in will continue to run every Wednesday via webchat from 6-8pm
  • Identifying carers at risk and initiating wellbeing calls to ensure they are safe and supported
  • Continuing to provide telephone, email, webchat and online support to carers
  • Carers can access the On-line Forum and Carers First plan to hold regular live wellbeing sessions with a support worker
  • Sending regular emails to carers with information about local initiatives and advice from local and central government.

What has changed:

  • Carers FIRST have suspended all Carers Groups and Activities until further notice
  • Any request for face to face support will be strictly limited and assessed on a case by case need.

Carers FIRST are gathering local community information on sources of help, and contributing those to the Wellbeing Hub – and can be shared with Area Teams by contacting lincsadmin@carersfirst.org.uk

 

Carers Guidance

This is a difficult and uncertain time for someone with caring responsibilities and there will no doubt be questions and concerns that people have with regards to the impact of the Coronavirus on them and their loved ones. The link below provides information and links to government guidance along with some helpful FAQ’s for Carers.

LCC Carer Guidance Covid19

The Department of Health and Social Care has published detailed guidance for anyone who cares, unpaid, for a friend or family member who, due to a lifelong condition, illness, disability, serious injury, a mental health condition or an addiction, cannot cope without their support.

Guidance for those who provide unpaid care to friends or family

It builds on other guidance published on GOV.UK, including the Stay at home guidance and the Staying alert and safe (social distancing) guidance.

 

Health and Care

(Last updated: 04/06/2020)

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Personal Protective Equipment (PPE) Guidance

Any anticipated face to face visit needs to be risk assessed and agreed prior by a Lead Practitioner or above. Practitioners must then follow the LCC Adult PPE Guidance, which can be found here and Covid Visit Flowchart Guidance, which can be found here, to ensure use of appropriate PPE.  Also see Visit Guidance in Operational section which details what needs to happen should a face to face visit be needed.

Click here for information about the current model for PPE delivery and collection.

Currently there is stock available for practitioners to collect but in the future Team Managers will need to order PPE and practitioners will need to arrange collection. Use the link below to make an appointment to collect your own individual PPE.

https://www.lincolnshire.gov.uk/xfp/form/490

To replenish stocks practitioners must request PPE via your team manager who will coordinate and place an order. Practitioners should not order direct.

Team Managers can click here for the re-ordering form for PPE for when stocks need replenishing. The form contains some standard responses and helpful prompts. Managing the PPE resource will be a team responsibility and at present order approval is at General Manager / Area Manager level.

 

COVID 19-Testing

You can get a throat and nose swab test for whether you currently have coronavirus. Testing is most effective within three days of symptoms developing.

The following groups of people can ask for a test through the NHS website:

  • anyone in England and Wales who has symptoms of coronavirus, whatever their age
  • anyone in Scotland and Northern Ireland aged over 5 who has symptoms of coronavirus

The following groups of people can access priority testing through GOV.UK:

  • essential workers in England, Scotland, Wales and Northern Ireland
  • anyone in England, Scotland, Wales and Northern Ireland over 5 years old who has symptoms of coronavirus and lives with an essential worker
  • children under 5 years old in England and Wales who have symptoms of coronavirus and live with an essential worker (this test must be performed by a parent or guardian)

See the guidance on testing for essential workers and the list of essential workers.

For further information visit: Coronavirus (COVID-19): getting tested which includes guidance for care home residents and workers in England.

 

Finance

(Last updated: 28/07/2020)

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Direct Payments

 

Serco – Finance Update

If you need to contact the Adult Care Finance team please do so via email so that your query can be answered as soon as possible:

Provider Payments:               Fin_Payments@lincolnshire.gov.uk

Direct Payments:                   CustomerFinanceDirectPayments@lincolnshire.gov.uk

Res Financial Assessments: Fin_Assessments@lincolnshire.gov.uk

Non Res Assessments:         CustomerFinanceFABTeam@lincolnshire.gov.uk

 

Formal communications regarding service user contributions

Where an individual approaches LCC requesting a reduction in the amount they pay towards their care package please notify their key worker/duty for the appropriate area team, for them to confirm this is in accordance with their care plan.

Where there is a reduction in the service they usually receive, the care plan will be altered to reflect the change and the charging will be altered through the existing business as usual process.

If the service user pays a contribution to the cost of their care, any changes in their service user contribution will be determined as part of the individual’s annual review.

Service users who are still paying their contribution towards their day care, will not be charged additionally for the temporary increase in care for meal provision in lieu of not attending day care.

Full Cost Service Users: Where the care is to cease as a result of this situation (e.g. 2 weeks or 12 weeks due to self-isolation), if the service user pays the full cost of their care then they are entitled to a refund. The package of care is not to be cancelled as the individual will need the care after the crisis.  Systems enable the care package to be suspended therefore stopping the service user contribution whilst enabling ease of restarting when appropriate.

 

Direct Payments

Direct Payments Recipients-Letter

We know people who employ their own personal assistant for their care and support are worried about COVID-19.  In this time of uncertainty, ensuring people who need care and support is a priority. We therefore want to reassure them that we will do everything possible to keep care going. The letter located here was sent out to Direct Payment recipients or their representatives outlining the current position and what to do should they have any difficulty maintaining support and how to access PPE.

 

Direct Payment Recipient – Letter 2 & FAQ

The Frequently Asked Questions document (which can be found here) along with the Letter which has been sent to all LCC Adult Care Direct Payment users (which can be found here) includes updated advice regarding the developing COVID-19 response for individuals in receipt of Personal Budgets via Direct Payment. It is important to read these as they will assist you in your conversations with DP recipients / representatives.

 

Direct Payments and PA’s (including ordering PPE)

If personal assistants are concerned that they have COVID-19 they should follow the guidance on COVID-19: how to work safely in domiciliary care in England.
If the person’s personal assistant or team of personal assistants are unable to deliver the necessary care, it may be necessary to put contingency plans into action. For example, family members might be able to step in and support them to ensure that they receive the care they need.

Local authorities should adopt a flexible approach, within the legal framework, to how Direct Payments are used during this period to ensure that appropriate care is delivered. Local authorities should consider requests to pay a close family member to provide care if the local authority determines this to be necessary. In line with the Direct Payment Policy this needs to be agreed by the Head of Service.

Personal assistants (PA) providing care and support to people with social care needs in Lincolnshire can get PPE from the County Council.  The cost of the PPE will be met by the County Council, service users will not need to use their personal budgets to buy the PPE.  It is important that the PA requests and picks up their own PPE and not the service user or their family.

PA’s can request PPE using PPE PA Request Form. The form asks for details of the PA as well as the person(s) supported.  All requests and any queries should be sent to: PPE_Requests@lincolnshire.gov.uk

 

Direct payments and day care

What do people do if not going to day care, continue to pay their providers or use their budget in a different way? How will providers survive if people do not pay them?

People who have a personal budget via a Direct Payment can continue to use their budget to meet their agreed outcomes in their care and support plan. This means that they may employ the provider to work differently with them making a meal or checking in on them to ensure that they have shopping if they have no one else that can do this.

One creative example could be the purchase of a tablet device to enable the person to keep in touch with their friends / support networks. It’s important to record these decisions for audit purposes.

For providers that are struggling they can access advice and guidance from the government website www.gov.uk/coronavirus  and apply for the financial support that is appropriate for their organisation.

For providers who are not eligible for support, they can contact LCC by email AdultCareFinance@lincolnshire.gov.uk  confirming the reasons they are not eligible to apply for government support and we will arrange further communications to understand the costs they are incurring as a result of COVID-19 and explore whether LCC might be able to assist.

 

Commissioning and Commercial Services

(Last updated: 28/07/2020)

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A letter has been sent by commissioning colleagues to people who have Homecare or Community Supported Living. It is located here.

 

Commercial Letter

A letter sent to all Adult Care & Community Wellbeing contracted service providers. It is located here.

If Practitioners receive any enquiries from providers about the letter they should direct them to adultcarefinance@lincolnshire.gov.uk or commercialteampeopleservices@lincolnshire.gov.uk

 

Procurement Exercise for Homecare Suspended

As a result of the impact of COVID-19 a decision has been taken to suspend the procurement exercise relating to our Home Care Services. The expectation is that this will be resumed towards the end of the year depending, of course, on how the national crisis unfolds. All current homecare contracts will be extended for a further period of time to accommodate this delay. A communication to providers has been sent out along with a letter to update Service Users who have been contacted previously about the procurement.

 

Referrals into reablement and provider of last resort (POLR).

Adult Care has agreed to a hybrid approach which will continue to be monitored. Libertas have been advised that reablement referrals can be made into the service from 23rd June 2020. In addition to reablement cases, new hospital requests will continue to be directed to Libertas as POLR. These referrals will be made via the hospital Adult Care team. All clients with existing packages, whether requiring restart or change in service, will need to be directed to the appropriate Prime Provider via our Brokerage team. See here for more information.

 

Letter to relatives visiting Residential Settings

The letter attached here outlines why visitors need to take extra care to protect residents of care homes, nursing homes and supported living facilities. It is not intended that practitioners will need to send it out but it may be useful in some situations to share it with families.

 

Care Quality Commission (CQC) Case Studies

The Care Quality Commission (CQC) has published more than 300 case studies from the front line of the social care organisations they regulate, showing how health and care providers have innovated and adapted working practices to respond to the challenges of dealing with COVID-19. From small care agencies to council information and guidance, they are a celebration of the dedication and resourcefulness of the sector. The case studies will be updated regularly.  You can find them on the CQC website.

 

Staffing and Welfare

(Last updated: 28/07/2020)

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Health and Wellbeing Tips and Advice

We appreciate that we are working in unprecedented times requiring us to change and adapt quickly in a difficult situation. This poses many issues for us in balancing the needs of work and home life.

We also may not have the immediate help and support of our work colleagues and have to find new ways of staying in touch.

The information below is aimed at giving you some helpful tips and advice on how you might cope with some of these issues.

Wellbeing and Wellbeing 10 weeks later – Tips for looking after your mental and physical health

Leadership and WellbeingProviding information for managers on managing teams remotely

Worry and anxietyHow to recognise and manage worry and anxiety

Grief and Loss – looks at what grief is and share information, resources and advice to help people who may be going through the grieving process

Coping with Change – looks at ways of managing change in our lives

Recovering from trauma – looks at some of the signs and symptoms of traumatic stress, strategies for coping and when we may need to seek additional support

Financial Wellbeing – looks at useful information detailing the measures that have been put in place to support you, and where you can find support

Mental Health FoundationIn addition to the information above, the Mental Health Foundation also includes information on:

  • Finance worries
  • How to talk to children about Coronavirus
  • Staying at home and abusive relationships

Team Tips for Remote WorkingHow to work at home when you haven’t done so before.

Tips for Managers and Leadersguidance to help set you up for success as a team lead during a time of challenge and change.

Sodexo EAPInformation on how to access a telephone helpline for emotional support

Employee Support and CounsellingHow to contact LCC’s in house counselling service who can offer telephone or video calls to give you emotional support with issues about Coronavirus or other problems.

Wellbeing support line for NHS and social care workers – Samaritans and NHS, working in partnership, have a confidential support line for NHS workers and volunteers in England.

Care Workforce App – The Department of Health and Social Care has a new dedicated app for the adult social care workforce in England to support staff through the coronavirus (COVID-19) pandemic. The app can be downloaded from the Apple App Store and Google Play Store.

Shout – Shout has already launched a text messaging support service. Social care staff can send a message with ‘FRONTLINE’ to 85258 to start a conversation. This service is free on all major mobile networks and is a place to go for support if you are struggling to cope and you need help.

Action for Happiness Coping Calendar30 Actions for looking after yourselves and others

Mental Health UK – Managing your mental health as key worker – Here you will find some helpful tips, a stress bucket tool and how we can adjust our lifestyles.

Community Care – How to support your emotional resilience – Here you will find a free emotional resilience guide to support frontline practitioners at this time.

Self-Care Psychology – Self Care Cards for COVID-19 – SCP have made their self-care cards available for free, these are a great resource to use on your own or together as a team, lots of different ideas to help us to help ourselves.

Open Change – Visual ToolsHere you find some visual tools to support you as keyworkers, coping with stress, resilience and having difficult conversations.

 

Childcare for Key Workers

As a key worker if you are looking for childcare for younger children or for children of school age where a school is not able to meet your childcare needs, you can find details of all childcare providers across Lincolnshire at Lincolnshire Family Services Directory. If you require specific support or advice on finding a place for your child you can call the Family Information Service on 0800 195 1635 or email fis@lincolnshire.gov.uk.

In addition, if you have not been able to find a childcare place and have not been able to get the support or find a place to meet your need please contact eycc@lincolnshire.gov.uk and the Early Years and Childcare Team will contact you directly and work with you to find a place for your child.

You can also find out about which schools remain open – this is on the school closures page of the LCC website. If you are requiring emergency care, please contact your child’s school in the first instance during regular school hours.  If you are unable to make contact, please email Keyworker@lincolnshire.gov.uk in the first instance or telephone 07899 066576.

 

Supporting Colleagues on Social Media

It’s so important to recognise the brilliant work going on in Lincolnshire so here are the links to our social media so that you can ‘like’ posts or post messages of support to colleagues.

Instagram

Facebook

Twitter

 

Resources – Information, Advice and Guidance

(Last updated: 28/07/2020)

Government Advice and Guidance

Coronavirus (COVID-19): social care guidance

This page brings together coronavirus (COVID-19) guidance published for the social care sector and other relevant guidance. Read the government’s adult social care action plan for supporting the sector in England throughout the coronavirus outbreak.

See the Public Health England collection page Coronavirus (COVID-19): guidance for guidance issued to the public, health professionals and on other non-clinical settings.

 

British Association of Social Workers (BASW)-Updates from the Professional Body

BASW will aim to keep this page updated with the latest Coronavirus (COVID-19) social work advice, updates and information:

www.basw.co.uk/coronavirus-covid-19-basw-updates

 

Social Work England Guidance

 

Research in Practice

Research in Practice aim to continue to provide partners with a range of coordinated online learning activities. This includes publications, webinars, online resources, blogs and more to support professional development during these challenging and uncertain times.

Social care practice in the time of COVID-19

 

Skills for Care

Support and guidance for the adult social care sector:

www.skillsforcare.org.uk

 

Social Care Institute for Excellence

Advice for councils and care providers during this period of sustained transmission of COVID-19. Residential care, supported living and home care guidance

www.scie.org.uk/care-providers/coronavirus-covid-19

 

Mental Capacity Act Resource

Walkthrough webinars (shedinar) of the DHSC guidance

www.mentalcapacitylawandpolicy.org.uk/shedinars/

 

CSC – Helpline

The CSC is providing a non-medical helpline to citizens, volunteers and businesses of Lincolnshire who are affected by the COVID 19 disruption.

There is a single number 01522 782189 with 3 options as follows:

Option 1 – for information, advice on how to access support.

Option 2 – if people want to register as a volunteer.

Option 3 – if a business requires support (Business Enterprise Growth Hub)

 

Connect to Support

Connect to Support has an increasing amount of information about local groups as well as provider directory and events.  There is a dedicated Connect to Support Coronavirus page  giving information in alternative formats, and details of services and information specific to the Coronavirus outbreak.  The link is here https://lincolnshire.connecttosupport.org/

Connect to Support is an online, telephone, email and live chat service. Telephone (0300 303 8789) and live chat are available Monday to Friday 2pm – 7pm.

 

Volunteers-How should people pay for food etc?

Royal Volunteer Service/NHS has put together guidance on a range of possible payment mechanisms for volunteers – this is primarily aimed at GoodSAM volunteers, but the principles can apply to everyone. The guidance can be found here.

 

Age UK – Full week meals

21 meals for £20 delivered to the person’s door. What is included? – delivery will include a full week of meals made up of 7 breakfasts, 7 lunches and 7 dinners. If there is a person over 65 and living in Lincolnshire, they are able to make the most of this partnership between Salted Orange Food Co. and Age UK Lincoln & South Lincolnshire. The Salted Orange 21 Meals offer can be found here and the full menu can be found here.

To order and for more information call Age UK Lincoln & South Lincolnshire on 03455 564144

 

TEC -Getting people connected

Now, more than ever, many of us are already considering how digital solutions can help connect people and this is an important tool we have when working with people and families.  We know that digital technology can help people stay connected, independent and informed. This short film illustrates the possibilities that exist. You can find the short clip here.

 

Rally Round-free for anyone to use worldwide

Do you know someone who is self-isolating? Perhaps they are elderly, vulnerable or considered ‘at risk’ during the current Coronavirus pandemic? Rally Round can help families, friends and neighbours co-ordinate practical support for those close to them. https://rallyroundme.com/

 

Mencap – easy read information

It’s more important than ever that we support people to make informed decisions. Mencap have produced some useful easy read information attached to this email on:

You can find the link to the Mencap website page with further information here

 

TED

With everyone in self-isolation, the Talk Eat Drink (TED) Team has been working hard to find new ways to help the over 50s across Lincolnshire.  There are a number of ways TED can help people who are self-isolating or if they are concerned about the advice given around COVID-19. TED is offering the following free services:

  • Regular Wellbeing and Friendship Phone Calls
  • Online ConnecTED Fortnightly Activity Packs
  • Support and signposting for advice

Their website will be updated regularly with any new information: www.tedineastlindsey.co.uk

Facebook: TEDinEL     Email: ted@lincsymca.co.uk     Twitter: @ted_EastLindsey

 

Accessible Resources to help communicate COVID-19