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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

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.

Details of corrective actions

Date of last audit: 20 August 2024

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.

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.

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