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Page 1: Foreword - Carel Du Toitcareldutoit.co.za/wp-content/uploads/CdT-AR-2015.pdfFor 43 years the Carel du Toit Centre has been keeping the legacy of Professor Carel du Toit alive. Hearing
Page 2: Foreword - Carel Du Toitcareldutoit.co.za/wp-content/uploads/CdT-AR-2015.pdfFor 43 years the Carel du Toit Centre has been keeping the legacy of Professor Carel du Toit alive. Hearing

For 43 years the Carel du Toit Centre has been keeping the legacy of Professor Carel du Toit alive. Hearing impaired children can learn spoken language if there is early identification and there are no other complications. What a profound belief and what a privilege it is has been for us to be a part of this institution. With your support, we are helping young children and their families realise that incredible philosophy is indeed a reality every day. At the Centre, services for hearing impaired children include early intervention and parent guidance from the moment a child’s hearing loss is diagnosed. From this point, there is continued learning intervention through a structured pre-primary school environment and foundation phase following the national CAPS curriculum. Supportive intervention and therapies from on-site audiologists, speech therapists, occupational therapists and physiotherapists help children to overcome challenges. Together with the teachers, these integral role-players offer a multidisciplinary team to produce the best outcome in the children’s speech-language acquisition.

The Carel du Toit Trust is the fundraiser for the Centre and endeavours to raise the funds needed to sustain the all-encompassing services provided on a daily basis. Fees are payable according to the family’s income and so the Trust also undertakes to secure sponsorship for all children in need of access to this unique service in the Western Cape. The Trust is effective because of the support we receive from you – our donors – so our successes, which are ultimately based on the integration of Carel du Toit children into the great big world, are yours too. Every donation of every size benefits the legacy we are continuing to uphold and we thank you whole-heartedly for your contributions. Together, your collective efforts and generosity impacts the life of a hearing impaired child for his or her lifetime, far beyond their enrolment at the Carel du Toit Centre. This annual report aims to highlight some of our successes with you, and provide a platform to show you how and where you have made your mark.

Foreword

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Content

Vision 2

Mission 3

Trust Chairman’s Report 5

Principal’s Report 6

School Governing Body Chairperson’s Report 8

Fundraising Report 11

CHAT Centre Report 12

Audiology Report 14

Additional Supportive Therapies and Services 18

Speech Therapy Report 19

Child Speech & Hearing Project Report 20

2015 Carel du Toit Centre Learners 22

Trustees' Responsibilities and Approval 23

Financial Report 24

Thank You 30

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To teach deaf children to speak so that they can function optimally in a hearing world.

Vision

The Carel du Toit Centre serves as a resource centre

for mainstream schools.

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We follow a natural language acquisition approach through the maximum use of the auditory modality and the application of auditory verbal principles.

• We believe that the hearing impaired child has the same capacity as normal hearing children to acquire functional spoken language.

• The hearing impaired child must be exposed to day-long listening through the use of appropriate hearing aids or a cochlear implant.

• A normal hearing environment is created – the same as for normal hearing children – where the hearing impaired child learns language through natural experiences and interaction.

• The intensive language learning environment leads the child to linguistic competence. This must extend into the school years and become a way of life.

Mission

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2015 was my first full year of serving as the Chairman of the Carel du Toit Trust and serving as a trustee for a cause purely on an altruistic basis is both an exhilarating experience and an honourable role.

I say exhilarating experience because if you stop for long enough in the school corridors to listen to the little ones speak to each other then you are reminded that we are involved in an extraordinary process of changing lives forever – nothing short of miraculous!

I say honourable role because as trustees we are charged with a huge responsibility to ensure that the amazing work of the Carel du Toit Centre continues and also that it is accessible to more children.

To my fellow Trustees: As a past pupil, I wish to convey my profound gratitude for the role each one plays on this board, on behalf of the thousands of past and future pupils, whose lives have been and will be transformed because of such expert involvement. To report back on 2015 is a privilege as it was a year of financial success and the most significant in terms of the dynamics, vision and future of the Trust. I want to give special commendation to the principal, Ruth Bourne, and every team member who played a role in obtaining additional funding from the Department of Social Development.

Another special commendation is given to our Senior Fundraiser of ten years who continues to strengthen our connections with corporate donors, who loyally support us in troubling economic

times, enabling us to continue the good work of the Centre. Credit must also be given to the Finance Manager for running a tight ship with regard to the finances, making sure expenses remain within our budgeted numbers. The need for a full-time marketer was a prospect we identified many years ago as a critical step to strengthen our fundraising works, and in 2015 this prospect became a reality. Needless to say, all successes are celebrated as a result of dedicated Trust and Centre staff, corporate and individual donors, event supporters, sponsors and suppliers.

On behalf of the Carel du Toit Trust Board of Trustees: Thank You to each and every supporter.

The success of 2015 has allowed us to change our mindset from survival mode to believing we can dream of expanding and pursuing new ideas and avenues of growth.

My aim for 2016 is that we build on the achievements of 2015 to uphold the reputation of the Trust as an effective funder of services for hearing impaired children.

Gerhard van der MerweChairman of the Carel du Toit Trust

Trust Chairman’s Report

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2015 was indeed a full and exciting year. In April I was invited as a faculty member to the Ida Institute seminar in Denmark on ‘The Cochlear Implant Journey for Children and their Families’. I was indeed proud to note that the success rate of our oral learners is currently greater than that of learners in Scandinavian countries. It was clear that the defining reason for our success is the involvement of parents in the intervention process, proving that our methodology has indeed stood the test of time.

The dedicated staff of the Carel du Toit Centre are truly committed to their calling and I have the greatest respect for their expertise. This year one of our educators, Hanine Nortjé, won ‘Teacher Award for Excellence in Special Needs and Inclusive Teaching’.

Ensuring the ongoing professional development of all our staff, from educators to support staff, has always been my priority and many workshops were attended during the year covering a wide variety of topics, including leadership, financial management, seed propagation, e-learning and many others. As a resource centre, we strive to share knowledge through the workshops we offer to professionals working with children. In February we ran a workshop for mainstream teachers, and during National Deaf Awareness Week we held a workshop on ‘The ABCs of Acquired Hearing Loss in Children’.

The Carel du Toit Centre attracts many visitors who come to learn about teaching spoken language to children born with hearing impairment, and in 2015 we had visitors from all over Southern Africa, as well as from Belgium, Norway and the USA. In addition, we were honoured by a visit from Western Cape Government: Health delegates, MEC Nomafrench Mbombo and Dr Beth Engelbrecht.

The end of the year saw the retirement of two long serving staff members: Inge Kritzinger and Priscilla Gunuza. We are deeply grateful to them for their faithful service over many years.

Our vision for our learners is to live life to the full as part of a hearing world. In preparation for this, they are able to participate in extra-murals such as ballet, drama, cricket, netball and hockey. 24 learners participated in the Eisteddfod with the highest score of 90% and between them an average score of 83% for their recitations.

We are very fortunate to have a committed and strong School Governing Body chaired by Helette Slabber and I am thankful for their support and input, as well as for the treat they gave teachers on World Teachers’ Day.

Sustaining the Carel du Toit Centre is an ongoing and ever-increasing challenge and we would not manage without the financial support we receive from donors and the Western Cape Government: Health, and, for the first time in 2015, from the Department of Social Development! Thank you!

Ruth BournePrincipal of the Carel du Toit Centre

Principal’s Report

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During 2015 education was in the news for various reasons and with that the focus and importance of good governance of educational institutions were emphasised. The School Governing Body (SGB) is responsible for the governance in a school and is there to assist the principal and staff to focus on the incredible work they do at the Carel du Toit Centre.

Despite the fact that our country is going through difficult and challenging times, our school was blessed on the financial side receiving donations and funding from both the public and our sponsors. We were able to meet our budgetary expectations and I would like to thank all our contributors. Without your support and contributions we would not have been able to have the successful year that we have had.

A special thank you to the Trust’s fundraising department and the financial department for their efforts during the year.

There were many successes during the past financial year and I would like to share some of the highlights:

• The White Paper on the Rights of Persons with Disabilities: The goal of the White Paper (accepted by the South African Government on 9 December 2015) is to fast track transformation where persons with disabilities in South Africa are concerned.

The WPRPD reiterates that the primary responsibility for disability equity lies with national, provincial, local government, other sectors of society, as well as persons with disabilities, and their families.

It envisions a society that is free, just and inclusive of all persons with disabilities as equal citizens and commits duty bearers to realising the rights of persons with disabilities.

• The teachers of Carel du Toit successfully hosted a Winter Wonderland Dance as a fundraising initiative in aid of the school’s roof that needed repairs. Apart from raising funds they were able to raise awareness toward the school and our learners’ needs.

• In April we linked up with the Peninsula School Feeding Association and the learners have benefited greatly from the nutritious meals provided daily. There has been a decrease in the number of ear infection cases, resulting in improved overall health of the learners.

• Ruben Botha and Anük Lombard from our school were selected to participate in the Woolworths SA advertisement with world renowned singer, Pharrell Williams, to raise awareness of hearing loss in children as part of Woolworths’ annual Christmas initiative.

School Governing Body Chairperson’s Report

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In order to keep the momentum going during 2016 we will be focusing on the following initiatives at the Centre:

• Development of a three year strategic planfor the School Governing Body that will focuson growing the number of learners enrollingand attending the school.

• Fundraising for the Testing Booth at theCHAT Centre by means of a Golf Day inOctober 2016.

• A new look for the entrances of the Centre toenhance awareness of the school.

• Acquiring a new Quantum bus for thetransport of our learners.

• Building a tennis and netball court forthe learners.

• Introducing Drama classes to help boostthe learners’ confidence and also improvetheir speech.

In closing I would like to give a special thank you to Ruth and her team for their selflessness and dedication towards the school and the learners. The teachers, therapists, and support staff are of world class standard and their commitment to the learners and the Carel du Toit Centre are extraordinary.

To my fellow SGB board members, what an honour it is to serve with you, thank you for your commitment and dedication.

Helette Slabber School Governing Body Chairperson

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Die fondsinsamelingsvrugte van 2015 was groot, soet, sappig, geurig, ryp en voortreflik lekker. Ons donateurs het ons na hoër hoogtes geneem en die jaar het op ‘n goeie noot begin. Donateurs het ons heelhartig ondersteun in so mate dat ons teen einde April reeds verby ons fondsinsamelings halfpad merk was.

With the abundance we received we were able to financially support 22 families through our ‘Support a Child’ programme. This programme brings enormous relief to the Carel du Toit Centre and the families involved. Our loyal supporters also made the purchase of 14 brand new FM systems possible, as well as the repair and maintenance of hearing aids, which includes ear-moulds and batteries of our 168 hearing impaired children.

A number of new corporate donors have partnered with us and we have also seen an increase in individual donations. Each donor’s gift is a gift of sound which continues to grow and develop, just like the speech of the Centre’s learners.

Die jaar is op ‘n hoë noot afgesluit met ‘n donateurs-bedankingsfunksie. Dit was in werklikheid ‘n feesviering van al die wonderlike verhoudings wat deur die jare opgebou is, die ongelooflike deurlopende ondersteuning wat ons van ons donateurs ontvang, die spesiale werk wat by die sentrum verrig word en ‘n opgewondenheid oor die toekoms.

I feel so privileged to know you all personally, to be working together so closely and for the once in a lifetime opportunity we have to give hearing impaired children natural spoken language. Thank you for your generosity, sincere interest and for making our goals a reality.

Valerie van der MerweCarel du Toit Trust Senior Fundraiser

Fundraising Report

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CHAT Centre’s theme for 2015 was Support and was well suited for the influx of babies into the Centre. This increase resulted from a Carel du Toit initiative brought to fruition by Tersia de Kock and Hermien Louw, who launched the Child Speech and Hearing Project in partnership with the Western Cape Government: Health, and the Children’s Hospital Trust.

At the 2nd Annual CHATerrific, three parents shared their unique and inspirational stories. ‘I am not alone’ was the overriding feeling and the need for Support Groups became apparent. The highlight of Shala’s group gatherings was a Dad’s Breakfast, where two remarkable dads led a discussion about their roles as fathers. It was a morning of fun, fellowship, encouragement and food.

Shala’s resignation left volunteer mom, Jonene, to fly solo. A pilot for Home Support was launched with Jonene as the designated Care Worker to reach families who find it difficult to attend sessions and to support teachers in Day Care centres.

Tele-Intervention was already in place, using technology to provide home support. The idea of

sitting at Parent Guidance and doing sessions in Angola, Uganda, Nigeria or Namibia would have been science fiction for Professor Carel du Toit 20 years ago. Skype and internet access on both sides can be hit and miss and are essential to the service.

Hanine joined the CHAT team in 2015. With many years’ experience as a Carel du Toit teacher, as an Early Interventionist, she stretched herself to new heights when she won the National Teachers Award for Excellence in Special Needs and Inclusive Teaching at District Level. She managed to hold the Carel du Toit name high and won R5000 for the school.

Mariette NosworthyHead of CHAT Centre

CHAT Centre Report

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Children with hearing technology require intensive audiological management in the first three months following the diagnosis. It is in this time period that families need to learn to manage the hearing technology, as well as during which we get a clearer picture of the stability of the hearing loss. This means that in most cases we often see the children and their families weekly for at least the first six months, where after we see them monthly. As we are getting younger and younger infants entering our programme, we know that their needs are more and this has allowed the appointment of another full-time Audiologist, Susan Eksteen. She brings with her a special interest and skill in paediatric audiology and is already loved by all the learners and staff.

Our Audiology Department arranged its first support group for ex-learners during the October holiday with great success. 12 past pupils aged 9-12 years joined us to talk about their experience in the mainstream school setting using hearing technology.

We hosted our annual Information Day for professionals where our topic was The ABCs of Acquired Hearing Loss in Children. As always we had great interest with more than 160 registrations.

When comparing our statistics with that from 2015, it is clear that we have a higher number of children with chronic conductive hearing losses due to perforations. These children bring with them higher numbers of otorrhea, infectious diseases, amongst others and require more specialised medical services and appointments. It has also had an influence on the number of children with mild to moderate losses in the school.

It is concerning to note that the number of children who are binaural appropriately fitted has decreased from 55.4% to 38%. This means that more than 60% of the children accessing Carel du Toit do not get the benefit of binaural hearing.

Technology is the cornerstone of the programme and the outcomes for this percentage of children – and the Centre overall – can only be at an optimal level if all the children are fitted with suitable and regularly upgraded devices.

We are working on having an audiology office on CHAT Centre’s side. It is still without most of the technology necessary to manage under 3 year olds, but it is another separate space that we are using for families accessing CHAT.

We finally got a high frequency tympanometer, allowing us to see infants under seven months of age comprehensively, without needing to refer them outside to determine the integrity of the middle ear system. An example is that we could do the diagnostic assessment on little Nawaaz Karbalker when he was two weeks old already, as well as his fitting when he was only two months old. He is developing age appropriately because of early access to sound and quality intervention.

Two thirds of all our children are now accessing remote microphone technology (like FM) through audio streaming instead of through the old school analogue frequency modulation devices. We hope to have all the children on this wonderful technology and helping them hear optimally in the classes by 2017.

Surida BooysenHead of Audiology

Audiology Report

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Current learners accessing Carel du Toit Centre who had access to newborn hearing screening

The types of Hearing Loss of children accessing Carel du Toit Centre

88%

Yes

No

The following depictions relate to learners at the Carel du Toit Centre:

12%

17,5%

11,5%65%

6%

17,5%

11,5%

6%

65%

Conductive hearing loss

Mixed hearing loss

Auditory Neuropathy Spectrum disorder

Sensorineural hearing loss

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27

5

4

38

140

Profound (+90dB) 29Severe (71-90dB) 21Moderate severe (56-70dB) 16Moderate (41-55dB) 8Mild (26-40dB) 21Minimal (15-25dB) 2Normal (0-15dB) 12

Distribution of Degree of Hearing Loss in Better Ear

Minimal (15-25dB)

Mild (26-40dB)

Moderate (41-55dB)

Moderate severe (56-70dB)

Severe (71-90dB)

0 5 10 15 20 25

Number of children

28%

34%

38%

Current Hearing Technology at Use in Carel du Toit Centre

38%

34%

28%

Binaurally appropriate

Monaurally appropriate

Not appropriate

Using Appropriate Hearing Technology

Ears that should have binaural hearing

BAHA

Ear level FMs

Cochlear implants

Hearing aids

0 20 40 60 80 110 120 140

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Speech Therapy All children over the age of four years old attend weekly speech therapy sessions on-site. The Carel du Toit Centre has one speech therapist allocated by the Western Cape Government: Health, another speech therapist employed by the School Governing Body, and the third speech therapist is currently undertaking her community service with the Carel du Toit Centre.

Social Worker The Centre’s social worker assists the hearing impaired child and family unit to adjust to the change that lies ahead. Parent-to-parent support groups help the families to mend and learn from each other through sharing their real-life experiences. The Social Worker works closely with all other therapists to assist and guide the family in their process of managing their circumstance and having to make decisions that will result in the best outcome for their children.

Physiotherapy The Centre’s physiotherapy professional specialises in the identification and treatment of children with motor delay, cerebral motor disturbances, and the handling and treatment of premature babies. As most of the children require speech therapy, the physiotherapist incorporates tongue and lip movement in her sessions. The physiotherapist visits the classrooms of learners in need of this service on a weekly basis. Changing learners’ sitting positions and postures are sometimes

necessary, and a range of appropriate exercises and activities that can be performed in classrooms, are facilitated by the physiotherapist.

Occupational Therapy Occupational therapy at the Centre assists in the detection and treatment of conditions that frequently occur in children with hearing and speech impairments, which are detrimental to their development and daily function. These conditions are related to motor, sensory and visual perceptual functions and their participation in activities of daily living.

Transport The Centre provides transport services for learners to and from the school to ensure that children are present each day. The costs are enormous and many families are just unable to foot the bill, over and above school fees. The Centre is currently transporting over 50% of learners to school in the morning and back home in the afternoon and costs rise each year with the increases in fuel and maintenance of vehicles to keep the Centre’s children safe on the roads and in class on a daily basis.

Aftercare The aftercare service at the Carel du Toit Centre is a caring environment provided for more than half of our total learners. Some children wait for their parents to collect them en route from work, while others require a halfway house while waiting for the school’s transport services. Monetary donations and sponsorship of goods sustain this service and we are ever thankful for the generosity of all who contributed in 2015.

Additional Supportive Therapies and Services

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The Speech Therapy Department continues to grow and develop and 2015 was no exception. Carel du Toit is unique in that every single child in the school requires individual and often long-term speech and language therapy to develop their communication skills, which equates to more than 100 speech therapy sessions a week. The Department of Education only provides one therapy post for the school and so we have had to look at other options to fund the other posts and to ensure a quality service is provided to the learners. 2015 saw Jenni Bester leave for maternity leave at the end of February and we welcomed Carmen Roux to the Carel du Toit family. We were fortunate enough to be able to keep her in a two day position once Jenni returned from maternity leave in July. Delanie Smit is in a fulltime SGB post and Barbara Kellett works for the Cochlear Implant team, providing early intervention and speech therapy for cochlear implant recipients. Ulfah Abrahams joined our team as the community service speech therapist.

Training and continuous professional development is very important within the speech therapy department. 2015 saw Delanie Smit complete her 2 year advanced diploma in Hearing Aid Acoustics. Barbara Kellett completed a week long training programme in Sensory Integration, and together with Jenni Bester, was very involved in presenting a short course through the University of Stellenbosch on Listening and Spoken Language: Professional Training. Delanie and Ulfah also completed the Read for Africa Training programme.

As a resource centre for the Department of Education, Carel du Toit is responsible for providing therapy support for the mainstream schools in our area. For the past few years we have been involved in providing speech and language assessments, as well as hearing tests for children referred from the District Office. 2015 saw us launch our first Speech Therapy Outreach Programme at a local mainstream school, Goeie Hoop Primary School. This programme provides classroom intervention aimed at building early literacy and listening skills for all the Grade R and 1 learners at the school, as well as teacher training and seminars for the staff. Ulfah Abrahams and Nihaad Behardien visited the school every Friday in 2015. The outreach programme was a great success. The school reported a positive impact on their learners and staff and we will be expanding the programme to include the Grade 2 learners in 2016. We look forward to ongoing development in 2016.

Jenni BesterHead of Speech Therapy Department

Speech Therapy Report

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The Child Speech and Hearing Project is a three way partnership between the Carel du Toit Centre, the Western Cape Government: Health and the Children’s Hospital Trust. The project aims to improve access to speech-language therapy and audiology services within the district health system in Mitchell’s Plain for children and their families. Newly developed speech-language therapy and audiology packages of care are being demonstrated over a 30 month period.

One of the sub-aims of the project is the continuation and improvement of the MOU-based newborn hearing screening services at the three MOUs. During 2015, 8390 babies received hearing screening services across the three MOUs. The service was improved through means of developing a professional follow-up service at the local district hospital, which is available within two weeks after referring the MOU-based screening. Considering the long waiting time for diagnostic testing at tertiary facilities, this intermediate access to an audiologist who is able to do the following is of great value to the families and caregivers: - an in-depth case history; - an assessment of middle ear functioning; - Automated Auditory Brainstem Response (AABR) screening; - and provide counseling.Of those referred to tertiary level for final diagnostic assessment, five babies have been confirmed with hearing loss and results of the remainder are still pending.

During 2015, screeners from the Carel du Toit Centre continued to deliver daily (Monday to Friday) infant hearing screening services at the Nolungile Clinic in Khayelitsha: • 957 babies received hearing screening of which 66 also attended a follow-up screening session at the clinic. • 957 parents or caregivers were educated regarding the importance of hearing, monitoring of speech and hearing

development, as well as basic ear care. • 19 babies were referred to Tygerberg Hospital for further diagnostic assessment and/or treatment of middle ear conditions.

One of our screeners also assisted with hospital-based newborn hearing screening at the Khayelitsha District Hospital. This ensured that a sustained service could be offered whilst one of their audiology staff members were on maternity leave. The following was achieved for the period from May to mid-November 2015: • 371 babies received hearing screening. • 371 parents or caregivers were educated regarding the importance of hearing, monitoring of speech and hearing development as well as basic ear care.

Highlights of Community Outreach in 2015: • The Carel du Toit community outreach screeners completed the National Centre for Hearing Assessment and Management (NCHAM) of the Utah State University’s online newborn hearing screening training curriculum and obtained competency certificates with grades of 90% and higher. • Not only did our Nolungile team deliver hearing screening services at the Clinic but also assisted the Khayelitsha District Hospital (May to mid-November 2015) to deliver a sustained service. This was the first time our team delivered hospital- based hearing screening services. • The planning of our exciting 2016 developments. • Good progress of the Child Speech and Hearing Project that advanced into the implementation phase during 2015.

Professor Carel du Toit would have been so proud to see the continued progression and extent of his great legacy and the dedication of audiologists and speech-language therapists to improve services.

Child Speech & Hearing Project ReportA Provincial Impact for Speech-Language Therapy & Audiology Services.

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2015 Carel du Toit Centre LearnersLearners at the Carel du Toit Centre

Total number of learners 142

Hotpots 7

Beginners 20

Middle group 20

Grade R learners 30

Grade 1 learners 23

Grade 2 learners 19

Grade 3 learners 23

CHAT Centre

Total receiving parent guidance 38

Amount under 3 years old 30

Amount over 3 years old 8 Learners leaving the Carel du Toit Centre end of 2015

Total learners leaving school 35

To mainstream schools 12

To Elsen School 11

To Oral School for the Deaf 12

To Signing School for the Deaf 0

Carel du Toit Centre Community Outreach

Infant Hearing Screening – Nolungile Clinic Khayelitsha 957

Phonological Awareness – Goeie Hoop Primary School 366

2015 Demographics of learners

Carel du Toit Centre

Race Coloured Black White Indian

Percentage 59.2% 16.9% 18.3% 0.7% 2015 Demographics of learners

CHAT Centre

Race Coloured Black White Indian

Percentage 57.9% 10.5% 28.9% 2.6%

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The Trustees are required by the Non-profit Organisations Act, No. 71 of 1997, to maintain adequate accounting records and are responsible for the content and integrity of the financial statements and related financial information included in this report. It is their responsibility to ensure that the financial statements fairly present the state of affairs of the company as at the end of the financial year and the results of its operations and cash flows for the period then ended, in conformity with the International Financial Reporting Standard for Small and Medium-sized Entities. The external auditor is engaged to express an independent opinion on the financial statements.

The financial statements are prepared in accordance with the International Financial Reporting Standard for Small and Medium-sized Entities and are based upon appropriate accounting policies consistently applied and supported by reasonable and prudent judgements and estimates.

The Trustees acknowledge that they are ultimately responsible for the system of internal financial control established by the trust and place considerable importance on maintaining a strong control environment. To enable the trustees to meet these responsibilities, the trustees set standards for internal control aimed at reducing the risk of error or loss in a cost effective manner. The standards include the proper delegation of responsibilities within a clearly defined framework, effective accounting procedures and adequate segregation of duties to ensure an acceptable level of risk. These controls are monitored throughout the Trust and all employees are required to maintain the highest ethical standards in ensuring the Trust’s business is conducted in a manner that in all reasonable circumstances is above reproach. The focus of risk management in the Trust is on identifying, assessing, managing and monitoring

all known forms of risk across the Trust. While operating risk cannot be fully eliminated, the Trust endeavours to minimise it by ensuring that appropriate infrastructure, controls, systems and ethical behaviour are applied and managed within predetermined procedures and constraints.

The Trustees are of the opinion, based on the information and explanations given by management, that the system of internal control provides reasonable assurance that the financial records may be relied on for the preparation of the financial statements. However, any system of internal financial control can provide only reasonable, and not absolute assurance against material misstatement or loss.

The Trustees have reviewed the Trust’s cash flow forecast for the year to 31 December 2016 and, in the light of this review and the current financial position, they are satisfied that the Trust has or has access to adequate resources to continue in operational existence for the foreseeable future.

The independent auditors are responsible for independently evaluating and reporting on the Trust's annual financial statements. The annual financial statements have been examined by the Trust's independent auditors.

The annual financial statements set out on pages 24 to 29, which have been prepared on the going concern basis, were approved by the board of Trustees on 18 May 2016.

Trustees' Responsibilities and Approval

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Detailed Statement of Financial Performance

Carel du Toit Trust Fund - Tygerberg

2015 2014

R R

DETAILED STATEMENT OF FINANCIAL PERFORMANCE: CAREL DU TOIT TRUST FUND - TYGERBERG

Revenue

Bequests 30,973 47,417

Community Outreach Projects - 150,000

Congress income - 395,056

Donations, fundraising and projects 3,067,873 2,947,381

Funding: Department of Social Development 776,475 148,955

Grant: National Lotteries Board 603,548 -

Hearing aids, batteries and moulds 54,000 33,500

4,532,869 3,722,309

Other income

Insurance claims - 4,500

Interest received 189,900 147,531

Profit on sale of motor vechicle - 140,000

Recoveries 2,386 452

192,286 292,483

(Registration number 003-401 NPO)Financial Statements for the year ended 31 December 2015

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2015 2014

R R

Operating expenses

Auditor's remuneration 26,690 15,050

Bank charges 19,926 19,146

Congress expenses - 330,290

Consulting and professional fees - 3,700

Contributions to Carel du Toit Trust Fund satellites 208,224 22,000

Computer expenses 4,399 855

Depreciation 9,129 5,230

Fines and penalties - 1,151

Fundraising - Salaries and project costs 327,167 360,302

Groceries and cleaining 520 566

Hearing aids, cochlear implants and medical expenses 54,000 25,000

Insurance 89,633 86,173

Marketing expenses 142,990 162,605

Printing and stationery 13,534 4,740

Refreshments and gifts 390 7,479

Rent of equipment 15,074 13,658

Repairs and maintenance 1,110 10

Ringfenced donations expenses 23,364 -

Salaries and wages 703,244 530,737

Security 3,565 3,715

Telephone, fax and internet 41,640 88,163

Transport costs 11,282 -

1,695,881 1,680,570

Fair value adjustment 17,491

Profit for the year 3,046,764 2,334,223

Grant: National Lotteries Board

Grant received 603,548 -

Expenditure 598,231 -

Funds remaining 5,317 -

Detailed Statement of Financial Performance (continued)

This supplementary statement does not represent consolidated financial figures and is also exclusive of transactions between Carel du Toit Centre - Tygerberg, Carel du Toit Residence - Tygerberg and Carel du Toit Trust Fund - Tygerberg.

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Detailed Statement of Financial Performance continued

Carel du Toit Centre - Tygerberg

2015 2014

R R

DETAILED STATEMENT OF FINANCIAL PERFORMANCE: CAREL DU TOIT CENTRE - TYGERBERG

Revenue

Donations, fundraising and projects 473,464 389,972

Hearing aids, batteries and moulds 132,563 147,813

School fees 946,411 791,446

1,552,438 1,329,231

Other income

Aftercare 111,623 88,418

Congress and workshops 16,640 12,800

Insurance claims 13,064 -

Interest received 8,530 4,772

Operating cost recovered 40,755 39,718

Subsidy - Western Cape Education Department 1,075,693 987,025

Transport fees 302,833 196,155

1,569,138 1,328,888

Financial Statements for the year ended 31 December 2015

This supplementary statement does not represent consolidated financial figures and is also exclusive of transactions between Carel du Toit Centre - Tygerberg, Carel du Toit Residence - Tygerberg, Carel du Toit Trust Fund - Tygerberg and Carel du Toit CSHP - Tygerberg.

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2015 2014

R R

Operating expenses

Advertising - -

Aftercare - Salaries, groceries and consumables 124,857 119,140

Audiology and speech therapy 3,964 33,688

Auditor’s remuneration 5,300 4,950

Bad debts 89,240 105,068

Bank charges 16,883 13,691

Computer expenses 46,841 28,808

Community Outreach Projects - Salaries and consumables 755,501 580,072

Depreciation 113,805 25,388

Educational outings and concerts 36,966 43,714

Electricity and water 75,035 60,156

Fines - 1,569

Fundraising - Salaries and project costs 85,656 92,020

Groceries and cleaning 50,266 44,459

Hearing aids, cochlear implants and medical expenses 270,890 240,580

Motor vehicle expenses 67,542 80,483

Occupational- and physiotherapy 144,944 110,752

Playball 26,952 24,200

Printing and stationery 124,021 130,822

Protective clothing 884 2,101

Provision for bad debts 93,337 9,152

Refreshments and gifts 19,381 19,896

Rent of equipment 68,432 75,858

Repairs and maintenance 121,211 41,978

Salaries and wages 1,370,366 1,431,147

Security 19,688 27,166

Seminars and membership fees 5,833 27,796

Special donation expenses 2,221 -

Telephone, fax and internet 7,575 18,030

Transport costs 387,145 382,350

Western Cape Educational Department special subsidy expenses - 48,500

4,134,738 3,823,534

Subtotal carried forward (1,013,162) (1,186,368)

Capital expenditure - -Profit / (loss) for the year (1,013,162) (1,186,368)

Detailed Statement of Financial Performance (continued)

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Detailed Statement of Financial Performance

Child Speech & Hearing Project - Tygerberg

12 Months ended

31 December 2015

6 Months ended

31 December 2014

R R

DETAILED STATEMENT OF FINANCIAL PERFORMANCE: CHILD SPEECH AND HEARING PROJECT - TYGERBERG

Revenue

Funding: Department of Health 688,245 539,317

Grant: Children’s Hospital Trust 625,000 1,833,402

1,313,245 2,372,719

Operating expenses

Administration fees 40,910 7,208

Bank charges 3,193 497

Depreciation 6,949 2,895

Donations: Hearing testing equipment and medical expenses 795,387 715,268

Printing and stationery 9,318 14,138

Salaries and wages 911,958 487,786

Telephone, fax and internet 10,197 5,749

Travel expenses 37,233 14,295

1,815,145 1,247,835

Profit / (loss) for the period (501,900) 1,124,884

Financial Statements for the year ended 31 December 2015

This supplementary statement does not represent consolidated financial figures and is also exclusive of transactions between Carel du Toit Centre - Tygerberg, Carel du Toit Residence - Tygerberg, Carel du Toit Trust Fund - Tygerberg and Carel du Toit CSHP - Tygerberg.

Funding received from the Western Cape Government: Health and the Children's Hospital Trust were exclusively in support of the Child Speech & Hearing Project, to be administered by the Carel du Toit Trust over a 3 year period ending December 2016.

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Detailed Statement of Financial Performance

Carel du Toit Residences - Tygerberg

2015 2014

R R

DETAILED STATEMENT OF FINANCIAL PERFORMANCE: CAREL DU TOIT RESIDENCES - TYGERBERG

Revenue

Residence fees 392,401 292,500

Other Income

Recoveries 132 974

Interest received 265 77

397 1,051

Operating expenses

Bank charges 2,524 2,224

Depreciation 1,306 917

Electricity and water 29,597 25,781

Fines - 91

Groceries and cleaning 9,214 8,080

Other expenses - 120

Printing and stationery 895 -

Repairs and maintenance 12,789 3,183

Salaries and wages 240,451 221,522

Telephone, fax and internet 4,320 4,558

301,097 266,476

Profit / (loss) for the year 91,701 27,075

Financial Statements for the year ended 31 December 2015

This supplementary statement does not represent consolidated financial figures and is also exclusive of transactions between Carel du Toit Centre - Tygerberg, Carel du Toit Residence - Tygerberg and Carel du Toit Trust Fund - Tygerberg.

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Thank YouEvery donation that you have made has filled a crevice in the foundation of a hearing impaired child’s road to great potential. Words can only say how thankful we are on their behalf and we hope that you feel comfort and fulfilment knowing the extent of your benevolence. R10, R1 000, or R100 000, no matter the amount – whether it footed the bill for consumables such as hearing aid batteries or covered the cost of a child’s school fees for one full year – the effect is impactful.

Thank You to each person, corporate, committee, foundation or small business who chose the Carel du Toit Centre and Trust to donate to. We welcome you to visit with us and see for yourselves how beneficial your funding is.

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The Carel du Toit Centre

PO Box 19130, Tygerberg, 7505

Tel: 021 938 5303Fax: 021 932 5104

General enquiries email: [email protected]

CHAT Centre

Tel: 021 938 6066Email: [email protected]

The Carel du Toit Trust

PO Box 19169, Tygerberg, 7505

Tel: 021 933 4578Fax: 021 933 2774

Fundraising email: [email protected] email: [email protected] email: [email protected]

www.careldutoit.co.za

Registered Charity003-401 NPOPBO No. 130003124

www.facebook.com/careldutoitcentre

@Carel_du_Toit

CarelDuToitCentre

Bank Details

Carel du Toit TrustABSA Bank Parow Branch 632005Account Number: 404 823 7586

Contact Information

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Email: [email protected]