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

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TABLE OF CONTENTSPAGEEXECUTIVE SUMMARY ............................................................................................................. 4WORKING DEFINITIONS ............................................................................................................ 4CHAPTER 1 INTRODUCTION TO THE STUDY ....................................................................... 161.1 Background.................................................................................................................. 161.2 Objective of the Study .................................................................................................. 161.3 Process Followed......................................................................................................... 171.4 Limitations of the Study ................................................................................................ 19CHAPTER 2 OVERALL CONTEXT OF OLDER PERSONS ...................................................... 202.1 Introduction .................................................................................................................. 202.2 Defining Aged .............................................................................................................. 202.3 The World‟s ageing Population .................................................................................... 202.4 Ageing in South Africa ................................................................................................. 212.5 Legislative Context for Older Persons .......................................................................... 28CHAPTER 3 FINDINGS OF THE STUDY .................................................................................. 303.1 Introduction ....................................................................................................................... 303.2 Findings ............................................................................................................................ 313.2.1 Medical Services in frail care facilities ........................................................................ 313.2.2 Social, Recreational and Outreach Services .............................................................. 363.2.3 Policies and Procedures ............................................................................................. 393.2.4 Governance and Management ................................................................................... 443.2.5 Staff and Volunteers ................................................................................................... 473.2.6 Buildings and Facilities ............................................................................................... 52CHAPTER 4 KEY INSTITUTIONAL ISSUES ............................................................................. 564.1 Role of the Department of Social Development ................................................................ 564.2 Governance ...................................................................................................................... 594.3 Management Capacity in Homes ...................................................................................... 604.4 Staffing ............................................................................................................................. 622 | 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
4.5 Sustainability / Funding ..................................................................................................... 634.6 Intersectoral Collaboration ................................................................................................ 644.7 Multiple use of old-age homes .......................................................................................... 644.8 Basic Service Delivery ...................................................................................................... 644.9 Transformation ................................................................................................................. 65CHAPTER 5 RATING OF OLD AGE HOMES............................................................................ 695.1 Methodology ..................................................................................................................... 695.2 Results ............................................................................................................................. 70CHAPTER 6 RECOMMENDATIONS ......................................................................................... 791. Department of Social Development ................................................................................. 792. Transformation ................................................................................................................ 803. Intersectoral collaboration ............................................................................................... 814. Governance ..................................................................................................................... 825. Management capacity ..................................................................................................... 826. Staff capacity ................................................................................................................... 827. Sustainability / Funding ................................................................................................... 838. Multiple use of facilities .................................................................................................... 8312. Outreach Community Programmes .................................................................................. 8413. Sharing, Learning and Networking ................................................................................... 84APPENDICES ............................................................................................................................ 853 | 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: Final ReportAudit of Residential Fa
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 and 12: 14. Sharing, Learning and Networkin
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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