Roseberry Care Centres

Welcome

Taking care of your loved ones is what we do best.

We approach the delivery of care on what we call “The Care Partnership” basis. Simply, this means that you and your family retain full control of how your care should be delivered. We will deliver that care following a detailed assessment, and will do so on your behalf and with your permission.

We will treat you with respect , we will maintain your dignity, and we will always try to comply with your individual wishes and preferences.

Coronavirus (COVID-19) Information

The Government announced on 14th December 2021 an update on the management of risk associated with the new variant of Covid -19 Omicron; this guidence comes into effect in care homes in England on 15th December 2021.

People living in care homes are typically more vulnerable to severe illness as a result of coronavirus (COVID-19). While vaccination is proving very effective, the country are still seeing some cases of severe illness, hospitalisation and death of care home residents who have been vaccinated. Caution is advised as we learn more about real-world vaccine effectiveness and disease severity of the Omicron variant of COVID-19.

Additional measures are therefore in place to facilitate visiting while keeping care home staff and residents safe. These include:

  • limiting the number of visitors who can visit regularly
  • infection prevention and control (IPC) measures
  • individual risk assessments
  • testing arrangements
  • isolation on return from some high-risk activities out of the home

The key things to know about care home visiting are:

  • every care home resident can nominate up to 3 visitors who will be able to enter the care home for regular visits (this number does not include essential care givers or preschool age children)
  • visitors should make arrangements with care homes in advance of the visit, so that we can manage the number of people attending at any one time to ensure safe visiting practices can be maintained taking into account the size and layout of the care home
  • the duration of visits should not be limited if safe visiting practices can be maintained
  • visits should take place in a room most practical and comfortable for the resident (for example, residents with dementia may be more comfortable in their own room with familiar belongings)
  • visitors should receive a negative lateral flow test result and report it on the day of their visit, either by conducting the test at home or when they arrive at the care home – essential care givers need to follow the additional testing arrangements outlined below.
  • We will record the visitor’s temperature on arrival at the home; if the temperature is raised your admittance will be refused.
  • The visitors will be asked to complete an entry questionnaire, including a health declaration and to leave contact details prior to admission. Failure to complete this will result in admittance being refused.
  • The visitors will be asked to sanitise or wash their hands on entering and leaving the home.
  • The visitors will be provided with a face mask, gloves, and apron which they must wear during the visit.
  • Should the visitors refuse to adhere to these conditions, access to the home will be declined.
  • The visit will be conducted in the resident’s bedroom where possible.
  • Contact with other residents is not permitted.
  • Contact with staff will remain minimal and >2m social distancing will be maintained.
  • We recognise that some of our residents will require support from staff to facilitate these visits; this will be provided.
  • every care home resident should be supported to have an identified essential care giver (in addition to their named visitors) who may visit the home to offer companionship or help with care needs – essential care givers should be able to visit inside the care home even during periods of outbreak affecting the care home
  • during an outbreak, care providers should also continue to offer visits in well-ventilated spaces with substantial screens, visiting pods or from behind windows – rooms should be left to ventilate with external doors and windows open between uses wherever possible, while aiming to maintain a comfortable temperature for residents and visitors.
  • subject to a risk assessment by the health protection team (HPT), outbreak controls may be in place for up to 28 days following the last positive case especially as we learn more about real-world vaccine effectiveness and disease severity of the Omicron variant
  • physical contact should be enabled to help health and wellbeing, as long as IPC measures are in place, such as visiting in a ventilated space, using appropriate personal protective equipment (PPE) for the visit, and hand washing before and after holding hands – gloves are not needed for handholding and stringent adherence to hand washing is advised
  • residents should be supported to undertake visits out of the care home as appropriate:
    • residents who have received at least 2 doses of the vaccine, or are exempt from vaccination, should not have to isolate following most visits out of the care home if they follow the correct testing regime
    • residents who have not received at least 2 doses of the vaccine, and are not exempt from vaccination, should isolate for 14 days following a visit out
  • all residents should isolate following an emergency stay in hospital, if they test positive for COVID-19 or following a visit that has been deemed high-risk following an individual risk assessment by the care home
  • vaccination is one of our best defences to combat infection. The COVID-19 vaccine significantly reduces the transmission of infection, particularly after 2 or more doses. It is strongly recommended that residents and visitors receive 2 doses of the COVID-19 vaccine, plus their booster especially in light of the emergence of the Omicron variant. The data shows that booster doses are required to provide higher levels of protection against symptomatic infection. If eligible, visitors should also get their flu jab when it is offered to them
  • visitors should not enter the care home if they are feeling unwell, even if they have tested negative for COVID-19 and are fully vaccinated and have received their booster. Transmissible viruses such as flu, respiratory syncytial virus (RSV) and norovirus can be just as dangerous to care home residents as COVID-19. If visitors have any symptoms that suggest other transmissible viruses and infections, such as cough, high temperature, diarrhoea or vomiting, they should avoid the care home until at least 5 days after they feel better
  • visitors who are not legally required to self-isolate are advised against visiting the care home (for 10 days) if they have been identified as a close contact of someone with COVID-19, unless absolutely necessary, even if they have been fully vaccinated. Where visits do occur, visitors should have received a negative PCR test result prior to their visit, and a negative lateral flow test result earlier in the day of their visit
  • anyone who is fully vaccinated, and has been identified as a close contact of a confirmed case of the Omicron variant of COVID-19, does not need to self-isolate if they receive a negative PCR test result and take daily rapid lateral fow tests until 10 days after their last exposure to the positive case

1. Visits in all circumstances

1.1 Essential care givers

Key message

All residents should be enabled to have an essential care giver, who should be able to visit more often. Essential care givers will need to be supported to follow the same testing arrangements as care home staff. When essential care givers are providing direct personal care, they should follow the same PPE and infection control arrangements as care home staff.

The essential care giver role is vitally important to supporting residents’ health and wellbeing.

Every resident should be supported to choose an essential care giver to benefit from companionship and additional care and support provided by someone with whom they have a personal relationship. Essential care givers do not count towards the limit of 3 visitors per resident.

Essential care givers should be allowed to continue to visit during periods of isolation or when there is an outbreak.

There are exceptional circumstances where someone may need the additional support of more than one essential care giver and this should be considered (for example, if a nominated essential care giver is unwell).

Essential care givers will need to follow the following testing arrangements. Essential care givers must:

  • take a weekly PCR test and share the result with the home. Care homes should use their existing PCR stocks to test essential care givers and these should be registered as ‘staff’ tests using the care home unique organisation number (UON) and be returned via courier with other staff tests
  • take a minimum of 3 lateral flow tests a week: one lateral flow test on the same day as a PCR test, one lateral flow test 2 to 3 days later, and then again after another 2 to 3 days. These rapid lateral flow tests can be done onsite, at an asymptomatic testing site (ATS) or at home. These tests should be reported as ‘visitor’ using the care home UON
  • in line with care home staff, be subject to additional testing should the care home be engaged in rapid response daily testing or outbreak testing. If this includes lateral flow tests, these can be done at home. This testing must be conducted in accordance with the guidance for care home staff on PCR testing, rapid lateral flow testing (including rapid response testing) and outbreak testing.

Essential care givers should read and follow the appropriate guidance for using PPE in the different care scenarios laid out in the guidance on how to work safely in care homes. PPE recommendations are different depending on whether direct personal care or companionship is being provided. More information on how to safely put on and remove PPE can be found in the guidance and visitors should also be encouraged to view the video demonstration. It is sensible for the essential care giver to be supported by an experienced member of staff as they put on and take off the PPE on the first few visits to ensure they are doing so correctly.

Essential care givers should be briefed on the relevant IPC measures in the areas of the care home they will have access to, and reminded of the importance of remaining at least one metre from staff and any other residents they might encounter, though this may differ subject to a local risk assessment.

The care home and essential care giver should also agree any other relevant arrangements – for example, managing immediate visits (if the resident is distressed and the essential care giver is needed urgently to settle them) and communal areas such as staff rest areas that the essential care visitor should not enter.

Clinical care and medical tasks such as the administering of medication and physiotherapy remain the overarching responsibility of the care home.

Where the resident lacks the capacity to choose their essential care giver, the care home should discuss the situation with any attorney or deputy, the resident’s family, friends and others who may usually have visited the resident or are identified in the care plan. In this situation, a person can only be nominated as an essential care giver if this has been determined to be in the resident’s best interests in accordance with the empowering framework of the Mental Capacity Act (MCA) 2005. Consideration should be given to whether there is an attorney or deputy with appropriate authority to make this decision.

1.2 End of life visits

Key message

Visits at the end of life should always be supported, without limiting the number of visitors. Families and residents should be supported to plan end of life visiting carefully, with the assumption that visiting will be enabled to happen not just towards the very end of life, and that discussions with the family take place in good time.

Visitors for visits of this nature should be tested using lateral flow tests. For information on how to test, see the guidance on rapid lateral flow testing in adult social care settings.

End of life care (for residents in care homes) means identifying early those who are in their last year of life, and offering them the support to live as well as possible and to then die with dignity. NHS guidance on end of life care is available to support this process, as well as advice from the British Geriatric Society. There is a role for care home staff to support residents with end of life care, and visiting is an essential factor in this.

The enhanced health in care homes service provides a framework for support from general practice, the care home clinical leads and local multidisciplinary teams (which may include community nurses and professionals as well as specialised palliative care teams).

This support involves early identification, as well as a personalised care and support planning approach with good communication with the individual, their relatives and care home staff through the weekly home care round. The British Geriatric Society advice can support communication. As a resident approaches the last months, weeks and days of their life, it continues to be important to communicate well to enable good and timely decisions around care. Planning these visiting arrangements should proceed from the assumption that visits are enabled in the final months and weeks of life – not just the final days or hours – albeit recognising that these timelines can be difficult to determine with accuracy.

  • Information updated on Tuesday 14th December 2021

We care…

We go to great lengths to accommodate service users on an individual basis, and build very strong relationships with each service users family.

We provide…

We invest in our staff by ensuring that they have access to relevant training and development opportunities, and ensure that they are actively supported through regular individual supervision.

We support…

We are extremely transparent in all aspects of our service delivery. We actively include representatives of the service users and families in care packages, and conduct six monthly care reviews alongside them.

How we can help your loved ones…

Personal Care

Personal Care, or Residential Care as it is often known as, is care provided by trained carers rather than nurses. People who require personal care may need assistance with washing, dressing, eating and mobilising. They may need input from District Nurses and the Home would involve other professional services as necessary.

Nursing Care

Nursing Care means that the care provided is overseen by a Registered Nurse. Care may still be provided by trained carers, but there will be a Registered Nurse on duty at all times, who will be responsible for the overall provision of your individual care needs.

Dementia Care

The term ‘dementia’ describes a set of symptoms that include loss of memory, mood changes, and problems with communication and reasoning. There are many types of dementia. The most common are Alzheimer’s disease and vascular dementia. Our staff receive specific training to be able to help and stimulate residents with dementia.

End of Life Care

As we approach the end of our life, we may need extra, person-centred support and care. This can be to ensure that we receive the care we need, keep us pain free and offer us the support we need.

Respite Care

Respite care is short term care that allows a carer to have a break, whilst ensuring that their loved one receives the care that they need. Respite care can be planned which allows a carer to schedule breaks, or it could be to help with an emergency.

Enquire today

Want to know more about our facilities? Activities? Or would like to arrange a view at a home near you? Then leave your details below, with a message about your enquiry. A dedicated member of the team will be in touch to help you out.


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Roseberry Care Centres is a company where people matter, and that applies to our staff as well as to the people who use our services.

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