Premise details
- Address
- 621 Tay Street Hawthorndale Invercargill 9810
- Total beds
- 86
- Service types
- Dementia care, Rest home care, Geriatric, Medical
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
- 12 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 is an annual leave and rostering policy that is yet to be updated to align with the current model of care. | Ensure the annual leave and rostering policy is updated to reflect the model of care at The Hawthorndale Care Village. | 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 village centre has yet to obtain a Certificate of Public Use. | Ensure a Certificate of Public Use is in place. | PA Low | In Progress | |
| Where required by legislation, there shall be a Fire and Emergency New Zealand- approved evacuation plan. | (i). The fire evacuation plan for the Village and houses is currently with fire consultants who are developing this for approval. (ii). Each house has yet to have fire evacuation instructions and exit signs displayed. | (i). Ensure the fire evacuation plan is approved by the fire service. (ii) Ensure fire evacuation instructions and exit signs are displayed | PA Low | In Progress | |
| The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. | (i). The landscaping including paths around the village are in the process of being completed. (ii). Furnishings are yet to be installed. | (i). Ensure the landscaping is completed. (ii). Review the bench top elements across the dual-purpose units to ensure the potential risks are mitigated. | PA Low | In Progress | |
| Service providers shall ensure there are implemented fire safety and emergency management policies and procedures identifying and minimising related risk. | Emergency and disaster policies are yet to be updated to align with the Village. | Ensure emergency and disaster policies are updated and staff are trained around these. | PA Low | In Progress | |
| Health care and support workers shall receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures. | A fire drill is scheduled for all staff at the induction days. | Ensure a fire drill has been completed. | PA Low | In Progress | |
| Service providers shall identify and implement appropriate security arrangements relevant to the people using services and the setting, including appropriate identification. | (i). The village is not yet secure. (ii). The technology policy describing monitoring and security is not yet in place. (iii).The swipe card access is not yet fully installed. (iv). The security motion sensors and wireless bed exit monitoring system is yet to be operational. | (i). Ensure the village is secure. (ii). Ensure a Technology/security policy is in place. (iii) Ensure the swipe card access is operational (iv).Ensure the security motion sensors and wireless bed exit monitoring system are operational. | PA Low | In Progress | |
| Service providers shall implement policies and procedures underpinned by best practice that shall include: (a) The process of holistic assessment of the person’s care or support plan. The policy or procedure shall inform the delivery of services to avoid the use of restraint; (b) The process of approval and review of de-escalation methods, the types of restraint used, and the duration of restraint used by the service provider; (c) Restraint elimination and use of alternative interventions shall | The restraint policy describes environmental restraint in regard to dementia level care; however, as this village will be secure for all residents the policy should also consider environmental restraint for those residents assessed as rest home or hospital level care that potentially are not cognitively able to follow a code to exit the village | Ensure the restraint policy is updated to reflect management of potential environmental restraint | PA Low | 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 district health board.
- Date action reported complete
The date that the district health board was told the issue was fixed.
