CALIBRATION OF THE PPTICRM: COMPONENT 5; Sub Components

CALIBRATION OF THE PPTICRM: COMPONENT 5; Sub Components

CALIBRATION OF THE PPTICRM: COMPONENT 5; Sub Components 18 - 20 DATE : 16 SEPTEMBER 2015 VENUE : BIRCHWOOD HOTEL PRESENTED BY : Ratsietsi MAKUA BACKGROUND STATE OF AFFAIRS BEFORE 1. Cleaning programs unavailable 2. Unavailability of tools of trade 3. Poor record keeping (i.r.o. evidence of training) 4. Poor M & E 5. No water reservoirs 6. No waste cages (lockable/controlled access) 7. SCM limitations 8. Insecure facilities/property/assets

9. Difficulties in obtaining SLAs (security/waste management) 10. No facility lay-out plans 11. Fire drills not periodically conducted 12. Delays with servicing of fire-fighting equipment SWOT ANALYSIS STRENGTHS WEAKNESSES OPPORTUNITIES THREATS District management commitment Structural limitations Willingness of staff to participate Lack of insight from staff re: processes Majority of facilities are in sound structural state

Lack of sustenance Supervision inadequacies Limitations with SCM processes (TAT) Partners support Community support Meaning collaboration with Local Municipality Acts of vandalism (Palisade fences stolen) Deviations from SLAs by companies (Waste Management/Security) Component 5: Support Services 5.1 Sub-Component 18: Hygiene & Cleanliness (Elements 126 131)

i) Sourced, TRAINED* and allocated EPWP volunteers to augment on the few existing F/T cleaners ii) Developed an: individualised action oriented & time specific cleaning programme, avoiding scheduling intense cleaning during peak times. iii) Regular in-service provided on cleaning techniques and adherence to IPC practices. iv) Consistent availability of tools of trade (scrubbing machines, applicators, polishes, sealants, brooms) v) M & E through actual inspections, walking the floors Excellent Service Clinic Cleaning programme for: MAKUA SR Period : 01 July 30 Sept 2015 TIME ACTIVITY

Damp dust emergency unit Clean and refill toilets* Refill water bottles Block A Office Cleaning Clean and refill toilets* Lunch Registry unit cleaning Intense cleaning of the toilets, waiting areas* 07h00 09:00 09:00 11:00 11:00 12:00 12:00 13:00 13:00 14:00 14:00 16:00 Signed: Supervisor Signed: Officer

: : _________________Date :_____________ _________________Date :_____________ Component 5: Support Services 5.1 Sub-Component 18: Hygiene & Cleanliness (Element 132) i) Water; basic commodity, Distr. Managements responsibility ii) Installed functional back-up reservoirs iii) Weekly monitoring of the reservoir: intact, water quantity & quality by ICR Champion(s) iv) Determined (min/max quantities) and then ordered and availed toilet papers, liquid hand-soap and paper towels.7

v) These consumables are made available in all areas (staff & patients alike) Component 5: Support Services 5.1 Sub-Component 18: Hygiene & Cleanliness (Element 132-134) i) Ordered & availed sanitary disposal bins with FUNCTIONAL LIDS in ALL APPROPRIATE AREAS ii) Ordered & availed general waste bins with FUNCTIONAL LIDS in ALL STRATEGIC AREAS Sanitary bins = Red Liner General bins = Black Liner iii) Emptying of both bins x 2dly OR when Full iv) M & E through actual inspections, walk the floors Component 5: Support Services

5.1 Sub-Component 18: Hygiene & Cleanliness (Element 135) i) Daily inspection of functionality of all toilets conducted. ii) Non-functional toilets were promptly demarcated as NOT WORKING- DO NOT USE iii) Engaged Plumber(s) to attend to nonfunctioning ablution facilities at once. Component 5: Support Services 5.1 Sub-Component 18: Hygiene & Cleanliness (Element 136-137) i) Sourced, TRAINED* and allocated EPWP volunteers to augment on the few existing F/T groundsmen ii) Developed an individualised, action & time specific grounds maintenance programme. iii) Provided an appropriate basic training on essential cleaning tasks and responsibilities.

iv) Conducted regular in-service training v) Ensured consistent availability of tools of trade vi) M & E through actual inspections. Component 5: Support Services 5.1 Sub-Component 18: Hygiene & Cleanliness (Element 138-140) i) Designated x 2 access controlled waste storage areas. ii) Obtained & communicated SOPs x both to staff iii) Trained staff on waste segregation iv) Infection Prevention & Control team inspected for compliance. v) Obtained and enforced SLA with serv. providers. Component 5: Support Services 5.1 Sub-Component 19: Security (Element 141-144)

i) Requested installation of SAPS compliant perimeter fencing through district infrastructure manager. ii) Spec included separate gates as well iii) Fortnight inspections conducted with security. iv) Recorded, reported and acted on gaps. Component 5: Support Services 5.1 Sub-Component 19: Security (Element 145) i) Signed security SLA was made available. ii) Contents made clearly understandable to managers. The latter are able to elaborate on what is covered. iii) Facility & security personnel to equally have insight.. iv) Safety & Security remains standing items during periodical facility meetings: Challenges Specific

Measurable SMART Resp person Name &/or designation Time frame Specific Remarks Post set time frame v) Role players made aware of what is expected from them Component 5: Support Services

5.1 Sub-Component 19: Security (Element 146) i) FUNCTIONAL sec equip were made available as per SLA Dual responsibility: DISTRICT/SUB/FACILITY Gun Safe Table & Chairs Bathrooms Telephone Adequate lighting PROVIDER Torch (with spare batteries) Handcuffs Baton Pepper spray???

ii) Periodical inspection record & report deficiencies corrective action escalate if non-compliant still. Component 5: Support Services 5.1 Sub-Component 19: Security (Element 147) i) ii) Prohibited items are declared, logged in controlled register & kept in lockable safe. iii) Client keeps key. iv) Periodical inspection record & report deficiencies corrective action escalate if non-compliant still. Component 5: Support Services 5.1 Sub-Component 20: Disaster Management (Element 148) i)

Certificates of compliance obtained (issued by local municipality after inspecting the facilitys compliance status) ii) iii) Districts supplied facilities with fire fighting SLA including maintenance. Service provider as per SLA are reminded in advance of the next service date Immediate refilling once used. iv) 5.1 i) ii) iii)

iv) v) Component 5: Support Services Sub-Component 20: Disaster Management (Element 149-150) Realistic /practical evacuation plan according to facilitys layout plan conducted. Insight shared with staff re: what evacuation drill entails. Then, anonymous drills, at least yearly conducted. NB! During drills, care is exercised NOT TO COMPROMISE patient care. Shortcomings and remedial action(s) noted and implemented PROMPTLY respectivelyImportant not to postpone/delay. Challenges Measurable Resp person

Time frame Remarks Specific SMART Name &/or designation Specific Post set time frame vi) Drills re-run, depending on the severity of shortcomings identified.

Component 5: Support Services 5.1 i) ii) iii) iv) Sub-Component 20: Disaster Management (Element 151-152) District/Sub-District to provided outbreak/disaster plan detailing the following: Disaster/outbreak response team role players Clear functions of each role player Contact details

Then, schedule facility outbreak response plan with staff bi-annually Each role player assisted to understand their responsibilities.competency required here Necessary equipment made available with very distinct labels RECOMENDATIONS 1. Actual monitoring &/or evaluation MUST be conducted supervision by walking the plant. 2. All good practices, initiatives and/or achievements MUST be maintained. 3. Apply Management with Consequences principle where there are deviations, especially on areas that are reasonable for an Operational Manager to execute. 4. District Management to continually support facilities. Component 5: Support Services THANK YOU

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