Dementia Care for Older Persons in Residential Facilities 2 October 2018

Registration, Licencing and Legal Compliance A) Registration with Department of Social Development as a Residential care facility for Older Persons Health Norms/Standards for residential facilities for Older Persons dated July 2015 National Norms and Standards regarding the acceptable levels of service for Older Persons and service standards for Residential Facilities as in the Government Gazette April 1, 2010, No. 33075 Guidelines available from Mrs. Debra Fortuin (Debra.Fortuin@westerncape.gov.za)

B) Application for a licence as a Community facility as provided in Regulation 1467, 43 (1) of the Mental Health Care Act, (17 of 2002) Department of Health, Mental Health Care Act 2002 (Act 17 of 2002)-General regulations relating to the Mental Health Care Act, 2002: Amendment to Regulation 43 By the substitution of subregulation (1) of the following subregulation “(1) Any service (not directly run under the auspices of an organ of State and) which is not a designated psychiatric hospital or care and rehabilitation centre, but which provides residential care or day-care facilities for 5 people or more with mental disorders, must in terms of the Act-” Guidelines from Ms Morenza Malan ‘Tel: 021 483 8431 Morenza.Malan@westerncape.gov.za

C) Dementia Friendly Facility C1 Service Offering Admission criteria Service Level Agreement Expectation

C2: Layout of the facility Access control Some general principals Dementia friendly garden

C3: Importance of trained staff Understand dementia Management of challenging behaviour Participate in activities

C4: Know your resident Comprehensive health assessment Life history Occupational Therapist’s functional assessment Psycho-social activities programme and therapy

Touching our emotion and spirit As we become more emotional and less cognitive, it’s the way you talk to us, not what you say, that we will remember. We know the feeling, but don’t know the plot. Your smile, your laugh and your touch are what we will connect with. Empathy heals. Just love us as we are. We’re still here, in emotion and spirit, if only you could find us. Christine Bryden 2005