COVID-19 in Entities, Centers and Social Care Services

Information of interest in relation to the situation caused by the COVID-19 pandemic in the centers and social care services of the Community of Madrid

Actions in social service centers related to the health crisis caused by COVID-19

Regulations in force Guidelines and protocols in force

Order SND / 726/2023, of July 4, which publishes the Agreement of the Council of Ministers of July 4, 2023, which declares the end of the health crisis situation caused by COVID-19.
Resolution 249/2023, of January 24, of the General Directorate of Evaluation, Quality and Innovation, by which Resolution 2026/2020, of July 29, of the General Technical Secretariat for Social Policies, Families, Equality and Birth rate is nullified by the that the instructions regarding the obligation of centers and services to send information on their situation in the face of the health crisis caused by COVID-19 are approved.

Through this link You can access the latest health information related to COVID-19.

Repository of actions in social service centers related to COVID-19

Repository of repealed regulations

REGULATIONS OF THE COMMUNITY OF MADRID

Order 1244/2021, of October 1, of the Ministry of Health, which establishes preventive measures to deal with the health crisis caused by COVID-19 (Order and subsequent modifications).
Order 572/2021, of May 7, of the Ministry of Health, which establishes preventive measures to deal with the health crisis caused by COVID-19 once the extension of the state of alarm declared by Royal Decree 926/2020 has ended, of October 25. Through this link the updated document can be accessed.

El Agreement of the Interterritorial Council of the National Health System on the declaration of coordinated actions against COVID-19, which annuls the Order communicated by the Minister of Health, of August 14, 2020, voids the limitations on visits to residents referred to in section 65.6.a) of Order 572/2021, of August 7, XNUMX. May, from the Ministry of Health.

Order 1177/2020, of September 18, of the Ministry of Health, which modifies Order 668/2020, of June 19, which establishes preventive measures to deal with the health crisis caused by COVID-19 once the extension of the state of alarm established by the Real Decree 555/2020, of June 5, as a consequence of the epidemiological evolution.
Order 1047/2020, of September 5, of the Ministry of Health, which modifies Order 668/2020, of June 19, 2020, which establishes preventive measures to deal with the health crisis caused by COVID-19 once the extension of the state of alarm established by Royal Decree 555/2020, of June 5, as a consequence of the epidemiological evolution.
Order 1008/2020, of August 18, of the Ministry of Health, which modifies Order 668/2020, of June 19, 2020, which establishes preventive measures to deal with the health crisis caused by COVID-19 once the extension of the state of alarm established by Royal Decree 555/2020, of June 5, for the application of coordinated actions in public health to respond to the situation of special risk derived from the increase in positive cases by COVID-19.
Resolution 2026 / 2020 , of July 29, of the General Technical Secretariat for Social Policies, Families, Equality and Birth, which approves the instructions regarding the obligation of centers and services to send information about their situation in the face of the health crisis caused by COVID-19.
Order 668/2020, of June 19, of the Ministry of Health, which establishes preventive measures to deal with the health crisis caused by COVID-19 once the extension of the state of alarm has ended.
Order 459/2020, of April 22, of the Ministry of Health, which guarantees the effectiveness and application in the Community of Madrid of Order SND/344/2020, of April 13, which establishes exceptional measures to reinforce the National Health System and contain the crisis health caused by COVID-19
Resolution, of March 19, 2020, of the General Directorate of Public Health of the Ministry of Health, by which public health measures are adopted in relation to the handling and performance of thanatopraxy practices on corpses.

STATE REGULATION

Royal Decree 65 / 2023, of February 7, which modifies the mandatory use of masks during the health crisis situation caused by COVID-19.
Royal Decree 286 / 2022, of April 19, which modifies the mandatory use of masks during the health crisis situation caused by COVID-19.
Royal Decree 115/2022, of February 8, which modifies the mandatory use of masks during the health crisis situation caused by COVID-19.
Royal Decree-Law 21/2020, of June 9, of urgent prevention, containment and coordination measures to deal with the health crisis caused by COVID-19.
Order SND/322/2020, of April 3, of the Ministry of Health, which modifies Order SND/275/2020, of March 23, and Order SND/295/2020, of March 26, and establishes new measures to meet urgent needs of a social or health nature in the field of the situation of the health crisis caused by COVID-19.
Order SND/295/2020, of March 26, of the Ministry of Health, by which measures are adopted in the field of human resources in the field of social services in the face of the crisis situation caused by COVID-19.
Order SND/275/2020, of March 23, of the Ministry of Health, which establishes complementary measures of an organizational nature, as well as the provision of information in the field of residential social service centers in relation to the management of the health crisis caused by COVID-19.
Order SND/265/2020, of March 19, of the Ministry of Health, which establishes various organizational measures in residences for the elderly and socio-health centers in the face of the health crisis situation caused by COVID-19.
Royal Decree 463 / 2020, of March 14, which declares the state of alarm for the management of the health crisis situation caused by COVID-19.

Repository of guidelines and protocols

Guide to measures in residential centers for the elderly in the Community of Madrid (December 30, 2022)
Guide to measures in residential centers for people with disabilities and mental illness in the Community of Madrid (December 30, 2022)
Guide to measures in residential centers for people with disabilities and mental illness in the Community of Madrid (December 1, 2022)
Surveillance and control strategy against COVID-19 after the acute phase of the pandemic in the Community of Madrid (November 8, 2022)
Guide to measures in residential centers for the elderly in the Community of Madrid (October 24, 2022)
Guide to measures in day centers for the elderly in the Community of Madrid (June 20, 2022)
Guide to measures in residential centers for the elderly of the Community of Madrid (May 27, 2022)
Guide to measures in residential centers for people with disabilities and mental illness of the Community of Madrid (May 11, 2022)
Guide to measures in residential centers for the elderly of the Community of Madrid (April 28, 2022)
Surveillance and control strategy against COVID-19 after the acute phase of the pandemic in the Community of Madrid Edition (March 23, 2022)
Visitor's guide for residential centers for people with disabilities and serious mental illness of the Community of Madrid (February 24, 2022)
Guide to visits in residential centers for the elderly of the Community of Madrid (February 21, 2022)
Action in residential centers in the event of an outbreak (January 29, 2022)
Strategy for early detection, surveillance and control of covid-19 of the Community of Madrid (December 30, 2021). In addition, it is available adaptation of the strategy to the agreement of the Public Health Commission (December 29, 2021)
Update of the protocol of measures against coronavirus infection in day care centers for people with disabilities or mental illness (October 26, 2021), of the Ministries of Health and Family, Youth and Social Policy
Update of the Protocol against coronavirus infection for day centers for the elderly of the Community of Madrid (October 7, 2021)
Information regarding vaccination against COVID-19 in residences for the elderly (October 5, 2021).
Guide to measures in residential centers for the elderly in the Community of Madrid (October 4, 2021), of the Ministries of Health and Family, Youth and Social Policy.
Guide to measures in residential centers for people with disabilities and/or mental illness in the Community of Madrid (October 18, 2021). This document brings together recommendations and action guidelines for the prevention and management of COVID-19 in residential care centers for people with disabilities and/or mental illness, establishing conditions and criteria adjusted to the current epidemiological and vaccination context.
Adaptation of measures in nursing homes and other residential social service centers in a context of high community transmission (August 9, 2021), from the Ministry of Health
Guide to measures in residential centers for the elderly in the Community of Madrid (August 4, 2021), of the Ministries of Health and Family, Youth and Social Policy. For those situations not included in this document, the previous document should be consulted Guide to measures against coronavirus infection in residential social health centers for the elderly in the Community of Madrid (April 16, 2021), and the subsequent Updating of the Guide to measures in social and health residential centers for the elderly (June 1, 2021)
Update of the Protocol against coronavirus infection for day centers for the elderly of the Community of Madrid (June 30, 2021)

Information about the vaccination process, against COVID-19, of the residents and workers of the social health centers, provided by the General Directorates of Social and Health Coordination and Care for the Elderly and Dependency (December 2020). Likewise, the most recent information on this vaccination in the Community of Madrid can be consulted through this link.

Protocol against coronavirus infection for day centers for the elderly (November 2020), of the Ministries of Health and Social Policies, Families, Equality and Fertility. Its objective is to establish common criteria in the prevention and health care of infected users and workers, as well as in the identification of close contacts and in the follow-up of infected people and their contacts.
General and specific recommendation guidelines for residential centers for the elderly, people with mental illness and people with disabilities on the impact of ventilation systems on the transmission of SARS-CoV-2 (October 29, 2020). Through these links you can access each of these documents:

Impact of ventilation systems: general recommendations

Impact of ventilation systems: specific recommendations for residential centers for the elderly, people with mental illness and people with disabilities

Procedure for performing PCR tests on workers at centers for people with disabilities and mental disorders after permits, vacations or due to new incorporation (August 29, 2020), of the General Directorate of Social and Health Coordination of the Ministry of Health and the General Directorate of Care for People with Disabilities of the Ministry of Social Policies, Families, Equality and Fertility.

Procedure for diagnosis, surveillance and control of cases of COVID-19 in social health centers (August 5, 2020), of the General Directorate of Public Health, with the collaboration of the General Directorate of Social and Health Coordination of the Ministry of Health. Controlling the transmission of COVID-19 requires the adoption of measures to isolate cases and quarantine contacts, and their rapid adoption is especially relevant in residences for the elderly and people with disabilities, social centers and other closed institutions where many of the People who live together are highly vulnerable to infection.
Manual for the preparation of a Contingency Plan in residential social service centers for the elderly, people with disabilities or people with mental illness (July 7, 2020), of the General Directorate of Socio-sanitary Coordination, of the Ministry of Health.

PLAN FOR THE TRANSITION TOWARDS THE NEW NORMALITY. DE-ESCALATION AFTER THE END OF THE STATE OF ALARM

Protocols of measures in the care network for people with disabilities or with serious and lasting mental illness

After the end of the state of alarm, the period called "New Normality" begins, which in the Community of Madrid is regulated by the Order 668/2020, of June 19, of the Ministry of Health, which establishes preventive measures to deal with the health crisis caused by COVID-19, whose fourth article establishes that the measures provided for in the Order may be completed by organizational protocols and guides adapted to each sector of activity, approved by the competent public administrations. Consequently, the General Directorate of Care for Persons with Disabilities of the Ministry of Social Policies, Family, Equality and Birth, together with the General Directorate of Social and Health Coordination of the Ministry of Health, establishes the following conditions and criteria for care centers residential and day care centers in this new phase of care activity, taking into account the specificities of each of the care networks and with the agreement of the General Directorate of Public Health:

residential care centers

day care centers

Phase 3: coordination protocol of the Ministry of Health and the Ministry of Social Policies, Families, Equality and Birth for socio-health centers

In the current situation of the pandemic, in which the Community of Madrid has evolved to Phase 3 of the Transition Plan towards a "New Normality", it is necessary to update the coordination protocols for the care of institutionalized social and health centers, which implies to Public Health, Socio-Sanitary Coordination, Primary Care, Social Policies and Hospital Geriatrics Services.

These protocols aim to establish common criteria during the Phase 3 in prevention, in the health care of infected patients and workers, as well as in the identification of close contacts and monitoring of infected people and contacts.

Phase 3: Coordination protocol for social health centers for the elderly

Phase 3: Coordination protocol for day centers

Phase 2: coordination protocols in social-health centers

The Ministry of Health publishes two protocols aimed at social health centers, one for residential centers and the other for day centers, which aim to establish common criteria during the Phase 2.

Phase 2: Coordination protocol for residential centers

Phase 2: Coordination protocol for day centers

Care network for people with disabilities or mental illness

The Transition Plan towards a "New Normality" of the Ministry of Health, of April 28, establishes that the incorporation of certain particularly vulnerable groups, especially people with disabilities or mental illness, must be carried out with caution, due to the possible negative consequences of the disease and the progressive recovery of normality. Through this link more information can be obtained.

Without prejudice to the Orders and Resolutions issued by the Ministry of Health and the Ministry of Health of the Community of Madrid, the General Directorate of Attention to Persons with Disabilities of the Ministry of Social Policies, Family, Equality and Birth, together with the General Directorate of Social and Health Coordination of the Ministry of Health, establishes the following conditions and criteria to resume care activity.

For the entry of new users in residential centers for people with disabilities or mental illness, the form accessible through this must be completed. link.
Aspects to take into account in the air conditioning and use of different disinfection methods in relation to COVID-19. Through this link more information can be obtained.

Care network for the elderly and people in situations of dependency

The Transition Plan towards a "New Normality" of the Ministry of Health, of April 28, establishes that the incorporation of certain particularly vulnerable groups, especially the elderly and people in a situation of dependency, must be carried out with caution, due to the possible negative consequences of the disease and the progressive recovery of normality. Through this link more information can be obtained.
- For the entry of new users in residential centers for people in a situation of dependency, the form accessible through this must be completed. link.
- Aspects to take into account in the air conditioning and use of different disinfection methods in relation to COVID-19. Through this link more information can be obtained.

ACTIONS CARRIED OUT DURING THE STATE OF ALARM

Public centers managed by the Madrid Social Care Agency

The General Directorate of Public Health of the Ministry of Health, together with the Madrid Social Care Agency, an autonomous body of the Ministry of Social Policies, Families, Equality and Fertility, have issued two procedures for prevention and action in cases of SARS infection -CoV-2 in the centers managed by that Agency where the elderly, people with intellectual disabilities, minors and vulnerable adults are cared for (May 11, 2020):

Action procedure against coronavirus infection for centers of the Madrid Agency for Social Care

Action procedure against coronavirus infection for juvenile centers of the Madrid Social Care Agency

Protocol for care for patients and families at the end of life during the COVID-19 pandemic in residences and other social-health centers (May 5, 2020), of the Ministry of Health, whose purpose is to provide humane and quality care to people who are in last-day care homes and their families, facilitating a process of saying goodbye to their relatives appropriate to the circumstances arising from the emergency situation caused by COVID-19.

Protocol for carrying out diagnostic tests in social health centers (April 8, 2020), of the General Directorate of Public Health of the Ministry of Health, which prioritizes the use of tests in nursing homes and social health centers with the aim of detecting cases early and investigating possible outbreaks. .

Order 1/2020, of March 27, joint of the Ministry of Health and the Ministry of Social Policies, Families, Equality and Fertility, by which instructions are issued for the application of Order SND / 275/2020, of adoption of measures related to residences for the elderly and socio-health centers, in the face of the health crisis situation caused by COVID-19.

In its second section, it establishes the obligation to report daily information on the situation of residential social service centers (residential centers for the elderly, people with disabilities or other social service centers of a similar nature), which is carried out through a card designed for this purpose that the centers complete daily and that is sent to the inspection and technical staff of the General Technical Secretariat for Social Policies, Families, Equality and Birth Rate.

PREVENTIVE MEASURES ADOPTED IN SOCIAL SERVICES CENTERS

Day care centers for the elderly and people with disabilities

Its activity is suspended, although, exceptionally, the Ministry of Social Policies, Families, Equality and Birth will determine the centers that must remain open to guarantee care for those elderly people who, due to their special situation of vulnerability, require specialized care that does not can be provided at home, as well as the requirements that these people must meet for their access to day care centers that remain open.

Occupational centers for people with intellectual disabilities and early care social services for minors

Resolution, of March 11, 2020, of the General Directorate of Public Health of the Community of Madrid, by which measures are adopted in matters of public health in relation to the activity of occupational centers that provide care to people with intellectual disabilities and early care social services for minors, by which the exercise of activities in these centers and services is suspended, and it is recommended to avoid face-to-face care in day care centers for people with disabilities.

Residences for the elderly

Precautionary measures in residences for the elderly in the Community of Madrid (March 8, 2020), of the General Directorate of Public Health of the Ministry of Health.

Homes and clubs and family and social coexistence services for the elderly

Resolution, of March 6, 2020, of the General Directorate of Public Health by which measures are adopted in matters of public health in relation to the activity of centers for the elderly, in the typologies of homes and clubs and family coexistence services And social. These are prevention and containment measures necessary for public health surveillance and control, as there is an imminent risk due to the particularly vulnerable population that attends these centers. One of these measures is the suspension of the exercise of activities for a period of one month, without prejudice to possible extensions.

Repository of reports on actions carried out during the months of April to June 2020

Reports on the actions carried out during the months of April, May and June 2020, in residential social service centers that provide care to the elderly, people with disabilities and people with mental illness.

This information has been provided following the instructions of the ORDER 1/2020, of March 27, jointly by the Ministry of Health and the Ministry of Social Policies, Families, Equality and Birth, issuing instructions for the application of Order SND/275/2020, of 23 March, for the adoption of measures related to residences for the elderly and socio-health centers, in view of the health crisis situation caused by COVID-19, valid until the end of the declaration of the state of alarm or its extensions.