This article describes the experience of preparing for, and managing, a small COVID-19 outbreak that affected clients and staff in a learning disability setting. To demonstrate the likelihood of transmission, a timeline was developed to map the trajectory of symptomatic individuals and confirmed cases. Practices such as effective hand hygiene and wearing personal protective equipment (PPE) were observed by staff members. COVID-19 transmission containment measures included: isolation of clients who had tested positive for COVID-19, nomination of specific staff members to care for clients who had tested positive, and amending duty rotas to prevent staff crossover between various units. The frequency of environmental cleaning was also increased.

On-site refresher training for medical, nursing and domestic staff focused on coronavirus transmission, PPE, hand hygiene and environmental cleaning. A contingency plan devised before the COVID-19 outbreak was invaluable because staff members could respond immediately when positive cases were identified among clients and staff members. COVID-19 screening for clients and all staff members was conducted to identify asymptomatic carriers; these individuals were then excluded from work to reduce the risk of potential transmission.