New Vista
Profile & contact details
| Premises name | New Vista |
|---|---|
| Address | 129 Harrison Street Whanganui 4500 |
| Total beds | 58 |
| Service types | Rest home care, Geriatric, Medical |
| Certification/licence name | Heartland Care Limited - New Vista |
|---|---|
| Current auditor | The DAA Group Limited |
| End date of current certificate/licence | 19 December 2025 |
| Certification period | 24 months |
| Provider name | Heartland Care Limited |
|---|---|
| Street address | 127 Harrison Street Whanganui 4500 |
| Post address | 127 Harrison Street Whanganui 4500 |
| Website | newvista.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: 18 October 2023
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Governance bodies shall demonstrate commitment toward eliminating restraint. | The governance body has not demonstrated a commitment toward eliminating restraint. | Provide evidence of the governance body’s commitment toward eliminating restraint. | PA Moderate | Reporting Complete | 04/04/2024 |
| Each episode of restraint shall be documented on a restraint register and in people’s records in sufficient detail to provide an accurate rationale for use, intervention, duration, and outcome of the restraint, and shall include: (a) The type of restraint used; (b) Details of the reasons for initiating the restraint; (c) The decision-making process, including details of de-escalation techniques and alternative interventions that were attempted or considered prior to the use of restraint; (d) If … (this text has been trimmed due to space limits). | Restraint was not documented in residents’ records in sufficient detail to provide an accurate rationale for use, intervention, duration, and outcome of the restraint in use. | Provide evidence that restraint has been documented in residents’ records in sufficient detail to provide an accurate rationale for use, intervention, duration, and outcome of the restraint in use. | PA High | Reporting Complete | 17/11/2023 |
| The decision to approve restraint for a person receiving services shall be made: (a) As a last resort, after all other interventions or de-escalation strategies have been tried or implemented; (b) After adequate time has been given for cultural assessment; (c) Following assessment, planning, and preparation, which includes available resources able to be put in place; (d) By the most appropriate health professional; (e) When the environment is appropriate and safe. | The decision to approve restraint for a person receiving services has not been made as a last resort, after all other interventions or de-escalation strategies have been tried or implemented, there has been no cultural assessments, and there is no information available on any of the resident’s files to show that restraint was applied after appropriate assessment, planning, and preparation. | Provide evidence that a process has been put into place to ensure restraint is applied only as a last resort and after all other interventions or de-escalation strategies have been tried or implemented. Provide evidence that cultural assessments have been completed and there is information available on the residents’ files to show that restraint was applied after appropriate assessment, planning, and preparation. | PA High | Reporting Complete | 17/11/2023 |
| Each episode of restraint shall be evaluated, and service providers shall consider: (a) Time intervals between the debrief process and evaluation processes shall be determined by the nature and risk of the restraint being used; (b) The type of restraint used; (c) Whether the person’s care or support plan, and advance directives or preferences, where in place, were followed; (d) The impact the restraint had on the person. This shall inform changes to the person’s care or support plan, resulting f… (this text has been trimmed due to space limits). | None of the records of residents using restraint evidenced any evaluation of the use of the restraint. | Provide evidence that residents using restraint have had a documented evaluation of the use of the restraint. | PA High | Reporting Complete | 17/11/2023 |
| The frequency and extent of monitoring of people during restraint shall be determined by a registered health professional and implemented according to this determination. | The frequency and extent of monitoring of people during restraint was determined by a registered health professional, but monitoring was not implemented according to this determination. | Provide evidence that restraint is monitored according to the assessed determination of a registered health professional. | PA High | Reporting Complete | 20/11/2023 |
| Service providers shall conduct comprehensive reviews at least six-monthly of all restraint practices used by the service, including: (a) That a human rights-based approach underpins the review process; (b) The extent of restraint, the types of restraint being used, and any trends; (c) Mitigating and managing the risk to people and health care and support workers; (d) Progress towards eliminating restraint and development of alternatives to using restraint; (e) Adverse outcomes; (f) Compliance w… (this text has been trimmed due to space limits). | There was no evidence available to support that a comprehensive six-monthly review of restraint use had been conducted at New Vista. | Provide evidence that that a comprehensive six-monthly review of restraint use has been conducted at New Vista. | PA High | Reporting Complete | 05/12/2023 |
| Results of surveillance and recommendations to improve performance where necessary shall be identified, documented, and reported back to the governance body and shared with relevant people in a timely manner. | The results of surveillance and recommendations to improve were not reported back to staff, management, or the governing body. | Provide evidence the results of surveillance and recommendations to improve are reported back to staff, management, and the governing body. | PA Moderate | Reporting Complete | 20/03/2024 |
| Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin… (this text has been trimmed due to space limits). | Care plans did not consistently describe the support required to address residents’ needs nor record the risks or early warning signs that may adversely affect a resident’s wellbeing. | Provide evidence that care plans describe the support required to address residents’ needs and record the risks or early warning signs that may adversely affect a resident’s wellbeing. | PA Moderate | Reporting Complete | 04/04/2024 |
| Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits). | There was no planned review of care plans that recorded the degree of achievement and identified changes required to meet residents’ needs. | Provide evidence there is planned review of care plans that records the degree of achievement and identifies changes required to meet residents’ needs. | PA Moderate | Reporting Complete | 04/04/2024 |
| In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov… (this text has been trimmed due to space limits). | The provision of services was not always consistent with meeting the residents’ assessed needs. | Provide evidence the provision of services is consistent with meeting the residents’ assessed needs. | PA Moderate | Reporting Complete | 04/04/2024 |
| There shall be an executive leader who is responsible for ensuring the commitment to restraint minimisation and elimination is implemented and maintained. | There is no executive leader who is responsible for ensuring the commitment to restraint minimisation and elimination is implemented and maintained. There is no job description in place for the RC to guide their practice. | Provide evidence that the service has an executive leader who is responsible for ensuring the commitment to restraint minimisation and elimination is implemented and maintained, that the person has the knowledge and skills to manage the role, and that they have a job description for the role in place to guide practice. | PA Moderate | Reporting Complete | 04/04/2024 |
| Monitoring restraint shall include people’s cultural, physical, psychological, and psychosocial needs, and shall address wairuatanga. | Monitoring of restraint did not address people’s cultural, physical, psychological, and psychosocial needs, or wairuatanga in any of the records sighted. | Provide evidence that monitoring of restraint addresses people’s cultural, physical, psychological, psychosocial needs, and wairuatanga. | PA Moderate | Reporting Complete | 04/04/2024 |
| There is an IP role, or IP personnel, as is appropriate for the size and the setting of the service provider, who shall: (a) Be responsible for overseeing and coordinating implementation of the IP programme; (b) Have clearly defined responsibility for IP decision making; (c) Have documented reporting lines to the governance body or senior management; (d) Follow a documented mechanism for accessing appropriate multidisciplinary IP expertise and advice when needed; (e) Receive continuing education… (this text has been trimmed due to space limits). | There is an IP role; however, the person appointed was not familiar with, and had no experience in, IP or AMS and does not have a job description in place to guide practice. | Provide evidence there is an experienced ICO in the IP role and that there is a job description in place to guide practice. | PA Moderate | Reporting Complete | 05/04/2024 |
| Service providers shall implement policies and procedures underpinned by best practice that shall include: (a) The process of holistic assessment of the person’s care or support plan. The policy or procedure shall inform the delivery of services to avoid the use of restraint; (b) The process of approval and review of de-escalation methods, the types of restraint used, and the duration of restraint used by the service provider; (c) Restraint elimination and use of alternative interventions shall … (this text has been trimmed due to space limits). | Restraint policies and procedures are not being fully implemented by the service. | Provide evidence that restraint policies and procedures are being fully implemented by the service. | PA Moderate | Reporting Complete | 05/04/2024 |
| There shall be a clinical governance structure in place that is appropriate to the size and complexity of the service provision. | Clinical governance is insufficient to maintain safe clinical care and it is not appropriate for the size and complexity of the organisation. The lack of clinical governance in a full-time role is in contravention of the ARRC contract D17.4 ba. | Provide evidence that clinical governance is being provided full time to support the FM who is not a registered nurse and to meet the requirements of ARRC contract D17.4 ba. | PA Moderate | Reporting Complete | 11/04/2024 |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Not all staff who were due to have an annual performance appraisal in the last 12 months (based on their start date) have completed a performance appraisal with their employer as required by the service’s policy and procedure. | Provide evidence that all staff in the service have had an annual performance appraisal as required by the service’s policy and procedure. | PA Low | Reporting Complete | 11/04/2024 |
| Health care and support workers shall be trained in least restrictive practice, safe practice, the use of restraint, alternative cultural-specific interventions, and de-escalation techniques within a culture of continuous learning. | Clinical staff have not been trained in least restrictive practice, safe practice, the use of restraint, alternative cultural-specific interventions, and de-escalation techniques in 2022 or 2023. | Provide evidence that clinical staff have been trained in least restrictive practice, safe practice, the use of restraint, alternative cultural-specific interventions, and de-escalation techniques. | PA Moderate | Reporting Complete | 11/04/2024 |
| Governance bodies shall evidence leadership and commitment to the quality and risk management system. | While governance has plans, policies, and procedures in relation to quality and risk activities within the service, there is no reporting of outcomes from quality and risk activities from the management team to governance to promote leadership of the quality and risk system by governance. | Provide evidence that outcomes from quality and risk activities are being reported to governance so that they can provide leadership and oversight of the quality and risk system. | PA Low | Reporting Complete | 11/04/2024 |
| My service provider shall work in partnership with Pacific communities and organisations, within and beyond the health and disability sector, to enable better planning, support, interventions, research, and evaluation of the health and wellbeing of Pacific peoples to improve outcomes. | New Vista has not yet connected to external Pacific communities and organisations, to enable better planning, support, interventions, research, and evaluation of the health and wellbeing of Pacific peoples to improve outcomes for Pasifika residents. | Provide evidence that New Vista has connected to external Pacific communities and organisations, to enable better planning, support, interventions, research, and evaluation of the health and wellbeing of Pacific peoples to improve outcomes for Pasifika residents. | PA Low | Reporting Complete | 11/04/2024 |
| Service providers shall ensure the quality and risk management system has executive commitment and demonstrates participation by the workforce and people using the service. | There is no evidence of a reporting mechanism to governance or to staff to allow governance and staff to be aware of any quality and risk issues within the service. Minutes from staff meetings do not evidence any discussion of adverse events, internal audits outcomes, infection prevention and control activities, or restraint use. Not all internal audits are being completed as per the schedule or have corrective actions identifying signed off. | Provide evidence that governance and staff have information in relation to quality and risk activities in reports or at staff meetings. Provide evidence that internal audits are being fully completed with appropriate corrective action sign-off. | PA Low | Reporting Complete | 11/04/2024 |
| Service providers shall improve health equity through critical analysis of organisational practices. | There are no processes in place to use ethnicity data to improve health equity through critical analysis of organisational practices. | Provide evidence that there are processes in place to use ethnicity data to improve health equity through critical analysis of organisational practices. | PA Low | Reporting Complete | 11/04/2024 |
| Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | There has been no system in place over 2022-2023 to identify, plan, and facilitate ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | Provide evidence that there is a system in place to identify, plan, and facilitate ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | PA Moderate | Reporting Complete | 11/04/2024 |
| Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided. | Not all staff who had commenced employment between 2021 and 2023 had completed an orientation and induction programme that covered the essential components of the service as required by the service’s policy and procedure. | Provide evidence that all staff employed by New Vista have completed an orientation and induction programme that covers the essential components of the service as required by the service’s policy and procedure. | PA Low | Reporting Complete | 11/04/2024 |
| Health care and support workers shall receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures. | Staff have not been trained in fire and emergency procedures in 2022 or 2023. | Provide evidence that staff have been trained in fire and emergency procedures. | PA Low | Reporting Complete | 11/04/2024 |
| Service providers shall provide educational resources that are available in te reo Māori and are accessible and understandable for Māori accessing services. | There were no educational resources available in te reo Māori at New Vista. | Provide evidence that there are educational resources available in te reo Māori. | PA Low | Reporting Complete | 11/04/2024 |
| Service providers shall have a clearly defined and documented IP programme that shall be: (a) Developed by those with IP expertise; (b) Approved by the governance body; (c) Linked to the quality improvement programme; and (d) Reviewed and reported on annually. | There was a clearly defined IP programme; however, it was not linked to the quality improvement programme or reviewed annually. | Provide evidence there is a clearly defined IP programme that is linked to the quality improvement programme and reviewed annually. | PA Low | Reporting Complete | 11/04/2024 |
| Infection prevention education shall be provided to health care and support workers and people receiving services by a person with expertise in IP. The education shall be: (a) Included in health care and support worker orientation, with updates at defined intervals; (b) Relevant to the service being provided. | There has been no IP and AMS training at New Vista since 2021. | Provide evidence of recent IP and AMS training. | PA Low | Reporting Complete | 11/04/2024 |
| A person with IP expertise shall be involved in procurement processes for equipment, devices, and consumables used in the delivery of health care. | Advice from the ICO had not been sought when making decisions around procurement relevant to care delivery, facility changes, and policies. | Provide evidence of the processes in place to make sure advice from the ICO is sought when making decisions around procurement relevant to care delivery, facility changes, and policies. | PA Low | Reporting Complete | 11/04/2024 |
| Service providers shall ensure that the IP role has – or IP personnel have – oversight of the facility testing and monitoring programme for the built environment. | The ICO has no oversight of the facility testing and monitoring programme for the built environment and does not have the knowledge or experience to manage this process. | Provide evidence that the ICO has oversight of the facility testing and monitoring programme for the built environment, and that education is provided to them to ensure they understand their responsibilities. | PA Low | Reporting Complete | 11/04/2024 |
| Executive leaders shall report restraint used at defined intervals and aggregated restraint data, including the type and frequency of restraint, to governance bodies. Data analysis shall support the implementation of an agreed strategy to ensure the health and safety of people and health care and support workers. | There are no processes in place to allow restraint to be reported to governance or to staff. Restraint is not reported at any level of the service. | Provide evidence of the processes in place to allow restraint to be reported to governance and to staff and that restraint is being reported at all levels of the service. | PA Low | Reporting Complete | 11/04/2024 |
| Service providers, shall evaluate the effectiveness of their AMS programme by: (a) Monitoring the quality and quantity of antimicrobial prescribing, dispensing, and administration and occurrence of adverse effects; (b) Identifying areas for improvement and evaluating the progress of AMS activities. | New Vista has implemented the AMS programme but has not evaluated the effectiveness of the AMS programme or identified areas for improvement, nor have they looked at strategies to reduce the use of antimicrobials. | Provide evidence New Vista has implemented and evaluated the effectiveness of the AMS programme and identified areas for improvement, including in the use of antimicrobials. | PA Low | Reporting Complete | 22/04/2024 |
| There shall be a documented pathway for IP and AMS issues to be reported to the governance body at defined intervals, which includes escalation of significant incidents. | There was no documented pathway for IP and AMS issues to be reported to the governance body at defined intervals. | Provide evidence of a documented pathway for IP and AMS issues to be reported to the governance body, specifying the intervals at which this will occur. | PA Low | Reporting Complete | 29/04/2024 |
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.
From 1 June 2009 to 28 February 2022 rest homes were audited against the Health and Disability Services Standards NZS 8134:2008. These standards have been updated, and from 28 February 2022 rest homes are audited against Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.
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 Ngā Paerewa Health and Disability Services Standard.
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: 18 October 2023Audit type:Certification Audit
Audit date: 30 September 2021Audit type:Surveillance Audit
Audit date: 09 October 2019Audit type:Certification Audit
Audit date: 25 October 2018Audit type:Provisional Audit