Premise details
- Address
- 384 High Street Dunedin Central Dunedin 9016
- Total beds
- 41
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Phantom 2021 Limited - Highview Rest Home & Hospital
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Phantom 2021 Limited
- Street address
- 35 Centennial Avenue Milton 9220
- Postal address
- 35 Centennial Avenue Milton 9220
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. | The number of employed RNs are insufficient to replace unplanned absences. | Ensure there are sufficient RNs for 24/7 RN coverage of the roster | PA Moderate | Reporting Complete | |
In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov | (i) One hospital level resident’s behaviour chart was not completed. | (i) Ensure all charts are completed as directed by the RN | PA Low | Reporting Complete | |
A medication management system shall be implemented appropriate to the scope of the service. | (i)The six-monthly quality stock takes of the controlled drugs have not been competed December 2022 and June 2023. | (ii)Complete six-monthly quality stocktake of the controlled drugs to meet the policy requirements. | PA Moderate | Reporting Complete | |
Service providers shall ensure there are safe and effective laundry services appropriate to the size and scope of the health and disability service that include: (a) Methods, frequency, and materials used for laundry processes; (b) Laundry processes being monitored for effectiveness; (c) A clear separation between handling and storage of clean and dirty laundry; (d) Access to designated areas for the safe and hygienic storage of laundry equipment and chemicals. This shall be reflected in a writt | (i)There was no IC input to ensure a clear process of how the separation between the clean and dirty flow is managed. (ii)There was no covered linen trolley available for the transportation of clean linen to the main building. (iii)Chemicals were stored on the shelf but the laundry was not always locked. (iv)The sluice room downstairs had chemicals but was not secure. (v) One upstairs corner shower wall lining needs remediation to minimise infection risk. | (i)Obtain IC expertise to determine a process to manage the separation between clean and dirty flow of the new laundry. (ii)Ensure that clean linen is transported in a covered trolley back to the main building. (iii)-(iv)Ensure that the chemicals in the laundry/sluice is securely stored and/ or ensure the laundry is locked at all times. (v) Ensure the shower upstairs wall lining is remediated | PA Moderate | Reporting Complete | |
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) Four of the six filles did not include sufficient information for interventions regarding the following (a) the management of seizures; (b) interventions related to suctioning requirement and emergency management; (c) Usage and management of a resident’s brace and (d) Instructions for a soft diet. (ii) Two files did not have updated interventions for the increased level of care required for a resident (a) that is now bedbound; and (b) another who experiences frequent falls. | (i)-(ii) Ensure all care plan interventions are current, individualised and reflect the assessed needs of residents. | PA Moderate | 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.
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
- (docx, 84.94 KB) Highview Rest Home & Hospital - Sep 2023
- (pdf, 237.64 KB) Highview Rest Home & Hospital - Sep 2023
Audit date:
Audit type: Surveillance Audit
- (docx, 56.95 KB) Highview Rest Home & Hospital - Jun 2023
- (pdf, 172.95 KB) Highview Rest Home & Hospital - Jun 2023
Audit date:
Audit type: Provisional Audit
- (docx, 72.39 KB) Highview Rest Home & Hospital - Aug 2022
- (pdf, 224.44 KB) Highview Rest Home & Hospital - Aug 2022