Ross Home and Hospital

Profile & contact details

Premises details
Premises nameRoss Home and Hospital
Address 360 North Road North East Valley Dunedin 9010
Total beds124
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence namePresbyterian Support Services Otago Incorporated - Ross Home and Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence16 September 2024
Certification period36 months
Provider details
Provider namePresbyterian Support Otago Incorporated
Street address 407 Moray Street Dunedin 9016
Post addressPO Box 374 Dunedin 9016
Websiteotago.ps.org.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: 28 June 2023

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
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).Two respite residents (one hospital level and one rest home) did not include all interventions for all resident care and safety, including nursing interventions for pain and interventions to manage known behaviours that challenge. Ensure that care plans document interventions to manage resident need. PA ModerateReporting Complete18/08/2023
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).i) One resident had two wounds documented on the same form. ii) One (palliative care) resident did not always have analgesia provided prior to dressing as directed by the wound care chart. i) Ensure that each wound has a separate chart and evaluation. ii) Ensure that analgesia is offered and/or provided as directed by the wound care plan. PA ModerateReporting Complete18/08/2023
A medication management system shall be implemented appropriate to the scope of the service.i) The effectiveness of ‘as required’ medication was not consistently documented in either the electronic medication system or the progress notes. ii) Six recent medication entries in the controlled drug register did not evidence the time of administration. i) Ensure the effectiveness of ‘as required’ medication is documented. ii) Ensure the time of administration of controlled medications is documented in the register. PA ModerateReporting Complete18/08/2023
Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this.i) Two of five resident files did not have an initial interRAI assessment completed within 21 days of admission. ii) Two of five did not have initial care plans documented within set timeframes. i) – ii) Ensure that timeframes are met for initial assessments and initial interRAI assessments. PA ModerateReporting Complete09/10/2023

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: 28 June 2023

Audit type:Partial Provisional Audit

Audit date: 23 January 2023

Audit type:Surveillance Audit

Audit date: 24 June 2021

Audit type:Certification Audit

Audit date: 08 October 2019

Audit type:Surveillance Audit

Audit date: 22 June 2017

Audit type:Certification Audit

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