Guidance on keeping to COVID-19 guidelines.
Action card guidance
This action card should be used in conjunction with current Welsh Government guidelines. This covers activities attended by adults as part of preventative, or care and support provision such as day care, lunch clubs, and socialisation. This includes designated adult day care settings which are supervised/organised by appropriately quality individuals, including volunteers and trained adults.
Its purpose is to highlight those actions that are key to controlling the COVID-19 infection within day service settings, such as day care centres. Every organiser must carry out a Coronavirus risk assessment prior to reopening or expanding their provision and this must be reviewed in the light of any changes to their provision or to the Alert Level in the area where that provision operates. The ‘hierarchy of controls’ principles should always be adopted in managing COVID 19 in your activities.
How do I keep COVID-19 out of the adult day centre social care setting?
The key actions for you to take, to be as COVID secure as possible, are outlined:
- No-one, including staff, volunteers, visitors, clients, or carers, who are symptomatic, have tested positive, are awaiting the result of a test, or are close or household contacts of positive cases, must attend the activity and must strictly follow the self-isolation guidance.
- Anyone self-isolating as a contact of a positive case and who has received a negative test result will still be required to complete the 10 days isolation period. Those who receive a negative result must not return to the setting early.
- Anyone who becomes unwell or symptomatic while attending the setting should leave immediately and follow the advice on Test, Trace, Protect, including arranging a test.
- Staffing arrangements should be kept as stable as possible and all attendees at the setting should maintain a 2m distance from each other where possible. In the case of staff, every effort should be made for members of staff to maintain a 2m distance from each other at all times.
- Encourage all those attending to follow latest Welsh Government guidance to walk or cycle where possible and avoid public transport at peak times. Shared transport is permitted, however those doing so must refer to the latest Welsh Government guidance.
- Maintain accurate contact details for, and keep a record of, everyone attending to enable tracing in the event of an outbreak.
- Some people may require additional support to follow COVID safety requirements which may require additional adjustments to the mitigations put in place.
- Prevent the sharing of food, drink, utensils, and equipment.
- Ensure regular cleaning is undertaken and that effective personal hygiene procedures, especially frequent handwashing by everyone attending, are followed. Actively encourage everyone attending to report any positive tests to you directly.
What action should I take when someone tests positive for COVID-19?
- If someone attending informs you directly they are positive, it is important that contact information is collected and contact is made with the individual/s prior to first contact with TTP. Identification of contacts should take place as soon as you are notified of a case.
- Once these contacts have been identified they will need to be informed of the risk and advised and supported to self-isolate for 10 days.
- You may also learn of a confirmed case at your setting in a number of ways: from sources such as staff, volunteers, visitors, clients, or carers, the environmental health service, NHS Wales Test, Trace and Protect (TTP) or from Public Health Wales.
- When you are informed of a positive case, follow the advice you receive. You will be asked to identify anyone who had close contact with the positive individual in the 48 hours before onset of symptoms. This information is a requirement of the TTP process and will be requested.
- Organisers should not require anyone required to self-isolate as a contact or a case to submit a negative test before returning to the setting. They can return after their 10 day isolation period is complete.
How can I minimize the spread of infection in the adult day centre social care setting?
Should you have 2 or more cases from your activity testing positive for COVID-19 in a 14 day period you will need to consider if there are inherent risks within the activity. You should:
- Review your coronavirus risk assessment including what measures you have in place, numbers attending, and consistency of staff working in the setting and infection and control measures.
- Engage and communicate the revised plan to everyone and provide the opportunity to reinforce good practice and ensure that signs and symptoms of COVID-19 are understood and acted on swiftly and appropriately i.e. self-isolating and testing.
- Ensure any cluster of positive cases in the setting prompts action from the local authority. They will be required to support and advise on further actions required to mitigate ongoing risks including testing to identify asymptomatic individuals.