Elmswood Rest Home

Profile & contact details

Premises details
Premises nameElmswood Rest Home
Address 154 Waihi Road Judea Tauranga 3110
Total beds38
Service typesDementia care
Certification/licence details
Certification/licence nameOceania Care Company Limited - Elmswood Rest Home
Current auditorCentral Region's Technical Advisory Services Limited
End date of current certificate/licence18 May 2019
Certification period36 months
Provider details
Provider nameOceania Care Company Limited
Street address 2 Hargreaves Street Saint Marys Bay Auckland 1011
Post addressPO Box 9507 Newmarket Auckland 1149

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: 08 March 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.i) Follow-up actions do not consistently relate to the issue/problems. ii) The person responsible for implementation of the corrective action is not consistently identified. iii) Timeframes for implementing corrective actions is not consistently recorded. i) Follow-up actions relating to incidents/accident and internal audits to relate to the identified problem. ii) Incident/accident documentation and internal audits to identify and record the persons responsible for implementing the corrective actions. iii) To identify and record appropriate timeframes for corrective actions. PA ModerateIn Progress
The service respects the physical, visual, auditory, and personal privacy of the consumer and their belongings at all times.Personal items of clothing are going missing and the service is not able to track/find the missing items. The service has to implement, test and monitor processes to ensure residents clothing is cared for in a safe and appropriate manner. PA LowIn Progress
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.Registered nurses meeting, infection control meetings and residents meetings minutes are lacking information. The service to use templates provided by the organisation for recording meeting minutes to ensure core information is included. PA LowIn Progress
Consumers have a right to full and frank information and open disclosure from service providers.i) Family interviews confirmed a lack of communication with service providers. ii) Incident and accident records do not consistently identify persons communicated with/notified. i) To ensure full, frank and open disclosure relating to matters regarding residents, for example incidents, accidents and complaints that residents may have. ii) Incident and accident records to reflect persons communicated with/notified. PA ModerateIn Progress
An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.i) Not all complaints are recorded. ii) Steps taken in the resolution process were not specific documentation to evidence the process iii) 2/4 recorded, did not have reviews recorded. iv) 4/4 complaints recorded did not have closing dates/outcomes documented. i) All complaints to be recorded. ii) To have documented evidence of the steps taken during resolution process. iii) All complaints to have reviews documented. iv) All complaints to have closing dates documented. PA ModerateReporting Complete25/01/2017
All records are legible and the name and designation of the service provider is identifiable.Names and designations of registered nurses, health care assistants and diversional therapists are not consistently recorded in clinical files of residents. All designations to be consistently recorded in clinical files. PA LowReporting Complete25/01/2017
Infection control education is provided by a suitably qualified person who maintains their knowledge of current practice.The ICN has not completed relevant IC education specific to their role. Provide evidence the ICN has completed relevant IC education specific to their role. PA LowReporting Complete25/01/2017

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: 08 March 2016

Audit type:Certification Audit

Audit date: 25 September 2014

Audit type:Surveillance Audit

Audit date: 15 July 2014

Audit type:Partial Provisional Audit

Audit date: 22 August 2013

Audit type:Verification Audit

Audit date: 06 March 2013

Audit type:Certification Audit

Audit date: 08 September 2011

Audit type:Surveillance Audit

Audit date: 29 March 2010

Audit type:Certification Audit

Back to top