Premise details
- Address
- 400 Cornwall Road Mahora Hastings 4120
- Website
- http://www.oceaniahealthcare.co.nz/find-a-place/aged-care/eversley-care
- Total beds
- 50
- Service types
- Medical, Dementia care, Rest home care, Geriatric
Certification/licence details
- Certification/licence name
- Oceania Care Company Limited - Eversley Rest Home and Village
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Oceania Care Company Limited
- Street address
- Level 11, Deloitte building 80 Queen Street Auckland Central Auckland 1010
- Postal address
- PO Box 9507 Newmarket Auckland 1149
- Website
- http://www.oceaniahealthcare.co.nz/
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 |
|---|---|---|---|---|---|
| Each episode of restraint shall be documented on a restraint register and in people’s records in sufficient detail to provide an accurate rationale for use, intervention, duration, and outcome of the restraint, and shall include: (a) The type of restraint used; (b) Details of the reasons for initiating the restraint; (c) The decision-making process, including details of de-escalation techniques and alternative interventions that were attempted or considered prior to the use of restraint; (d) If | The restraint use had not been documented in the resident’s record in enough detail to provide an accurate rationale for use, intervention, duration, and outcome of the restraint. | Provide evidence that the restraint is use has been documented in the resident’s record in enough detail to provide an accurate rationale for use, intervention, duration, and outcome of the restraint. | PA Moderate | Reporting Complete | |
| The decision to approve restraint for a person receiving services shall be made: (a) As a last resort, after all other interventions or de-escalation strategies have been tried or implemented; (b) After adequate time has been given for cultural assessment; (c) Following assessment, planning, and preparation, which includes available resources able to be put in place; (d) By the most appropriate health professional; (e) When the environment is appropriate and safe. | Restraint has been instituted without other interventions or de-escalation strategies having been tried or documented and there has not been sufficient time for planning and preparation for the use of restraint. The restraint in use has not been consented to by the resident’s EPOA. | Provide evidence that the specific restraint in place has a fully completed assessment and that it has been consented. Provide evidence that the RC has been re-educated in the restraint process, and that they are able to accurately recognise when restraint is in use. | 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 | The provision of services to some residents was not consistent with meeting the residents’ assessed needs. | Provide documentation to show that the services being provided to residents is consistent with meeting the residents’ needs. | PA Moderate | Reporting Complete | |
| Monitoring restraint shall include people’s cultural, physical, psychological, and psychosocial needs, and shall address wairuatanga. | The monitoring of the restraint in use does not reflect all of the monitoring components required when restraint is in use. | Provide evidence that the monitoring of restraint includes the resident’s cultural, physical, psychological and psychosocial needs, and that it addresses wairuatanga. | PA Moderate | Reporting Complete | |
| Service providers shall conduct comprehensive reviews at least six-monthly of all restraint practices used by the service, including: (a) That a human rights-based approach underpins the review process; (b) The extent of restraint, the types of restraint being used, and any trends; (c) Mitigating and managing the risk to people and health care and support workers; (d) Progress towards eliminating restraint and development of alternatives to using restraint; (e) Adverse outcomes; (f) Compliance w | Six-monthly review of the restraint is use has not been accurately recorded by Eversley. | Provide evidence that comprehensive six-monthly review of the use of restraint is being accurately recorded by Eversley, and that it covers all the required aspects of the Standard. | PA Low | 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 | No evaluation of restraint had been put into place by the service prior to the audit for the restraint in use. | Provide evidence that the restraint in use has been evaluated as per Oceania restraint protocols. | PA Moderate | 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 | The documentation in the residents’ care plans was not always consistent in describing the care the residents needed to meet their assessed needs. | Provide evidence residents’ care plans describe the care the residents need to meet their assessed needs. Provide evidence residents’ care plans address the residents’ actual and potential needs associated with the residents’ diagnosed medical conditions. Provide evidence care plans describe the early warning signs, associated with the residents’ condition that staff need to be alert to, with a focus on prevention or de-escalation. | 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.
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: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Partial Provisional Audit
Audit date:
Audit type: Certification Audit