Covid-19 Updated Information for Independent Residents and Families

Important information for Middleton Woods and The Waterside

Middleton Woods and The Waterside – Coronavirus update (31st July 2020)

As we enter August, I am sure we are all hoping that the recent period of stability continues although having drafted the bulletins on Thursday evening this week there have been two changes announced by the government, so I fear the stable period we have been in may be short lived.  Middleton Hall has managed, so far, to navigate the very challenging first five months of the biggest global health crisis since 1918 without any cases of Covid-19.  That is testament to the efforts of all our Co-owners (staff) and the support of our residents and families.

I hope none of you had booked a holiday to Spain or Luxembourg with the quarantine restrictions put back in place last weekend.  There are concerns that France and Germany may also join the list of European countries with quarantine restrictions on return.

There are also a number of local spikes in the UK and since last night new restrictions for the north west and West Yorkshire.  The figures for infections only include people being tested, so now it is clear that 70% of people (younger people especially) are asymptomatic, the actual levels are considerably higher.

Boris Johnson has also referred to the potential of a second wave in Europe.  That would be particularly worrying – the second wave of Spanish Flu in 1919 was more lethal than the first wave in 1918.  He also added yesterday that “it is absolutely vital as a country we don’t delude ourselves that somehow we’re out of the woods or this is all over, because it isn’t all over”.  On this occasion I would agree with the Prime Minister.

The government has also announced this week that the self-isolation period for anyone with symptoms has been increased from 7 to 10 days.  It has been suspected for a while that the infectious period can be longer than 7 days  For Middleton Hall we would still wait until a negative test for a Co-owner to return to work to be safe and 14 days isolation for residents or a negative test.

Testing
As you may have heard in the news the testing of residents and staff through “Whole Home Testing” has been paused after a problem with the Randox test kits and although registering for the replacement system three weeks ago, we have heard nothing about when it will be available.  Although we cannot get residents tested as a result, we are asking our Co-owners to continue to use local test centres to get weekly tests and are grateful for their adherence to the inconvenience of this key part of keeping residents safe.

Shielded Co-owners
We have some team members who are coming back to work after being shielded next week following detailed risk assessments and the change in government guidance.  Those returning are all keen to come back and we welcome their return, but we are putting in place some precautionary measures for them.

Resident Living Well
All the way through the pandemic, we have tried to find the balance between safety and resident wellbeing.  While we are in a steady phase with lower infection rates, our approach during August should be to safely find means of reducing restrictions for residents and giving greater opportunities for Living Well.

From today, we have introduced outside visitor stations for the care services with careful guidelines that fit the government guidance for care home visiting.

We are gradually stepping up the Orangery service.  We will extend those sessions if there is demand and it is operating effectively.  We are also arranging some small Independent Living gatherings outside the Orangery for new residents to meet some of their neighbours.

Following a telephone survey of the independent residents, the swimming pool has been filled this week and Michael and the spa team are preparing the gym for use from 10th August for independent residents and the pool from 17th August.

We will also be re-introducing some of community activity groups during August – more details next week.

Thank you for working with us during this difficult time for everyone’s best interests.

If you have any ideas or questions, please let us know.

Jeremy Walford

Managing Director

Important information for Middleton Woods and The Waterside

Middleton Woods and The Waterside – Coronavirus update (22nd July  2020)

We are now in a new stage of emerging from lockdown and reopening services as infection levels plateau.  As other countries are learning, local “spikes” keep recurring in countries that thought they had the pandemic under control – the Barcelona region of Spain is back in lockdown and France has several hundred clusters of where virus infections are increasing.  Clearly the pandemic is a long way from being over.  There has been some positive longer term news this week about vaccines and a treatment that appears to reduce the severity of Covid-19 for hospital patients.  Hopefully the science is catching up.

At Middleton Hall we are in a steady state or perhaps a recovery phase from the first wave of Coronavirus in the UK.  During this stage, we still need to be cautious.  Our key defences remain weekly testing and PPE which are both vital to keeping residents and Co-owners safe.  Statistics suggest that 70-80% of people testing positive are asymptomatic at the time of the test – this remains our main worry as we go forward.

We are now holding weekly rather than daily Covid Project Team meetings (Lesley, Suzanne, Debby, David, Julie and myself meet “virtually” every Monday).  If you have any issues or ideas that you would like raised, please let one of us know.

PPE
As you will be aware from this week it is compulsory to wear a face covering in shops as well as on public transport.  This includes Middleton Hall’s shop (if you have forgotten, you can buy masks at cost price when you arrive – please ask).  Evidence is growing that the virus can remain airborne for several hours so many countries are making face coverings compulsory in all public spaces.

Face masks are likely to be routine for everyone working inside Middleton Hall or with residents for the rest of 2020 at least.

Visitors
From July 31st, we are starting a trial for outside visiting for the care services.  We will be setting up a visitors’ station outside each care service for pre-booked appointments as an alternative to a Visitors’ Pod session.  Family or friends visiting will have to keep social distance, wear a face covering and use hand sanitiser.

Re-opening Services
We now have a limited Orangery service operating as well as hairdressing, physio and chiropody.  From next week, we will be operating the Orangery snack service and the revised shop five days a week and there will be “session times” for the care services introduced starting with Middleton Grove – details to follow.  You will find lower prices on the new menu due to the reduction in VAT and we will also be participating in the government “Eat out to Help out Scheme” on Mondays, Tuesdays and Wednesdays during August.

We are currently planning the re-opening the Spa during August, initially for independent residents, then the care services followed by external members later in the year.   Michael has been speaking with residents this week to establish level of interest for both gym and pool which looks very positive.

The Covid Project Team is also reviewing community resident groups (arts and crafts, Current Affairs etc) to see what we could safely introduce as well as rewriting our contingency plan for second wave preparations.

Holidays
A few residents have asked for advice about holidays.  We suggest careful thought about taking holiday with other people given the levels of asymptomatic transmission of the virus and any travel abroad.  Please remember the key advice about washing hands or using hand sanitiser and face coverings on public transport while traveling.  On return to Middleton Hall, we would ask you to self-isolate in your property for 7 days, only going out for a daily walk and then ensure that you social distance and follow government guidance carefully for a further 7 days.  If you have any worries, please let reception know and we will try and advise further and if you have plans to go away, please let us know.

If you have any ideas or questions, please let us know.

Stay safe

Jeremy Walford

Managing Director

Important information for Middleton Woods and The Waterside

Middleton Woods and The Waterside – Coronavirus update (9th July 2020)

Some of you will have finally had your hair cut since the last bulletin as the UK lifts its lockdown.   It is tempting to think, or certainly hope, that this is the end of pandemic.  Evidence from around the world (and Leicester) suggests that we are in a risky phase as the government eases lockdown – three pubs have already had to close after people developed symptoms, US infection rates are soaring since they lifted lockdown and Melbourne is back in complete lockdown after Australia appeared to have almost eliminated the virus.

The government has finally released some community testing information after pressure from Local Authorities and our trade bodies.  Previously the local infection rates published were based on hospital tests only (Pillar 1 for those who have been studying the government data).  The infection statistics appear to tell us that there are no local areas with high infection rates, although there has been an increase in Redcar and Cleveland.  We are keeping an eye on this data to make sure that we are not sitting close to a Leicester situation as lockdown eases.

We are conscious that this stage is a worrying time for residents who remain very vulnerable to Covid-19.

However, as set out in the last bulletin, we are carefully re-opening some services:

  • Housekeeping and hairdressing have already started and physiotherapy services are available for urgent appointments and will be increasing.
  • The shop in the Orangery is reopening on Friday – Steve has even given the Orangery a lick of paint in preparation!
  • The Library will be open from Monday 13th July
  • The Orangery will start a limited drinks and snacks service on Tuesdays/Thursdays from 16th July

We also have a project team working on how to improve our central services post pandemic, so you may find some changes when services fully re-open.  If you have any ideas about the Orangery, Shop, Restaurant, Middleton Spa please let Lesley know, as she is working with the help of an experienced external hospitality specialist as part of the project team.  We are likely to ask a few residents to attend small groups to discuss services as part of the project in due course.

We are focussing on the importance of social distance and trying to rearrange rotas to cope with the potential impact of the track and trace programme within Middleton Hall to avoid major disruption.

Middleton Hall’s guideline is that we will endeavour to maintain 2m distance inside where possible and especially when people are face to face.  1m social distance can be suitable for people meeting outside.  When we are not able to achieve 2m, we should use the “1m plus” guide for people either back to back or side by side.

We are also entering the “usual” holiday season and travel is now permitted both in the UK and certain countries abroad.  Given how hard everyone has been working, we do wish Co-owners to have some well-deserved holiday but we are putting in some precautions before Co-owners return to work especially if they go abroad.  I am having a week’s holiday myself from Thursday this week (at home being careful!) and this will include a break from emails.  Lesley and Suzanne are in charge during my absence.

So far as next steps, we are “decommissioning” the Rainbow Centre for the moment, in preparation for a potential further re-opening of Middleton Spa later in the summer and maintaining two rooms for quarantining residents.  More of the support services teams are returning to work on site in Covid-secure offices within the Admin Centre.

We would urge all residents to continue taking care how they act during the easing of lockdown and stay within government guidance at all times.

Thank you for your support and positive messages.

As ever, if you have any ideas or questions, please let us know.

Jeremy Walford

Managing Director

Important information for Middleton Woods and The Waterside

Middleton Woods and The Waterside – Coronavirus update (26th June 2020)

On Tuesday, the government announced the latest easing of Coronavirus restrictions from July 4th.  This will start to see the re-opening of restaurants, pubs, cafes and hairdressers as well as UK holiday accommodation and tourist attractions.

A key part of the relaxation of restrictions is a change to social distancing guidelines – where it is not possible to stay 2m apart, people should keep a distance of “one metre plus”.  Scientists calculate that the risk of transmission is roughly doubled in reducing distance from 2m to 1m.

As everyone will appreciate, throughout the pandemic we have taken a cautious approach in order to ensure the safety of our residents and Co-owners is the highest priority.

The news this week has shown a significant upswing in cases in the US in response to their easing of lockdown and a surge in cases in Melbourne, Australia where they thought they had almost eliminated the virus and have now gone back to lockdown.  A friend who lives in Melbourne tells me it has been caused by a small number of parties and family gatherings, larger than permitted.

Learning from this, we feel we need to maintain a cautious approach to relaxing restrictions at Middleton Hall at this stage.

Middleton Hall’s guidelines for the moment will be that 1m social distance can be suitable for people meeting outside but we will endeavour to maintain 2m distance inside where possible and especially when people are face to face.  When we are not able to achieve 2m, we should use the “1m plus” guide for people either back to back or side by side. 

I am pleased that not only do we remain Covid-free, but we were able to accept our first new resident into the care services with a careful admissions policy this week.  We are now in a position to offer places in the care services and have some capacity as we have deliberately kept rooms free to give flexibility in case of an outbreak.  Although we are talking to people on the waiting lists, we are likely to have some availability so if you are aware of anyone who would benefit from Middleton Hall’s care services, please let them know that now is a good time to be in touch.

We would urge all residents to continue to be very careful in how they act during the easing of lockdown and stay within government guidance at all times.

As we move forward, we are planning to start re-opening some of our services.

  • Visitors – will continue to use the Visitor Pods for care services visitors and during July introduce a trial of outdoor visiting. We have fitted door bells for families to attract attention, following feedback
  • Housekeeping for Middleton Woods and the Waterside is restarting from 2nd July
  • Hairdressing will re-open on a limited scale during w/c 6th Sally has retired, but we are pleased that Sarah Olney has agreed to do a day’s hairdressing in addition to the therapies she offers
  • The shop in the Orangery will reopen with additional guidance to ensure the safety of all on Monday/Wednesday/Friday from 10th July for Independent Living and Co-owners only to start with.
  • The Orangery will start a limited drinks and snacks service on Tuesdays/Thursdays from 13th July for independent residents only to start before opening to others
  • Chiropody appointments will re-start (outdoors wherever possible) during July as well as essential Physiotherapy – dates and arrangements to be confirmed
  • The Art Studio is already open for individual use and will be available for socially distanced groups in August
  • Cross Community groups (Photography, Current Affairs, Bridge, Knitting and Sewing) will be reviewed in August
  • Tai Chi is probably not going to re-start until September
  • Swimming pool and gym will remain closed under government regulations
  • The Admin Centre will start to re-open offices for Accounts, Co-owner Support and Managers from this week

Given the level of planning and organisation that would have start soon, we have taken the decision to cancel the Village Show for 2020.

Shielding 

As you may be aware, the government has announced that changes to guidance on shielding:

https://www.bbc.co.uk/news/health-51997151

Particularly for those living on their own, this may offer some helpful changes if you feel comfortable with forming a support bubble.

During the pandemic, Gail and more recently Eileen from our reception team have been regularly telephoning residents.  If any residents on their own would like to book an appointment to meet in a Visitors’ Pod for a chat with Eileen, she would be happy to arrange it.

Finally, we all appreciate the support and commitment of our community in working with us over the last four months.  Please continue to be cautious.

As ever, if you have any ideas or questions, please let us know.

Jeremy Walford
Managing Director

Important information for Middleton Woods and The Waterside

Coronavirus update (13th June 2020)

Since the bulletin a few days ago, there have been further government announcements about “Support Bubbles” to come into effect this weekend, the opening of retail shops and face coverings that we would like to provide some guidance on.

Support Bubbles

The announcement about “Support Bubbles” was of course not designed with retirement villages in mind, but for the general public.  Support Bubbles allow people living entirely on their own to spend time with one other household indoors and without social distancing.  The government guidance is clear in two respects:

  • This applies only to people living on their own in a single household
  • It is not for people who are shielding (clinically vulnerable). There is due to be a government update next week on shielding

For residents at Middleton Hall living on their own who are not being shielded, our reading of the guidance means there are three exclusive options (you can only pick one of them):

  1. Forming a support bubble with another household in Middleton Woods or The Waterside
  2. Forming a support bubble with an external household and a member or members of that household visiting the resident at Middleton Hall
  3. Forming a support bubble with an external household and visiting them

At this stage, we feel that the Option 1 is a sensible option, for anyone not shielding, as long as you are confident that the household at Middleton Hall that you are forming a support bubble with has been taking care to reduce any risk of picking up the virus.  It would provide some social comfort after spending three months being on your own which we imagine could be very welcome for some residents.

Given the level of infection in the north is still high compared to other parts of the country and the number of clinically vulnerable residents we have at Middleton Hall, we are however concerned about options 2 or 3 at this stage.  We recommend that anyone living on their own waits a little longer, until the end of June, before planning to form a support bubble with Option 2 or 3 when, hopefully, the local infection rate has come down further.  Bear in mind that once you have chosen a support bubble, you are not able to change to another bubble at present.  During the next few days, we will contact all residents living on their own to discuss support bubbles.

Retail Shops

From Monday, shops are re-opening with social distancing measures in place.  We would suggest residents remain very careful if they do choose to visit shops and follow government advice about using face coverings as well as gloves or hand sanitiser to reduce the risk.  You can order a new PPE pack from Middleton Hall’s shop.

Face Coverings

Face coverings (non-surgical masks) are mandatory on all forms of public transport and for outpatients at hospitals from 15th June.  We anticipate that Doctors’ Surgeries will also require face coverings and we would strongly advise that anyone attending any NHS setting wears a surgical face mask and carries hand sanitiser to use after any contact points (door handles etc).  Please let us know if you are going for an NHS appointment and we will supply you with the right PPE, if you have used the pack we provided recently.

We appreciate that there is a lot of change going on with the easing of lockdown – if you have any questions, please let us know and we will attempt to answer them.

Finally, Handelsbanken, Middleton Hall’s bank, has let us know that the level of fraudulent behaviour has significantly increased during lockdown.  We have attached with this bulletin a guide from Handelsbanken about avoiding scams.  Although specific to Handelsbanken customers, the advice is useful for all banks.

Please continue to stay vigilant during the pandemic in playing your part to keep Covid-19 out of Middleton Hall.

Jeremy Walford

Managing Director

Important information for Middleton Woods and The Waterside

Coronavirus (Covid-19) update (9th June 2020)

First of all, I am pleased to confirm that Middleton Hall remains Covid-free (residents and Co-owners).  Although there appears to be a slight decrease in infections locally as well as nationally, we are remaining highly vigilant.  The easing of lockdown will not yet have fed through into infections and the overall level of infection in the UK still remains high compared to other countries.

At this stage with the easing of lockdown, we would ask all residents and families to continue to ensure they are maintaining social distancing – 2 metres (or 6’6”), which is further than many people realise.  We introduced some social distancing poles (2m measures or, as someone nicknamed them, “Gandalf staffs”*) into the care services to illustrate the recommended social distance – this resulted in some adjustments.  There is also one attached to the visitors’ table outside Middleton Woods as a reminder.

We would reiterate the message about visitors staying away from the main gardens (including the allotments) and sticking to outside residents’ properties and the main woodland walk only.   Please make sure your visitors do observe the 2 metres social distance.

On a cautionary note, I spoke to a friend of mine two weeks ago who told me his asthma was particularly bad and he had seen a doctor twice about it.  He and his wife have been very careful (due to his asthma) throughout lockdown, however his wife called me this week to say that he has Covid-19 and has been unwell for the last two weeks.  With hindsight she thinks she may have had some very mild symptoms as well.  They have no idea how he could have picked up the virus but seems most likely to have been a contact point somewhere – delivery or out walking.

It is a reminder about how virulent Covid-19 is and the importance of handwashing especially.  Please also be very wary about any deliveries where drivers are not using PPE properly or maintaining social distance.

On a more optimistic note, over the next few weeks, if the regional rates of infection decrease and we feel the risk is reduced, we are looking to carefully reintroduce some services.  We hope to offer a limited housekeeping service from the beginning of July, to reopen the shop on a one person at a time basis and work out how hairdressing could work safely.  Weather permitting, we are also looking at introducing some occasional socially distanced food and beverage services outside the Orangery, for residents only.

We now have Visitors’ Pods up and running in each care service which have been well received and allow for longer visits of up to an hour.  This also means that we do have greater capacity and are able to extend the service to Independent Living residents utilising the one installed in the conservatory next to the restaurant if any Middleton Woods or Waterside residents would like to use it, subject to availability.  There is a booking process to ensure that we can fully disinfect the Pod and we would need to make arrangements for Independent Living residents well in advance.  If any residents would be interested, please call reception to discuss.

Finally, a favour!

We are currently recruiting for a nurse in Middleton Court.  If you know anyone who might be interested (or for that matter, anyone who might know someone) in what should be an exciting role as Middleton Court’s service develops, could you drop us an email or send on the link to our recruitment page, please?

https://www.middletonhallretirementvillage.co.uk/registered-general-nurse-rgn/

As ever, if you have any ideas or questions, please let us know.

Please continue to stay safe.

Jeremy Walford

Managing Director

* Reference to Lord of the Rings for those (like me) not familiar with Tolkien novels and films!

Important information for Middleton Woods and The Waterside

Coronavirus (Covid-19) update (31st May 2020)

This is the thirteenth bulletin stretching back to the end of February when we wrote to all our residents, families and Co-owners to let them know that should the threat of Coronavirus become a pandemic we had been preparing since early February and had a staged contingency plan.  I am not sure anyone could have predicted exactly what was going to take place over the following three months or if our contingency plan would even be needed.  But three months on, we are entering a new stage when the peak of the UK epidemic has passed and restrictions are being lifted by the government, although infection levels remain far higher than in Europe.

For our residents, this could be a worrying time as risk of infection may well increase – I read yesterday of the scientists saying that the relaxation of lock down is a political decision, not based on the science and that we risk a second wave as happened in the 1918 pandemic, particularly with a “test and trace” system not fully in place as other countries have.  Similarly I spoke with a friend who is a consultant in a large hospital earlier in the week where they have had to close a large section of the hospital because of a surge in cases and found with testing that 40% of their staff were infected, despite most displaying no symptoms.  There has also been another hospital in the news in a similar predicament this week.

The theme of this bulletin as we enter June, is of caution.

On the good news front, I can confirm that we continue to have no cases of Covid-19 amongst our residents or Co-owners (staff).

Visitors

The government guidelines change from Monday 1st June to allow limited visits to household private gardens with social distancing.  As you will appreciate, an increase in visitors in a retirement village setting could bring an increase in risk, so we are proposing some clear guidelines for Middleton Woods and The Waterside:

  1. Continue to avoid visiting any areas of risk outside Middleton Hall – supermarkets, shops – and if you do, please use PPE provided to stay safe (you can order more through your weekly order from the shop)
  2. Stick strictly to the government regulations if you visit any family or friends’ properties – outside only with careful social distancing (2m apart) and use hand sanitiser to keep safe
  3. We would ask all visitors to properties not to walk round the grounds except the woodland walk and in particular to keep away from the care service areas
  4. We would ask that only children who are able to maintain social distance and are well supervised to be included in visits
  5. We ask that people do not to bring in any food or drink to share with residents – if people come for a drink, please ask them to bring their own glasses
  6. The Waterside – visitors should be restricted to outside of individual properties only. Please ask visitors to use hand sanitiser on arrival and disinfect any surfaces touched by visitors after they leave
  7. Middleton Woods (Ground floor apartments) – visitors should be restricted to outside your property and only use the Middleton Woods car park (please arrange with apartments not using their parking space themselves where appropriate). Please ask visitors to use hand sanitiser on arrival and disinfect any surfaces touched by visitors after they leave
  8. Middleton Woods (First floor apartments) – please meet any visitors outside either by the socially distanced table and chairs and use only Middleton Woods car park as above. Please ask visitors to use hand sanitiser on arrival and use the disinfectant provided to clean any surfaces touched by visitors after they leave
  9. Do not allow visitors inside your property except with prior agreement of Middleton Hall (ie specific cleaning or care). Should a visitor get caught short, there will be a WC available near the Art Studio (please clean all surfaces after using, including door handles) for Middleton Woods residents or the Pavilion for others.

Shielded Residents

One of our reasons for caution with the guidelines above is that we have people throughout all our services (independent and care) who are “clinically vulnerable” under the NHS shielding policy.  Other residents and visitors must appreciate that visitors provide a general risk of passing on the virus not just to the person they are visiting but other residents as well.

The trial Visitors’ Pod for the care services has been very well received and we are currently installing further pods into each care service.  Anyone who is being shielded as “clinically vulnerable” is welcome to book a half hour session in our Visitors’ Pod through reception as availability increases.  We are confident that this is a safe visiting opportunity.

We are aware that there have been some unauthorised traders trying to sell door to door to residents without any precautions – please do not use them and tell them they should not be on site as Middleton Hall is a shielded community.

As I mentioned last week, if we are confident that visitors are keeping the community safe, we will start to look at when we could bring some limited services back in.

Should there be any Covid-19 cases within Independent Living services, we bring back in our own lockdown arrangements to keep other residents safe.

As ever, if you have any ideas or questions, please let us know.

Please continue to be cautious during this potentially tricky stage, as the government loosens lockdown.

Thank you for your continued support.

Jeremy Walford

Managing Director

Important information for Middleton Woods and The Waterside

Coronavirus (Covid-19) update (21st May 2020)

Stay Safe

I am pleased to confirm that we continue to have no cases of Covid-19 amongst our residents or Co-owners (staff).  We do have one person waiting to join us who has had Covid-19 while working for another care provider who will not start until we are confident is clear from infection.  We have one Co-owner self-isolating as a precaution despite testing negative as a household member had tested positive.

With the first steps towards easing of lockdown, there has been a lot of confusion about the new guidance and regulations.  Figures released over the weekend indicate that the north east has the highest infection rate in the country at present so we need to continue to be vigilant.

There have been more visitors to the retirement village over the last week which does increase risk.  Our own guidelines through the e-bulletins have aimed to discourage visitors during lockdown, apart from dropping in essential supplies in line with government regulations.  However, under the revision to The Health Protection (Coronavirus Restrictions) Regulations 2020 last week, we have now been advised that it is actually likely to be an offence for people to visit a retirement community like Middleton Hall as they are private grounds rather than a defined public space.  However, we will continue to take balanced view and not be as rigid as many other retirement villages where visitors have been entirely stopped, but we do need to urge caution – this means observing social distance, not going inside Middleton Woods (expect where prior arrangements have been agreed) and keeping visits brief.  The table and chairs outside of Middleton Woods should be used with social distance for up to 15 minutes and we would ask that they are disinfected after use (suitable wipes are being provided).

We do insist that people do not to bring in any food or drink to share with residents (some sort of a socially distanced picnic) as it significantly increases the risk of someone asymptomatic passing on the infection.  I hope everyone will appreciate that our first duty is to keep our community safe.  As other retirement villages have sadly found, Covid-19 rarely is confined to one person when the virus has entered a community.

You will find attached to this email our “Stay Safe” guide to accompany the Stay Safe pack of PPE that we will be providing for your use if you go out to any shops.  Further packs are available at £3.  Some of our more theatrical Co-owners have kindly produced a short video explaining how to safely put on PPE when going to a shop:

Stay safe using your Personal Protective Equipment (PPE)

A query was raised about emergencies during the pandemic.  Should any resident be in a situation necessitating the use of the emergency call system, we would expect the procedure to work in a relatively normal way – whoever you speak with would make an assessment of the situation and decide whether to call 999 for an ambulance.  Should a member of our team need to attend your property, they would be using PPE including a face mask to ensure safety.

During the next few weeks, if government lockdown is further relaxed and we feel that the community is being kept safe we will start to look at when we could bring some limited services back in – housekeeping, further exercise opportunities or even some socially distanced outside coffee and snacks.  We may only be able to offer this to residents who are able to declare they have been genuinely keeping safe in line with government guidance.

We are trialling a Visitor’s Pod in the Conservatory from this weekend for the care services.  If the trial proves successful and safe, we would be open to making a version available for Middleton Woods and the Waterside.

If you have any ideas or thoughts about other initiatives during this difficult time, please let us know.

Thank you for working with us in helping Middleton Hall to Stay Safe.

Jeremy Walford

Managing Director

Important information for Middleton Woods and The Waterside

Coronavirus (Covid-19) update (13th May 2020)

Last Friday marked 75 years since the end of six terrible years of war in Europe – VE Day.  Over the last three months we have been fighting our own world war with a deadly, but very different enemy – Coronavirus.  So far, thanks to the efforts of all our Co-owners and support of our residents and families, we have kept Covid-19 out of Middleton Hall, unlike many care homes and retirement villages throughout the country.

The good news is that we continue to have no cases of Covid-19 amongst our residents or Co-owners (staff).  The majority of Co-owners and residents have been tested and results are all negative so far.

There is a new government portal for testing that has been announced which we are hoping will make testing easier and allow us to test residents and care teams weekly going forward.  We have asked for Independent Living residents to be included in the testing programme.

Regular testing is one key part of reducing the risk of one of us bringing Covid-19 into Middleton Hall, but it is not a guarantee.  The easing of lockdown during May and June increases the risk as more people outside Middleton Hall are exposed to the infection.

We are therefore introducing a number of measures to alleviate that increased risk for our Co-owners.  There are also some cautionary measures that we would like to introduce for Middleton Woods and The Waterside:

  • Encourage residents to avoid going out from Middleton Hall as much as possible, particularly to go to supermarkets but use online deliveries if possible and /or increase groceries shopping through MH.
  • Provide each property a “Stay Safe” pack – a brief about maintaining safety and a PPE pack (gloves and mask) if residents are going to go out of the retirement village to go to any shops – supermarkets especially. We will provide a starter pack free but there will then be a small cost of further packs
  • Greater vigilance about social distancing at all times

The government have relaxed moving house restrictions this week and we will allow new residents to move in following testing, suitable precautions about moving and a period of self-isolation.

We are concerned about the risks from visitors during the epidemic to the Waterside and Middleton Woods that are outside the government guidance.  Several retirement villages have enforced a far stricter “no visitors” policy having had the unfortunate experience of residents contracting Covid-19 through visitors.  As we have remained Covid-free, it would be easy for us to become complacent at this time of increasing risk.

Going forward we would like to have some flexibility around visitors but would like to be crystal clear that if family members are going to visit they must maintain social distance (two metres) and stay outside properties at all times.  We realise this is more difficult for first floor properties in Middleton Woods so are planning to put some socially distanced seating outside by the end of this week.

For our care services this has also been a difficult challenge.  We are looking into a solution that we believe is within government guidelines by installing an experimental safe visitors’ booth in the conservatory next to the restaurant.

Some of you may have seen an article on the BBC website about a care home in Holland that had installed a visitors’ pod https://www.bbc.co.uk/news/av/world-europe-52589041/coronavirus-dutch-care-home-reunites-families-in-a-glass-pod.

There are some details to be worked out still and we hope to have this ready for a trial at the end of next week.  If it proves successful and safe, we will look at providing similar facilities in the care services in the following weeks.  If there are residents who are strictly shielding (i.e. have an NHS letter instructing them not to go out) or uncomfortable about outside, socially distanced visiting we could look at the feasibility and costing of providing an equivalent safe visiting area for independent living.  Please let us know if this is something that would be of interest.

Next week, we will be opening the Art Studio for individual use (a resident or household) by appointment.  Sessions will need to be booked through reception.

Having done well to avoid an outbreak of Covid-19 at Middleton Hall so far, we are now entering a key period of time when we need to keep our guard up to keep residents safe while at the same time trying to find ways of improving how they are living during the pandemic.  Working with residents and families will be key to achieving that balance.

Thank you all for your support and kind comments about the efforts of our committed and caring Co-owners (keep the comments coming – the team really appreciate them!).

Best wishes

Jeremy Walford

Managing Director

Important information for Middleton Woods and The Waterside

Coronavirus (Covid-19) update (6th May 2020)

As you will be aware, since the last bulletin there has been a significant change in the availability of testing for Covid-19 in social care and for essential workers.  Four residents in our care services were tested for Coronavirus last week where we had some concerns about symptoms through the District Nursing service which all came back negative.

At the end of last week, we were able to get home test kits for all remaining care service residents and over the weekend completed those tests as part of the roll out of general testing in social care.  We have some initial test results back including a number where we have been asked to do a re-test because the test has not worked.  There is also one received today, with a “borderline indication” where it was insufficient to confirm presence of Covid-19 which we are treating as a potential Coronavirus case until the re-test result is known.  We understand from other care providers that these home tests are often coming back as needing a re-test.

We have been told informally through NHS contacts, that there is now evidence that older people do not always show the “classic symptoms” of Covid-19 (high temperature and dry cough) but present with other symptoms (lethargy, loss of appetite or delirium for example).  We have produced new symptoms guidance for all our care teams and are being cautious about any unexplained changes in a resident’s health, hence some of the tests last week.

Testing for social care staff is now available for anyone with or critically without symptoms.  We are asking all our Co-owners (staff) to have a test and most have managed to get a test booked so far.  As you will be aware from the media, availability is difficult.  It is not currently clear how access to regular testing will work, but at least this is finally going in the right direction and should make managing the situation easier.  One of our Co-owners who tested negative herself, has had a family member test positive (without any symptoms), so she is self-isolating as a precaution.

We introduced face masks for teams in our care services last week as an additional precaution mentioned in the last bulletins.  Although this has presented some challenges for our care teams, our Co-owners have embraced this as helping to protect residents.

We have asked the government through ARCO (Retirement Village Association) for access to testing for our independent living residents.  I am also involved with an ARCO working party liaising with the Department of Health and Social Care about how lockdown is eased and the implications for our sector.

We are currently discussing our next steps, in light of government announcements due at the end of the week about lockdown.  Our plan going forward will include what we can do to help any sense of isolation that residents are feeling and whether there is any way of safe, socially distanced visiting in due course.  We appreciate the support from residents and families about visitors but also recognise this is unlikely to be sustainable if the pandemic continues for months rather than weeks.

Our newly introduced outdoor exercise classes have proved popular and we will continue to look at how exercise can be safely encouraged.  Many residents enjoyed the Sri Lankan night on Saturday and Ryan and his team are looking at repeating themed takeaways on a fortnightly basis.

Following suggestions in our recent survey, Michael Hodgson, our Living Well Manager, is organising an experimental YouTube quiz on Friday in the evening.  More details on that to follow.

If you have any questions or concerns, please do let us know.  In the meantime, thank you again for your forbearance at this time.

Jeremy Walford

Managing Director

______________________________________________________________________________

Important information for Middleton Woods and The Waterside

Coronavirus (Covid-19) update (27th April 2020)

I am pleased that we are still able to confirm that we still have no cases of Covid-19 amongst any of our residents or Co-owners (staff) currently.

The challenge for all of us going forward is about getting the balance right between reducing the risk of infection and resident welfare.  With this in mind, Michael and the Middleton Spa team are trying out some socially distanced exercise classes this week to try and help residents keep fit and active during the pandemic.

For the Waterside, they will take place on the bowling green and for Middleton Woods on the patios and balconies – do let us have some feedback on the classes and any other ideas you have for exercise.  As you know, the bowling green and golf is already available on a booking basis for limited numbers.

Our catering team are also trying a different type of meal service at the weekend with a Sri Lankan takeaway delivery.  If this proves popular and we get it to work, we will try other versions of the service to add variety to the hot meals available.

There has been a lot of media coverage about the UK’s problems with PPE (Personal Protective Equipment).  We have been working hard on securing ongoing supplies of PPE (face masks, gloves, aprons and surgical gowns) over the last month and have a reasonable stock situation, primarily in the event that we have cases of Covid-19.  We also have a good stock of visors including some donated by local companies.

Having consulted our care teams over the last week, we are introducing the wearing of face masks for anyone working in close proximity to residents in our care services this week as an added precaution.  This does not apply to our Co-owners working in reception, catering or any of our support services at this stage.

So far as testing, we now have easier access to Covid-19 testing for all Co-owners and at least care service residents in the event of anyone showing symptoms.

Finally, we would appreciate your continuing help in dealing with this crisis – if you have some ideas that would either help reduce our risk of Covid-19 or that would help residents or Co-owners cope with the lockdown, please let us know.

With our continued thanks for your support during the last few weeks.

Jeremy Walford

Managing Director

______________________________________________________________________________

Important information for Middleton Woods and The Waterside

Coronavirus (Covid-19) update (18th April 2020)

First of all – thank you.  We appreciate the support we are getting from residents and families during this very challenging time.

We currently have no cases of Covid-19 amongst any of our residents or Co-owners (staff) and currently no one with likely symptoms.  We do have some Co-owners self-isolating because of either symptoms or family members with symptoms but we are managing with staffing levels thanks to the dedication of our team of Co-owners.

During the last week we admitted two residents from our care services on a precautionary basis into our Rainbow Centre as they had shown some initial symptoms but I am pleased to report they are both well and moved back to their respective services after 7 days self-isolating.  As this turned into a “dress rehearsal” it has allowed us to learn from using the new facility converted from Middleton Spa and adjust procedures.  I worked a shift in the Rainbow Centre myself on Tuesday as one of our support team (assisting a qualified carer, Debby Lamont on this occasion).  I can report that as well as being very well organised by the Rainbow Centre team, I found it a very safe working environment for Co-owners and comfortable for residents.  It should provide us with the means to reduce spread in the case of an infection and care effectively for a resident with Covid-19.

There have been some developments at national level that are having impact on Middleton Hall.  The good news is that we are now able to access testing for Coronavirus for our Co-owners and in due course residents (initially in care services), something that we have been asking for since the beginning of March.  The less good news has been about the national PPE (Personal Protective Equipment) shortage and the constantly changing advice on use of PPE from Public Health England.  We currently hold sufficient stock for immediate needs as we have been actively working on holding a buffer stock for the last month.

We had a good response to our survey last week – thank you to everyone who contributed.  Those who had specific queries and put their name should have had a response during the week.

The responses confirmed that although “frustrating/sad/difficult”, residents feel “reassured/safe/fortunate” to be at Middleton Hall.  There were high levels of satisfaction in the initiatives that we have taken so far including information provided, hot meals and shop delivery service.  You also provided some lovely comments that we have fed back to all our Co-owners.

There were some useful ideas that we would like to share or are implementing including:

  1. Create a “Covid Corner” where post/deliveries stay in quarantine for 72 hours (good idea)
  2. Disinfecting bins/shopping (please action as per last bulletin)
  3. Concern over trespassers in the grounds (notices are up)
  4. Concern over visitors in Middleton Woods (see below)
  5. Exercise on site only (would be sensible)
  6. Quizzes (digitally)/pub style quiz (we will try and provide some)
  7. Facetime or Zoom between residents (good idea)
  8. Spa organised exercise classes (being introduced)
  9. Middleton Woods – MH housekeeper (in place)
  10. Proactive phone calls to residents (in place)

In response to specific questions raised:

  1. Residents should not use the Garden Room to meet up
  2. We have gone back to “Safe Zone” corridor disinfection liquid in Middleton Woods which is anti-viral
  3. Yes, we will look to add to the shop items mentioned
  4. Yes, we can collect milk bottles – please put them out when deliveries are being made

There is concern raised about visitors in Middleton Woods.  We need to be clear about government and Middleton Hall policy on this.  All residents over 70 should be shielded and that means self-isolating and not having any visitors in their property except for essential care.  Government requirements about essential travel do allow families to drop off food and essential deliveries – for residents with ground floor access this should be outside their property and for the first floor in Middleton Woods it should be outside the main entrance.  We realise that this is difficult and we are very grateful for the understanding of families and friends about not visiting Middleton Hall.

In our last bulletin, we shared the sad situation in another retirement village where the daughter of a resident chose to ignore both government guidance and the retirement village’s “no visitors” policy and visited her mother.  It turned out that the daughter was infectious with Covid-19 and her mother died as a result.  We all know the virus is spread very easily and one visitor could inadvertently infect multiple residents.

We also advise strongly against residents going out of Middleton Hall wherever possible.  Certain supermarkets are now prioritising over 70s and we will be contacting them in the next few days to try and increase the delivery services.  If there are additional items you would like us to stock through the Middleton Hall shop we are happy to add to the range if we can.

Thank you for all your words of encouragement to our team during the pandemic – keeping the morale of our team as high as possible is important and your comments really help.

If you have any queries or ideas, please let us know.

In the meantime, please stay safe at home.

Jeremy Walford

Managing Director

________________________________________________________________________________

Important information for Middleton Woods and The Waterside

Coronavirus (Covid-19) update (9th April 2020)

I am relieved to let you know that so far we have had no cases of Covid-19 amongst any of our residents or Co-owners and currently no one with likely symptoms.  We do have some Co-owners self-isolating because they are in the vulnerable category or in some cases where they have had symptoms of a cold but we feel our cautious approach has worked so far.

During this week we have carried out a further analysis of risk and are tightening up on a few areas to further reduce risk of an infection coming into Middleton Hall.  In effect, we are trying to maintain a shield around the whole community.

The main areas of risk for independent living residents are around visiting shops or supermarkets, deliveries without infection control measures, visitors, hospital appointments and any homecare/District Nurse services coming in.  There is also one specific risk that we have identified for The Waterside – bins.  We already have measures in place to disinfect the Middleton Woods bins however we are concerned that refuse collectors may not be able to use infection control measures with their gloves and handling of bins around The Waterside.  They will have handled many bins around Darlington by the time they reach Middleton Hall and could transfer infection in this way.

Please make sure that you have either disinfected the bin handle and lid or used disposable gloves to bring your bin/box in and washed your hands thoroughly afterwards.

One additional request – if you use disposable wipes of any kind, please put in the normal rubbish, not down WCs (we have had our main drain badly blocked this week with wipes).

We are grateful for the understanding of families and friends about not visiting Middleton Hall.  We are in regular contact with the other retirement communities in the UK to share information. Last Friday I learnt of a sobering situation in a retirement village in another part of the country where the daughter of a resident chose to ignore both government “stay at home” guidance and the retirement village’s “no visitors” policy and visit her mother.  It turned out that the daughter’s husband had contracted Covid-19.  Sadly, her mother died at the retirement village last week and they now have other cases.

We appreciate that Easter weekend is upon us and understand that it would be tempting to ignore the “stay at home” government requirement.  It is critical that we continue to avoid visitors.  It is not often I find myself quoting the Queen, but her point during her address to the nation about being “united and resolute” in order to overcome the disease seemed well made and certainly applies to the team spirit at Middleton Hall.

As in previous bulletins, we would suggest that video calling is the best way to maintain contact.  Using Zoom, Skype, Facetime, WhatsApp video calls does make a difference.  I mentioned last week that I was attending a “virtual drinks party” on Zoom.  I can report that it worked well and I also watched the Virtual Grand National with family and friends that I was due to be with at Aintree last Saturday and completed a families’ quiz game over the weekend on Zoom.  Where there is a will, there is a way.

You will be aware that there has been rather greater focus in the press about the pressures on social care in the last week and we are also aware of some very difficult and sad situations especially in care homes and with homecare at present. We continue to work hard to try and avoid the risks that could develop into those situations.

During this week, we have set up our “Rainbow Centre” (named by the Co-owners who would work there) in Middleton Spa in the event of an outbreak of Covid-19 within one of our care services.  This provides a 3 bed and a 2 bed “ward” as well as a single room to allow us to look after confirmed cases and keep them separate from other residents.  We asked our Co-owners for volunteers to work in the Rainbow Centre if necessary and impressively had more than we need volunteering.  The volunteers are undergoing training at present.  In addition, there are two self-isolating rooms set up within the main building.  Obviously, we are hoping to never use these facilities, but they are now there if needed.  We are also at least adequately prepared with PPE (Personal Protective Equipment) as we acquired supplies some time ago.

Our plan for leaseholders who fall ill remains for residents to stay in their properties, inform us and use external care.  However, if someone is seriously ill with Covid-19, we may be able to care for them in the Rainbow Centre.

We are delighted in how well the shop ordering service and hot meal delivery service are being used.  As explained last week, from this Friday 10th April we are moving to a new weekly shop ordering and delivery service to better manage demand.  There will be essential top ups in between.

Finally, in order to plan ahead, we would like a little feedback on how you are coping and how we are responding to the Coronavirus crisis as well as any thoughts on how we can help.  You will find a link below to a 5 minute survey to give us some feedback and ask for ideas going forward.

https://www.surveymonkey.co.uk/r/XRMZJHV

Thank you very much for your support during this crisis.

If you have any queries or thoughts, please email or call reception for further information.

Please stay safe.

Jeremy Walford

Managing Director

______________________________________________________________________________

Important information for Middleton Woods and The Waterside

Coronavirus (Covid-19) update (2nd April 2020)

Since our last update, as you are all aware the pandemic has escalated and the country is now on complete “lockdown”.

I am pleased to report that we are still managing to operate our services with limited disruption thanks to the efforts of our Co-owners.  Thank you to those who have emailed their gratitude – it has been very good for our team morale (so please continue to let them know!).

Clearly we will be in a position of lockdown for some time, so we will continue to work with residents and families to alleviate the difficulty this entails. We would continue to suggest avoiding any visitors, in line with government requirements for “shielding”.

We have revised the shop ordering and delivery service to better manage demand so that from Friday 9th April, we will be moving towards a weekly main order with essential top ups in between.

Please be wary about any deliveries to ensure that social distancing and infection control measures are in place.  So far as newspapers, we would recommend (with apologies to newsagents) digital papers.  I can personally report that I have subscribed to a digital version of a newspaper on my iPad and to my surprise, actually prefer it to a physical paper.  We continue to encourage video calling with friends and families through iPads, smart phones and tablets.  We have bought Kindle Fires for residents in our care services which are inexpensive (£60 from Amazon) and easy to use.  If you want help in setting them up, we can get someone to call you to advise.

Internally, we have been using “Zoom” for meetings, available on PCs or as an app on tablets or smart phones.  They can also be used to host social events – I am attending a “virtual drinks party” at the weekend and a family team game of “Linkee” (no idea how that will work!).  Residents might like to try that out this sort of technology between themselves.  If you would like any advice, please let reception know.

As the next stage in our planning, should we have an outbreak of Covid-19, we are setting up a “Covid Care Centre” in Middleton Spa to allow us to look after confirmed cases from the care services and keep them separate from the rest of the residents.  Hopefully, we will never have to use it.  Our plan for leaseholders would be for residents to stay in their properties, inform us and use external care.  However, if someone is seriously ill with Covid-19, we may be able to care for them in our Covid Care Centre.

Thank you again for your support at this time.  I can assure you that we will continue to try and keep the focus on reducing risk and acting pragmatically in taking a precautionary approach.

If you have any queries or ideas, please email or call reception for further information.

Yours sincerely

Jeremy Walford

Managing Director

______________________________________________________________________________

Coronavirus – Update for all residents and families (24th March 2020)

Government Measures

The government announcement about the countrywide lockdown last night has instructed everyone to stay at home under strict controls for the next three weeks.  (https://www.bbc.co.uk/news/health-51711227)

During this period of “lockdown”, we will be following the government measures carefully and stopping all visits, unless in exceptional circumstances.  This will help reduce the possibility of anyone bringing the virus into Middleton Hall.  There is a local care home that now has two confirmed cases of Coronavirus, probably brought inadvertently by a visitor, so we will continue to be very careful to reduce any risks of potential infection.

Currently we believe that we are as well organised as we can be for the situation and although we have several Co-owners (staff) self-isolating as a precaution, we have no confirmed cases.  Our Co-owners are doing a great job in frankly very difficult circumstances and I am extremely grateful for their hard work and dedication.  Please feel free to let them know (by email or telephone) if you agree – feedback is a great morale boost!

There are a number of ways that we will try and make this easier (in addition to the measures that we have previously communicated over the last few weeks):

  • We have extended the range of items available from Middleton Hall’s shop
  • We have ordered 10 tablets, in addition to the iPads that we already have, to make video calling through Skype more accessible for residents and families – they are due to arrive this weekend, so should be set up ready by Monday in each service.  We suggest that video calling is the best way for families to remain in touch and will try and make it as easy as possible for residents
  • We have ordered some additional telephone handsets as we have found some of the telephones in rooms were missing

If you have any questions or ideas, please preferably email (as they are very busy) or telephone reception.  As a reminder the direct dial numbers for our Care Services are:

Middleton Grove 01325 331443

Middleton Gardens 01325 331441

Middleton Court 01325 331442

Middleton Oaks 01325 331445

Thank you for your support and encouragement in dealing with the pandemic.

Please keep yourself and your family safe at this incredibly difficult time.

Jeremy Walford