Ribbonwood Country Home

Profile & contact details

Premises details
Premises name	Ribbonwood Country Home
Address	George & Caroline Edgar Memorial Building 50 Tapanui Raes Junction Highway RD 2 Tapanui 9587
Total beds	19
Service types	Medical, Geriatric, Rest home care

Certification/licence details
Certification/licence name	West Otago Health Limited - Ribbonwood Country Home
Current auditor	Health and Disability Auditing New Zealand Limited
End date of current certificate/licence	16 September 2026
Certification period	36 months

Provider details
Provider name	West Otago Health Limited
Street address	George & Caroline Edgar Memorial Building 3 Norfolk Street Tapanui 9522
Post address	PO Box 50 Tapanui 9542

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: 27 June 2023

Outcome required	Found at audit	Action required	Risk rating	Action status	Date action reported complete
Buildings, plant, and equipment shall be fit for purpose, and comply with legislation relevant to the health and disability service being provided. The environment is inclusive of peoples’ cultures and supports cultural practices.	i). External areas including gardens, pathways and ramps are yet to be completed around the extension. ii). A certification of public use is yet to be issued.	i). Ensure landscaping and ramps are installed prior to admission of residents. ii). Ensure the certificate of public use is issued prior to occupancy.	PA Low	Reporting Complete	19/09/2023
Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services.	RN staffing does not meet contractual requirements. Systems and processes have been implemented to minimise risk to the residents.	Ensure RN staffing meets contractual requirements with a minimum of one RN on site 24 hours a day, seven days a week.	PA Low	Reporting Complete	19/09/2023
Where required by legislation, there shall be a Fire and Emergency New Zealand- approved evacuation plan.	The fire evacuation plan is yet to be issued.	Ensure the fire evacuation plan is in place prior to occupancy.	PA Low	Reporting Complete	19/09/2023
Care or support plans shall be developed within service providers’ model of care.	Care plans reviewed did not describe all care needs including (i) One resident who had recently returned from hospital had not had their care plan updated to reflect: pain, post fall care, and management of alcohol; (ii); One resident with a wound did not have a short-term care plan in place to manage care associated with the wound.	Ensure care plans are documented and updated to reflect resident current needs.	PA Moderate	Reporting Complete	19/09/2023
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).	Five of five neurological observation charts reviewed all documented ‘asleep during the night’ and neurological observations had not been documented during this time.	Ensure that neurological observations are completed as per policy.	PA Low	Reporting Complete	19/09/2023
I shall have the right to make an informed choice and give informed consent.	Of the five files reviewed, two had a resuscitation status form that had not been reviewed at least annually and one did not have any.	Ensure resident files include an up-to-date resuscitation status.	PA Low	Reporting Complete	19/09/2023

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: 27 June 2023

Audit type:Partial Provisional Audit; Certification Audit

Audit date: 09 August 2021

Audit type:Surveillance Audit

Audit date: 15 July 2019

Audit type:Certification Audit

Audit date: 13 June 2018

Audit type:Surveillance Audit

Audit date: 08 July 2016

Audit type:Certification Audit

Print Email Feedback