The following is considered symptoms of COVID 19

• Shortness of breath
• Nasal congestion/runny nose
• Fever and dry cough
• Sore throat and diarrhea
• Body aches and pains
• Loss of taste or smell.

Spread

• Sneezing or coughing of infected droplets and surfaces touched infected by Covid- 19

Access to workplace and Care Centre screening

• Employees as well as everyone entering the Care Centre should do so with a cloth face mask, also those traveling in official cars or making use of public transport.
• Cluny Transport used for traveling should have maximum capacity of 70% capacity. The Cluny allocated Driver should have hand sanitizer for use in vehicle, Driver should ask passengers to remain wearing their cloth masks.
• Hand sanitizer is provided for at the entrance to Cluny Farm Centre for vehicles coming in and a questionnaire is filled out and temperature taken via infrared non- touch thermometer and recorded. Any temperature above 38 degrees is reported to the office. The questionnaire for screening is based on the following: Name, surname contact number, symptoms experienced, address, if person had contact with someone that was Covid -19 positive. Any person rearing symptoms will be considered a person under investigation and will be reported to the CDC.
• All staff coming in to the farm is screened at Clinic for temperature and the questionnaire done by the nursing sister on duty.
• Staff are encouraged to screen themselves for Covid 19 symptoms and report to CFC clinic sister.
• All residents are screened for symptoms and temperature monitored if coughing , sneezing or any illness detected or reported.
• Visiting of doctors/clinics and any health care facility. Passengers wear cloth masks, get issued with hand sanitizer. Residents are monitored for social distancing in the presence of the care worker.
• Masks and visors were supplied. Cleansing of visors and masks takes place regularly
• Residents are reminded about hand hygiene, sneezing and coughing protocol and social distancing weekly as they tend to forget.
• Symphony residents are monitored quite closely for symptoms and contacts. Visits to doctors will remain for emergency and absolute necessities and not for routine check- ups because of co morbidities and vulnerabilities. Visits will be discussed with family members to give permission. Routine script renewal is done on a progress report prepared by the clinic or social worker. All ailments that can be treated on site by clinic is done. Any other cases where the capacity of the clinic and scope of care necessitates this is referred to Midrand Clinic.

Social distancing

• Although the farm is quite isolated, social distancing and no touching remains the best practice to not spread any infectious disease.
• Arrangements are made for meals and tea times for social distancing as well as for activities that take place on the farm.
• No mass meetings will be scheduled. All staff meetings will take place with necessary cleaning, PPE in place and hand sanitizers and social distancing practiced.
• Residents are not yet allowed to go out of the premises for visiting or outings or shopping. Nor is any visitor allowed on site- please understand that this helps us to maintain the health of everyone.
• At this level three visitors are not allowed on the farm yet; but when it is announced that visiting is allowed- it will be done under strict controls.
• Inter house visits are allowed on the farm during the day and distancing practiced.

Cleaning Protocol

• Care packs can still be delivered to the gate observing protocol that persons wear masks, sanitize themselves and Residents and goods received gets wiped down with appropriate cleaning materials i.e Dettol or alcohol.
• All deliveries and donations are sanitized before use. All work surfaces are cleaned daily, especially door knobs and handles, tables, taps, basins, bathrooms, hand rails etc. People are not to share eating utensils and cups or jugs.
• No visitors from outside
• Toweling is changed regularly/ linen/ bedding and clothing washed regularly with hot water.
• Ventilation: It is paramount o use proper ventilation practice even in winter.

Managing confidentiality stigma and discrimination:

• All effort is being made to o ensure employee and Residents right to be treated with dignity/ respect and privacy needed. If a person presents with symptoms of Covid 19 they should self- isolate for 14 days wherever possible but remain in contact with the employer. Persons vulnerable with underlying condition should report it to the office. Although confidentiality cannot always be guaranteed when it comes to non- communicable diseases it is necessary for persons to report any symptoms to direct supervisor who will inform the general manager for further action.
• Emergency numbers were supplied to al houses.
• All protocol/ policies to continue services is reported on weekly to the Department of Social Development
• Should anyone present any symptoms they will be requested to get tested at the nearest Clinic or facility to get tested at Steve Biko hospital/or Charlotte Maxeke hospital or Dischem drive through kiosk. Employee or Residents will only be allowed back on site if cleared with a doctors letter.
• In the case where results are positive the contact tracing process can start. A deep cleaning service provider will be called to deep clean facility and further tests be arranged if there is suspected that there might be reason to believe there was contact with Covid -19.