Premise details
- Address
- Clare House 51 Durham Street Waikiwi Invercargill 9810
- Total beds
- 87
- Service types
- Rest home care, Geriatric, Medical, Dementia care
Certification/licence details
- Certification/licence name
- Clare House Care Limited - Clare House
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Clare House Care Limited
- Street address
- 51 Durham Street Waikiwi Invercargill 9810
- Postal address
- 51 Durham Street Waikiwi Invercargill 9810
Progress on issues from the last audit
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.
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | At the time this audit was undertaken, there was a significant national health workforce shortage. Findings in this audit relating to staff shortages should be read in the context of this national issue. Twenty-four-hour RN cover at Clare House is available three of seven nights a week. Recruitment efforts are underway. At the time of the audit, an experienced healthcare assistant (team leader) is filling the role of the RN with on-call cover provided by the clinical nurse manager and general ma | Ensure RN staffing meeting contractual requirements under the ARCC contract for hospital level services. | PA Low | Reporting Complete | |
| 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. | InterRAI assessments and six-monthly reassessments were not completed within timeframes for one rest home, two hospital, and one dementia files reviewed. | Ensure all interRAI assessments are completed in a timely manner and care plans are based on the assessed needs. | PA Low | In Progress | |
| A medication management system shall be implemented appropriate to the scope of the service. | (i). Six-monthly stock checks of controlled drugs for the year of 2023 had not been completed. (ii). The weekly drug counts had not been consistently completed between April and June, with four weeks not completed in two of the three controlled drug books. | (i).& (ii). Ensure routine drug counts are evidenced as being completed as scheduled. | PA Moderate | In Progress | |
| Service providers shall evaluate progress against quality outcomes. | i). Quality/health and safety, staff and activities meetings have not been held as per the required annual schedule. ii). Not all agenda items, discussion points and actions have been followed up or completed. | i). Ensure that quality improvement, staff and activities meetings are held as per the required annual schedule. ii). Ensure all agenda items, discussion points and actions are evidenced as followed up and completed. | PA Low | In Progress | |
| 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 | Neurological observations in three of the ten incident/accident forms (two residents in the dementia unit, and one in the rest home) reviewed had been started, but the recordings were not consistent with the required timeframes that were in the policy in place at the time of the audit. The falls did not result in any injuries. | Ensure the completion of neurological observations meets the requirements of the policy and process. | PA Low | In Progress | |
| 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 | i). In one dementia resident’s file, there were no documented interventions regarding the resident’s aggressive behaviour. ii). In two dementia residents’ files, the interventions had not been updated as the residents’ behaviours had changed. iii). In one rest home resident files, there were no interventions related to the resident’s cognitive decline. iv) In one rest home resident’s file where the resident used alcohol daily, this was not included in the long-term care plan. | i). – iv). Ensure interventions are in place and are current to meet the resident’s needs. | PA Moderate | In Progress |
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
About audit reports
Audit reports for this rest home’s latest audits can be downloaded below.
Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits. The guide gives an overview of the auditing process and explains what the audit reports mean.
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.
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
