Premise details
- Address
- 1 Masonic Drive Whanganui East Whanganui 4500
- Website
- https://www.eastgrovelifecare.co.nz/
- Total beds
- 56
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Eastgrove Lifecare Limited - Eastgrove Rest Home and Hospital
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 12 months
Provider details
- Provider name
- Eastgrove Lifecare Limited
- Street address
- 1 Masonic Drive Whanganui East Whanganui 4500
- Postal address
- 2b 172 Oriental Parade Oriental Bay Wellington 6011
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 |
|---|---|---|---|---|---|
| My complaint shall be addressed and resolved in accordance with the Code of Health and Disability Services Consumers’ Rights. | Complainants were not informed about appeal process. | Ensure that complainants are informed about appeal process. | PA Low | Reporting Complete | |
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | Internal audits are completed regularly, and most clinical audits indicate full compliance. However, inconsistencies were identified between documented results and actual practice. Audit records lacked sufficient detail, such as the names and number of resident files reviewed, making verification of audit findings difficult. | Ensure that audit outcomes accurately reflect current practice and be supported by traceable evidence. | PA Low | Reporting Complete | |
| Service providers shall identify external and internal risks and opportunities, including potential inequities, and develop a plan to respond to them. | The most recent staff survey was completed in February 2024; a new survey has not been evidenced as being undertaken since. Resident satisfaction surveys were still underway at the time of this audit and had not yet been collated or analysed. | Ensure that resident and staff satisfaction surveys are completed as planned. | 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. | Two new hospital level residents’ initial interRAI had not been completed within set timeframes. | Ensure interRAI assessments are completed within set timeframes. | PA Low | Reporting Complete | |
| 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). One hospital resident with a known suspected urinary tract infection and a history of urinary tract infections had no instructions documented to encourage fluids. ii). One hospital resident with high falls, a urinary catheter and reddened groins, had no instruction for care and support documented for any of these identified issues. iii). One hospital resident with known dementia had no support plans in place for management of the resident and their dementia. iv). One had a recent choking i | i). – iii). Ensure that care plans include care and support interventions for all identified needs. iv). Ensure specialist referrals are undertaken as needed. v). Ensure that, where there are changes to care needs, a short-term care plan is documented, or short-term care needs are documented in the long-term care plan. | PA Moderate | 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 | i). The nurse practitioner had documented a request for twice daily blood pressure monitoring for a rest home level resident. This had not been document as taking place. ii). One wound plan identified the wound as pressure injury when it was a skin tear. iii). Two wound plans identified the wounds ‘not applicable” when it was identified these wounds were stage two pressure injuries. iv). One wound care plan had two wounds on the same form. v). One surgical wound had no wound care plan. | i). Ensure monitoring as requested is undertaken and documented. ii). and iii). Ensure that wounds are correctly identified. iv). Ensure that each wound has its own wound assessment and plan. v). Ensure that all wounds have a wound assessment and care plan. | PA Moderate | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | There is no process to ensure that medication such as body lotions and fortified drinks signed off as ‘dose supplied’ have been provided. | Ensure that all medication are signed for when given. | PA Moderate | 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 corrective action manager.
- Date action reported complete
The date that the corrective action manager 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: Provisional Audit
