Care home families not informed of ‘do not attempt CPR’ notices, inquiry told

Sandra Ford was giving evidence to the Scottish Covid-19 Inquiry on Thursday.
The inquiry heard some families were not told ‘do not attempt CPR’ notices were put in place for their relatives in care homes (PA)
PA Wire
Ryan McDougall16 November 2023
WEST END FINAL

Get our award-winning daily news email featuring exclusive stories, opinion and expert analysis

I would like to be emailed about offers, event and updates from Evening Standard. Read our privacy notice.

Many families were not told relatives in care homes would not receive CPR in the event of a cardiac arrest, an inquiry has heard.

Sandra Ford, a GP and member of Care Home Relatives Scotland, told the Scottish Covid-19 Inquiry on Thursday that care home residents are often issued with a DNA (do not attempt) CPR notice, a common practice as frail people are “highly unlikely” to survive it.

She said this is “fully explained” to families when a loved one moves into a care home, but added this was often not the case during the pandemic.

Her father, who had dementia, died during the pandemic while in a care home, and Ms Ford said his condition worsened due to being isolated.

She said: “Dementia in patients was accelerated due to the isolation and I saw this first-hand with my dad and other residents who I was visiting.

“Residents were lost and unsettled, the atmosphere was bleak and desolate.

“Residents were barrier-nursed in rooms with an infection control station outside.

“Because of Covid, and the neglect of family involvement, very often DNA CPR conversations were not taking place with the family and they were shocked to find out they had been put in place.”

She told how she previously saw her father at least once a week prior to the pandemic, and it then decreased to two 30-minute essential visits during Covid.

My residents were not micromanaged and things became possible. Why couldn't this have been done in care homes?

Marian Reynolds, sheltered housing manager

Eventually the visits were brought to a stop, which she believes worsened her father’s condition.

She said: “With family around him his whole life, and then all of a sudden it was absent, he must have felt terribly abandoned and I’m sure that must have caused things to deteriorate for him hugely.”

Her father died on December 28, 2021.

The inquiry then heard from Marian Reynolds, who lost her mother and ex-husband, the father of her children, within a few days of each other during Covid.

Her aunt, who turned 92 in April 2020 near the beginning of the pandemic, was also cut off from her family while living in a care home in Scotland.

Ms Reynolds told the panel her aunt contracted Covid while in her care home and was quarantined, but she is still alive today.

Ms Reynolds, a sheltered housing manager, lamented the excessive rules and regulations in care homes during the pandemic which prevented her aunt from seeing her family.

She asked the inquiry: “My place of work is not covered by the Care Commission. It’s very similar to care homes with common rooms and corridors.

“Where we have flats, they have rooms. People would come in and out and we would manage it quickly and effectively.

“We would think outside the box and develop two-metre distancing, one-way systems, passing places, implemented barriers across doors.

“My residents were not micromanaged and things became possible. Why couldn’t this have been done in care homes?”

Later, the inquiry heard a pensioner spent a total of three months in solitary confinement due to “barbaric” Covid guidance.

Sheila Hall, also a member of Care Home Relatives Scotland, said her elderly mother Alice was “angry and bewildered” by the regulations, and spent a cumulative total of three months in solitary confinement after returning to her care home following hospital visits.

In November 2021, Alice Hall was admitted to hospital and her daughter said she had to “clamber over mud” in order to see her from a window.

Ms Hall said: “She was not afraid of Covid or dying but she was afraid of being alone.”

Her mother died on February 5, 2023.

Before her death, Alice Hall wrote a statement for the inquiry, which was read by her daughter.

The statement said: “I made the decision to take up residence in a care home because of increasing frailty. Life worked well, we went to restaurants, we went to concerts, I lived a fulfilling life.

“We have now reached March 2022 and unlike everyone else in the community, my life is still ruled by regulations and constant lockdowns.

“I have had three vaccines, I have had Covid, I have truly had enough. My daughter had always been my main carer, this should have continued. Our main carers were locked out.

“We should not be locked away like dusty antiques. We still have our lives to lead.”

Sheila Hall said she was angry public health officials conflated guidance for care homes and prisons in February.

She added: “I think it’s disrespectful and hurtful. To my mind the care home was regarded just as an institution. To put it the same as a prison was unforgivable.”

The inquiry, before Lord Brailsford in Edinburgh, continues.

Create a FREE account to continue reading

eros

Registration is a free and easy way to support our journalism.

Join our community where you can: comment on stories; sign up to newsletters; enter competitions and access content on our app.

Your email address

Must be at least 6 characters, include an upper and lower case character and a number

You must be at least 18 years old to create an account

* Required fields

Already have an account? SIGN IN

By clicking Create Account you confirm that your data has been entered correctly and you have read and agree to our Terms of use , Cookie policy and Privacy policy .

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Thank you for registering

Please refresh the page or navigate to another page on the site to be automatically logged in