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

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WORKING DEFINITIONSApplicant refers to a person or organisation that is applying to provide a service or operate aresidential facility in terms of the Act, and includes a person applying for registration as acaregiverAssets are any immovable or movable property owned by the service provider or operator andbought with Government fundsBasic needs means necessities which must be met in order to ensure an older person‟s survivaland includes, shelter, food, water, access to health care services and access to social securityResident refers to an older person residing in a residential facilityRestraint is the use of physical force or medication to impede the movement of the body or limbsof an older personService provider means a person who is providing a service in terms of the Act.Financial year is the period beginning on 1 April of one year and ending on 31 March of thefollowing yearAbuse means a single or repeated act, or lack of action occurring within any relationship wherethere is an expectation of trust, that causes harm or distress to an older person, includingphysical, psychological, financial, material or sexual harm or neglectCare means provision of physical, psychological, social or material assistance to an older personand includes services aimed at promoting the quality of life and general well-being of an olderpersonCaregiver means any person who provides care to an older personCommunity-based care and support services mean development, care and support servicesprovided within a community, aimed at promoting and maintaining the independent functioning ofolder persons in a community, and include home-based care for frail older persons within thecommunityDay care means a service within a residential home or a community-based facility whichprovides social, recreational and health related activities in a protective setting to individuals whocannot be left alone during the day, due to health care and other social needs12 | 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
Director-General means the Director-General of the Department of Social DevelopmentDomestic assistance means the provision of domestic services to an older person living outsidea facility, in order to enable the older person to maintain his or her present level of independentlivingDQ98 is a tool used to assess the level of frailty for applicants in a residential facilityFacility means a building or other structure used for the purpose of providing accommodation,shelter, community-based care and support services to older persons, including a privateresidential home in which older persons are accommodatedFrail older person means an older person in need of 24 hour care and/or whose physical ormental condition renders him or her incapable of caring for himself or herselfGrant-in-aid means a grant paid to or on behalf of any older or persons with disabilities who is insuch a physical or mental condition that he or she requires regular attendance by any personHome-based care means the provision of health and personal care services rendered by formaland informal care givers in the home in order to promote, restore and maintain a person‟smaximum level of comfort, function and health, including care towards a dignified deathManager means the person responsible for the day to day management of a facility or serviceMental condition for the purposes of this document would be mental illness or mental disorder,which affect older persons due to old age, e.g. Dementia or Alzheimer‟s diseaseMinister means the Minister of Social DevelopmentOlder person means a person who, in the case of a male, is 65 years of age or older and, in thecase of a female, is 60 years of age or olderOlder person in need of care and protection means an older person referred to in section24(5) of the South African Policy for older PersonsOperator means a person who operates a residential facilityOrganisation any group or association of persons, any institution, federation, society,movement, trust or fund, incorporated or unincorporated, and whether or not it has been13 | 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 and 10: 6. With regard to management capaci
Page 11: 14. Sharing, Learning and Networkin
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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