Coronavirus: Scottish care homes are at risk of Covid infection spreading

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In almost half of the recently inspected Scottish care homes, INFECTION Management was rated poor or insufficient, official records reveal, as Covid-19 outbreaks were confirmed by nearly 140 providers.

10 (45 percent) of the 22 homes reviewed by the Care Inspectorate received the lowest ranking for preventing the spread of the virus, while none received the highest “excellent.” rating.

Due to the defined threats, four homes were given the most extreme warnings of an improvement notice or serious concern letter, while two other homes were closed, one by force.

Nine months after the pandemic, the Scottish Conservatives found the new inspection results “shameful and negligent.”

138 nursing homes announced a current outbreak of Covid-19 as of Dec. 20, the latest statistics available, while there were 326 confirmed cases among elderly residents.

Those who tested positive for the virus accounted for more than a quarter of the deaths (65 of 250).

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The latest fortnightly reports, released on December 23, indicate that, despite being tested four times a month, one home in Glasgow failed to follow infection prevention requirements.

Serious problems were found at Ardencraig Nursing Home in Castlemilk, run by Thistle Healthcare, during the first inspection on Dec. 1.

It was found that the cleanliness of the environment and facilities, linen and waste management, and the disinfectants used were weak.

While workers were educated in infection prevention and control procedures, they did not completely comply with current guidelines and “not all staff demonstrated an understanding or knowledge of Covid-19.”

Three further follow-up visits were performed after the initial inspection and a Serious Concern Letter was given.

While some changes have been made, progress has not been adequate and the Glasgow Health and Social Care Alliance has now been implemented to accelerate improvements ahead of January’s further inspection.

In Bathgate, Meadowvale Care Home was identified as inadequately fitted with PPE, while in some areas it was stored “inappropriately” on handrails, raising the risk of contamination and potential spread of infection.

While workers were trained in preventing and managing diseases, inspectors said that standard precautions were not always followed.

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“Some staff were wearing jewelry and watches. There was incorrect application of facial visor guidelines. A more robust quality assurance system was needed to monitor practice, including hand hygiene.”

Meadowvale Care (Bathgate) Limited operates the service and a follow-up inspection has now been ordered.

In all categories: Resident Health and Safety, Infection Prevention and Control, and Staffing, Braemount Care Home in Paisley, owned by Advinia Care Homes Limited, was rated poor.

After a previous inspection found significant concerns regarding cleanliness, the home continues to be monitored, although the report states that some changes have been made.

Social distance was “not always maintained” at Wyvis House Care Home in Dingwall.
The atmosphere was defined as untidy and dirty, while the management of PPE was defined as “disorganized.”

Inspectors added: “Staff were trained in COVID19 but did not always demonstrate their knowledge in practice.”

The Care Inspectorate has applied to the courts to revoke the registration of Thornlea Nursing Home in Loanhead and said that once that process is complete, the inspection report will be published.

11,824 nursing home residents have died in the nine months since the health crisis exploded in Scotland – 24 percent more than in a normal year. The high number of deaths were blamed on the shift of untested and Covid-positive patients from hospitals and a shortage of PPE.

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Donald Cameron, the Scottish Conservatives’ shadow health secretary, said, “Thousands of elderly residents of Scottish care homes have died from the pandemic, yet the SNP continues to block immediate public unrest.”

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