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

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In terms of the Transformation Charter it is important that other elements be considered andacted on as well, such as:Ensuring the equitable distribution of services and resources between rural and urbanareasEnsuring the sustainability of emerging and disadvantaged non-profit organisations.The development of more community based servicesEnsuring the transfer of skills from established organisations to emerging organisationsBuilding the management and financial capacity of emerging organisationsImproving the infrastructure and resource base of historically marginalised non-profitorganisations and communitiesMoving away from a competitive individualistic service to cooperative and collectiveapproaches that facilitate skills transfer and service integration10. Models of CareA "model of care" broadly defines the way the welfare of older persons, is delivered, and includesan integrated approach that includes their health, welfare and social well being. It aims to ensureolder persons get the right care, at the right time, by the right team and in the right place.South Africa, as with other countries in the world, has an ageing population, which means thatthe proportion of older persons in the country is increasing. This South African reality calls for aconcerted effort towards strengthening the capacity of older persons to play a more meaningfulrole in society, to enjoy active ageing, healthy and independent living, by creating an enablingenvironment for them.The Guidelines for frail care clearly defines a model of care that is on par with international goodpractice where a developmental approach towards ageing as well as the new approach to ageingwhich requires that frail older persons remain in the community for as long as possible weretaken into consideration. This guideline also reflects the needs and addresses the realities ofolder persons in the community.At the same time with changing circumstances within the family structure, the Department isaware that there will always be those older persons who will need residential care due tocircumstances. Therefore, the 2% target group in frail care facilities is accommodated in the66 | 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
guideline as is the 3% of frail older persons in the community who will from Day Care servicesand Home Based Care Services. Hence the proposed model of care in South Africa is:1. Community Based Care And Support Services:There are two types of models for service delivery in a community, viz. Day Care and HomeBased Care Services. This guideline provides a framework for the development of an integratedsystem of community based care and support. This model refers to frail care services providedby a service centre or a frail care facility to frail older persons who live within the community.Older persons are taken to and from their homes daily.In Day Care older persons are provided with a variety of services covering the promotion andmaintenance of independent living and active ageing, i.e. promotion of a healthy life-style,physical exercises, prevention of continuous dependency, continuous care, i.e. hygiene,grooming, prevention of isolation / socialisation programmes, laundry, transport services,outreach programme for the home-bound older persons, provision of nutritious meals, provisionof safety and security, respite care, provision of assistive devices and an information centre forthe community. In addition, this model provides training of volunteer care workers and caregiversat home, and provisioning and monitoring of services rendered by community carers.The Home Based Care Model is a programme on the continuum of care level of service deliverytargeting the housebound older persons as a result of frailty. Services include: basic homenursing, management of pressure areas and dressing of bed sores, tidying up of the frailperson‟s room, training of family members with regard to caring for the frail older persons, doingshopping for basic needs of the person, counselling, laundry especially on items such asbandages, night dresses, bed linen if the family cannot do it, help with basic activities of livingthat may not have been mentioned, advice and support to clients and families.2. Residential FacilityThis is an institution that offers a 24-hour frail care service to frail older persons. Theseindividuals have been declared “frail” in terms of the DQ98. Residential services include 24-hourfrail care services to older persons, outreach services that are needed in the community wherethe residential facility is and / or a neighbouring community, training of volunteer caregivers whowill serve frail older persons, care and supervision services to older persons who are suffering67 | 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
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Final ReportAudit of Residential Fa
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4.5 Sustainability / Funding ......
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towards their conditions of employm
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The M&E role of the Department (whe
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6. With regard to management capaci
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14. Sharing, Learning and Networkin
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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 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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