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

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While Government has taken a strong policy lead to ensure the positive integration of olderpersons within society, support for them within their families, their access to proper communitybasedservices, their protection from abuse, and promoting their general quality of life, at thesame time there are numerous challenges that exist to turn government policy into reality in thelives of older persons. A number of recommendations are made as to what the priorities shouldbe for service delivery organisations within a context of sound policy but limited capacity andresources.These are recommendations that need to be addressed at a strategic level, but which will in turn,apply to, and impact on, the effective functioning of individual homes. In terms of the Guidelinesand National Norms and Standards it is clear that the homes across the country are at differentlevels of meeting these standards.It is recommended that in terms of:1. The relationship between the Department of Social Development and the Homes isvital for the continued quality service delivery. The Home fulfils an important role inbringing welfare services to older persons and the state plays a key role in providing anenvironment that is conducive for the Home to carry out its work. This clearly indicates thedesirability of close cooperation between them for the success of the programme. Bothparties should meet and discuss ways in which the DSD could perhaps play a moresignificant role. Where a more positive relationship exists between the Province or region and thehomes, this supportive relationship needs to be maintained and the partnership furtherstrengthened. However, in the main the relationship (and communication) between the Departmentand the homes must improve and the homes seen as partners in this process ofcaring for older persons2. Roles, responsibilities and capacity of different players within DSD: The Departmentat all levels must have their respective roles and responsibilities clarified so that there isno blurring, overlap and duplication of activities adding unnecessary anxieties to homemanagers. For this to happen the Department must streamline and adopt a morecoordinated approach to its own operations more effectively6 | 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 M&E role of the Department (wherever this responsibility lays) must beimplemented on a continuous and consistent basis.The capacity of provincial and regional staff of DSD must be developed so that theyare confident in performing their tasksThe problem areas identified in this audit must be addressed and homes must beprovided with more mentoring and support by the DSD in order to build the capacity ofthe homes (this is also a key issue in sustainability)3. While attempts have been made by some homes to change their racial profiles, in manyhomes cultural and social norms and high fees have been used as a reason to excludepeople of different racial groups. The focus on transformation is crucial; however theimportance and focus which is to provide proper care for older persons must not be lost.Therefore:The issue of transformation in relation to providing an effective service for all olderpersons must become a priority for the DSD to ensure that homes addresstransformation with more than just lip-service.Homes that have given the impression that they have transformed but have kept blackresidents separate from white residents must be addressed as a matter of urgencyGood practice models of transformation need to be shared with homes; many fear theunknown so if they know that it has worked in another home they might feel lessresistant to the changeMany of the homes that are resistant to change are controlled by „mother bodies‟.These bodies act as a pool of resources and personnel yet they also often alsohamper transformation initiatives. The Department needs to conduct a more thoroughstudy into their practices and address their resistanceDiversity awareness should be done with home management and staff so that theyare sensitised to different cultural and religious practicesAt the same time instead of enforcing compliance with punitive measures, DSD mustembark on a process of assisting homes with transformation by helping them todevelop a transformation strategy. Business Plans must include a plan fortransformation with clear indicators by which to measure the progress made by homesTransformation is not only about racial integration of homes but also on all the otherprinciples inherent in the Transformation Guidelines such as the composition of the7 | 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: towards their conditions of employm
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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