Woodlands Of Feilding
Profile & contact details
Premises name | Woodlands Of Feilding |
---|---|
Address | Woodlands Hospital 77 Port Street East Feilding 4702 |
Total beds | 80 |
Service types | Rest home care, Geriatric, Medical |
Certification/licence name | Karaka Court Limited - Woodlands of Feilding |
---|---|
Current auditor | Health and Disability Auditing New Zealand Limited |
End date of current certificate/licence | 15 September 2024 |
Certification period | 36 months |
Provider name | Karaka Court Limited |
---|---|
Street address | 544 Featherston Street Roslyn Palmerston North 4414 |
Post address | PO Box 100 Feilding 4740 |
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: 13 April 2023
Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
---|---|---|---|---|---|
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). | Three of four oxygen cylinders observed in the facility were not secure so at risk of falling and exploding. There were no signs indicating where oxygen was stored so that staff/emergency personnel could be aware of the danger of inflammable goods. | Ensure all oxygen cylinders (full or empty) are secured and there is clear signage of where they are stored. | PA Moderate | Reporting Complete | 29/10/2021 |
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers. | There was no evidence that manual handling training had occurred in the last eighteen months including no training on how to use two recently purchased hoists. There was no evidence of competencies being undertaken for manual handling and transfer and/or hoist use. | Ensure that the manual handing training/hoist competencies are undertaken and a record of the same is maintained. | PA Moderate | Reporting Complete | 29/10/2021 |
The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate. | i). The registered nurse progress notes were not clearly identifiable, and there were periods of two or more weeks with no RN progress notes documented in two rest home and four hospital files. | Ensure all registered nurse progress notes are clearly identifiable and documented within expected timeframes. | PA Low | Reporting Complete | 29/10/2021 |
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process. | i). There was no instruction documented in the care plans for caregivers around oral cares for eight of nine files (five hospital and three rest home). ii). There were insufficient individualised details around management and de-escalation of challenging behaviour or anxiety for three rest home and two hospital residents. iii). There were no non pharmaceutical interventions documented in the care plan for one hospital and one rest home resident. iv). Advice and strategies from the GP for one hos… (this text has been trimmed due to space limits). | i-viii). Ensure care plans are individualised and ensure interventions adequately guide caregivers. | PA Moderate | Reporting Complete | 29/10/2021 |
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). | Seven of seven unwitnessed falls had no neurological observations commenced. | Ensure all neurological observations following unwitnessed falls, or head injuries are carried out as per policy requirements. | PA Moderate | Reporting Complete | 13/09/2023 |
Service providers shall facilitate safe self-administration of medication where appropriate. | One resident self-administering medications did not have a current self-administration competency. | Ensure current competency is completed and in place for residents who self-administer medications. | PA Moderate | Reporting Complete | 29/09/2023 |
A medication management system shall be implemented appropriate to the scope of the service. | Four weeks out of a six-week period had no evidence of weekly controlled drug stocktake being done. | Ensure that weekly stocktake of controlled drugs is completed according to policy and regulations. | PA Moderate | Reporting Complete | 02/10/2023 |
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). Long-term care plan interventions had not been updated following a significant change in one hospital level resident’s care needs. ii). Two hospital level residents with unintentional weight loss did not have interventions documented around weight loss management. iii). One rest home level resident did not have care plan interventions documented for management of a urinary tract infection. iii). One rest home level resident did not have sufficient interventions documented around restraint u… (this text has been trimmed due to space limits). | i).- iv). Ensure care plans are individualised, reflect accurately the residents’ needs, and interventions provide adequate guidance for caregivers. | PA Moderate | Reporting Complete | 10/10/2023 |
A process shall be implemented to identify, record, and communicate people’s medicinerelated allergies or sensitivities and respond appropriately to adverse events. | Four of twelve medication charts did not have allergies and sensitivities documented as per policy. | Ensure resident’s allergies and sensitivities are documented on medication charts. | PA Low | Reporting Complete | 30/10/2023 |
Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | There are 26 restraints in use (bed rails); 18 hospital level, and 8 rest home. No data or discussion related to restraint use, minimisation, or elimination is discussed with staff at meetings. Four caregivers interviewed confirmed they received no information, or had discussions related to restraint use at the staff meetings. | Ensure the quality and risk management system (relating to restraint) involves, and fully informs staff. | PA Moderate | Reporting Complete | 31/10/2023 |
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: 13 April 2023Audit type:Surveillance Audit
Audit date: 01 July 2021Audit type:Certification Audit
Audit date: 18 September 2019Audit type:Surveillance Audit
Audit date: 07 February 2019Audit type:Surveillance Audit
Audit date: 26 June 2017Audit type:Certification Audit
Audit date: 08 March 2017Audit type:Partial Provisional Audit