Premise details
- Address
- 1 Carlton Street Glenholme Rotorua 3010
- Total beds
- 44
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Fergusson House Restcare Limited - Fergusson House
- Current auditor
- HealthShare Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Fergusson House Restcare Limited
- Street address
- 678 Taikorea Road RD 3 Palmerston North 4473
- Postal address
- 678 Taikorea Road RD 3 Palmerston North 4473
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 |
|---|---|---|---|---|---|
| There is an IP role, or IP personnel, as is appropriate for the size and the setting of the service provider, who shall: (a) Be responsible for overseeing and coordinating implementation of the IP programme; (b) Have clearly defined responsibility for IP decision making; (c) Have documented reporting lines to the governance body or senior management; (d) Follow a documented mechanism for accessing appropriate multidisciplinary IP expertise and advice when needed; (e) Receive continuing education | The infection prevention co-ordinator had not received continuing education in infection prevention and antimicrobial stewardship. The infection prevention co-ordinator did not have access to all diagnostic results. | Ensure the infection control co-ordinator receives continuing education in infection prevention and antimicrobial stewardship. Ensure the infection control co-ordinator has access to all diagnostic results. | PA Low | Reporting Complete | |
| Service providers shall improve health equity through critical analysis of organisational practices. | Completing a critical analysis of organisation practices to improve health equity is not yet fully implemented. | Complete a critical analysis of organisation practices to improve health equity. | PA Low | Reporting Complete | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | There is currently no process for reviewing the clinical practice of the registered nurses. | Ensure that clinical practice for the nurses is reviewed by a suitably qualified health professional. | PA Moderate | Reporting Complete | |
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | Not all newly purchased policies and procedures have been personalised to reflect the current risks and quality goals of the organisation. | Amend the risk management plan and quality plan to reflect the organisation. | PA Low | Reporting Complete | |
| Service providers shall ensure their health care and support workers have the skills, attitudes, qualifications, experience, and attributes for the services being delivered. | The infection prevention position description has not been signed by the infection prevention coordinator. Position descriptions for the clinical nurse managers were not sighted. | The infection prevention coordinator is required to sign the position description for the role. Complete current position descriptions for the clinical nurse managers. | PA Low | Reporting Complete | |
| Professional qualifications shall be validated prior to employment, including evidence of registration and scope of practice for health care and support workers. | There was insufficient evidence that NZQA qualifications for the health care assistants had been historically validated. | Complete validation of NZQA certificates for any staff member that does have not a copy on their file. | 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: Certification Audit; Partial Provisional Audit
Audit date:
Audit type: Provisional Audit
