Premise details
- Address
- 64 Essex Street Balclutha 9230
- Total beds
- 68
- Service types
- Rest home care, Geriatric, Medical, Dementia care
Certification/licence details
- Certification/licence name
- Heritage Lifecare Limited - Clutha Views Lifecare
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Heritage Lifecare Limited
- Street address
- 16 Johnsonville Road Johnsonville Wellington 6037
- Postal address
- PO Box 13223 Johnsonville Wellington 6440
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 their health care and support workers have the skills, attitudes, qualifications, experience, and attributes for the services being delivered. | While an annual training and competency plan is in place, not all staff have completed the required training topics or competencies relevant to their role. | Ensure all staff have completed the required training and competencies relevant to their role as determined by the Heritage Lifecare annual education plan. | 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. | Four of eight residents’ files sampled did not have an interim care plan completed in a timely manner. Three of five residents’ files sampled did not have initial interRAI assessments completed in a timely manner. | Ensure interim care plans and interRAI assessments are completed in the timeframes required by the aged related residential care contract | PA Moderate | Reporting Complete | |
| Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review | - In two of eight residents’ files reviewed, the degree of progress towards the achievement of agreed goals and aspirations of residents and family/whānau was not evident. - Six-monthly care evaluation did not evidence collaboration with residents and family/whānau. - In three of seven residents’ files some interRAI triggered items were not addressed in the care plans | Ensure that care evaluation includes the degree of achievement towards agreed goals and aspirations. Ensure six-monthly care evaluation occurs in collaboration with residents and family/whānau. Ensure that all relevant interRAI triggered items are addressed in the care plans. | PA Moderate | Reporting Complete | |
| Each episode of restraint shall be evaluated, and service providers shall consider: (a) Time intervals between the debrief process and evaluation processes shall be determined by the nature and risk of the restraint being used; (b) The type of restraint used; (c) Whether the person’s care or support plan, and advance directives or preferences, where in place, were followed; (d) The impact the restraint had on the person. This shall inform changes to the person’s care or support plan, resulting f | Each episode of restraint is not being evaluated in line with the requirements of the standard. | Evaluate and document each episode of restraint against the evaluation requirements defined in criterion 6.2.7, points (a) to (n) | PA Low | Reporting Complete | |
| An appropriate call system shall be available to summon assistance when required. | An appropriate call system is available to summon assistance when required, although response times indicate not all calls are answered in a timely manner. While initiatives have been put in place to reduce response times, and some progress made, further improvement is required. | To monitor the call system response times and take action to reduce call bell response times to an acceptable level. | PA Low | Reporting Complete | |
| 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 | Four or five incident forms reviewed related to unwitnessed falls did not have neurological monitoring completed at the frequency required by the organisation’s policy. | Ensure neurological monitoring is completed post unwitnessed falls as per organisation’s policy. | PA Moderate | Reporting Complete | |
| Meaningful activities shall be planned and facilitated to develop and enhance people’s strengths, skills, resources, and interests, and shall be responsive to their identity. | In three of three files sampled for residents in Balmoral unit, there were no twenty-four-hour activity plans completed. | Ensure residents in Balmoral unit have documented twenty-four-hour activity plans/programme. | 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. | A building Code of Compliance certificate has not yet been issued to confirm the building work completed meets the required standards. | Ensure a building Code of Compliance certificate is issued. | 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.
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: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Partial Provisional Audit; Certification Audit
