Ocean View Residential Care

Profile & contact details

Premises details
Premises nameOcean View Residential Care
Address 56 - 58 Marine Parade Otaki Beach Otaki 5512
Total beds21
Service typesRest home care
Certification/licence details
Certification/licence nameCapital Residential Care Limited - Ocean View Residential Care
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence24 June 2018
Certification period24 months
Provider details
Provider nameCapital Residential Care Limited
Street address 23 Woodhouse Avenue Karori Wellington 6012
Post address23 Woodhouse Avenue Karori Wellington 6012

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: 22 September 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
New service providers receive an orientation/induction programme that covers the essential components of the service provided.i) Two of six files reviewed did not have a signed job description on file. ii) Job descriptions were not signed for the role of the infection control coordinator or restraint coordinator. i) Ensure that all staff have a signed job description. ii) Ensure that job descriptions are signed for all roles. PA LowReporting Complete27/10/2016
Actual and potential risks are identified, documented and where appropriate communicated to consumers, their family/whānau of choice, visitors, and those commonly associated with providing services. This shall include: (a) Identified risks are monitored, analysed, evaluated, and reviewed at a frequency determined by the severity of the risk and the probability of change in the status of that risk; (b) A process that addresses/treats the risks associated with service provision is developed and im… (this text has been trimmed due to space limits).i) The care staff interviewed advised that two residents were currently using electric blankets and no risk management strategies had been documented or implemented. ii) The current use of electric blankets by residents was not identified as a hazard on the hazard register. i) Ensure that all identified hazards have risk management strategies documented and implemented. ii) Ensure all hazards are identified and included on the hazard register. PA ModerateReporting Complete27/07/2016
Entry criteria, assessment, and entry screening processes are documented and clearly communicated to consumers, their family/whānau of choice where appropriate, local communities, and referral agencies.i) The amendments made in 2015 to clause D13.3 of the ARRC contract, regarding refund timeframes are not included in the admission agreement currently in use by the service. ii) Schedule One of Ocean View’s admission agreement lists additional service charges to be paid by the resident (medication and transport costs), which are required to be provided by the service under the terms of the ARRC agreement. iii) Schedule one state the room may be sublet if the resident is away from the facility. … (this text has been trimmed due to space limits).i) Ensure that the current admission agreement aligns to the ARRC contract. ii) Ensure that residents are not charged for services that are required to be provided by the service as outlined in the ARRC. PA LowReporting Complete27/07/2016
All buildings, plant, and equipment comply with legislation.One chair lift connecting the lower ground floor room with the upper ground floor had not been tested and tagged. One of the supports holding up a deck on the north eastern side of the building was split on the day of audit. This support had two pieces of timber placed over the split that were being held in place by a G clamp. The facility manager advised that the owner had arranged for this support to be repaired the week after the audit Ensure that the chairlift is tested and tagged annually. ii)Ensure that all essential reactive maintenance is completed PA ModerateReporting Complete27/07/2016
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.i) Not all internal audits and monitoring identified on the organisation audit planner have been completed. ii) Data collected for quality and risk management purposes is not always analysed with results communicated to staff. i) Ensure that all scheduled audits and monitoring is completed. Ii) Ensure that data collected is analysed and shared with staff. PA ModerateReporting Complete30/08/2016
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.i) Not all areas for improvement identified through the audit, monitoring process and staff and resident satisfaction surveys had corrective action plans documented. ii) Not all corrective action plans had been reviewed or signed off as completed. i) Ensure that corrective action plans are developed for all areas requiring improvements. ii) Ensure that all corrective action plans are reviewed and signed off once completed. PA ModerateReporting Complete30/08/2016
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.Two residents identified as having a history of a high number of falls had little falls prevention included in the long-term care plans. The staff report that there are no working sensor mats available. Ensure that residents identified as a high falls risk have a full falls preventions included in their long-term care plan. Ensure that sensor mats are made available for residents identified as a high falls risk attempting to mobilise independently. PA ModerateReporting Complete30/08/2016
The organisation plans to ensure Māori receive services commensurate with their needs.(i) Ocean View does not have a documented Māori Health Care plan. (ii) There is no documented policy, which outlines specific Māori values and beliefs, or culturally safe practices for Māori. (iii) Ocean View staff interviewed could not describe links with the local Māori community. (iv) Two residents who identified as Māori did not have their cultural values and beliefs documented in their care plan. (i) Ensure that Ocean View has a documented Māori Health care plan that meets all legislative and contractual requirements. (ii) Ensure that there is a documented policy on cultural safety care practices for Māori. (iii) Ensure that appropriate links are established with local Iwi and the Māori community. (iv) Ensure that all residents who identify as Māori have their cultural values and beliefs documented in their care plan. PA LowReporting Complete26/09/2016
The service develops and implements policies and procedures that are aligned with current good practice and service delivery, meet the requirements of legislation, and are reviewed at regular intervals as defined by policy.i) Ocean View does not have a documented policy for informed consent, death of a resident and safe food handling. ii) The policy for challenging behaviour, does not comply with current best practice. iii) InterRAI requirements have not been included in the care planning or organisational policy documents. i-iii) Ensure that all mandatory polices are documented and all organisational polices meet current best practice, legislative and contractual requirements. PA LowReporting Complete26/09/2016
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.i) Education has not been provided in the past 2 years for advocacy and cultural awareness. ii) Where staff attendance numbers have been low at mandatory education sessions provided, no follow-up education or training has been provided. i) Ensure that the education schedule is fully implemented and education is provided to cover all contractual and legal requirements. ii) Ensure that a process is put in place to ensure that all staff attend mandatory education and where attendance is low an education follow-up plan is implemented. PA LowReporting Complete27/10/2016
The organisation has a clearly defined and documented infection control programme that is reviewed at least annually.The infection control programme has not been reviewed in the past 12 months. Ensure that the infection control programme is reviewed annually. PA LowReporting Complete27/10/2016
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.Eight out of the thirteen internal audits that required corrective action plans had not been reviewed or signed off as completed. Ensure that all corrective action plans are reviewed and signed off once completed. PA ModerateIn Progress
New service providers receive an orientation/induction programme that covers the essential components of the service provided.Ensure that all staff files have a signed job description and an up-to-date annual performance appraisal on file. Ensure that all staff files have a signed job description and an up-to-date annual performance appraisal on file. PA ModerateIn Progress
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.i) Education has not been provided in the past two years for the following mandatory training, care planning, nutrition/hydration, end of life, communication, skin integrity/pressure area, abuse/neglect, spirituality/counselling, sexuality/intimacy, wound care and the aging process. ii) Where staff attendance numbers have been low at mandatory education sessions provided, no follow-up education or training has been provided. i) Ensure that the education schedule is fully implemented and education is provided to cover all contractual and legal requirements. ii) Ensure that a process is put in place to ensure that all staff attend mandatory education and where attendance is low an education follow-up plan is implemented. PA ModerateIn Progress
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.(i)There is no documented evidence that fridge and freezer temperatures have been monitored the last month; (ii) while the kitchen was visually sited as clean, the cleaning checklist had not been signed as completed. (ii) Ensure all food in the fridge is dated and expired food removed. Since the audit the service has provided evidence that cleaning schedules and monitoring are now being documented as completed and monitored. Provide evidence safe food handling practices are consistently maintained in the kitchen. PA LowIn Progress
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)In five long-term resident files reviewed identified that there was no consistent documentation verifying the GP had seen the resident within 48 hours of admission, monthly or three-monthly (ii) In four ARCC resident files reviewed, there was no documentation to verify that the resident was stable and able to be reviewed three monthly. (iii) Two of the five long-term resident files reviewed had no long-term care plan (LTCP) in place within three weeks of admission or at the time of audit. (iv… (this text has been trimmed due to space limits).(i)Ensure resident files reflect GP records on admission and monthly on three monthly; (ii) Ensure GP records identify that whether the resident is to be seen monthly or three monthly; (iii) Ensure long-term residents have a LTCP in place within three weeks; (iv) Ensure ARCC residents have an interRAI assessment reviewed at least 6 monthly or when needs change. PA ModerateIn Progress
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.Two residents with episodes of challenging behaviour have no behaviour management plan documented. Ensure residents with behaviours that challenge have plans in place to guide staff in managing that behaviour. PA ModerateIn Progress
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.(i)Eight out of 28 internal audits reviewed had not been completed as per the schedule. ii) Data collected for quality and risk management purposes is not always analysed with results communicated to staff. i) Ensure that all scheduled audits and monitoring is completed. ii) Ensure that data collected is analysed and shared with staff. PA ModerateIn Progress
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.(i)Twelve electronic medication charts reviewed. Two had not been updated and included pharmacy generated signing sheets. The pharmacy generated signing sheets were followed by staff, there was no signed authorisation by the GP to guide administration by the staff of Ocean View. (ii)One of two warfarin charts had not been updated electronically and staff were administering based on the lab result faxed. (i)Ensure medication is administered from GP signed medication charts either electronically or hard-copy; (ii) Ensure the required warfarin dosage for administration is signed by the GP. PA ModerateReporting Complete04/12/2017
The facilitation of safe self-administration of medicines by consumers where appropriate.A resident who is self-administering medication has no documentation to verify resident’s competency Ensure residents self-medicating are regularly assessed as competent to self-administer and that this is documented PA LowReporting Complete04/12/2017
All buildings, plant, and equipment comply with legislation.The electric chair requires regular testing as per manufacturers specifications and three fire extinguishers require replacing. Since the draft report the service has provided documented evidence that the electric chair was serviced 3/10/17 and the three fire extinguishers replaced 9 October 2017 Provide evidence that the electric chair meets safety guidelines and fire extinguishers have been replaced. PA ModerateReporting Complete04/12/2017

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.

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