Audit of Residential Facilities, Final report - Division for Social Policy ...

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9. Multiple usages of facilities: For the sake of the safety of the residents, the patients aswell as the staff Government should look at separate facilities (or sections of the samefacility) to accommodate patients with Alzheimer‟s, dementia and mental illnesses.These require specialised forms of care as well and trained specialist staff to provideoptimum care10. The volunteer component at the Homes should be increased, both to enhance themedical services and recreational activities as well as for fundraising activities. There should be a better strategy to recruit, train and place support volunteersespecially in black areas where volunteers are more lacking11. The situation with homes where their basic service delivery needs are been ignored orwhere services such as water and electricity are intermittent, needs to be addressed as amatter of urgency. Discussions between the DSD at the highest level and its counterpart in localgovernment regarding the regular interruptions in the supply of electricity and waterneed to take place urgently.12. Homes that require support for basic infrastructure: A special fund should also becreated for homes that fall into specific sub-economic categories. Extra money shouldcome from this fund and be given to homes as repairs for major breakages and faultyequipment is expensive and many homes simply cannot afford it. It might be possible for the Department to intervene and request assistance from theDepartment of Housing or Public Works for some assistance13. Outreach Community Programmes: There are possibilities for homes to extend itsoutreach services. This would require additional finances as well as personnel. The DSDshould consider subsidising such outreach programmes as it is in line with theDepartments‟ vision of preventative intervention. The DSD should also subsidise home based care as the requirements are oftensimilar to frail care. This will also put less of a burden on the homes while still allowingthem to be active in their communities.10 | D S D A u d i t o f R e s i d e n t i a l F a c i l i t i e s
14. Sharing, Learning and Networking: There is a need to move away from a competitiveindividualistic service to cooperative and collective approaches that facilitate skills transferand service integration, which would also contribute to sustainability as well as meet thetransformation imperative. A network or forum could also be used to connect homes with one another. In thisway white homes could form a support process for black homes. At the same time homes could link up and do bulk buying or joint training programmesas well as „job shadowing‟ to exchange ideas about proper cooking methods, dietsand hygiene. These would help to pool resources and be less expensive to oneorganisation.15. Appropriate Model of CareIt is difficult to propose a model of care when the majority of homes do not comply with theminimum standards according to the norms and standards. Homes were unanimous that ifthey were to comply with the norms and standards that they would require a considerableboost of funding from government. This needs to be further interrogated.11 | D S D A u d i t o f R e s i d e n t i a l F a c i l i t i e s
Page 1 and 2: Final ReportAudit of Residential Fa
Page 3 and 4: 4.5 Sustainability / Funding ......
Page 5 and 6: towards their conditions of employm
Page 7 and 8: The M&E role of the Department (whe
Page 9: 6. With regard to management capaci
Page 13 and 14: Director-General means the Director
Page 15 and 16: office-bearers except as reasonable
Page 17 and 18: 1.3 Process FollowedA number of oth
Page 19 and 20: This was recorded and submitted to
Page 21 and 22: The Population Reference Bureau est
Page 23 and 24: 2.4.2 Proportion of women versus me
Page 25 and 26: Africans comprise 67, 7% of the pop
Page 27 and 28: Where homes are situatedFormer Whit
Page 29 and 30: While the guideline for frail care
Page 31 and 32: The breakdown of these homes is as
Page 33 and 34: Just over a half (51%) of homes off
Page 35 and 36: that “…The Department of Health
Page 37 and 38: Cultural and recreational activitie
Page 39 and 40: one bed should be set aside for sho
Page 41 and 42: a. Although there were a few homes
Page 43 and 44: 100%90%80%70%60%50%40%30%20%10%0%81
Page 45 and 46: While in the majority of homes (62%
Page 47 and 48: The graph indicates that staff for
Page 49 and 50: The norms and standards indicate th
Page 51 and 52: Are there staff records and Perform
Page 53 and 54: In 92% of the homes the residents d
Page 55 and 56: ooIn addition, emergency exits were
Page 57: v. In some provinces, the coordinat
Page 60 and 61:
egards to the Mangers carrying out
Page 62 and 63:
some senior staff that were black.
Page 64 and 65:
4.6 Intersectoral CollaborationThe
Page 66 and 67:
In terms of the Transformation Char
Page 68 and 69:
from Alzheimer‟s disease, dementi
Page 70 and 71:
the home as very poor, Umhlaba sugg
Page 72 and 73:
Home Requiring InterventionHome Con
Page 74 and 75:
Free StateFree State ResultsPoor /
Page 76 and 77:
Vosloorus Society Care of the AgedL
Page 78 and 79:
Beaconvale Poor YesFairHome for the
Page 80 and 81:
Where a more positive relationship
Page 82 and 83:
The shortage of nursing staff could
Page 84 and 85:
major breakages and faulty equipmen
Page 86 and 87:
. Meetings / Interviews with:1. Dor
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