Carter House

Profile & contact details

Premises details
Premises nameCarter House
Address 69 Moehau Street Te Puke 3119
Total beds65
Service typesGeriatric, Medical, Dementia care, Rest home care
Certification/licence details
Certification/licence nameHeritage Lifecare Limited - Carter House
Current auditorThe DAA Group Limited
End date of current certificate/licence01 April 2017
Certification period12 months
Provider details
Provider nameHeritage Lifecare Limited
Street addressLevel 2 111 Johnsonville Road Johnsonville Wellington 6037
Post addressPO Box 13223 Johnsonville Wellington 6440

Progress on issues from the last audit

What’s on this page?

This rest home has been audited against the Health and Disability Services Standards. During the last audit, the auditors identified some areas for improvement.

Issues from their last audit are listed in the corrective actions table below, along with the action required to fix the issue, its risk level, and whether or not the issue has been reported as fixed.

A guide to the table is available below.

Details of corrective actions

Date of last audit: 23 August 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.The dining area is of a size that has potential risks for the number of residents being catered for in this area (17). There are cleaning issues observed related to radiators and a curtain in the kitchenette. All rooms visited had the wash hand basin tap heads removed and some had the hot water tap head also removed as well has no wardrobe doors were able to be open by residents as there were kept locked and had no handles. The dining room in the dementia unit be looked at to ensure residents can move around the tables with ease and staff can access residents in the event of an emergency. The blanket removal of handbasin tap heads and locked wardrobe doors needs to be remove. Residents and staff should have access to hot and cold water in all rooms. The The radiator covers be cleaned frequently, and the kitchen curtain be assessed for purpose and if returned be in good repair and cleaned regularly. PA ModerateReporting Complete30/11/2016
Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is undertaken by suitably qualified and/or experienced service providers who are competent to perform the function.No documentation is sighted in the progress notes of hospital residents, to verify input by the RN within each 24-hour period. The RN documents a notation in the progress notes of each hospital resident to evidence RN input at least once every 24 hours. PA LowReporting Complete30/11/2016
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Lifestyle care plans, do not always describe fully the required support to meet the residents’ identified needs following assessment. Service delivery plans describe fully all required support needed, as identified in the assessment process. PA ModerateReporting Complete30/11/2016

Guide to table

Outcome required

The outcome required by the Health and Disability Services Standards.

Found at audit

The issue that was found when the rest home was audited.

Action required

The action necessary to fix the issue, as decided by the auditor.

Risk level

Whether the required outcome was partially attained (PA) or unattained (UA), and what the risk level of the issue is.

The outcome is partially attained when:

  • there is evidence that the rest home has the appropriate process in place, but not the required documentation
  • when the rest home has the required documentation, but is unable to show that the process is being implemented.

The outcome is unattained when the rest home cannot show that they have the needed processes, systems or structures in place.

The risk level is determined by two things: how likely the issue is to happen and how serious the consequences of it happening would be.

The risk levels are:

  • negligible – this issue requires no additional action or planning.
  • low – this issue requires a negotiated plan in order to fix the issue within a specified and agreed time frame, such as one year.
  • moderate – this issue requires a negotiated plan in order to fix the issue within a specific and agreed time frame, such as six months.
  • high – this issue requires a negotiated plan in order to fix the issue within one month or as agreed between the service and auditor.
  • critical – This issue requires immediate corrective action in order to fix the identified issue including documentation and sign off by the auditor within 24 hours to ensure consumer safety.

The risk level may be downgraded once the rest home reports the issue is fixed.

Action status

Whether the necessary action is still in progress or if it is complete, as reported by the rest home to the relevant district health board.

Date action reported complete

The date that the district health board was told the issue was fixed.

Audit reports

Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits which gives an overview of the auditing process and explains what the audit reports mean.

What’s on this page?

Audit reports for this rest home’s latest audits can be downloaded below.

Full audit reports are provided for audits processed and approved after 29 August 2013.  Note that the format for the full audit reports was streamlined from 16 December 2014.  Full audit reports between 29 August 2013 and 16 December 2014 are therefore in a different format. 

Prior to 29 August 2013, only audit summaries are available.

Both the recent full audit reports and previous audit summaries include:

  • an overview of the rest home’s performance, and
  • coloured indicators showing how well the rest home performed against the different aspects of the Health and Disability Services Standards.

Note: From November 2013, as rest homes are audited, any issues from their latest audit (the corrective actions required by the auditor) will appear on the rest home’s page. As the rest home completes the required actions, the status on the web site will update.

Audit reports

Audit date: 23 August 2016

Audit type:Provisional Audit

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