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

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iv.Residents committeeThe norms and standards indicate that there should be an effective residents committee, thatregular monthly meetings with proper agendas and minutes and regular reports to the residentsshould be given. It also notes that members of the residents committee are well equipped fortheir tasks.In only 65% of the homes (263) indicated that they had a Residents Committee that representedthe residents and their families. Residents in only 54% of these homes confirmed the existenceof a Resident‟s Committee. A reason for this could be that the Committee is not communicatingwith all, and therefore not representing the needs of the residents. Alternatively that they havebeen selected by a few people in management and peers so that the homes can account for aResidents Committee but that they do not serve the purpose of such a Committee. In one homethe Director attends the Committee meetings which were seen as defeating the purpose forwhich it was set up, and therefore, her presence is intimidating to the Committee. In most of thehomes where these committees exist, it was not very organised with some of them meeting on amonthly basis and others meeting twice a year.v. Role of the Board versus that of Management – The following responses reflectthat the role of the Board and that of management was not always clearly defined orunderstood.Role of the Board100.00%80.00%60.00%40.00%27.00% 24.00%97.00%78.00%63.00%54.00%26.00% 29.00%20.00%0.00%Day-to-daymanagementOverallgovernanceManagement ofdirectorManagement ofstaffManagementStaff46 | 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 graph indicates that staff for example in 24% of the homes saw the role of the Board as dayto-daymanagement while in 29% of the homes they saw the Board as being responsible for themanagement of staff. This blurring of roles is usually the cause of many problems inorganisations and also creates division between management and staff.The management of the homes was rated as follows by management, staff and residents:RatingPoor3%1%8.00%Fair9.00%4.00%16.00%Good41.00%40.00%41%Excellent36.00%47.00%55.00%0% 10% 20% 30% 40% 50% 60%Residents Staff ManagementIn general, the majority of board and management rated the management of the homes as eitherexcellent (55%) or good (41%). However, in over half of the homes staff rated the managementof the homes lower with 36% rating it as excellent and 40% as good. Staff in 24% of the homesrated the management of these homes as fair (16% - 65 homes) to poor (8% - 32 homes). Inmany of these homes the relationship between staff and management was poor. This issue willbe further elaborated under the section on Institutional Issues.3.2.5 Staff and VolunteersStaff members at a residential facility form a very important component for an efficient andeffective service. Coupled with qualifications and experience, is personal characteristics, attitudeand the devotion to duty. These attributes ensure good quality service for older persons. At thesame time when staff conditions are not conducive to their well-being one often finds that theybecome unhappy and as a result do not give the home the best that they can. Having said this,47 | 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 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: While in the majority of homes (62%
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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