Lyndale Manor

Profile & contact details

Premises details
Premises nameLyndale Manor
Address 95 Cole Street Masterton 5810
Total beds20
Service typesDementia care
Certification/licence details
Certification/licence nameLyndale Care Limited - Lyndale Villa and Manor
Current auditorThe DAA Group Limited
End date of current certificate/licence23 November 2019
Certification period36 months
Provider details
Provider nameLyndale Care Limited
Street addressLyndale Villa and Lyndale Manor 52 Cole Street Masterton 5810
Post address52 Cole Street Masterton 5810

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: 06 September 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
All records are legible and the name and designation of the service provider is identifiable.The names and designations of staff making entries into residents’ progress notes are not consistently legible and/or designation is not clear. The names and designations of staff making entries into the clinical records are legible and clear. PA LowReporting Complete20/12/2016
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.There is inconsistent evidence of three-monthly reviews of medications. The date of first use of eye drops is not always recorded or eye drops discarded within one month of first use. Medications stored in a food fridge were not kept in a separate container. Three-monthly medication reviews are documented. Eye drops are dated when first used, and discarded within one month. Medications are stored within a sealed container if kept in a fridge which also contains food. PA LowReporting Complete20/12/2016
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.The development of lifestyle care plans and interRAI assessments/reassessments are not completed within required timeframes. All aspects of service provision are consistent with contractual requirements and as clinically indicated. PA LowReporting Complete20/12/2016
All records are legible and the name and designation of the service provider is identifiable.The names and designations of staff making entries into residents’ progress notes are not consistently legible and/or designation is not clear. The names and designations of staff making entries into the clinical records are legible and clear. PA LowReporting Complete20/12/2016
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.There is inconsistent evidence of three-monthly reviews of medications. The date of first use of eye drops is not always recorded or eye drops discarded within one month of first use. Medications stored in a food fridge were not kept in a separate container. Three-monthly medication reviews are documented. Eye drops are dated when first used, and discarded within one month. Medications are stored within a sealed container if kept in a fridge which also contains food. PA LowReporting Complete20/12/2016
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.The development of lifestyle care plans and interRAI assessments/reassessments are not completed within required timeframes. All aspects of service provision are consistent with contractual requirements and as clinically indicated. PA LowReporting Complete20/12/2016

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: 06 September 2016

Audit type:Certification Audit

Audit date: 08 October 2015

Audit type:Provisional Audit

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