Premise details
- Address
- 621 Tay Street Hawthorndale Invercargill 9810
- Website
- https://www.thehawthorndale.co.nz/
- Total beds
- 86
- Service types
- Rest home care, Geriatric, Medical, Dementia care
Certification/licence details
- Certification/licence name
- Hawthorndale Care Village Limited - Hawthorndale Care Village Limited
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Hawthorndale Care Village Limited
- Street address
- 621 Tay Street Hawthorndale Invercargill 9810
- Postal address
- 215 Centre Street Heidelberg Invercargill 9812
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. | There are two HCAs and two RNs rostered on nights shift. However, the ARRC mixed model care clause F17.4B (for more than 60 residents) required a fifth person overnight “to be available at the facility and on call”; which is currently not rostered. | Ensure to meet the additional staffing requirements (for more than 60 residents) as stated in clause F17.4B. | PA Low | In Progress | |
| 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. | The men’s shed is not currently included within the Code Compliance Certificate. | Ensure to obtain code of compliance certificate for men’s shed. | PA Low | In Progress | |
| Service providers shall identify external and internal risks and opportunities, including potential inequities, and develop a plan to respond to them. | (i).There were corrective actions related to complaints documented but progress against these corrective actions and sign-off confirming implementation were not consistently documented. (ii).Issues raised during meetings were not always documented as allocated, implemented or closed off. | (i).Ensure that corrective actions related to complaints are documented as followed up and implemented. (ii).Ensure that issues raised during meetings are documented as allocated, implemented and closed off. | PA Moderate | 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). For two residents (one YPD and one ACC), the required suite of clinical and risk assessments had not been fully completed to form a comprehensive basis for care planning. (ii). Risk assessments related to specialised mobility equipment were not completed for two residents, and corresponding risk management strategies were not clearly reflected in the long‑term care plans. (iii). Three residents with identified medical conditions (deep vein thrombosis, seizure disorder, and diabetes mellitus | (i)-(iv). Ensure interventions include sufficient detail to manage the care and needs of the residents. | PA Moderate | In Progress | |
| Service providers shall follow the National Adverse Event Reporting Policy for internal and external reporting (where required) to reduce preventable harm by supporting systems learnings. | (i). Twelve of twenty-five adverse event forms reviewed did not evidence family/whānau notification, and there was no corresponding documentation in the progress notes. (ii). Eight of twenty-five adverse event forms did not evidence documented immediate follow up, investigation and corrective actions. | i). Ensure that adverse events evidence family/whānau notification. (ii). Ensure that adverse events evidence documented immediate follow up, investigation or corrective actions. | PA Moderate | In Progress | |
| 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 | (I). Hospital discharge instructions, including brace management, wound care, medication requirements, follow-up appointments, and escalation guidance, were not incorporated into the long-term care plan for a resident on an ACC contract. (ii). Post-operative care following tooth extraction was not supported by a short-term care plan to guide pain management and oral care for a hospital level care resident. (iii). Dietitian recommendations were not incorporated into the long-term care plan to ref | (i)-(ii). Ensure hospital discharge instructions and post-operative care requirements are incorporated into care plan interventions. (iii). Ensure allied health recommendations are incorporated into long-term care plans. (iv)-(v). Ensure that short term care plans are initiated for new medications and acute infections. | 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 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: Certification Audit
Audit date:
Audit type: Partial Provisional Audit
