Levin Home for War Veterans
Profile & contact details
|Premises name||Levin Home for War Veterans|
|Address||32 Prouse Street Levin 5510|
|Service types||Dementia care, Rest home care, Geriatric, Medical|
|Certification/licence name||Presbyterian Support Central - Levin War Veterans|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||14 August 2019|
|Certification period||36 months|
|Provider name||Presbyterian Support Central|
|Street address||3-5 George Street Thorndon Wellington 6011|
|Post address||PO Box 12706 Thorndon Wellington 6144|
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: 19 May 2016
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.||The pharmacy and registered nurse medication checks had not been consistently completed within the required timeframes.||Ensure that all medication checks are completed to comply with all legal and contractual requirements.||PA Low||Reporting Complete||20/10/2016|
|The facilitation of safe self-administration of medicines by consumers where appropriate.||One of three rest home residents self-medicating had not completed the required self-medication competencies three monthly.||Ensure that all residents who self-medicate complete the required competency assessments.||PA Low||Reporting Complete||20/10/2016|
|The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate.||i) One rest home resident was referred to the orthotics depart by the wound care specialist nurse in November 2015. There was evidence the referral had been sent however, there was no documented evidence that the referral had been received or followed up until April 2016. ii) One dementia resident was noted in the progress notes by an RN to be urinating frequently and had leukocytes in the urine. No documented evidence of a reassessment or follow up was located.||i-ii) Ensure that all changes in health status and referrals to allied health professionals are actioned and followed up in a timely manner.||PA Low||Reporting Complete||20/10/2016|
|The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.||Four of nine files reviewed (two rest home and two hospital) with pain noted in the progress or medical notes had no regular pain assessments documented.||Ensure that pain assessments are documented for residents experiencing pain.||PA Low||Reporting Complete||20/10/2016|
|All records are legible and the name and designation of the service provider is identifiable.||i)Four of five long-term care plans had additions and alterations made that were not signed or dated and where the alterations were signed no designation was documented ii) Four of fifteen wound care plans were not signed and where amendments made to the wound care plans where signed no designation was recorded.||i-ii) Ensure any alterations or amendments to the long-term care plan or wound care plans are signed and dated and the designation is recorded.||PA Low||Reporting Complete||20/10/2016|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||i) Interventions were not documented for a) two residents (one rest home and one hospital) with suprapubic catheters, b) one rest home resident with a history of PR bleeding and diverticulosis c) one rest home resident with recurrent UTI’s. ii)One rest home resident with a UTI did not have a short-term care plan documented for this acute change in health condition; and iii) Specific interventions for weight management were not documented for a) three residents (one rest home, one hospital and o… (this text has been trimmed due to space limits).||i-iii) Ensure that care plans fully described the required interventions for all assessed care needs.||PA Low||Reporting Complete||20/10/2016|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||Three of three resident files sampled for residents in the secure dementia unit did not have activity plans documented to cover the 24-hour period.||Ensure that all residents in the secure dementia unit have a 24-hour activity care plan documented.||PA Low||Reporting Complete||20/10/2016|
|Where progress is different from expected, the service responds by initiating changes to the service delivery plan.||i) One of nine files sampled did not have the long-term care plan reviewed following a change in assessed care level from rest home to hospital level of care; ii) Interventions noted in the evaluations were not transferred to the long-term care plan for one resident with a chronic skin condition (dementia tracer).||i) Ensure that the long-term care plan is updated with a change in assessed care level; and ii) Ensure that all interventions noted in the care plan evaluations are transferred to the long-term care plan||PA Low||Reporting Complete||20/10/2016|
|Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.||i) Two files reviewed (one dementia and one hospital) did not have the long-term care plan developed within three weeks of admission; ii) One files reviewed (one dementia) did not have the initial GP assessment documented; and iii) Three files sampled (one rest home, one hospital and one dementia) did not have the long-term care plan reviewed at least six monthly||i) Ensure that long-term care plans are completed within the required timeframes. ii) Ensure that the initial GP assessment is fully documented. iii) Ensure that long-term care plans are evaluated six monthly.||PA Low||Reporting Complete||20/10/2016|
|The organisation plans to ensure Māori receive services commensurate with their needs.||Two Māori resident files reviewed did not evidence documentation of the resident’s Māori values and beliefs.||Ensure cultural values and beliefs are identified for Māori residents.||PA Low||Reporting Complete||20/10/2016|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||i) Monitoring records were not consistently documented for a) one resident on 30 minute checks (dementia tracer), b) two hospital residents on fluid balance charts had not had the input or output records totalled and c) one resident on two hourly turns (hospital tracer.), d) a rest home resident with a suprapubic catheter did not have all catheter changes documented on the catheter change form. ii) Six of twenty initial wound assessments (one rest home and five hospital – including hospital tr… (this text has been trimmed due to space limits).||i) Ensure that all required monitoring is consistently documented. ii-iv) Ensure that all wound documentation is fully completed.||PA Moderate||Reporting Complete||20/10/2016|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
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 reportsAudit date: 19 May 2016
Audit type:Certification Audit
- Levin Home for War Veterans - May 2016 (docx, 51.61 KB)
- Levin Home for War Veterans - May 2016 (pdf, 174.95 KB)
Audit type:Surveillance Audit
- Levin Home for War Veterans - Dec 2014 (docx, 49.68 KB)
- Levin Home for War Veterans - Dec 2014 (pdf, 147 KB)
Audit type:Certification Audit
Audit type:Surveillance Audit; Verification Audit
Audit type:Certification Audit