Premise details
- Address
- 78A Avenue Road West End Timaru 7910
- Total beds
- 44
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Heritage Lifecare (BPA) Limited - Highfield Rest Home
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Heritage Lifecare (BPA) Limited
- Street address
- 16 Johnsonville Road Johnsonville Wellington 6037
- Postal address
- PO Box 13223 Johnsonville Wellington 6440
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 develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | Not all internal audits of clinical practice and documentation required by the Heritage Lifecare Limited internal audit plan 2024 had been completed. Where audits had been completed, corrective action was not always taken when deficits were identified; this included a care planning audit competed in May 2024 where compliance had dropped to 85%. | Ensure all internal clinical audits as specified on the Heritage Lifecare internal audit plan are completed and that corrective action is taken when deficits are identified. | PA Low | In Progress | |
Service providers shall implement systems to determine and develop the competencies of health care and support workers to meet the needs of people equitably. | The files reviewed did not evidence registered nursing and caregiver staff had attained the required competency in relation to medication management, insulin administration, manual handling, hand hygiene and taking neurological observations. The knowledge check completed by the staff member was not verified and the practical observation of competency was not recorded. | Ensure staff complete the required training competencies required by Heritage Lifecare policy in full, including confirmation of knowledge and completion of the practical observation of competency where this is a requirement. | PA Moderate | In Progress | |
Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Staff had not been given the opportunity to discuss and review their performance annually as required. | Ensure that all staff are given the opportunity to discuss and review their performance and that an annual performance appraisal is documented for all staff. | PA Low | In Progress | |
Health care and support workers shall be trained in least restrictive practice, safe practice, the use of restraint, alternative cultural-specific interventions, and de-escalation techniques within a culture of continuous learning. | Education of clinical staff in the least restrictive practice, safe practice, the use of restraint, alternative cultural-specific interventions, and de-escalation techniques, had not occurred in the last 18 months and new clinical staff had not received training. | Ensure that all clinical staff receive education in the least restrictive practice, safe practice, the use of restraint, alternative cultural-specific interventions, and de-escalation techniques, and have a current restraint competency as required by HLL policy. | 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.
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: Surveillance Audit
- (docx, 64.22 KB) Highfield Rest Home - Aug 2024
- (pdf, 161.02 KB) Highfield Rest Home - Aug 2024
Audit date:
Audit type: Partial Provisional Audit
- (docx, 58.78 KB) Highfield Rest Home - Jun 2024
- (pdf, 143.4 KB) Highfield Rest Home - Jun 2024
Audit date:
Audit type: Certification Audit
- (docx, 59.69 KB) Highfield Rest Home - Jan 2023
- (pdf, 184.61 KB) Highfield Rest Home - Jan 2023
Audit date:
Audit type: Surveillance Audit
- (docx, 30.47 KB) Highfield Rest Home - Apr 2021
- (pdf, 121.08 KB) Highfield Rest Home - Apr 2021
Audit date:
Audit type: Certification Audit
- (docx, 48.21 KB) Highfield Rest Home - Feb 2019
- (pdf, 188.28 KB) Highfield Rest Home - Feb 2019
Audit date:
Audit type: Provisional Audit
- (docx, 49.66 KB) Highfield Rest Home - Feb 2018
- (pdf, 170.24 KB) Highfield Rest Home - Feb 2018