Policies – Personalised 4 Autism

COVID-19 – Service User Visit

** All COVID-19 restrictions have been removed in England. **

All staff at P4A, in direct contact with the people we support, continue to be subject to a daily COVID-19 testing regime. We are pleased to report that we have had a high take-up rate for the vaccine across the staff team and the people we support. These steps further enhance the safety measures we have already implemented.

Coronavirus information – Northamptonshire County Council

The safety of our service users is essential, and therefore we will be adhering to best practice guidelines as we see the national restrictions ending. We appreciate your co-operation during this time and your role in maintaining the safety of the people we support.

We would ask that you continue to register any visits to the supported living houses via the online form below, and that you support us by not visiting the houses if you have a positive test result or display symptoms of COVID-19. We encourage you to perform a lateral flow test before your visit.

Please answer the questions below as accurately as you can, before your appointment. Please note that you will need to complete a separate form for each visitor.

Name of Service User: *

Date / Time of requested visit: *

Date

Time

Have you had, experienced, or suffered from any of the below COVID-19 symptoms within the last 14 days?

Fever?

Persistent Cough?

Loss or change to sense of smell or taste?

If the answer is yes to any of the above, please contact us regarding your visit.

Have you been overseas in the last 14 days?

If yes, please call us before you arrive for your visit.

Have you been diagnosed with COVID-19 in the last 8 weeks?

Do you fall into the U.K. Government's high risk category?

Are you over the age of 70?

Do you have any underlying health issues?

Are you pregnant?

Are you allergic to latex gloves?

If yes to the above, please call as soon as possible before your visit.

We understand social distancing will continue for some time. Should you fall into any of the high risk categories, please let us know on arrival and we will do what we can in line with government guidelines.

PPE agreements:
Please confirm you are happy to comply with our Personal Protective Equipment requirements while visiting.

Wear a face mask (surgical)?

Wear a face shield (if unable to wear a mask)?

Wear vinyl or latex gloves?

Track and trace information:
As part of our safeguarding and track and trace information please people details of who will be visiting? Please be aware no more that three visitors should attend at any one time.

Name of person visiting: *

Vaccination status of visitor: *

Name of person completing this form: *

Contact details: *

Address Line 1

City

State / Province / Region

Postal Code

Phone:

Email:

(if you would like a copy this form)

Phone

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