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

More documents

Recommendations

Info

CHAPTER 3FINDINGS OF THE STUDY3.1 IntroductionThese findings will be assessed against the Older Persons Act, SA Policy on Older Persons aswell as the Guidelines for Frail Care and the National Norms and Standards regarding acceptablelevels of services to older persons and service standards for residential facilities. It is important tonote that across the provinces only 61% of management and 26% of staff knew about the newnorms and standards. The lack of knowledge of these norms and standards was also reflected inthe current practices in many of the homes.Knowledge of Norms and Standards100%90%80%70%60%50%40%30%20%10%0%20%25%27%91%40%75%32%18%29%86% 89%41%4%32%58%23% 23%71%StaffManagementFour hundred and five (405) homes were audited in total. A few homes that were subsidised bythe Department refused to be part of the audit; in addition, some homes that were on the originaldatabase had become private and were no longer receiving a subsidy and were excluded as aresult.30 | 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
The breakdown of these homes is as follows:ProvinceNumber of residential facilitiesEastern Cape 49Free State 33Gauteng 85Kwa Zulu Natal 44Limpopo 7Mpumalanga 18North West 26Northern Cape 25Western Cape 117Total number of homes audited 4053.2 Findings3.2.1 Medical Services in frail care facilitiesThe Older Persons Act and the National Norms and Standards for acceptable levels of servicesfor Older Persons states that the following services should be provided at residential facilities(important to note that the Act says might provide instead of must provide)“24hour care and support services to frail older persons who need special attention, careand supervision services to older persons who are suffering from dementia and related diseasesand rehabilitation services”.It is important to note though that this information relates to those residents that were not on aprivate medical aid and were therefore not able to access medical services as they needed it.This is one of the most distinctive features of the medical care that is afforded to those withprivate medical aid as opposed to those who are dependent on state hospitals. In most of thehomes it was reported that a District Surgeon previously visited the home to attend to the medicalneeds of the residents but that this service was stopped by the Department of Health. However insome Provinces a District Surgeon still visited some of the homes in that province so it appears31 | 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 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: While the guideline for frail care
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
show all

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

Create successful ePaper yourself

Delete template?

Save as template?