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

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that the decision for terminating this service or reducing its frequency might rest at the provincialDepartment of Health rather than as a mandate from the National level.“In relation to care and supervision services to older persons with dementia and relateddiseases the norms and standards states that basic care protocols and programmes should bein place.While most of the homes (88%) offered care and supervision services to older persons who aresuffering from Alzheimer‟s and dementia from anecdotal evidence most homes were of theopinion that they were not suitably equipped to deal with these residents. This is both from aninfrastructure point of view by not having a separate section to accommodate them as well as nothaving sufficient and appropriately qualified staff to deal with residents who suffer fromAlzheimer‟s and dementia.MedicalServices98.00%88.00%51.00%17.00%24 hour careand supportCare forAlzheimer anddementiaRehabilitationandphysiotherapyOther medicalservicesWith regard to rehabilitation services the norms and standards states that physiotherapy andoccupational services should be provided when applicable, and that assistive devices should beprovided.32 | 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
Just over a half (51%) of homes offer physiotherapy and occupational therapy to residents whomight have had a stroke, an onset of a disability and other physical or mental conditions thatneed a rehabilitation programme. More homes in Mpumalanga (72%) and the Free State (70%)offered these services while in the Eastern Cape only 31% and Kwa Zulu Natal only 34% ofhomes provided this service.In terms of mobility aids and assistive devices such as walking sticks or wheelchairs, beingavailable 81% indicated that they had enough while 18% indicated that they had these devicesavailable but that it was not sufficient. At least 4 homes indicated that they did not have assistivedevices available.Medical PersonnelDoctorNurse73.0%54.00%16.00%21.0%7.00%1.0%13.00%2.0%7.00%2.0% 1.0%4%NeverA few timesa yearMonthly Weekly A few timea weekDailyWhile 98% of the homes indicated that they provided 24-hour care and support to frail persons,this did differ from home to home. In at least 16% (65) homes a doctor never visited, while in 4%(16) homes a doctor was available on a daily basis.The norms and standards provides some formula to work out how many staff are required to takecare of each person in a frail care facility. For example 30 frail residents would requireapproximately = 13 staff units as follows:33% nursing sister = 4 (50 % can be replaced with staff nurses)33 | 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 and 30: While the guideline for frail care
Page 31: The breakdown of these homes is as
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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