Chamber and committees

Restrictions on care home visiting have been challenging during the pandemic for residents, their families and staff.

On 20 February, the then Cabinet Secretary for Health and Sport announced the publication of new guidance setting out an expectation that providers put in place arrangements to enable regular visits to resume from early March, having undertaken necessary planning and risk assessment. This guidance, ‘Open with Care: resuming meaningful contact with care home residents’ was published on 24 February: Open with Care - supporting meaningful contact in care homes: guidance - gov.scot (www.gov.scot) .

In addition to its focus on the reintroduction of indoor meaningful contact, the guidance also recommends that outdoor visits, including garden and window visits, are supported by care homes. Outdoor visits should not be viewed as replacements to or substitutes for indoor visiting.

Outdoor visits (including window visits) can take place either within or outside the care home grounds. Care homes can increase the frequency and duration of visits away from the care home as they assess it is safe to do so, taking advice from local oversight arrangements as necessary. Those meeting up with residents outdoors do not need to be the same two designated visitors as for indoor visits. As outlined in Section 5.1 of the Open with Care guidance, limits on group sizes should be in line with national Covid-19 restrictions for the general public.

On 17 May 2021, the Scottish Government published additional guidance on outings: ‘ Open with Care: activities and outings away from the care home ’ .

The general principle of the guidance is that, when a resident wishes to go on outings away from the care home, the presumption should be that these should take place in line with general population COVID-19 restrictions/ permissions relevant to the local area, unless there is clear evidence justifying a more restrictive approach.

Outings away from the care home will, for many, be a significant positive change. However, we must not become complacent. Outings must be carefully planned, taking account of individual needs, preferences and local conditions. Local oversight teams play a key role in supporting care homes to facilitate safe outings.

Support for essential visits is unaffected, which should always be compassionately and generously enabled by care homes when needed.

The Open With Care National Oversight Group is monitoring implementation of the guidance, identifying any additional support that might be required, and will report on progress in early June.