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Hywel Dda: Working together for care home residents

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Health and social care partners and Independent Care Home Providers in West Wales are working together to ensure people with COVID-19 are treated with dignity and respect and involved as much as possible in decisions about their care and treatment whether they are in a hospital or care home.

Care homes are a central and essential part of frontline services in West Wales, in particular by ensuring and supporting the health and wellbeing of the most vulnerable of the population. Many of our care settings are facing significant challenges and supporting care staff in these settings has never been more important. We recognise that this is a time of great anxiety for families of residents and the care homes who provide such outstanding care throughout this unprecedented time.

Hywel Dda University Health Board and County Councils in Carmarthenshire, Ceredigion and Pembrokeshire are working together to support care homes and deliver the best possible care to vulnerable people in a timely and appropriate way.

This means a wide range of key workers from doctors, nurses, health care support workers, carers, assistants, cleaners, transport workers, managers and volunteers are all playing their part in planning, advising and providing the care older people need, taking account of their wishes.

Across our communities, we are seeing examples of exemplar working from clinicians supporting and providing direct care in the care home setting. This can involve hospital clinicians collaborating with GPs and community teams and also the transfer of residents into hospital when needed. Technology is also being utilised in many care homes so that they can maintain contact with District Nurses and GPs in a timely manner.

Jill Paterson, Director of Primary, Community and Long Term Care, said: “We are working really hard as a whole Health and Care Community, with the shared goal of providing the best care for residents of Care Homes , preventing further spread of the disease, and protecting the safety of care givers.”

Dr Sion James, Deputy Medical Director at Hywel Dda, added: “General Practice and Community teams across the Health Board are offering continuing and increased support to patients in our care homes.  We are working as a team across Health and Social care to provide care for this important vulnerable groups.  GP Practices are contacting care homes on a daily basis to ensure that residents are getting the care they need.”

Jake Morgan, Statutory Director of Social Services in Carmarthenshire said: “This is an extraordinarily challenging time for our care workforce who are on the front line dealing with this pandemic. Over the last few weeks we have been able to offer our care homes additional financial support, advice and protective equipment to support them in carrying out their critical role. We will continue to do all we can to support care staff doing a remarkable job in these challenging times.”

Eifion Evans, Chief Executive of Ceredigion County Council, added: “We are working very closely with our Health Board colleagues in ensuring we maintain the required services to our most vulnerable in a safe and timely manner throughout this period. We also thank and acknowledge our heartfelt gratitude to each and every one supporting the health and social care sector in Ceredigion.”

Geriatrician and Consultant Physician at Prince Philip Hospital, Llanelli Dr Andy Haden, has recently had experience of working closely with a Llanelli care home where a number of residents were affected by COVID-19.

He explained: “In the past few weeks I have been working closely with a care home affected by the disease, as it can be serious in that setting. Myself, Palliative Care consultants and Specialist and General Nurses and Local Authority staff have been supporting people in the Home.

“What has been really important is an individualised approach where we do the right thing for the person affected, and we ask them what their wishes are, of if they cannot speak for themselves, seek help from family or carers. For some people that will mean ensuring they come into the hospital and for others it will be support at the end of their life in their home environment where they are comfortable and cared for with compassion and dignity.”

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Walk-in testing now available for Aberystwyth town

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From today [Wednesday 30 September 2020], people in Aberystwyth with symptoms of COVID-19 can access testing (through a booked appointment) via a temporary walk-in facility in the town.

Hywel Dda University Health Board has arranged this extra testing service in addition to the drive through facility already in place at Canolfan Rheidol, because many residents in the town, including students, do not have their own private vehicle in order to access the drive-through testing facility.

The facility is located in the former university nursery building (behind, but not connected to, Padarn Surgery), Penglais Road, Aberystwyth and can be accessed via the walkway which will be clearly signposted to ensure people get to the right place.

Alison Shakeshaft, Director of Therapies & Health Science at Hywel Dda University Health Board said: “We have put this extra facility in place to make sure those in the local community without their own transport are not missing out on getting a test when they need it.

“We appreciate the efforts people are making to help protect each other during this challenging time. I urge everyone to remain vigilant and follow the rules, including wearing face coverings where required, keep social distancing, washing hands regularly, or using a hand sanitiser if hand washing is not possible, to help us live and work alongside the virus whilst containing its spread.”

Eifion Evans, Ceredigion County Council Chief Executive said, “We thank Hywel Dda University Health Board for providing extra testing service in Ceredigion. Residents and students alike are urged to utilise this service for the health of everyone living in our county and we are able to protect the vulnerable. This is a critical time for us to follow the rules and keep Ceredigion safe.”

Anyone who has symptoms of the virus (a new persistent cough, high temperature or loss/change of taste or smell) must book a test as soon as possible through the online UK portal at www.gov.wales/coronavirus.

Please make sure when booking your test that you select the option you need (for example, only book the walk-in centre if you are not able to travel in your own vehicle to the drive through facility). If you attend the walk-in centre you must wear a face covering.

University students with COVID-19 symptoms, when booking a test, are required to provide the temporary local address they are living at while they are students at Aberystwyth university and not their usual home address.

Please do not book a test if you do not have COVID-19 symptoms and do not turn up without booking first as it will not be possible to accommodate you without an appointment.

Please follow the latest self-isolation guidelines which can be found here.

Thank you for helping to #KeepCeredigionSafe.

For the latest news and updated from Hywel Dda University Health Board visit www.hduhb.wales.nhs.uk

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Adjustment to Safe Zones

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In August, temporary traffic orders were introduced so that Safe Zones for four Ceredigion towns could remain for up to 18 months subject to regular reviews so minor adjustments can be made.

In line with the evidence collected on the use of the towns, Ceredigion County Council feel the need to keep the safe zones in place for the time being. Aberaeron and New Quay will continue as they are.

In Cardigan the closures will change to 11am until 4:30pm Monday to Saturday. The safe zones will not be in place on a Sunday in Cardigan. These adjustments will come in to force on Sunday morning, 04 October.

In Aberystwyth, additional parking has been implemented for the disabled and blue badge holders in Chalybeate Street close to the Care Society Mobility Centre.

Further enhancements to provide better access for the disabled and blue badge holders will also continue to be explored.

Safe zones were introduced in Aberaeron, Aberystwyth, Cardigan and New Quay on 13 July to create safe and spacious areas for the public to visit and provide the confidence that social distancing can be maintained in these areas.

Safe zones will be in place until at least 01 November 2020 and reviewed fortnightly in line with the infection rate and available evidence.

More information can be seen on the safe zones web page: www.ceredigion.gov.uk/SafeZones

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Our responsibility to follow the new Wales coronavirus measures in order to Keep Ceredigion Safe

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The Welsh Government is bringing in new coronavirus measures to reduce the spread of the Coronavirus.

To help further prevent the spread of coronavirus, new measures were announced by the First Minister which will come into force at 6pm on Thursday, September 24, 2020:

· Hospitality businesses in Wales will have to close at 10pm and provide table service only.

· All off-licences, including supermarkets, will have to stop selling alcohol at 10pm.

We are also being asked to think carefully about making journeys: only travel where it is essential to do so. The fewer people we meet and the fewer journeys we make, the safer we all are.

The Welsh Government have also introduced the following measures:

· A new £500 payment to support people on low incomes who are asked to self-isolate if they have coronavirus;

· Strengthened regulations to ensure employers support people who need to self-isolate.

The new measures are part of a package of co-ordinated actions to control the spread of coronavirus and it is essential that we all play our part in order to keep Ceredigion safe.

These new measures are to be introduced alongside those that are already in place:

· Keep a 2m social distance from each other when out and about.

· Wash your hands regularly.

· Wear a mask in indoor public places, shops and on public transport

· Only meet 6 people indoors from your extended household (not including children 11 and under).

· Do not meet with more than 30 people outdoors.

· Work from home, wherever possible.

· Think carefully about making journeys: only travel where you need to do so. The fewer people we meet and the fewer journeys we make, the safer we all are.

We need everyone to follow the rules and guidance and to take the steps to protect them and their loved ones.

Together, we can keep Ceredigion safe.

All the latest information and advice regarding the coronavirus can be found on Ceredigion County Council’s website: www.ceredigion.gov.uk/Coronavirus. The Council’s Corporate Contact Centre number is 01545 570881.

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