To ask the Scottish Government whether it has a policy regarding care homes and whether they require to have access to an internet connection, and a minimum internet speed.
Extending digital connectivity is vital to communities, businesses and public services. That is why the Scottish Government strategy, A changing nation: how Scotland will thrive in a digital world , sets out a series of measures to ensure that Scotland will fulfil its potential in a constantly evolving digital world.
https://www.gov.scot/publications/a-changing-nation-how-scotland-will-thrive-in-a-digital-world/pages/foreword/
As part of this there is work to improve and extend Scotland's broadband and mobile networks as enabling citizens, including care home residents, to access and use digital services is a national priority with established principles.
Health and Social Care Standards
The Health and Social Care Standards, which set out what people should expect when using health, social care or social work services in Scotland, includes a range of standards about ensuring that people remain connected. This includes standard 5.10:
“If I experience 24 hour care, I am connected, including access to a telephone, radio, TV and the internet.”
The Standards are taken into account by the Care Inspectorate in relation to inspections, and registration, of social care services.
https://www.gov.scot/publications/health-social-care-standards-support-life
To support good practice, the Care Inspectorate have published quality illustrations statements in this area for adult care homes:
“People have easy access to the internet and a telephone and are routinely and actively supported to make best use of these. This includes space to have private conversations.”
“People are unable to stay connected as providers have not taken steps to minimise the impact of poor access to technology or areas where there is limited Wi-Fi or phone signal.”
“While there may be access to telephone and the internet, people are not routinely or actively supported to use these or cannot do so in private.”
“People benefit from options to keep connected using technology such as radio, phone, TV and the internet.”
Care Home design guide
The Care Inspectorate have published “Care Homes for Adults – The Design Guide” which provides advice on the design, planning and construction considerations for new or converted care homes for adults. This sets out expectations around internet access in care homes:
“Internet access must be sufficient to enable residents to retain contact with friends and relatives, as well as for recreational use such as music and video streaming or watching live events. It is also a necessary area for contact with professionals such as GPs through Near Me consultations, and for staff to maintain digital records”.
https://www.careinspectorate.com/index.php/publications-statistics/30-professionals-registration/professionals-guidance/6583-care-homes-for-adults-the-design-guide
Technology good practice guide
From a technology enabled care perspective, the Care Inspectorate’s recent publication “Using technology and digital devices to make a positive impact on health and wellbeing for people experiencing care” highlights how access to digital connection is becoming essential for everyone’s health and wellbeing. This publication supports improvement through quality illustrations, case studies and a toolkit of resources. The guide can be accessed at:
https://www.careinspectorate.com/index.php/publications-statistics/76-professionals-registration/resources
During the pandemic
As part of the Digital Approaches in Care Homes programme launched during the pandemic, in November 2020, Scottish Government offered all care homes in Scotland digital devices for use by and with residents, as well as MiFi devices (internet connectivity dongles) with free data for up to two years for those homes with no, or partial, Wi-Fi coverage. 1034 (75%) of care homes accepted the offer of devices, and 45% the offer of MiFi devices (9% had no Wi-Fi, 36% partial only). All care homes were contacted by email and telephone to ensure the offer was received. Of the 25% of care homes that rejected the offer, the majority stated that they had both the devices and connectivity required at the time.
A recent survey by SCVO (March 2023) has established that 76 MiFi connections are still in use by 54 care homes, and remains their primary internet connection for residents. The Digital Social Care Portfolio Board has endorsed the extension of the initial offer of free data to December 2023 to allow the care homes the time to migrate to more sustainable internet connection solutions. The MiFi devices offer the fastest possible connection available via mobile telephony (3G/4G/5G) depending on the reception available in the area.
Reaching 100% (R100) programme
Through the Reaching 100% (R100) programme the Scottish Government is ensuring that all homes and businesses can access superfast broadband. This is delivered through three strands of activity – the £600 million R100 contracts, the R100 Scottish Broadband Voucher Scheme (SBVS) and continued commercial coverage. Property owners and residents can see what the R100 programme will mean for them by visiting www.scotlandsuperfast.com .
The R100 contracts are proceeding at pace and have connected over 22,400 premises with a further 5,700 connected as a consequence of contractual overspill and at no extra cost to the Scottish Government. Over 3,100 premises have also been connected through the R100 Scottish Broadband Voucher Scheme.