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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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Everything you need to know about the current coronavirus restrictions in Wales

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THE GOVERNMENT guidelines in Wales are changing today (Apr 12).

There are major changes coming into force today across the country as the government coronavirus guidelines are starting to relax.

The changes affect household bubbles, non-essential retail, education and travel.

As of Monday, April 12, the following changes have come into force:

  • Six people from two different households (not counting children under 11) can meet and exercise outdoors and in private gardens
  • Households or support bubbles can holiday in self-contained accommodation – including hotels with en-suite facilities
  • All pupils and students can now return to school, college and other education
  • All shops and close-contact services can open
  • The ban on travelling in and out of Wales has ended
  • Driving lessons can resume and some driving tests (Remainder on April 22)

Non-essential retail are able to open up today for the first time since the country was put into a national lockdown with non-essential retail ordered to close in December of last year.

With infection rates falling and the national vaccine rollout success, the Welsh Government have set out a road map of restriction easing.

Unlike England, the hospitality industry in Wales will have to wait until April 26 to open their doors to customers, but only for those who can operate in an outdoor space such as beer gardens.

The current guidelines in force for Wales are as follows:

Meeting friends and family

From May 3:

  • Two families can once again form an “extended household” and meet indoors.

The following rules currently apply:

  • Six people from two different households (not counting children under 11) can meet up outdoors, including gardens.
  • If you are an adult living alone or you’re a single responsible adult in a household (a single parent, for instance), you can form a support bubble with one other household.
  • You can also end it and form another support bubble with a different household, as long as you leave a 10-day gap between.

Going to work

  • You must work from home if you can. The only exceptions will be critical workers and jobs where working from home is not possible.
  • Tradespeople can work in someone else’s private home, as long as it is managed in a safe way and both the worker and household members are well and have no symptoms of coronavirus.

Schools and nurseries

  • All pupils will return to face-to-face teaching at school from 12 April.
  • From that date all students can return to further education and training centres.
  • University campuses will be able to open for blended (face-to face and online) learning for all students.
  • Internal GCSE, A-level and AS-level assessments have been cancelled.

Leisure time

From April 26:

  • Outdoor attractions, including funfairs and theme parks, will be allowed to reopen.
  • Outdoor hospitality can resume, including at cafes, pubs and restaurants, but indoor hospitality will remain restricted.

From May 3:

  • Organised outdoor activities for up to 30 people can again take place.
  • Gyms, leisure centres and fitness facilities can reopen. This will include individual or one-to-one training but not exercise classes.

The following rules currently apply:

  • Self-contained holiday accommodation, including hotels with en-suite facilities and room service, can open to people from the same household or support bubble.
  • Outdoor sports facilities such as golf, tennis and basketball are open. A maximum of six people from two households can take part.
  • Organised outdoor sport for under-18s can now take place.
  • All gyms and leisure centres are closed.
  • Professional sports will continue but stadiums are closed to fans.
  • Bars, restaurants, cafes and pubs are closed – except for takeaway and delivery.
  • The outdoor areas of some historic places and gardens can reopen in a limited way.
  • Libraries and archives can reopen

Shopping

From April 12:

  • All shops can reopen.
  • All close contact services such as hairdressers or beauty salons can open, including mobile services.

The following rules currently apply:

  • Hairdressers and barbers are open for business – by appointment only.
  • Non-essential shops remain closed.
  • Garden centres are now open.
  • Alcohol cannot be sold in shops between 22:00 and 06:00 BST.
  • Face coverings must be worn by customers and staff.
  • Indoor shopping should be done alone, or with people in your household.

Other

From April 12:

  • You can travel anywhere in the UK or the Common Travel Area (Ireland, Isle of Man and the Channel Islands)
  • Outdoor canvassing for the Welsh elections can begin.
  • Driving lessons can resume and some driving tests (remainder on 22 April).

From April 26:

  • Weddings receptions can take place outdoors, but will be limited to 30 people.

The following rules currently apply:

  • Weddings and civil partnerships can take place at licensed venues, but receptions are not allowed.
  • Care home residents can receive one designated visitor.
  • You can travel anywhere within Wales.
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Police on scene of alleged armed robbery in Llanelli

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POLICE are at the scene of a reported armed robbery in Llanelli.

A large police presence has been seen at Dillwyn Street, Llanelli this morning (April 12).

Image credit: D Harries/Herald

Eyewitnesses at the scene have told this newspaper that there are ten police vehicles and armed response present.

It is reported that an armed robbery has taken place at a Premier Store.

Image credit: D Harries/Herald

Dyfed-Powys Police have been asked to comment, we await their response.

This story is updating, more to follow…

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Prince Philip, The Duke of Edinburgh, dies aged 99

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The Duke of Edinburgh, the Queen’s ‘strength and stay’ for 73 years, has died aged 99.

Prince Philip’s health had been slowly deteriorating for some time. He announced he was stepping down from royal engagements in May 2017, joking that he could no longer stand up. He made a final official public appearance later that year during a Royal Marines parade on the forecourt of Buckingham Palace.

Since then, he was rarely seen in public, spending most of his time on the Queen’s Sandringham estate in Norfolk, though moving to be with her at Windsor Castle during the lockdown periods throughout the Covid-19 pandemic and where the couple quietly celebrated their 73rd wedding anniversary in November 2020. He also celebrated his 99th birthday in lockdown at Windsor Castle.

The duke spent four nights at King Edward VII hospital in London before Christmas 2019 for observation and treatment in relation to a “pre-existing condition”.

Despite having hip surgery in April 2018, he attended the wedding of Prince Harry and Meghan Markle a month later and was seen sitting beside the Queen at a polo match at Windsor Great Park in June. He and the Queen missed Prince Louis of Cambridge’s christening in July 2018, but he was seen attending Crathie Kirk near Balmoral in August, and driving his Land Rover in the surrounding Scottish countryside in September.

It is expected that flags on landmark buildings in Britain will be lowered to half-mast as a period of mourning is announced.

The First Minister of Wales, Mark Drakeford has expressed his sadness on the news of the death of His Royal Highness The Duke of Edinburgh and offered condolences to Her Majesty Queen Elizabeth II and the Royal family on behalf of the Welsh Government.

He said: “It is with sadness that we mourn the death of His Royal Highness The Duke of Edinburgh. Throughout his long and distinguished life, he served the crown with selfless devotion and generosity of spirit.

We offer our sincere condolences to Her Majesty Queen Elizabeth II, his children and their families on this sad occasion.

He will be missed by the many organisations that he supported as Patron or President over many decades of service”.Andrew RT Davies, the Leader of the Welsh Conservatives in the Senedd, has led tributes to Prince Philip, Duke of Edinburgh, whose death was announced today.

In light of the sad news from Buckingham Palace, campaigning has been paused with immediate effect.

Mr Davies said: “This is a very sad day for the United Kingdom.
“The Duke of Edinburgh led a remarkable life, excelled himself with his career in the Royal Navy, was the strength and stay to Her Majesty The Queen, and has left a legacy to the nation through the Duke of Edinburgh Award.

“Dutiful, devoted, and diligent, his like will never be seen again, and Welsh Conservatives offer their deepest condolences to The Queen, and the rest of the Royal Family.”

Adam Price, leader of Plaid Cymru said: “On behalf of Plaid Cymru, I send my condolences to Her Majesty the Queen and her family. Many young people in Wales will have benefited from the Duke of Edinburgh’s award scheme, a reflection of many decades of his public service. Thoughts are with the Royal Family at this time.”

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