Mary Doyle Lifecare

Profile & contact details

Premises details
Premises nameMary Doyle Lifecare
Address 3 Karanema Drive Havelock North 4130
Websitewww.marydoyle.nz
Total beds161
Service typesRest home care, Geriatric, Medical, Dementia care
Certification/licence details
Certification/licence nameMary Doyle Healthcare Limited - Mary Doyle Lifecare
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence21 August 2020
Certification period48 months
Provider details
Provider nameMary Doyle Healthcare Limited
Street address 130 Rintoul Street Berhampore Wellington 6023
Post addressPO Box 7475 Newtown Wellington 6242
Websitewww.marydoyle.co.nz/

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: 02 June 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.i) Six of thirteen long-term care plans (two rest home, three hospital and one dementia), did not have amendments or alterations individually dated and signed with a designation recorded. ii) Five of thirteen short-term care plans reviewed (three hospital and two rest home), did not have amendments or alterations individually dated and signed with a designation recorded. iii) One of four rest home resident’s self-medication assessments was not dated or signed by the registered nurse. iv) One d… (this text has been trimmed due to space limits).i-ii) Ensure that all amendments and alterations to care plans are individually signed and dated with a designation recorded. iii) Ensure that all residents self-medicating have their self-medicating assessments reviewed and signed off by an RN. iv) Ensure that all care plans are reviewed and signed off by an RN. PA LowReporting Complete22/09/2016
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.There was one chronic wound in the rest home with documentation gaps identified on the initial assessment form and with the assessments completed at each dressing change. Noting the wound was being managed as per wound management plan. Ensure that all wound documentation is fully completed to reflect assessment/progress of wounds. PA LowReporting Complete22/09/2016

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: 02 June 2016

Audit type:Certification Audit

Audit date: 10 February 2015

Audit type:Surveillance Audit

Audit date: 04 June 2013

Audit type:Certification Audit

Audit date: 05 January 2012

Audit type:Surveillance Audit

Audit date: 24 May 2010

Audit type:Certification Audit

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