Arrangements for visiting care homes, resource centres, day centres and lunch clubs

Care homes in East Lothian

East Lothian Health and Social Care Partnership is implementing Scottish Government guidance for COVID-19/coronavirus and, from Thursday 19th March 2020, is restricting visiting times to residents at The Abbey, Crookston and Eskgreen Care Homes to Wednesdays and Sundays:

  • 2pm to 3pm
  • 7pm to 8pm.

We ask that only one person visits during these times, no one under the age of 12 years and if you have any underlying health conditions, are over 70 years old or feel unwell in any way, please do not visit. Families will be supported to access the homes at other times if residents needs’ change or circumstances change.

If your relative or friend is at a privately-operated care home or nursing home, please phone them direct to find out what restrictions they have in place.

Resource, Day Centres and Lunch Clubs

We need to follow public health guidance to ensure ‘social distancing’ for our most vulnerable service-users. East Lothian Health and Social Care Partnership has reached a decision to suspend the provision of community support and ‘day hospitals’ temporarily from 23 March 2020.  We have written out to services-users and carers to let them know.

This decision also reflects what is happening in other Lothian Health and Social Care partnerships.

We are making arrangements with day centre staff and others to monitor and support people who use our services to offset the effects of the closure of day services.

Arrangements will be made with the Resource Centre staff and others to provide support and to monitor clients to mitigate the effects of the closure of day services, ensuing priority clients have an individual support plan.

Services include:

  • Tynebank, Port Seton and Fisherrow Resource Centres
  • Day Centres
  • Lunch Clubs

We know that many individual day centres and lunch clubs are making arrangements with their service-users for support while the clubs are closed.  Please speak to your day centre or lunch club about their plans.

Our home meals delivery service continues to operate as normal.

Team spirit, flexibility and determination to put our service-users first is what will see us through

I wanted to say that I know we are in for a challenging time with COVID-19 and thank you in advance for the enormous effort you I know you will put in.

We have taken part in a lot of emergency planning exercises, rehearsing all kinds of disasters, and we have coped really well in actual emergencies like the ‘Beast from the East’, albeit this is a different challenge that will last significantly longer and could affect us on a personal level as well as in our professional roles. Team spirit, flexibility and determination to put our service-users first is what will see us through.


We will keep you up to date with the rapidly changing situation. We are already working closely with our providers to ensure that their business continuity planning is able to meet the specific risks that COVID-19 presents to the services they provide, too.

Please stay safe, stay well (if you can) and know that East Lothian Health and Social Care Partnership and our service-users and their carers appreciate every ounce of the effort that you put in for them.

Thank you.

Alison

IMPORTANT NOTICE REGARDING CHANGES TO GP APPOINTMENTS

Practices in East Lothian are following guidance shared by NHS Scotland and Public Health authorities to minimise risks associated with COVID-19/coronavirus

They are asking for your support to protect patients and staff.

Before you contact your practice, consider checking www.nhsinform.scot for advice about corona virus and any other health problems. 

Most patients with symptoms of corona virus will not need assessment and will be able to manage their symptoms at home, following the advice on NHS Inform website.

New appointments

  • Do not go to your practice unless you have been asked to do so by practice staff
  • Do telephone your practice to request an appointment, telling them about your medical need.
  • Expect to be asked questions about your symptoms before any appointment is arranged
  • You may be offered a consultation by phone
  • If you do need a face-to-face appointment, this will be arranged
  • If you need a corona virus assessment, they will ask you to self-isolate for 7 days

Existing appointments

  • Practice clinical teams are reviewing all pre-existing appointments
  • If they think your appointment is not urgent, they may reschedule it for a later date
  • If your appointment needs to go ahead, the practice will offer you a phone consultation, wherever possible
  • Your practice’s admin team will contact you if your appointment is cancelled or changed to a telephone appointment
  • If you need a face-to-face appointment, they will ask you some screening questions to make sure that it is appropriate for you to attend
  • Please try to order repeat prescriptions online.

Access to medical centres

You should only go to your medical practice if you have been invited to do so by a clinician at your practice.

  • People who have not been invited will be asked to leave
  • Only patients with appointments will be allowed into medical practices
  • If you are a parent/guardian/carer, you may be able to attend with the person you care for – please check
  • Remember to use the hand sanitiser provided when entering the building or wash your hands in the patient toilets.

Thank you. We appreciate your co-operation and support

NHS Inform is an excellent source of up to date information.

Big Bike Festival!

21 March 2020, Ross High School Car Park, Tranent
From 10am-12 noon

Cycling – the ultimate low impact exercise. Builds strength and stamina, promotes good mental health and keeps the weight down. Cycling is the best feel-good exercise! Get ready to get back on your wheels this month at the Big Bike Festival!

Involving carers in discharge planning

Health and Social Care Scotland has introduced a practical guide for health and social care practitioners involved in discharge planning from hospital

It says that carers should be treated as equal partners in the care of those they care for. They can play a significant role in helping people with health and social care needs return home after a hospital admission. They know the people that they care for better than anyone else and can provide information about the person’s needs and circumstances beyond medical conditions or physical needs. This means discharge planning can be more comprehensive and may reduce the likelihood of the person being readmitted to hospital.

If care is planned without the input of the carer, an opportunity has been lost. Therefore, engagement and co-operation with carers is an essential part of good patient care. If you would like to ready the full document, you can find it here – https://www.edubuzz.org/almac/2020/02/18/involving-carers-in-discharge-planning/

You might also find this video interesting – https://vimeo.com/362951019

Gender Based Violence and Learning Disability Workshop

20th February 2020
14.00- 16:30
Esk Room 2
Brunton Hall
Musselburgh

Image from the national Sexual Harm campaign

This workshop is to raise awareness of the Intersection between Gender Based Violence and adults aged 16yrs+ with Learning Disabilities. EMPPO are holding this workshop in support of Adult Support and Protection Day and 1 Billion Rising to end Violence Against Women and Girls. The workshop will include a number of presentations from specialists in this field, including Kevin Campbell, Senior Health Improvement Officer, NHS Scotland who will speak to the forthcoming Gender Based Violence and Learning Disability Guidance for practitioners.

Booking a place

To book a place, please e-mail emppo@eastlothian.gov.uk with the information below

  • Training course (name & date)
  • Participant’s full name
  • Job Title
  • Service/Team
  • Organisation/Agency Name
  • Email address
  • Line Manager full name & e-mail address

Crookston and the Abbey get fantastic Care Inspectorate reports

I don’t know if you saw the article in the Courier this week about The Abbey’s glowing Care Inspectorate Report – https://www.eastlothiancourier.com/news/18220292.care-home-staff-praised-helping-residents-vote-election/

You might also be interested in a press release we issued this week about Crookston’s equally glowing report this week – I have cut and pasted it in for you below. Before you read on, I just want to add my own thanks to staff at all three of our Care Homes for the fantastic work you do.

Here goes …

Crookston Care Home gets ‘Very Goods’ from the Care Inspectorate

The Care Inspectorate carried out an unannounced inspection of Crookston Care Home in December 2019 to check how well Crookston supports people’s wellbeing and plans their care and support. The answer is very well indeed.

Inspectors reported that people were happy with their care and support. Relatives told them that the home keeps them well informed about their loved one and staff were always kind towards them when they visited.

‘No matter what time of day or night we visit, we always find staff being attentive to our relative,’ said one family.

Residents have a say in decisions about the care and support which affect them, including end of life. They also choose where and how to spend their time and participate in a range of activities. During the inspection, several female residents went to Crookston’s own hair salon, which turned into a real social event for the women involved. The inspectors noted that staff in different units engaged in small-group activities with residents.

Mealtimes were very calm and relaxed and residents enjoyed their meals. Staff sat with residents at mealtimes, making meals more of a social experience. The inspectors commented that meals were of a good quality and people spoke highly of them.

They found that care plans were regularly reviewed and updated, and involved input from relevant professionals, and that as well as considering best practice, care plans make clear resident’s preferences and wishes. They were able to see residents’ health improving as a result of the support that they received. They also commented on a section within care plans relating to physical activity which they thought was useful for identifying how individuals could stay as physically active as possible.

East Lothian Integration Joint Board Chair Fiona O’Donnell says:

‘I am visiting Crookston soon to thank the team in person and I can say that Pauline and her team really deserve their “Very Good” rating. They look after the people who use the home with great affection and respect and are very supportive of relatives too.

‘They are also very innovative, pioneering work with Rempods in East Lothian – people might have seen these reminiscence rooms for people living with dementia when they received backing on Dragon’s Den. Crookston was also part of an award-winning intergenerational project last year with Sanderson’s Wynd Primary.

‘They are a fantastic team and they do very good work. All I can say is congratulations, thank you and keep on doing what you are doing – it’s great.’

Interim management arrangements for East Lothian Health and Social Care Partnership

General Managers

The title Group Service Manager has been replaced by General Manager. This is in line with other HSCPs and describes more accurately the role of the senior managers responsible for our services.

Myself and Iain Gorman Head of Operations (Deputy to Chief Officer) and the General Managers have discussed and agreed the following for an initial period of six months.

Chief Officer Alison Macdonald will continue to line manage:

  • General Manager Acute and Ongoing Care – Lorraine Cowan
  • General Manager Rehabilitation – Lesley Berry
  • Interim General Manager Strategic Integration – Paul Currie
  • Interim General Manager – Planning and Performance/COVID Budget Holder – Laura Kerr

Head of Operations Iain Gorman will line manage:

  • General Manager Adult Social Work – Rona Laskowski
  • General Manager Statutory Services – Trish Carlyle
  • General Manager Adult Community Services/Mental Health and Learning Disabilities – Gillian Neil
  • General Manager Planning and Performance – Laura Kerr
  • General Manager Strategic Integration – Paul Currie

Professional Leads

The professional leads – Chief Nurse, Chief Social Work Officer, Clinical Director and lead AHP – will continue to report directly to the Chief Officer in line with the agreements in the Scheme of Integration

Reporting arrangements to General Managers

There will be no changes to current reporting arrangements for HSCP teams who report to the relevant General Manager.

Social Work Pathway

There is an out standing commitment to reviewing the social work path way and we are committed to progressing this work, reporting to Core Management Team (CMT) and the Strategic Planning Group for information.

The review of the social work pathway will need to be completed by early June

Revising the management structure
A revised management structure is being considered to accommodate these new ways of working; this is yet be finalised. This has led us to make a choice to have interim arrangements in place to ensure that when we, with you, have worked through any new arrangements the management structure can adapt to accommodate.

A number of options need to be considered in relation to the work around Adult Protection, Community Justice, Mental Health and Learning Disabilities.

Trish will continue in the post General Manager – Statutory Services:

  • Justice social work services
  • Community Justice
  • Carers though this will transition into the social work area at a later date anticipated following the procurement arrangements for carer services
  • SDS to be mapped into the customer journey with Rod continuing to have an operational lead
  • SW lead developing SW Governance arrangements

Rona will assume the post General Manager – Adult Social Work:

  • Assessment and Review
  • Social Work Journey
  • Care Home Team
  • Duty Team
  • SDS

In the interim there will need to be shared management put in place for some elements but we will keep you updated as things change.