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19th March 2020

Free Coronavirus Policy and Procedure for Dom Care (version 2)

Free Coronavirus Policy and Procedure for Domiciliary Care is now available for download

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HS15 - Coronavirus Policy and Procedure
Health and Safety - Health & Safety
This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020)
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Review Sheet
Last Reviewed
13 Mar '20
Last Amended
Next Planned Review in 12 months,or
13 Mar '20
sooner as required.
Business impact
CRITICAL IMPACT
Immediate action these changes are business critical and to be delivered as a
matter of urgency.
Reason for this review
New Policy
Were changes made?
Yes
Summary:
This policy has been updated for Domiciliary Care. The policy references the updated guidance and
advice from the NHS, Public Health England and the Department of Health and Social Care.
Additional content on home working has been included. References have been updated and
additional reference links included. This policy will be under review and will be changing
frequently. Please refer to QCS the most up to date version. This policy has been made publicly
available
Relevant legislation:
The Health Protection (Coronavirus) Regulations 2020
Civil Contingencies Act 2004
Control of Substances Hazardous to Health Regulations 2002
Equality Act 2010
Health and Social Care Act 2008 (Registration and Regulated Activities) (Amendment)
Regulations 2015
Health and Safety at Work etc. Act 1974

HS15 - Coronavirus Policy and Procedure
Health and Safety - Health & Safety
This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020)
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Underpinning knowledge
- What have we used to
ensure that the policy is
current:
Author: UNICEF, WHO et al, (2020),
Social Stigma associated with COVID-19
. [Online] Available
from:
https://www.epi-win.com/sites/epiwin/files/content/attachments/2020-02-
24/COVID19%20Stigma%20Guide%2024022020_1.pdf
[Accessed: 11/3/2020]
Author: Department of health and Social Care, (2020),
Number of coronavirus (COVID-
19) cases and risk in the UK
. [Online] Available from:
https://www.gov.uk/guidance/wuhan-novel-coronavirus-information-for-the-public
[Accessed: 11/3/2020]
Author: Public Health England, (2020),
COVID-19: infection prevention and control
. [Online]
Available from:
https://www.gov.uk/government/publications/wuhan-novel- coronavirus-
infection-prevention-and-control
[Accessed: 11/3/2020]
Author: Public Health England, (2020),
COVID-19: guidance to assist professionals in advising
the general public
. [Online] Available from:
https://www.gov.uk/government/publications/novel-coronavirus-2019-ncov-guidance-to-
assist-professionals-in-advising-the-general-public
[Accessed: 11/3/2020]
Author: Public Health England, (2020),
COVID-19: background information
. [Online] Available
from:
https://www.gov.uk/government/publications/wuhan-novel-coronavirus- background-
information
[Accessed: 11/3/2020]
Author: World Health Organisation, (2020),
Coronavirus disease (COVID-19) advice for the
public
. [Online] Available from:
https://www.who.int/emergencies/diseases/novel-
coronavirus-2019/advice-for-public
[Accessed: 11/3/2020]
Author: Public Health England, (2020),
Guidance for social or community care and
residential settings on COVID-19
. [Online] Available from:
https://www.gov.uk/government/publications/guidance-for-social-or-community-care-
and-
residential-settings-on-covid-19/guidance-for-social-or-community-care-and- residential-
settings-on-covid-19
[Accessed: 11/3/2020]
Author: ACAS, (2014),
Homeworking a guide for employers and employees
. [Online] Available
from:
https://archive.acas.org.uk/media/3905/Homeworking---a-guide-for- employers-and-
employees/pdf/Homeworking-a-guide-for-employers-and-employees.pdf
[Accessed:
11/3/2020]
Author: Department of Health and Social Care, (2020),
Guidance for social or community
care and residential settings on COVID-19
. [Online] Available from:
https://www.gov.uk/government/publications/guidance-for-social-or-community-care-
and-
residential-settings-on-covid-19/guidance-for-social-or-community-care-and- residential-
settings-on-covid-19
[Accessed: 11/3/2020]
Author: Public Health England, (2020),
Coronavirus (COVID-19): number of cases in England
.
[Online] Available from:
https://www.gov.uk/government/publications/coronavirus-covid-19-
number-of-cases-in- england/coronavirus-covid-19-number-of-cases-in-england
[Accessed:
11/3/2020]
Author:
Public Health England, (2020)
https://www.gov.uk/government/publications/covid-19-
residential-care-supported-living-and-home-care-guidance
{Accessed 13/3/2020}
Author: LGA and ADASS (2020)
https://local.gov.uk/social-care-provider-resilience-during-covid-19-
guidance-commissioners
Suggested action:
Encourage sharing the policy using the QCS App
Establish process to check and confirm staff understanding of the policy
Include discussion in staff handovers
Ensure policy is on the agenda for all supervisions
Hold specific meetings to discuss impact
Display changes and impact in relevant places e.g. office, staff room, reception areas, kitchens
etc.
Ensure relevant staff are empowered to develop specific and individualised processes to share
policy changes
Share information quickly and widely
Ensure all staff know about the policy changes

This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020)
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HS15 - Coronavirus Policy and Procedure
Health and Safety - Health & Safety
2. Scope
3. Objectives
1.1
To ensure that the organisation remains up to date and is able to respond in the event of a member of staff,
Service User or contact, contracting the virus (SARS coronavirus-2 (SARS-CoV-2)) which results
in the disease
COVID-19
1.2
To support QCS Client Ltd in meeting the following Key Lines of Enquiry:
Key Question
Key Lines of Enquiry
SAFE
S2: How are risks to people assessed and their safety monitored and managed, so
they are supported to stay safe and their freedom is respected?
SAFE
S3: How does the service make sure that there are sufficient numbers of suitable
staff to support people to stay safe and meet their needs?
SAFE
S5: How well are people protected by the prevention and control of infection?
WELL-LED
W5: How does the service work in partnership with other agencies?
1.3
To meet the legal requirements of the regulated activities that the organisation is r registered to provide:
The Health Protection (Coronavirus) Regulations 2020
Civil Contingencies Act 2004
Control of Substances Hazardous to Health Regulations 2002
Equality Act 2010
Health and Social Care Act 2008 (Registration and Regulated Activities) (Amendment) Regulations 2015
Health and Safety at Work etc. Act 1974
2.1
The following roles may be affected by this policy:
All staff
Senior Management
2.2
The following Service Users may be affected by this policy:
Service Users
2.3
The following stakeholders may be affected by this policy:
Family
Commissioners
External health professionals
Local Authority
NHS
3.1
To ensure that safe, effective procedures are in place with staff and Service Users having information in an
accessible format.
3.2
As the spread of the virus is resulting in response requirements changing daily, the organisation will ensure
that it stays up to date with reliable sources of information and has the flexibility to respond when required.
1. Purpose

HS15 - Coronavirus Policy and Procedure
Health and Safety - Health & Safety
This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020)
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4.1
We recognise that the outbreak of a new strain of Coronavirus SARS coronavirus 2
(SARS-CoV-2) which results in the disease COVID-19 is a fast-moving situation. The WHO has stated that it is now
characterised as a pandemic. As care providers, ensuring robust infection control and business continuity plans form
part of preparing business at for any events that can cause disruption to the normal business.
4.2
We will ensure that staff are aware and understand the importance of pandemic preparedness and will carry out
preparations by following the checklist in the Pandemic Policy and Procedure We understand that business
continuity planning involves all aspects of the business and to be effective we must work with our partners, suppliers
and commissioners to ensure that a safe and effective service can be maintained.
4.3
We understand that we have a responsibility for ensuring that staff follow good infection control and
prevention techniques and that we support Service Users with this too. As a business we will ensure that staff
have access to reliable information to reduce anxiety and dispel any myths and inaccurate information that may
cause worry or distress to staff, Service Users or the wider public.
4. Policy

HS15 - Coronavirus Policy and Procedure
Health and Safety - Health & Safety
This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020)
Page 5/11
5.1
Pandemic Policy
QCS Client Ltd recognises that the WHO has declared COVID-19 can be characterised as a Pandemic on
11 March 2020.We will ensure that we review the Pandemic Policy and Procedure and will complete the checklist to
ensure that the business is prepared and that robust business continuity plans are in
place.
5.2
Reducing the Risk of Contracting or Spreading the Virus
We will ensure that staff follow the WHO and NHS advice to reduce the risk of contracting the virus and the
risk of spreading it. The following procedures must be followed.
if you have symptoms of coronavirus infection (COVID-19), however mild, do not leave your home for 7 days from when your symptoms
started. (See ending isolation section below for more information)
this action will help protect others in your community while you are infectious
plan ahead and ask others for help to ensure that you can successfully stay at home
ask your employer, friends and family to help you get the things you need to stay at home
stay at least 2 metres (about 3 steps) away from other people in your home if possible
sleep alone, if possible
wash your hands regularly for 20 seconds, each time using soap and water, or use hand sanitiser
stay away from vulnerable individuals, such as the elderly and those with underlying health conditions, as much as possible
you do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days,
contact NHS 111 online. If you have no internet access, call NHS 111. For a medical emergency dial 999
5.3
Handwashing
Staff should wash their hands:
Before leaving home
On arrival at work
After using the toilet
After touching pets
After breaks and sporting activities
Before food preparation
After using public transport
Before eating any food, including snacks
Before leaving work
On arrival at home
Before leaving work
On arrival at home
5. Procedure

HS15 - Coronavirus Policy and Procedure
Health and Safety - Health & Safety
This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020)
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5.4
Confidentiality
Staff will follow confidentiality and GDPR policies and procedures to ensure that the details of staff involved in caring for
Service Users with suspected or confirmed COVID-19 is kept
confidential. Staff must also respect each other’s confidentially and take care not to inadvertently share information
when using social media.
Where staff are suspected or confirmed to have contracted COVID-19, their personal details should be treated as
confidential, as they would be for any other Service User.
5.5
Safe Staffing
In the event of an outbreak of COVID-19, where staff are moved from other areas to support work on COVID-19,
assessments should be made on the ability to continue to deliver safe and effective care in the services
affected. Steps
should be taken to mitigate any risks resulting from staff moving to other areas. We will as part of
pandemic preparedness assess whether any staff need additional training, support or require a DBS check. We will use any
safe staffing calculating tools to assess the level of need within the business.
5.6
Reducing the Risk of Stigmatization
Stigma occurs when people negatively associate an infectious disease, such as COVID-19, with a specific population. In the case
of COVID-19, there are an increasing number of reports of public stigmatization against people from
areas affected by the
epidemic, this means that people are being labelled, stereotyped, separated, and/or
experience loss of status and
discrimination because of a potential negative affiliation with the disease. We will ensure that staff understand the importance
of preventing and addressing
social stigma
by making sure facts are available to staff and Service Users
.
5.7
Identifying Possible Cases of the Virus
Whether an individual has travelled to a high-risk area is no longer an indicator of whether a person is at risk of coronavirus. If a
person has the following symptoms
A temperature of 37.8 degrees
A new cough
Then they must stay at home and self-isolate for 7 days from the onset of the symptoms. Unless the individual feels
very unwell, they do not need to contact 111.

HS15 - Coronavirus Policy and Procedure
Health and Safety - Health & Safety
This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020)
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5.8
Actions if a Service User Meets the Criteria and Displays Symptoms
If a Service User complains of symptoms and has either travelled from an infected area or has been in contact
with others, staff must make sure;
The Service User is safe and withdraw from the room
They immediately wash their hands and avoid touching the face, nose, mouth or eyes
They contact 111 for advice or 999 if an emergency (if they are seriously ill or injured or their life is at risk)
They contact the Registered Manager as soon as possible and advise of the situation. This must be a high
priority
They do not attend any other Service Users, visit their GP or travel in the community until advice is sought
Whilst they wait for advice from NHS 111 or an ambulance to arrive, staff should remain at least 2 metres from
other people. They should avoid touching people, surfaces and objects and be advised to cover their mouth and
nose with a disposable tissue when they cough or sneeze and put the tissue in a bag then throw the tissue in the
bin. If they do not have any tissues available, they should cough and sneeze into the crook of their elbow
If they need to go to the bathroom whilst waiting for medical assistance, they should use a separate
bathroom if available. This will apply only to the period of time while waiting for transport to hospital
5.9
Action if a Member of Staff Reports Symptoms
We will contact the Local Authority and the
local health protection team
for advice. Public Health
England will provide advice to the person infected and will carry out all contact tracing
Advice will be given to the member of staff if they need to self-isolate and what action will need to take place
for any Service Users that they may have had contact with
If a member of staff reports that there are concerns about their children, close family, friends who they have
had close contact with, the local health protection team must be contacted for advice
We will ensure that confidentiality is maintained and that records are held in line with Data Protection Act
requirements
In the event of someone who is symptomatic, closure of the office, workplace or residential setting is not
recommended. We will contact Public Health England (PHE) local
Health Protection Team
to discuss the case,
identify people who have been in contact with them and advise on actions that should be taken
Staff must follow the Sickness Absence Policy and Procedure and ensure that the government guidance is
followed which states that if an employee or worker needs to self-isolate, they should receive any Statutory Sick
Pay (SSP) due to them. We will ensure that staff are made aware of the requirements for 'fit notes' if staff are
required to self-isolate for 7 days.

This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020)
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HS15 - Coronavirus Policy and Procedure
Health and Safety - Health & Safety
5.10
Cleaning the Office and Workplace Where There are Confirmed Cases of COVID-19
The local Health Protection Team will provide advice on cleaning. Coronavirus symptoms are similar to a flu-like
illness and include cough, fever, or shortness of breath. Once symptomatic, all surfaces that the person has come
into contact with must be cleaned including:
All surfaces and objects which are visibly contaminated with body fluids
All potentially contaminated high-contact areas such as toilets, door handles, telephones
Clothing and linen used by the person should be set aside pending assessment of the person by a
healthcare professional
Public areas where a symptomatic individual has passed through and spent minimal time in (such as corridors) but
which are not visibly contaminated with body fluids do not need to be specially cleaned and disinfected.
5.11
Rubbish Disposal Including Tissues
All waste that has been in contact with the individual, including used tissues, continence pads and other
items soiled with bodily fluids, should be put in a plastic rubbish bag and tied. The plastic bag should then be
placed in a second bin bag and tied. This must be left in a safe place for 72 hours when it can be disposed in
the normal waste system.
5.12
Raising Concerns
We have effective procedures in place to allow staff to raise any concerns in relation to equipment, policies and
processes for managing COVID-19 at the earliest opportunity. All staff must be aware of the Whistleblowing Policy
and Procedure and be able to raise concerns without any fear and receive timely feedback on their concerns.
5.13
Working from Home
Where staff at are able to work from home, and we have agreed to the arrangement we have the following
expectations;
Staff can work independently and on their own initiative
Staff are able to motivate themselves
Complete agreed work within set deadlines
Staff can manage their workload effectively
Staff can cope well under any new pressure posed by working at home
Staff will adopt healthy work from home practices which includes compliance with Health and Safety
Staff will maintain contact with the business and colleagues with whom they would usually interact with
Confidentiality will be maintained in line with the Data Protection Act
Any concerns will be raised immediately with the Registered Manager
Meeting with Service Users or external organisations will not take place with the employees at home unless
teleconferencing facilities are used
We understand during the coronavirus outbreak, that where the employee's role makes home working feasible, it
will consider this type of working on a case by case basis. We can reverse the decision to allow home working if
there are concerns about an individual or productivity and the smooth running of the business is adversely affected.
The decision to temporarily allow home working is not a contractual change.
5.14
Working from Home - Health and Safety Considerations
We have a duty of care for all their employees, and the requirements of the health and safety legislation apply to
homeworkers. We are responsible for carrying out a risk assessment to check whether the proposed home
workplace's ventilation, temperature, lighting, space, chair, desk and computer, or any kind of workstation, and
floor are suitable for the tasks the homeworker will be carrying out.
We are responsible for the equipment we supply, but it is the employee's responsibility to rectify

This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020)
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HS15 - Coronavirus Policy and Procedure
Health and Safety - Health & Safety
6. Definitions
any flaws in the home highlighted by the assessment. Once the home workplace has passed the assessment, it is
the employee who is responsible for keeping it that way.
We will refer to the ACAS guidance on
Home Working
.
5.15
Visitors
The impact of the coronavirus is far greater for people with underlying health conditions and who are elderly. We
will monitor the changing situation. We will display information posters and advise anyone that is unwell to stay
away. We will ensure that all visitors document their names and contact phone numbers should
We will ensure that all visitors document their names and contact phone numbers.
6.1 Pandemic
A pandemic is the worldwide spread of a new disease COVID-19 was characterised as a Pandemic on 11th
March 2020
6.2
World Health Organisation
The World Health Organisation (WHO) is a specialised agency of the United Nations that is concerned with
world public health
6.3
COVID-19
Novel coronavirus is a new strain of coronavirus first identified in Wuhan City, China. The virus was named
severe acute respiratory coronavirus 2 (SARS-CoV-2). The disease it causes is called COVID- 19
6.4
Outbreak
A disease outbreak is the occurrence of disease cases in excess of normal expectancy. The number of cases
varies according to the disease-causing agent, and the size and type of previous and existing exposure to the
agent
6.5
Social Stigma
Social stigma in the context of health is the negative association between a person or group of people who
share certain characteristics and a specific disease. In an outbreak, this may mean people are labelled,
stereotyped, discriminated against, treated separately, and/or experience loss of status because of a perceived
link with a disease. Such treatment can negatively affect those with the disease, as well as their caregivers,
family, friends and communities. People who do not have the disease but share other characteristics with this
group may also suffer from stigma. The current COVID-19 outbreak has provoked social stigma and
discriminatory behaviours against people of certain ethnic backgrounds as well as anyone perceived to have
been in contact with the virus
6.6
The Health Protection (Coronavirus) Regulations 2020
The Health Protection (Coronavirus) Regulations 2020 were put in place with immediate effect on 25th
February to impose restrictions on any individual considered by health professionals to be at risk of
spreading the virus
The regulations apply to any individuals seeking to leave supported isolation before the current quarantine
period of 14 days is complete. It will also apply to future cases during the current coronavirus incident where
an individual who may be infected or contaminated could present a risk to public health

HS15 - Coronavirus Policy and Procedure
Health and Safety - Health & Safety
This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020)
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Key Facts - Professionals
Key Facts - People affected by the service
Professionals providing this service should be aware of the following:
The current understanding is that the virus does not survive on surfaces for longer than 72 hours. Regular
cleaning of frequently touched hard surfaces and hands will therefore help to reduce the risk of infection
Washing your hands often, with soap and water, or use alcohol sanitiser that contains at least 60% alcohol if
handwashing facilities are not available - this is particularly important after taking public transport
We will make sure you have the facts about the new coronavirus or the disease COVID-19 from a reliable
source. Public Health England and the Department of Health and Social Care are 2 examples. Staff must read
the fact sheet in the Forms section for more information
We will have an up to date business continuity plan in place. The Pandemic Policy and Procedure has a checklist
to help plan for an outbreak of a disease like COVID-19
It’s important that Service Users are made aware of how they can help limit the spread of COVID-19 and that
they understand the signs and symptoms of the disease
We will need to work closely with the Local Authority, health providers, suppliers and other agencies to ensure
that there is continuity and consistency of care
Microsoft have released their Teams software as free downloads to support people working remotely
People affected by this service should be aware of the following:
A coronavirus is a type of virus. Coronaviruses are common across the world. Typical symptoms of coronavirus
include fever and a cough that may progress to severe pneumonia causing shortness of breath and breathing
difficulties. This new virus is called SARS coronavirus 2. The disease it causes is called COVID-19
There is no vaccine now for this virus. Washing your hands regularly with soap and water will help prevent the
spread of the disease. Try not to touch your eyes, nose and mouth with unwashed hands
Its ok to feel worried or anxious. QCS Client Ltd has plans in place to make sure you will get the care that you
need

HS15 - Coronavirus Policy and Procedure
Health and Safety - Health & Safety
Outstanding Practice
As well as the information in the 'underpinning knowledge' section of the review sheet we recommend that you add
to your understanding in this policy area by considering the following materials:
CQC Responding to Coronavirus:
https://www.cqc.org.uk/news/stories/how-were-responding-outbreak-coronavirus
Handwashing and
Handsanitiser Fact sheet:
https://www.who.int/gpsc/5may/Hand_Hygiene_Why_How_and_When_Brochure.pdf
Handwashing
Video:
https://www.bbc.co.uk/news/av/health-51637561/coronavirus-watch-how-germs-spread
Public Health England Posters:
https://campaignresources.phe.gov.uk/resources/search?utf8=%E2%9C%93&query=COVID-19
Care Provider Alliance - Multiple Resources:
https://www.careprovideralliance.org.uk/business-continuity-infection-control-flu.html
To be ‘ outstanding ’ in this policy area you could provide evidence that:
QCS Client Ltd has robust infection control policies and procedures in place and staff understand the
importance of good hand hygiene, how to use personal protective equipment appropriately and they share
their knowledge with Service Users appropriately
Staff have accurate and up-to-date information and QCS Client Ltd is able to respond quickly and safely to
a fast-changing situation
QCS Client Ltd has shared its pandemic and business continuity plan and everyone knows what their roles and
responsibilities are.
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Further Reading

*All information is correct at the time of publishing

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