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

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3.2.2 Social, Recreational and Outreach ServicesSocial work services:The norms and standards states that there should be “…a program for Counseling services toresidents and family members who need these services...”The graph below indicates that only 41% (165) of the homes had a social worker so although77% indicated that counselling was available to residents very often the counselling was providedby the local church leaders. It was argued that this was not professional counseling but in theabsence of a social worker, they seem to rely on the local religious leaders to provide counsellingand emotional support.Counselling Services80.00%77.00%70.00%61.00%60.00%50.00%40.00%32.00%30.00%20.00%10.00%6.00%7.00%17.00%0.00%YesYes but infrequent ordifficult to accessNoTo ResidentsTo Family MembersThe meeting with the key informants in the Directorate Partnerships and Finance in Gauteng(changed to Institutional Capacity Building and Support) indicated that they “…fund the NGOs fora certain amount of social work posts so that they could service the homes…Where these homesare not part of a „mother body‟ individual homes are provided with a social worker internally(20%) and for the community (80%)…” This issue is quite serious as a number of homesreported that its residents have suffered from a history of abuse and violence in their homes andcommunities and as a result are suffering from the effects thereof.36 | 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
Cultural and recreational activities:It is further noted in the norms and standards that regular programmes appropriate for the needsand limitations for the persons being cared for must be implemented, that all persons should beout of bed at least twice a day and appropriately dressed and finally that they should participatein organised activities, including but not limited to reading, radio and TV, religious and culturalactivities.Although all homes provided some form of social, religious, cultural and recreational activities,many focused on religious activities. This was especially the case where homes had a strongaffiliation to a particular church. Activities such as guided exercises (64%), guided reading andcultural activities (73%), entertainment and recreation (73%) and religious and spiritual activities(74%). Some of the more popular activities include: games (i.e. dominoes, cards, puzzles, andbingo), exercises, arts and craft, TV, radio, sing-along events, reading, outings and church basedactivities (i.e. prayer meetings, bible study)Many homes argued that they did not offer much recreational programmes because thefrequency and intensity of it depends on the level of frailty in the home. While this is indeed thecase a home in the North West Province provided a good practice model for social, cultural andrecreational programmes in which the Recreation Officer provided a range of activities involvingfrail residents as well. If these activities could not be done in the recreation room it was taken tothe wards so that frail residents could participate even from their beds.Outreach services:The norms and standards state that “…older persons should maintain their independencethrough the provisioning of day care services, home care services and short-term residentialplacement and care services…”37 | 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 and 32: The breakdown of these homes is as
Page 33 and 34: Just over a half (51%) of homes off
Page 35: that “…The Department of Health
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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