Fergusson Home and Retirement Village

Profile & contact details

Premises details
Premises nameFergusson Home and Retirement Village
Address 1 Carlton Street Glenholme Rotorua 3010
Total beds44
Service typesRest home care
Certification/licence details
Certification/licence nameFergusson Home Limited - Fergusson Home and Retirement Village
Current auditorThe DAA Group Limited
End date of current certificate/licence29 June 2020
Certification period36 months
Provider details
Provider nameFergusson Home Limited
Street address 369 Old Taupo Road Springfield Rotorua 3015
Post address

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: 20 April 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Information is entered into the consumer information management system in an accurate and timely manner, appropriate to the service type and setting.Current documents are not consistently used to record data/information. In three of the six files sampled, Information is recorded in inconsistent places. Provide evidence that current documents are used and information is recorded consistently. PA LowIn Progress
There are adequate numbers of accessible toilets/showers/bathing facilities conveniently located and in close proximity to each service area to meet the needs of consumers. This excludes any toilets/showers/bathing facilities designated for service providers or visitor use.Two bedrooms had recorded hot water temperatures of 50o Celsius or above twice and no corrective action had been taken. Provide evidence that corrective measures are taken when hot temperatures are above the acceptable limit. PA LowIn Progress
The organisation plans to ensure Māori receive services commensurate with their needs.The documentation in the care plan sampled of a resident who identified as Maori did not have details of how their individual values and beliefs are to be met. Provide evidence that the care plan records how the needs of Maori residents are met. PA LowIn Progress
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Information is inconsistently recorded in the care plans, treatment plans, quick reference care plans and progress notes. Provide evidence that documented information is consistent. PA LowIn Progress
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.Documentation of data evaluation is not consistently undertaken to a level which describes the outcome of the actions taken. Provide evidence that quality improvement data evaluation is documented to show how it is used to improve services as required. PA LowIn Progress
Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.Four of the six activities plan sampled did not evidence an evaluation of the resident’s progress towards meeting their individual activities goals. Provide evidence that all contractual requirements are met regarding the evaluation of activities plans. PA LowIn Progress

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: 20 April 2017

Audit type:Certification Audit

Audit date: 14 July 2015

Audit type:Surveillance Audit

Audit date: 09 April 2013

Audit type:Certification Audit

Audit date: 24 January 2012

Audit type:Surveillance Audit

Audit date: 19 May 2010

Audit type:Certification Audit

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