Harker House

We found the following examples of good practice. • The provider was following best practice guidance in terms of ensuring visitors to the home did not introduce and spread COVID-19. All staff and visitors had their temperature measured, reviewed and recorded on entry. Where any concerns were raised, visitors were provided with advice and guidance by the home management team. Staff, visitors and people living in the home were tested regularly for COVID-19 infection. • Staff were adhering to personal protective equipment (PPE) and social distancing guidance. • The provider had purchased anti-microbial air purifiers for use in higher occupancy areas. The provider also arranged antibacterial 'fogging' as part of the services regular and deep cleaning processes. • People were supported to speak to their families on the phone or via video call. Inside and outside visits had been risk assessed and risk reduction measures were in place for when these could recommence. The service had strict arrangements to facilitate visits for people at the end of their life. • The provider had robust isolation arrangements in place for people who were infected with COVID-19, or for people who had been admitted to the home from hospital or the community. There was clear information and procedures for staff to care for people who were isolating. This effectively reduced the risks of transmission of COVID-19 within the home. • The service used a series of action cards which were centrally reviewed an updated. The action cards were used to ensure staff were up to date with the latest guidelines and procedures. The service also had an 'outbreak box' with action cards, signs and other resources to effectively manage a COVID-19 outbreak and protect staff and people. • To ensure reduced risk of transmission of COVID-19, staff had breaks scheduled so that they were on their own and not mixing with others. To increase capacity for staff to take breaks safely, the service had repurposed an area of the home into an additional break room. • The provider had ensured risk assessments had been carried out for any staff at higher risk of vulnerability to COVID-19 and made appropriate arrangements to protect staff and people.

The five questions we ask about services and what we found