Publication - Advice and guidance

Open with Care - supporting meaningful contact in care homes: guidance

New guidance supports meaningful contact to resume between adult care home residents and their loved ones, beginning with visiting up to twice a week. This guidance is now possible due to all the COVID-protections in place. Everyone has as important part to play in continuing to protect against COVID-19 in care homes.

36 page PDF

919.5 kB

36 page PDF

919.5 kB

Contents
Open with Care - supporting meaningful contact in care homes: guidance
07 Compassionate essential visiting Summary and reference guide

36 page PDF

919.5 kB

07 Compassionate essential visiting Summary and reference guide

Quick Guide: Essential visits in care homes

Essential Visit

An essential visit is one where it is imperative that a friend or relative is supported to see their loved one and not subject to the same time limits as routine indoor visits.

Principles

  • Sympathetically supported
  • Anticipatory and responsive
  • Enabling touch and reconnection
  • Always permitted regardless of other restrictions or infection rates

Anticipation

Anticipate when the need for visits becomes essential for resident and loved ones to promote well-being

Anticipatory and person-centred visiting care plans in place to suit needs of resident and visitor.

Document any requests, the agreed plan and outcome

Distress

There is clear distress and impact on well-being (for both loved ones and/or resident) as a result of separation. Where a resident or family/friend may be reassured by a visit.

Deterioration

Where a resident declines in mood or cognition, appetite or mobility. Where interaction with loved ones might be felt to help.

End of Life Care

Where a resident's well-being deteriorates and it is thought that the situation may be irreversible. Agree flexible meaningful time leading up to the resident's death with loved ones.

Not...

  • Not just at imminent end of life
  • Not the same as routine indoor, garden or window visits
  • Not socially distant
  • Not supervised or observed
  • Not generally limited by wider COVID-19 restrictions
  • Not time limited
  • Not limited to one visitor

Care homes are asked to continue to compassionately support essential visits. The guides above and on the next page summarise the principles and scenarios to supporting these.

Essential Visits

Distress

There is clear distress and impact on well-being (for both resident and/or loved ones) as a result of separation.

Where a resident or loved one may be reassured by a visit.

Deterioration

Where a resident's well-being declines in mood or cognition, appetite or mobility.

Where interaction with loved ones might be felt to help.

End of Life Care

Where a resident's condition deteriorates and it is thought that the situation may be irreversible.

Agree compassionate, flexible and meaningful time together in the lead up to the resident's death.

*Not exclusive – may be a combination of some or all of these factors

Key Principle: Prevention

Anticipate when the need for visits becomes essential for resident and family wellbeing.

Care Plans

Anticipatory and visiting care plans in place to suit needs of resident and visitor.

Documentation

Document any requests, the agreed plan and outcome.


Contact

Email: CareHomesCPAG@gov.scot