Monitoring Survey for Mental Health Care Facilities Step 1 of 13 7% A. CENTRE DETAILSSelect Province*Eastern CapeFree StateGautengKwa-Zulu NatalLimpopoMpumalangaNorthern CapeNorth WestWestern Cape1. Name of Facility (Eastern Cape)Elizabeth Donkin Psychiatric HospitalFort England Psychiatric HospitalKomani Psychiatric HospitalTower Psychiatric HospitalEast London Mental Health UnitMthata Mental Health UnitDora Nginza Mental Health UnitOther1. Name of Facility (Free State)Free State Psychiatric ComplexMental Health Unit in MMM HospitalMental Health Unit Unit in Boitumelo HospitalOther1. Name of Facility (Gauteng)Sterkfontein Psychiatric HospitalTara Psychiatric HospitalWeskopies Psychiatric HospitalCullinan Care and Rehabilitation CenterMental Health Unit in Dr. George Mukhari HospitalMental Health Unit in Helen Joseph HospitalMental Health Unit in Charlotte Maxeke HospitalMental Health Unit in Kopanong HospitalMental HealthUnit in Leratong HospitalMental Health Unit in Thelle Mogoerane HospitalMental Health Unit in Tembisa HospitalMental Health Unit in Chris Hani BaragwanathMental Health Unit in Steve Biko HospitalOther1. Name of Facility (Kwa-Zulu Natal)Ekuhlengeni HospitalFort Nappier HospitalTownhill HospitalUmngeni HospitalUmzimkhulu HospitalMental Health Unit in King Dinuzulu HospitalMental Health Unit in Ladysmith HospitalMental Health Unit in Port Shepston HospitalMental Health Unit in Madadeni HospitalMental Health Unit in Ngwelezane HospitalOther1. Name of Facility (Limpopo)Evuxakeni HospitalHayani HospitalThabamopo HospitalMental Health Unit in Donald Fraiser HospitalMental HealthUnit in Elim HospitalMental Health Unit in Letaba HospitalMental Health Unit in Malamulele HospitalMental Health Unit in Mankweng HospitalMental Health Unit in Matlala HospitalMental Health Unit in Nkhensani HospitalMental Health Unit in Siloam HospitalOther1. Name of Facility (Mpumalanga)Mental Health Unit in Rob Ferreira HospitalMental Health Unit Unit in Ermelo HospitalMental Health Unit in Tintswalo HospitalOther1. Name of Facility (Northern Cape)Kimberly Mental Health HospitalDr Harry Surtie HospitalOther1. Name of Facility (North West)Bophelong Psychiatric HospitalWitrand Psychiatric HospitalMental Health Unit in Taung Hospital (Ward B)Mental Health Unit in Job Shimankane Tabane HospitalOther1. Name of Facility (Western Cape)Lentegeur Psychiatric HospitalStikland Psychiatric HospitalValkenberg Psychiatric HospitalAlexandra Hospital Care and Rehabilitation HospitalMental Health Unit in Worcester HopsitalMental Health Unit at Paarl HospitalMental Health Unit in George HospitalRed Cross Therapeutic Learning CentreMental Health Unit in Tygerberg HospitalMental Health Unit in Groote Schuur HospitalMental Health Unit in Khayelitsha HospitalOther1. A) Other Facility1. B) Facility address: Street Address Address Line 2 City State / Province / Region 2. Is the facility publicly or privately managed*PublicPrivate3. Date of Visit:* Date Format: MM slash DD slash YYYY 4. Time of Visit:* : HH MM 5. Name of Interviewer:* First Last 6. Interviewer Position*Human Rights MonitorHuman Rights OfficerNPM ResearcherHead of NPMCommissionerOther7. Was the visit announced or unannounced?*AnnouncedUnannounced8. Did you experience any challenges in gaining access to the centre?*YesNo9. If yes, describe the challenges experienced10. Facility provides services for: (tick one or several boxes as appropriate):* Adults Children The Elderly Alcohol Abuse Substance Abuse Mental Health Neurological Health Intellectual health disabilities Other 10. A) Please Specify (Other) B. OFFICIALS11. Who is the institutional manager or Acting institutional manager at the time of the visit*12. Which officials from the centre accompanied you on the visit*12. B) Centre manager contact details* Phone Email 13. What is the total number of staff working at the facility at the time of the visit*(Including staff who are off duty, on sick leave, annual leave or any other special leave of absence?)14. What is the approved post establishment for the staff working at the facility*15. Total staff currently employed at the time of the visit*16. What is the official staff-to-patient ratio at the facility at the time of the visit?*15. What are the different professions of staff employed at the facility? (This can include medical doctors, psychologists, psychiatrists etc.)*16. Does the facility have an adequate staff compliment?*YesNo17. If no, how many staff does the facility require?18. Are there any vacancies or frozen positions at the facility?*YesNo19. If yes, please elaborate on your observations. (Is there a recruitment plan in place and have the positions been advertised etc.)20. Have security officials at the facility been provided with training or sensitisation on how to work with mental health care users?*YesNo21. If no, please elaborate on your observations. C. MENTAL HEALTH CARE USERS22. Does the facility cater for users who have been sentenced in terms of the criminal procedures act (state Patients and observandee)*YesNo23. If yes, what is the number of state patients at the facilityMaleFemaleJuvenile MaleJuvenile FemaleTotal24. If yes, are state patients housed separately from other users for theirs or other user’s safety?*YesNo25. Please elaborate on your observations26. What is the number of voluntary users at the facility*(A mental health care user who submits voluntarily to a health establishment for care, treatment and rehabilitation services)MaleFemaleJuvenile MaleJuvenile FemaleTotal27. What is the number of involuntary users at the facility*(A mental care user who is at the facility through an application for involuntary care, treatment and rehabilitation services made by a spouse, next of kin, partner, associate, parent or guardian)MaleFemaleJuvenile MaleJuvenile FemaleTotal28. What is the total number of users at the facility at the time of the visit*MaleFemaleJuvenile MaleJuvenile FemaleTotal29. What is the approved bed space at the facility*MaleFemaleJuvenile MaleJuvenile FemaleTotal30. Are there any users with disabilities at the facility at the time of the visit?*YesNo31. If yes, how manyMaleFemaleJuvenile MaleJuvenile FemaleTotal32. What are the categories of disabilities33. Are there any users who are foreign nationals at the facility at the time of the visit?*YesNo34. If yes, how many?MaleFemaleJuvenile MaleJuvenile FemaleTotal D. FACILITY INFRASTRUCTURE35. Does the facility have close circuit television cameras?YesNo36. If yes, are the close circuit television cameras workingYesNo37. If no, please elaborate on your observations?38. Does the facility have body scanners?*YesNo39. If no, what procedures are in place to ensure that users and/or visitors do not bring prohibited items into the facility40. If yes, are the body scanners working?YesNo41. If no, please elaborate on your observations.42. Does the facility have hand rails including inside toilets for users living with disabilities?*YesNo43. Is the facility wheelchair accessible?*YesNo44. Are there fully operational elevators at the facility?*YesNo45. If no, please elaborate on your observations E. ACCOMMODATION46. Does the facility have adequate sleeping quarters for users?*YesNo47. Please elaborate on your observations.48. Are the sleeping quarters separated by gender?*YesNo48. A) Please eloborate on your observations49. Are the sleeping quarters separated by age?*YesNo49. A) Please eloborate on your observations50. Are the sleeping quarters separated by Acuity & Risk Level?*YesNo50. A) Please eloborate on your observations F. KITCHEN AND DINING AREA51. Does the facility have a kitchen?*YesNo52. If no, please elaborate on your observations53. Are all the cooking equipment working?*YesNo54. If the answer is no, please elaborate on your observations55. Are users served meals according to a prescribed meal plan?*YesNo56. If no, please elaborate on your observations.57. At what time of the day are users served meals*BreakfastLunchDinnerOther58. Are religious and therapeutic diets provided for?*YesNo59. Please elaborate on your observations.60. Was the kitchen clean at the time of the visit?*YesNo61. If no, please elaborate on your observations.62. Does the kitchen have a certificate of acceptability for food premises at the time of the visit*YesNo62. A) Please upload an image of the certificate63. If no, please elaborate on your observations64. Does the kitchen have UV light fly traps at the time of the visit*YesNo64. A) Are the UV light fly traps operational?YesNo65. If no, please elaborate on your observations.66. How are meals served to each category of users each day? (E.g., bed ridden user, able bodied users etc.).* G. HYGIENE AND SANITATION67. Do users have access to adequate clean portable water within the facility*YesNo68. If no, please elaborate on your observations.69. Are bathing and ablution facilities suitable for users?*YesNo70. Please elaborate on your observations.71. Do the bathing and toilets facilities cater for people with disabilities?*YesNo72. Are the bathing and toilet needs of users who are bedridden or who have impaired mobility adequately accommodated?*YesNo73. Please elaborate on your observations.74. Is both hot and cold water available for users?*YesNo75. If no, please elaborate on your observations.76. What are your overall observations about the physical structure of the building?*(Is the building in a suitable state to be used for occupation by people suffering from mental health? are roofs leaking, is the facility clean, is the building ventilated, is there sufficient lighting and heating etc) H. PROGRAMMES & RECREATIONAL FACILITIES 77. Does the facility have recreational facilities for MHCUs?*YesNo78. Please elaborate on your observations79. Does the facility have educational programmes which cater for MHCUs?*YesNo80. Please elaborate on your observations I. DISCIPLINARY MEASURES & USE OF FORCE 81. Does the facility have behavioral interventions, medication adjustments, de-escalation procedures in place?*YesNo82. Please elaborate on your observations83. Does the facility make us of isolation as means of punishment/discipline?*YesNo84. Does the facility have designated seclusion rooms?*YesNo85. If yes, How many86. Please elaborate on your observations87. Are seclusion incidents documented*YesNo88. Are seclusion rooms monitored continuously*YesNo89. Does the facility make us of restraints (physical or chemical) on MHCUs?*YesNo90. Is the restraints authorised by a medical practitioner*YesNo90. A) Please elaborate on your observations*91. Is the use of restraints documented*YesNo92. Please elaborate on your observations93. Does the facility have protocols on the use of force and what constitutes the excessive use of force?*YesNo94. Please elaborate on your observations95. Are security officials at the centre provided with training on how to work with MHCUs?*YesNo96. Please elaborate on your observations97. In which situations would security officials be required to assist with MHCUs at the facility?* J. HEALTHCARE SERVICES98. Does the facility have access to enough dispensable medication available to cater for the medical wellbeing of users? (This includes pills, injections or being transferred to a referral institution for users that require additional medical attention)*YesNo99. If no, please elaborate on your observations.100. Does the facility have access to suitable and equipped vehicles to transport users to and from referral institutions?*YesNo101. If no, please elaborate on your observations.102. Is the medication stored and secured in a suitable environment for medication within the facility?*YesNo103. Please elaborate on your observations.104. Does the facility have consultation rooms?*YesNo105 If no, please elaborate on your observations.106. If yes, are the consultation rooms private and secluded?YesNo107. Are the consulting doctors or nurses registered with a relevant professional body?*YesNo108. If no, please elaborate on your observations.109. In instances when the facility is unable to provide treatment for users, what do staff do to find and access necessary medical services for users?*110. What intervention procedures are in place for the prevention and/or treatment of sexually transmitted diseases, communicable diseases, suicide, self-harm, substance abuse etc*111. Does the facility have a procedure for the documentation of injuries or medical complaints by MHCUs (including mental and psychological complaints)?*YesNo111. A) Please eloborate on your observations* K. REPORTING MECHANISMS AND REPORTABLE INCIDENTS112. Does the facility have a reporting process in place, through which users can report cases of abuse or neglect?*YesNo113. Please elaborate on your observations.114. Does the facility have any measures in place to prevent the abuse and/or neglect of users by staff?*YesNo115. Please elaborate on your observations.116. Have there been any deaths at the facility in the past 2 years?*YesNo117. If yes, how many?118. What were the causes of the deaths119. Have there been any escapes in the past 2 years*YesNo120. If yes, how many?121. What were the circumstances that led to the escapes122. Have there been any patient staff incidents (PSIs) in the past 2 years*YesNo123. If yes, how many124. What was the nature of the PSIs L. BASIC NEEDS125. Are users provided with clothes by the facility?*YesNo126. Please elaborate on your observations. (What kind of clothing and how many clothing items etc)127. Are users provided with gender suitable clothing?*YesNo128. Please elaborate on your observations.129. Are the clothes weather appropriate? (This means jerseys in winter, shorts in summer etc.)*YesNo130. Please elaborate on your observations.131. Are users provided with toiletries?*YesNo132. Please elaborate on your observations. M. VISITATIONS133. Are users allowed to receive visitors at the facility?*YesNo134. If yes, how often, and for how long are users able to receive visits? By Admin50|2026-09-03T18:34:47+02:00July 24th, 2026|2026|0 Comments Share This Story, Choose Your Platform! FacebookTwitterRedditLinkedInWhatsAppTumblrPinterestVkEmail Leave A Comment Cancel replyComment Save my name, email, and website in this browser for the next time I comment.
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