Switzer Residential Care

Profile & contact details

Premises details
Premises name	Switzer Residential Care
Address	71 South Road Kaitaia 0410
Total beds	93
Service types	Rest home care, Geriatric, Medical, Physical, Dementia care

Certification/licence details
Certification/licence name	Claud Switzer Memorial Trust Board - Switzer Residential Care
Current auditor	Health and Disability Auditing New Zealand Limited
End date of current certificate/licence	26 October 2024
Certification period	36 months

Provider details
Provider name	Claud Switzer Memorial Trust Board
Street address	71 South Road Kaitaia 0410
Post address

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 April 2023

Outcome required	Found at audit	Action required	Risk rating	Action status	Date action reported complete
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.	Seven of the staff files reviewed did not evidence completion of an annual performance appraisal	Ensure that all staff complete an annual performance appraisal	PA Low	Reporting Complete	23/01/2023
Service providers responsible for medicine management are competent to perform the function for each stage they manage.	Care partners who administered and/or checked medications did not have up to date medication competencies.	Ensure all staff who administer and/or check medications have been assessed as competent to do so.	PA Moderate	Reporting Complete	23/01/2023
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.	Four of ten files (2 hospital and 2 rest home) did not have initial interRAI assessments completed within 21 days of admission.	Ensure all new interRAI assessments are completed within the required timeframes according to policy	PA Moderate	Reporting Complete	23/01/2023
Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services.	The service currently does not have sufficient numbers of registered nurses to have an RN on duty on some shifts as per the ARRC contract D17.4 a. i.	Ensure a registered nurse is on duty at all times to meet the requirements of the ARRC contract D17.4 a. i.	PA Low	Reporting Complete	08/11/2023
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).	i). Four of six care plans did not contain sufficient interventions to adequately guide HCAs in the delivery of care related to pain management (non-pharmacological and pharmacological interventions), diabetes (signs and symptoms and what to do for hypo or hyperglycaemia, normal blood glucose range and what to do if the blood sugar is out of range), management of symptom management for a resident with breast cancer (under active treatment according to assessment) and pressure injury prevention a… (this text has been trimmed due to space limits).	i). & ii). Ensure care plan documentation reflects the residents’ needs and interventions to provide adequate guidance for caregivers related to pain, challenging behaviours, diabetes and pressure injury prevention and management.	PA Low	Reporting Complete	08/11/2023
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).	One resident had three separate unwitnessed falls from February 2023 to April 2023. There is no documented evidence of neurological observations being completed as per policy.	Ensure all neurological observations following unwitnessed falls, or head injuries are carried out as per policy requirements.	PA Low	Reporting Complete	08/11/2023
A medication management system shall be implemented appropriate to the scope of the service.	There was no evidence of medication room temperatures for two of four medication room.	Ensure that medication room temperature monitoring is completed.	PA Moderate	Reporting Complete	08/11/2023

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 April 2023

Audit type:Surveillance Audit

Audit date: 10 August 2021

Audit type:Certification Audit

Audit date: 20 November 2019

Audit type:Surveillance Audit

Audit date: 15 August 2017

Audit type:Certification Audit

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