PROTECT Site Survey This file contains the metadata, events, and data for REDCap project "PROTECT Site Survey". PROTECT Site Survey 1 0 1 2 1,7 Record ID Are you entering information on behalf of What is your name? What is your role / position? What is your email address? What is your preferred contact phone number? What is the name of the care home chain you are representing? How many homes are in your chain? 1 The value you provided is outside the suggested range. (1 - 999). This value is admissible, but you may wish to double check it. 999 The value you provided is outside the suggested range. (1 - 999). This value is admissible, but you may wish to double check it. What is the name of your Care Home? What is the address of your Care Home? Country What country (ies) are your care homes in? What country (ies) are your care homes in? What country (ies) are your care homes in? What country (ies) are your care homes in? What is the postcode for your Care Home? What is the email address for your Care Home? Which region is your Care Home in? What regions are your Care Home in? What regions are your Care Home in? What regions are your Care Home in? What regions are your Care Home in? What regions are your Care Home in? What regions are your Care Home in? What regions are your Care Home in? What regions are your Care Home in? What regions are your Care Home in? Is your care home interested in participating in the PROTECT trial? Who owns your Care Home? Other owner of your care home What is the name of the commercial organisation? Is your Care Home part of a chain of Homes? What kind of clients is your Care Home registered for? Is your Care Home registered for clients with learning disabilities? Which client age groups do you care for? Which client age groups do you care for? Which client age groups do you care for? How many residents are there currently in your care home? 1 The value you provided is outside the suggested range. (1 - 400). This value is admissible, but you may wish to double check it. 400 The value you provided is outside the suggested range. (1 - 400). This value is admissible, but you may wish to double check it. What is the maximum capacity of your care home? 1 The value you provided is outside the suggested range. (1 - 400). This value is admissible, but you may wish to double check it. 400 The value you provided is outside the suggested range. (1 - 400). This value is admissible, but you may wish to double check it. How many registered nurses do you have working in your care home? 0 The value you provided is outside the suggested range. (0 - 100). This value is admissible, but you may wish to double check it. 100 The value you provided is outside the suggested range. (0 - 100). This value is admissible, but you may wish to double check it. How many non-nurse carers do you have working in your care home? 1 The value you provided is outside the suggested range. (1 - 150). This value is admissible, but you may wish to double check it. 150 The value you provided is outside the suggested range. (1 - 150). This value is admissible, but you may wish to double check it. Ratio residents to staff What was your last CQC rating? What was your last CI rating? Has your home been issued with a failure to comply notice in the past year Have there been any confirmed COVID-19 cases in your care home? Have any staff in your care home received vaccination against COVID-19? Have any residents in your care home received vaccination against COVID-19? Are any of the following routinely delivered within the home during the pandemic? Are any of the following routinely delivered within the home during the pandemic? Are any of the following routinely delivered within the home during the pandemic? Has your care home been involved in research before? Is your care home currently participating, or planning to participate, in any trials (excluding PROTECT)? If yes, what other trials are you taking part in? Any comments? Date completed? 2020-09-01 00:01 The value you provided is outside the suggested range. (2020-09-01 00:01 - 2022-12-31 00:01). This value is admissible, but you may wish to double check it. 2022-12-31 00:01 The value you provided is outside the suggested range. (2020-09-01 00:01 - 2022-12-31 00:01). This value is admissible, but you may wish to double check it. Complete? Has care home been contacted by member of the research team to start discussions? If no, please select reason why not Care home meets initial eligibility criteria (>20 beds, home for older adults, not taking part in conflicting research) Reason for being ineligible Reason for being ineligible Reason for being ineligible Further information (if applicable): How many of the beds are for residents >65? 0 The value you provided is outside the suggested range. (0 - 999). This value is admissible, but you may wish to double check it. 999 The value you provided is outside the suggested range. (0 - 999). This value is admissible, but you may wish to double check it. Is the care home presently or considering participating in any other research? If yes, provide detail incl. when will their involvement in this finish? 2021-05-01 The value you provided is outside the suggested range. (2021-05-01 - no limit). This value is admissible, but you may wish to double check it. Is care home part of a chain? Which chain is care home part of? Other care home chain name Select which LCRN region care home belongs to Has trial involvement been discussed/agreed at managerial level? Further information (if applicable): Will care home staff be able to access the necessary training? Further information (if applicable): Can care homes comply with consent procedures for residents with capacity? Further information: Does the care home have the resource/capacity/facilities to support video consent for residents with capacity (i.e. using a tablet/ipad/PC available for residents) Is care home able to consent residents electronically i.e. with ipads for residents with capacity (tablet/iPad/PC available for residents) Further information: Is the care home able/willing to identify and discuss the trial with personal legal representatives? Is care home linked to a single GP practice for ALL residents? If no, please confirm number of linked GP practices? 0 The value you provided is outside the suggested range. (0 - 99). This value is admissible, but you may wish to double check it. 99 The value you provided is outside the suggested range. (0 - 99). This value is admissible, but you may wish to double check it. Further information: (add details of GP practice(s) if given/provided) Does care home have the facilities and space to be able to receive and store trial medicine which may be bulky e.g. spacers? Further information: Does the care home's insurance cover research? Is the care home ready to progress to the next stage Reason for withdrawal Reason for withdrawal (other) Tick to confirm that care home is ready for migrating into the CHaRT system Complete? Pharmacy name Pharmacy contacts (names/roles) Pharmacy address Pharmacy postcode Pharmacy telephone Pharmacy email When can the pharmacy receive drugs? Any relevant details on pharmacy drug handling Complete? Date GP details added 2021-04-01 The value you provided is outside the suggested range. (2021-04-01 - no limit). This value is admissible, but you may wish to double check it. GP name(s) GP Practice name GP Practice Address GP Practice telephone GP Practice email LCRN Region associated with practice: [care_home_country], [region] Date GP details passed to LCRN 2021-05-01 The value you provided is outside the suggested range. (2021-05-01 - no limit). This value is admissible, but you may wish to double check it. GP Practice Postcode Have the LCRN reported that they are not permitted to contact this GP? Note: NCTU to contact only in LCRN are not permitted Date of GP contact i.e. letter sent by email 2021-05-01 The value you provided is outside the suggested range. (2021-05-01 - no limit). This value is admissible, but you may wish to double check it. Is the GP practice willing to support the trial? Reason not willing to support (if given) Date GP Contract issued for signing 2021-05-01 The value you provided is outside the suggested range. (2021-05-01 - no limit). This value is admissible, but you may wish to double check it. Date signed GP contract is received 2021-05-01 The value you provided is outside the suggested range. (2021-05-01 - no limit). This value is admissible, but you may wish to double check it. GP ready for next stage GP Notes Complete? An individual care home A chain of care homes England Northern Ireland Scotland Wales Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked East of England East Midlands London North-East North-West South East South-West West Midlands Yorkshire & Humber Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Yes No Council Commercial Charity Other Not part of a chain 2-10 Homes 11-20 Homes More than 20 Homes Residential Nursing Mixed residential and nursing Yes No Checked Unchecked Checked Unchecked Checked Unchecked Outstanding (The service is performing exceptionally well) Good (The service is performing well and meeting our expectations) Requires improvement (The service is not performing as well as it should and we have told the service how it must improve) Inadequate (The service is performing badly and we've taken action against the person or organisation that runs it) Excellent (Outstanding or sector leading) Very good (Major strengths) Good (Important strengths, with some areas for improvement) Adequate (Strengths just outweigh weaknesses) Weak (Important weaknesses - priority action required) Unsatisfactory (Major weaknesses - urgent remedial action required) Yes No Yes No None Some All None Some All Checked Unchecked Checked Unchecked Checked Unchecked No No, but aware of Care Home research Yes, taken part in research Yes No Incomplete Unverified Complete Yes No Manager not available to talk No one answering the phone Not responding to messages - phone/email Not due to be called yet Not eligible Yes No Checked Unchecked Checked Unchecked Checked Unchecked Yes No Yes No Agincare Barchester HC-One Healthcare Management Solutions HICA Larchwood Care MHA OSJCT (2nd meeting) Select Healthcare Shaw Healthcare Somerset Care The Orders of St John Care Trust Dormy Care Sheffcare Elysium Other North East and North Cumbria North West Coast Yorkshire & Humber Greater Manchester East Midlands West Midlands West of England Thames Valley & South Midlands Eastern Kent, Surrey, Sussex Wessex South West Peninsula North Thames South London North West London Scotland Northern Ireland Wales Yes No Not applicable Yes No Unsure/Maybe Yes No Unsure/Maybe Yes No Maybe/Unsure Yes No Unsure/Maybe Yes No Unsure/Maybe Yes No Yes No Unsure/Maybe Yes No Unsure/Maybe Yes No Withdrawn Capacity Insurance No longer interested Issues with IMP management Reason Pending Other Checked Unchecked Incomplete Unverified Complete Weekdays only Weekdays + Saturday All week Other Incomplete Unverified Complete Yes No Yes No Yes No Withdrawn Incomplete Unverified Complete