All residents are required to register at the Wellness Centre as you would with any general practitioner to obtain access to the services offered. A registration document is available at the Wellness Centre and must be completed in full to gain access to the healthcare services.

The service involves the management of the health status of all residents in a proactive manner to maximise health outcomes and quality of life. The emphasis is to encourage an independent healthy lifestyle for as long as possible in the comfort of your home and includes the following:

• Regular home visits to all residents to evaluate their general health and wellbeing and to implement preventative measures where and when needed,
• Annual health screening of all residents,
• Pre-screening of prospective new residents,
• Availability of basic medical procedures as per doctor's prescription such as administering medication, wound care etc. during clinic hours,
• Daily (weekdays only) monitoring of blood pressure, blood glucose,
• Referral to a medical specialist,
• Access to staff on site twenty-four hours a day for emergency support and assistance,
• The availability of additional supportive and ad hoc service on site on a fee for service basis.

Care services excluded from the Primary Healthcare Services:

Services excluded, but that can be arranged are:

• Services to assist with activities of daily living (eg. bathing)
• Home-based care services,
• Medical procedures within the scope of practice of the Registered Nurse on duty outside normal clinic hours.
• Managed Home Nursing Services by arrangement.
• Preventative Measures that may include but are not limited to, walking devices, Occupational Therapy and Physiotherapy to reduce fall risks etc.

The cost of the additional services is determined on an individual-needs basis and can be requested from the Wellness Care Manager. All residents residing within the estate will automatically be eligible for a 1O% discount on the standard Medwell SA Home Based Care Service Rates.

“Assistive and Support Services" means non-medical care and nursing that is provided to a person (or couple) in that person's Residential Unit to assist with activities of daily living and enhance the independent living of that person.

The assistive and supportive services can be provided on a long – or short-term basis and include assistance to residents post-operatively or after serious illness. These services can include a combination of a variety of daily and/or ad hoc supportive services to enable a resident to maintain their independence for as long as possible before implementing Home-based Care Services or before being admitted to a specialist care facility, such as an Alzheimer's facility.

Services include but are not limited to:

• Personal care service assisting a resident to shower/bath, dress and make their bed daily.
• Assistance whilst taking a daily walk or exercising.
• The administration and procurement of medication for residents to ensure scripts are kept up to date, renewed on time and medication is delivered to the resident.
• Medical ad hoc procedures such as, wound care, catheterisation, nebulisation etc.
• Assistance with incontinence care.
• Daily procedures and monitoring of vital signs etc.
• Daily check in's.

All these mentioned services will be provided by staff permanently appointed by Meclwell SA. All fees will be determined in association with the Body Corporate and will be invoiced to the resident by Medwell SA. ln all cases, residents will be required to enter into a separate service agreernent with Medwell SA for services rendered and the cost will be recovered by Medwell SA. A list of services and associated prices will be made available and distributed to residents on an annual basis subject to the approval of the Body Corporate.

"Home-Based Care Services" means all services rendered by Medwell SA to persons in need of care in that person's Residential Unit from time to time.

A care worker is allocated on a one-to-one basis to provide care and includes continuous daily care from six (6) hours up to twenty-four (24)

hours care per day.

"Managed Home Nursing Services" means all services rendered in the comfort of a person's Residential Unit and includes clinical procedures

within the scope of a registered nurse, an enrolled nurse or an enrolled nursing assistant and includes the use of a care worker where home-based care is provided.

Services can be provided and can be tailored to the individual's personal and medical needs. These services are coordinated by the Village Sister using a multidisciplinary team to create a care plan in conjunction with the family and resident. Each care plan is unique and is negotiated according to the personal and medical needs of the patient and family.

Services offered are:

• Home Nursing services can be provided from 6 - 24 hours a day.
• The cost of all care workers utilised in the provision of all Home-Based Care services will be for the account of Medwell SA.
• The cost of all Home Nursing Services and Home-Based Care Services will be recovered from the resident.
• ln all cases residents will enter into a separate service agreement with Medwell SA for the provision of all Managed Home Nursing and Care Services.
• Services rendered will be provided at a discounted rate to the normal tariffs charged by Medwell SA for private home nursing services. Where a medical scheme is involved, the relevant medical scheme tariffs will be applicable and where applicable co-payments may be required. Services will be implemented and managed by the appointed Village Sister / registered nurse.

4.1 Pharmaceutical Products And Equipment Distribution

As part of the Medwell SA service offering, medical goods and products and assistive devices can be provided to residents and can be delivered to your home. Please obtain detail from the Healthcare Manager.

4.2 Physiotherapy at home

Physiotherapy at home is now a reality and Medwell SA can offer initial screenings of residents and recommendations regarding therapy at home to improve the mobility of residents and where applicable provide post-operative or post-rehabilitation treatment. Please ask your Village Sister for more information, or to be referred.

4.3 Sleep monitoring for Obstructive Sleep Apnoea

Medwell SA is now offering a "sleep laboratory at home" to assist in the diagnosis of Obstructive Sleep Apnoea (OSA). This is an extension of our services to residents and patients in the comfort of their own home.

Obstructive sleep apnoea (OSA) is a common, widely under-diagnosed condition that is associated with significant morbidity and mortality. lf not treated, OSA is associated with an increased risk of cardiac, respiratory, and metabolic conditions, including hypertension, stroke, congestive heart failure, and sudden death due to myocardial infarction and stroke.

What happens if I develop a condition which is not catered for by the Service Provider or the Wellness Centre?

A consultation process with the Village Sister and other members of the multi-disciplinary team will commence and in liaison with the family, the best solution will be decided on, solely in the interest of the individual requiring care. The resident might have to be referred to a more suitable facility if all options have been exhausted.

How do I apply for services?

• Contact the Village Sister to arrange for a consultation.
• Admission criteria will apply and admission policy will be followed.
• Compulsory documents and reports should be obtained from the Village Sister and completed and returned as soon as possible.

Medwell SA has been the leaders in Managed Home Nursing and Health Care Services since 1997 and their vision is to be the leaders in providing high-quality holistic home healthcare and wellness solutions.

Medwell SA provides around-the-clock nursing care for patients and also offer short-term rehabilitative visits following surgery, illness or injury which may require physical therapy.

Medwell SA can assist with the following:

• Palliative Home Care
• Oncology Home Care
• Post Operative Home Care
• Alzheimer/Dementia Home Care
• Home Ventilation
• Nursing Procedures
• Respite Care

Medwell SA is contracted with most medical schemes and can assist to unlock Home Care benefits on behalf of a client / resident.

Medwell SA has a national footprint and have been the leaders in Managed Home Nursing and Health Care Services since 1997.

• Compassion: Assuring with empathy and dignity the continuance of quality of life at home.
• Value: Ensuring a Home Wellness solution tailored to your personal clinical and financial circumstances.
• lnnovation: Pioneering a technology enabled service and products to be compliant and to optimise Home Wellness.
• lntegrity: Treating clients, partners, employees and providers with respect.
• Committed: Being a partner for life - delivering dynamic, comprehensive Home Wellness services and products.

Head office: 012 347 8344

Email Address: darrenwood@medweIl.co.za

Email Address: info@medwell.co.za

MEDICAL SUPPLIES & EQUIPMENT: 012 335 8140