Environmental Health: Old Age Home Requirements Social Services: Environmental Health

Introduction Accommodation Requirements Ablution Requirements Staff Facility Medical Waste Kitchen Requirements General Requirements Health Clearance Certificate

Legislation Older Persons Act, 2006 ( Act No. 13 of 2006) National environmental health norms and standards for premises and acceptable monitoring standards for environmental health practitioners, (Notice 1229 of 2015) Regulations governing general hygiene requirements for food premises, the transport of food and related matters (R638 of 2018) Norms and standards regarding the acceptable levels of service to older persons and service standards for residential facilities (No 33075 of 2010)

Accommodation Requirements

Structural Requirements Walls: brick, stone, concrete or other impervious material, plastered and brought to a smooth finish; and covered with a light coloured paint, adequate plastic finish or other approved material. Floors: concrete, hardwood or other durable material and brought to a smooth finish. Ceilings must be constructed to be: dust free, hard, smooth and washable surface. Rooms should be adequately and individually ventilated and illuminated. All windows in the rooms should be adequately protected or guarded to ensure the safety of service users. Heating facilities that are likely to emit offensive and harmful gases, fumes and odours are not allowed Proper signage must be available on the premises.

Cleaned daily and kept hygienic and free from offensive odours. Rooms Facility Categories Room Type Floor Space Other Space A: Independent Living B: Assisted Living Single 9 m² Wheel chair users 1.2 m² usable floor space Double 16 m² Ward 7.5 m² per resident 1.2 m² between beds (Unobstructed) C: Frail Care Frail care Max of 4 beds/ room, with 7.5 m² per bed Cleaned daily and kept hygienic and free from offensive odours.

Dining area, lounges/sun porches & passages/staircases The dining area must have a minimum floor space of at least 1.2m² for every service user. The lounge area or sun porches area have a minimum floor space of at least 1.5m² for every service user. All floor surfaces must be equipped with a non-slip surface, and all carpets, mats and other loose coverings should be suitably and securely secured to the floors and adequately illuminated. Corridors area of least 1.8m wide must be provided with a hand railing along the length of at least one wall. All corridors, staircases, steps and ramps must be adequately eliminated and fitted with effective ramps All steps must not be higher than 130mm or narrower than 355mm

Ablution Requirements

Ablution Facilities 1 Toilet & 1 Bath : 8 service users on the premises Where suitably adapted en-suite toilet and bathing/shower are provided in the user’s rooms, these rooms can be excluded from the calculation. The toilet facilities should be designed for use by one person at a time. Each service user must have access to toilet facility within close proximity of his/her private accommodation or where they are cared for. Additional toilet facilities must be provided, accessible and clearly marked next to the lounge and dining areas for use by service users. All toilets must be kept clean at all times; floors scrubbed and bowl cleaned and disinfected daily or as required

All bathrooms must be fitted with porcelain, enamel or cast iron enamel baths with a constant supply of cold and hot running potable water. Walls to be constructed of a smooth surface and be painted with a light coloured durable, washable paint. Toilet facilities must be adequately illuminated and ventilated. Every toilet facility must be equipped with an adequate flushing system and should be maintained in proper working condition. Floors should be covered with a non-slip, non-shining surface. Separate ablution facilities should be provided on the premises, for visitors. Adequate access & effective handgrips installed in bathrooms Bathrooms and toilets must all be designated for each sex.

Sluice Rooms Sluice rooms must have a minimum floor area of 7.5m² Minimum width of 2.5m. The sluice room must be well ventilated and illuminated. The rooms must be equipped with impervious shelves. Must be equipped with hand wash basin for washing of hands by staff and hot and cold running water

Hopper sink with a wash facility for bedpans/urinals. The wall area behind the hopper sinks and hand wash basins should be equipped with a back splash plate or should be tiled, to facilitate easy cleaning. Floors must be constructed of an easy cleanable surface. Separate storage space should be provided for urinalysis testing.

Staff Facility

Staff Facilities Work station for staff members must be equipped with hand wash basins, with a supply of cold and hot running water to prevent cross infection. Separate toilet facilities must be provided for staff members on the premises. Separate residential accommodation should be provided for staff required to reside on the premises. Adequate sleeping accommodation, toilet and hand wash facilities must be provided for the residential or domestic staff. Separate bathrooms and toilets must be provided for domestic and residential staff with a supply of hot and cold running water.

1 Toilet : 12 members of staff 1 Bathroom/Shower : 12 members of staff Every toilet facility must be equipped with an adequate flushing system and maintained in proper working condition. The bathrooms and toilets must be designated for each sex.

Medical Waste

Medical Waste: Generator-Transporter-Disposer Examination room IPWIS Registration Province Online application Approved service provider Sharps containers Medical waste box Bulk Lockable room Easy to clean

Examination Rooms A hand wash basin with a supply of cold and hot running water should be available in all examination rooms Floors should be constructed of a non-slippery floor to prevent accidental slipping Walls must be painted with a light coloured washable paint The room must be adequately equipped for first aid for emergency situations

Kitchen

Food Premise-R638 Application for a Certificate of Acceptability Require your ID Once obtained: Displayed to the public It is not transferable Building Person Unannounced regular inspections are conducted

Kitchen Requirements Ceiling, walls & floors: Smooth, easy to clean, dust free, non-toxic, impervious (water-proof), light colour Light covers All working surfaces: Easy to clean Impervious (water-proof) Rust-free Adequate ventilation & illuminations Mechanical ventilation

Wash-up facility with hot and cold water for cleaning Effective means of controlling & preventing pest Waste-water disposal system Hand washing facility: hot water, soap and hand drying equipment Refuse containers: waterproof, easy to clean, with close fitting lid Separate refuse room Hygienic storage facilities Separate changing area with storage facilities for clothes of workers Ablution facilities/Change rooms Cannot link directly into food production 15: 1 toilet: 1 urinal: 1 HWB (male) 15: 2 toilets: 1 HWB (women) Temperature control and monitoring Frozen: Less 18°C Chilled: less 4°C Heated: more 60°C Ensure good hygiene and housekeeping practices

Food Handlers Personal Protective Clothing Cover hear & feet Clean uniform Nails short & free of jewelry Adequate washing of hands timeously Not to handle food: Abscess, sores or cuts Suspected of suffering from or being a carrier of disease Hands & clothes not cleaned No smoking No spitting or licking Provide food safety and hygiene training

General Requirements

General Requirements Infection prevention control measures should be in place Maintenance, housekeeping and hygiene practice should be constantly implemented Adequate storage facilities Fire escape, fire equipment, evacuation plan and training Alternative electricity supply Alternative water supply First aid emergency equipment Vector control program Landry area Separate linen room, containing adequate cupboards or shelves Outside contractor is utilized for laundry purposes, it must be done in an approved laundry by a qualified or registered service provider.

Health Clearance Certificate

Obtaining a Health Clearance Certificate Have you obtained the following: Town Planning Approved building plans Fire Clearance Certificate of Acceptability Medical Waste is in Order All safety requirements and hygiene requirements are in place Health certificates must be renewed by an EHP: Re-registered In case of change of ownership; In the case of renovations/additions to the existing premises; and If the services moves from one premises to another

KellyX.Morkel@capetown.gov.za