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Premise details

Address
n/a 16 Helston Road Johnsonville Wellington 6037
Total beds
36
Service types
Dementia care

Certification/licence details

Certification/licence name
Presbyterian Support Central - Cashmere Heights
Current auditor
BSI Group New Zealand Ltd
End date of current certificate/licence
Certification period
12 months

Provider details

Provider name
Presbyterian Support Central
Street address
3-5 George Street Thorndon Wellington 6011
Postal address
PO Box 12706 Thorndon Wellington 6144
Website
http://www.psc.org.nz/

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: 04 April 2014

Outcome required Found at audit Action required Risk rating Action status Date action reported complete
Health care and support workers shall receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures. (i). Specific fire safety and fire drill training is to be completed for new staff. This is scheduled for the induction training days. (ii). There are not yet civil defence supplies, outbreak kits as part of pandemic planning and first aid kits in key areas (i). Ensure a fire drill and emergency management training is completed for new staff prior to opening. (ii). There are not yet civil defence supplies, outbreak kits as part of pandemic planning and first aid kits in key areas PA Low Reporting Complete
Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided. The induction week scheduled has yet to occur. During this week, all staff will complete required inductions packages, competencies, first aid and orientation to new equipment. Ensure staff commence and complete induction and competencies on opening of the facility PA Low Reporting 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). The process of checking of electrical equipment and other machinery/clinical equipment was not yet completed. (ii). Hot water tests have not been completed in resident areas (i). All electrical equipment and other machinery are to be checked as part of the annual maintenance and verification checks. (ii). Hot water tests have not been completed in resident areas PA Low Reporting Complete
The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. (i). The second door that leads to the dementia unit needs to be secured. (ii). There are two identified areas in the perimeter fence where the fence needs to be heightened and shrubbery put in place to deter climbing. (iii). Room 19, 20, 26, 29, 31 was still to be refurbished. (iv). A secure door is yet to be placed at room 25 to close off the three wings in two units (i). Ensure the door that leads to the dementia unit (second foyer door) is secure. (ii). Ensure the perimeter fence is secure, of appropriate height with shrubbery to deter residents from climbing. (iii). Ensure 19 and 20 is refurbished prior to opening of phase one and the rest prior to opening when numbers increase above 21(in wing three) (iv). Ensure to place a secure internal door before the implementation of phase two when numbers increase to more than 21. PA Low Reporting Complete
Where required by legislation, there shall be a Fire and Emergency New Zealand- approved evacuation plan. A fire evacuation plan is documented and has been lodged for approval with the New Zealand Fire Service Ensure the fire evacuation scheme is approved. PA Low Reporting Complete

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.

About audit reports

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.

Before 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) appear on the rest home’s page. As the rest home completes the required actions, the status on the website updates.

© Ministry of Health – Manatū Hauora