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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 personsThe Department at all levels must have their respective roles and responsibilitiesclarified so that there is no blurring, overlap and duplication of activities addingunnecessary anxieties to home managers. For this to happen the Department muststreamline and adopt a more coordinated approach to its own operations moreeffectivelyThe 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)2. TransformationWhile 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 change80 | 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
Many 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 theBoard, management and staff, and transfer of skills from established organisations toemerging organisations. A few homes have started „twinning‟ with sub-economichomes in their areas but others have felt that they do not want to appear as imposingtheir help onto homes that need it. Instead they believe that the Department shouldfacilitate this process through their own needs assessment of a home and introducethe home that will assist, so that it is seen as a formal agreement and as part of theircapacity building programme.Government must look at supporting black people who apply to white homes andcannot afford to pay with the pension and government subsidy. There could be asliding scale developed to accommodate different categories of older persons in needof subsidised accommodation.While there is clearly difficulty in finding suitable, skilled individuals, a more stringentpolicy should be put in place targeted at Management levels with the primary aim ofmonitoring the recruitment of management and senior level staff as well as thestructure of the „mother bodies‟3. Intersectoral collaboration The challenge remains the collaboration of government departments with a view toensure mainstreaming of older persons in all programmes as well as the integration ofservices. This will promote optimum utilisation of resources.81 | 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
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office-bearers except as reasonable
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1.3 Process FollowedA number of oth
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This was recorded and submitted to
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The Population Reference Bureau est
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2.4.2 Proportion of women versus me
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Africans comprise 67, 7% of the pop
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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 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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