Rustenburg Retirement Estate

Rustenburg Retirement Estate

Geagte Leser A rede? A ree Oord of eie huis? A rede moet sorgvry wees daarom die volgende belangrike oorwegings en vrae. Ons redeneer almal ons is nog te jonk vir a rede en as jy nog baie jonk is, dink jy nie eers aan a rede in die toekoms nie. Die nou en hede is belangriker en a rede lê nog ver in die toekoms. Ona anklikheid is belangrik en baie keer hoor ons dat ons net nie a anklik van die kinders wil wees nie. Daarom is dit belangrik om 'n ingeligte besluit te neem terwyl jy nog ona anlik is - nuwe vriende kan maak en aan al die ak witeite kan deelneem. A rede vir die person van 50 jaar en ouer moet 'n verrrykende en betekenisvolle ervaring wees wat in jou behoe es vir 'n sorgvrye a rede voldoen. Gedurende 2010 is Casa Valde A ree Landgoed begin met die doel en die visie om 'n ''nuwe era'' a ree oord in Rustenburg te ves g. Casa Valde staan bekend vir sy geloofwaardigheid, integriteit en krea witeit, asook diep gewortelde familie waardes. Verder is die doel om te verseker dat daar groei, stabiliteit en sukses in elke fase wat aangepak word, sal wees. Hierdie oord is beplan met die oog om aan die behoe es van 'n niche mark te voldoen en aan elke koper die geleentheid te bied om sy individualiteit en uniekhied te behou. Casa Valde is 'n besondere plek nie 'n ouetehuis of net nog 'n a ree oord nie dis 'n leefstyl ontwikkeling wat die behoe es ontmoet van mense wat oor beweeg van die werksomgewing na 'n meer rus ge nuwe fase/era van hulle lewens. Casa Valde het oor die afgelope vier jaar gegroei tot 'n hegte gemeenskap met bepaalde gemeenskaplike waardes. ''Lock up and go'' is die gedagte wat 'n werklikheid geword het sorgvrye dae, familie kuiers, vakansies en 'n plek waar jy veilig voel en waar die kleinkinders by oupa en ouma kan kom baljaar En ons noem dit Casa Valde Die Oord word deur 'n toegewyde bestuurspan bestuur, om aan die einde van die dag te verseker dat daar aan die inwoners se verwag nge voldoen word, dat sy/haar belegging beskerm word. Streng voorskri e met betrekking tot die bestuur en beleid van die Oord word gevolg. Casa Valde A ree Landgoed bestaan uit twee fase e die landgoed gedeelte en die ''assisted living'' versorgings fase Hierdie fase konsentreer hoofsaaklik op die bejaarde persoon wat reeds sekere versorging nodig het, asook die ontwikkeling van 'n volwaardige siekeboeg, soos wat die ontwikkeling groei. Casa Valde A ree Landgoed Hierdie gedeelte bestaan uit drie fases waarvan die eerste fase reeds uitverkoop is. Fase twee is reeds 50 present uitverkoop en die derde fase se beplanning behoort teen Augustus 2014 gefinaliseer te wees. Potensiele kopers kan reeds 'n plek in die fase bespreek. Die ontwikkeling bestaan uit 'n totaal van ongeveer 130 twee en drie slaapkamer deel tel eenhede van verskillende grootes en ontwerp. Hierdie oord is beplan met die oog om aan die behoe es van 'n niche mark te voldoen en aan elke koper die geleentheid te bied om sy individualiteit en uniekhied te behou. Die argitektuur spreek van self en is met kundigheid en sorg oorweeg om aan die koper iets besonders te bied. Rustenburg Re rement and Frail Care Village (Assisted Living) Hierdie gedeelte is gerig op die persoon wat reeds versorging nodig en is 'n lewensreg ontwikkeling. Die ontwikkelling bestaan uit een en twee slaapkamer eenhede waarvan die eerste twee voltooi is. Die ontwerp en styl sluit aan by die landgoed om 'n este ese en harmonieuse eenheid te skep. Daar is in die huidige fase nog net agt eenhede teen 'n spesiale prys beskikbaar vir 'n beperkte tyd. Casa Care Services Casa Care Services is 'n ona anlike maatskappy wat al die versorgingsdienste aan die Oord lewer. Casa Care word bestuur deur suster Ineze e Engelbrecht en word bygestaan deur 'n span gekwalifiseerde personeel. Alle fase e van versorging is beskikbaar en word dienooreenkoms g die behoe es van die persoon beplan en bestuur. Ingesluit by die heffing is die basiese of eerste vlak versorging wat konsentreer op ondersteuning en ak ewe veroudering. Elke eenheid word ook toegerus met 'n nood kommunikasiestelsel vir gemoedsrus. Vir enige navrae kontak Basie 083 950 5738 of Annelize 082 553 4098

CASA CARE SERVICES Pr No. 088 000 0036765 A GUIDELINE OF SERVICES TO RESIDENTS IN & Casa Valde Rustenburg Life Style Retirement Village BY CASA CARE NURSING SERVICES Guidelines adopted from Syd Eckley, Help Seniors 2013

Services to Residents in Retirement Villages Why a Guideline? To inform residents and managements of retirement villages of the different service levels and requirements as spelled out in the Act on Older Persons No. 13 of 2006. 1. Overall Purpose of Care and Support Services To ensure that all residents are able to function independently and self sufficiently for as long as possible and would be entitled to receive a full spectrum of care and support services in accordance to their needs, social norms and financial means. Why is so much emphasis placed on the responsibility to maintain functional independence and the prevention of premature frailty, disability and dependency? Ageing is a normal phase of life it is not an illness. In order to deal with the effects of ageing, also called the time of losses, medical interventions are fast becoming irrelevant and too costly. Research findings have proved over and over that your life style, the environment you live in, habits and a positive attitude to life determines how you age, not so much your inherited genes. Prevention is the best medicine. This age old saying is regarded as the way to go. In modern terminology it simply means to manage your ageing process. Fundamental to age management is to understand and manage risks. This actually means to know and understand your risks: health, social, financial, environmental, spiritual. Once you have done this you will be able to make the right decisions in respect of how you live your senior years. To be able to finish well is the most important ideal to strive for. To be able to finish life s journey successfully will require you to keep on growing, learning serving, striving, working until you just fade away. With extended life expectancy longer than any generation before, comes the added responsibility to reconsider your perception, attitude towards life, people and age. This means that older persons need to live in such a way that they will earn the longer years. Financial sustainability is the key factor as people grow older. Therefore residents must be able to always afford the services delivered. What are some of the key factors effecting ageing in South Africa and the world today? Almost all older persons prefer to age-in-place. That means to age where you live. The vast majority of older persons want to be cared for in their own homes, amongst family and friends. In the old days, old age homes were the ultimate destination. Medical aid schemes are under enormous pressure to maintain benefits in the face that less and less younger persons join these schemes. High acute level s of medical intervention are slowly killing the Medical Aid Industry. It is estimated that older persons absorbs 30% of all their total contributions over the period they belonged to a medical aid scheme, during the last six months of their lives. In the same instance quality frail and terminal care has become scarcer and more expensive. In the last 10 years frail care has doubled in cost. Many cannot afford these services. Family as a support network is, in most cases, not providing a sustainable and long-term option for older persons in need of care and support.

2 Only 6% of retirees in South Africa have saved enough money to be able to retire financially independent. For the rest careful financial management is required. For residents in capital growth retirement villages it is an added benefit to earn a second pension income stream which can be used in subsidising high cost care later. Government has made no provision for capital funding for the establishment of accommodation and care of older persons. Only limited subsidies for sub-economic persons are available. In conclusion, care and worry-free retirement have become scarce commodities. The emphasis as spelled out in the new act is that services should primarily focus on prevention, self care and support to be delivered in accordance to needs and affordab ility, preferably in their own homes. 2. General Requirements in respect to Services All villages must comply with Act 65/88 (Housing Develop Schemes Act for Retired Persons) and/or other legislation i.e. Section Titles Act or Companies Act. All services to older persons must comply with the Act on Older Persons No. 13 of 2006 and Regulations which means: The facility must be registered this means the Management Association or Body Corporate or Home Owners Association or Board of Directors must register the facility with the Department of Social Development. The specific services must be registered only accredited service providers will be allowed to operate. The management of the village and/or developer must appoint the service provider or the management of the village may decide to deliver the service themselves. Compliance with National Norms and Standards set by the Department of Social Development. Compliance with the National Abuse Protocol. Consultative structures to be in place in each village (in respect to life right that a management association is operational as required by Act 65 of 1988). Residents must have a direct say in the management of the village, including the right to access information pertaining to the service. In full- or sectional title schemes such structures (legal person) are in place. In share block developments a board of directors are elected by the shareholders. Access to services through qualified and registered health and social care practitioners. Active Ageing Programs are seen as critical. Professional assessment, monitoring and evaluation of the resident s activities of daily living, dependency (risks), health status and social life in order to determine the level of care and support required. Trustees or Boards of Directors will be required to accept responsibility to ensure that residents live in a safe and supportive environment. 3. Care and Support Service Levels In Chapter 3 and 4 of Act 13/06 the different levels of care and support are described. 3.1 Level One: Prevention and Promotion What does it entail? Promote Active Ageing (prevent premature frailty, dependency and live active and involved lives). Sustain functional activities maintain independence. Actively prevent premature frailty and/or disability.

3 Promote sustained wellness. Promote intergenerational socialisation. Provide information. Education and training. Crises call service ER or through an internal system. Types of Services under Level One: Monitoring of: Health status blood pressure, cholesterol and sugar levels Medication Nutritional Status Social functioning Hygiene Mobility The above may include short term intervention actions like treatment of wounds, injections, podiatry, catheter care management, social counseling, and referral to professional services Promote Active Ageing Programs including Individual age management plans Healthy lifestyles Prevent dependency i.e. falls, Alzheimer s disease, social isolation, chronic illness. Active living: exercises and sport Education and training Second and third career development Organise self-help programs for residents to support each other visiting, support, socialisation etc. Volunteer programs: internal and external outreach services. Except for the professional services of a nursing sister and caregivers, backed by other professional input i.e. social work, physiotherapy, occupational therapy etc. the bulk of the services can be rendered by residents themselves. The service specifications. Two models are presently in operation: a) A comprehensive model (the full monty) where a full time nursing sister and assistants (one or more) provide a daily service at a clinic and regular and call-out visits to housing units. Calculation details: Such a full service cost will be calculated at + 75 minutes per resident per month plus 25 minutes i.r.o. administratio n, supervision and training. The number of staff will impact on the cost. b) A limited service model will utilize part time professional staff on certain days of the week. This service can include one visit to the clinic once per week and one visit to the housing unit per month by the nursing staff. Calculation details: The number of service hours are calculated at 50 m inutes maximum per resident per per month, plus 20 minutes for administration, supervision and training. For villages with less than 100 residents, the number of service minutes can be decreased.

c) Additional services: Both models must make provision that additional services can be delivered on request by residents and paid for by the respective r esident. The cost of such service procedures will be in accordance to reigning nursing practice specifications. 3.2 Level Two: Assisted Living What does it entail? This is an interim level of care is designed to cater for the needs of persons who are progressively becoming frail. The service is n ormally rendered over shorter or longer periods of time. This service includes all components under Prevention and Promotion plus the following services: Meals Home help (cleaning) Home care (normally for short periods of time) Transport Physiotherapy, social counseling, life coaching etc. Referral to other professional services Respite care Please note that villages do not need to maintain a staff complement for assisted living. The key word is to have a service provider at hand. The Assisted Living Package The following factors are required: Level One service remains intact. All assisted living services are requested the by account. Cost of Assisted Living 4 resident and are for his/her a) Specific procedures according to the tariff list for such practice will apply. b) Costs are calculated i.r.o. care giving at an hourly rate of + R25. In most cases a shift will consist of FOUR hours. 3.3 Level Three: Home Based Care What does it entail? This level of care is designed for persons who experience more permanent dependency and frailty. Normally these persons need assistance with bathing, dressing, grooming, feeding, walking, shopping etc. Levels One and Two Services form the baseline of Home Based Care plus: Home based care is normally rendered in shifts. This includes a full array of services as under Level Two as well as: Bathing Dressing Grooming Preparing meals Feeding Basic personal hygiene Respite care

Domestic Walking Socialization Laundry Medication Making bed Home based care must be provided by registered caregivers. Caregivers will be registered with the Department of Social Development. Regular evaluation of health and social status is required and ongoing evaluation nursing by a professional. A home based care service need to be individualized. In villages these services are either rendered internally or contracted out to service providers. 5 It is important to know that caregivers work in shifts of ± 4-12 hours. The practice to have a domestic worker to act as a caregiver and live with the resident will not be allowed in future. Care giving by family members is not included under the above. As in the case of Assisted Living the focus is to ensure access to home based care. Home based care package As with assisted living, the individual resident requests a service and is responsible to pay for the service The village sister will continue to serve the resident in terms of service level one. Cost of home based care The normal hourly tariff will be + R25 per hour. Based on the level and extend of frailty, the shifts may be between 4 24 hours per day. On Sundays the tariff will be 1.5 x the normal shift and public holidays 2 x normal shift tariffs. The tariffs will be adjusted from time to time as prescribed by law. Home base care can be for shorter or longer periods. Note: It must be noted that Level One to Three must always take in account the legitimate and confirm needs of residents and that the different levels may be combined. 4. Responsibilities of the Boards of Trustees in respect to Act 13/06 The following are important: Village must have an Age Management Plan. This plan is l ike a strategic document that spells out the priorities and objectives o be achieved. A booklet on the particular village, its identity, character, rules and services can be helpful. The Body Corporate is required to register the facility with the Department of Social Development. (Casa Care will assist the Body Corporate in the process.) The Care and Support Service Plan need to be designed to fit the needs and priorities of residents. (See attachment Casa Care nursing services Vision and Mission) A Service Provider need to be appointed. A SLA (Service Level Agreement) must be entered into between the Body Corporate and Service Provider. Taking responsibility and creating an Ubuntu culture in the village where residents can take responsibility for one another.

6 In sum: A village that does not deliver or make provision for any services from Level One to Three, need only to register the facility. It is important for Trustees to understand the key elements of Act 13/06 To make a decision in respect to the Care and Support Plan for their Village To register the facility To appoint a Service Provider. 5. Administrative Requirements of all Services The following need to be noted: A file in respect of all residents in receipt of services and living in a village is required. An individualized Age management Plan. Completion of registers as required by law: incidents, (falls, pressure sores, and wounds) abuse, medication and distrainment. Regular recording of all visits, contacts, interventions, monitoring data and evaluation by care professionals. Ongoing service reports to recipients of services, family and the trustees. This includes regular contact with family to ensure continued involvement and support. Act No. 13 of 2006 is expected to be implemented as from 1 Ju ly 2009. All Villages will be given one year to comply with the requirements. NOTE: Terms & Conditions Apply.