Premise details
- Address
- 221 Karori Road Karori Wellington 6012
- Total beds
- 71
- Service types
- Physical, Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Presbyterian Support Central - Huntleigh Home
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Presbyterian Support Central
- Street address
- 3-5 George Street Thorndon Wellington 6011
- Postal address
- PO Box 12706 Thorndon Wellington 6144
- Website
- https://www.enlivencentral.org.nz/
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 |
|---|---|---|---|---|---|
| My property shall be respected, and my finances protected within the scope of the service being provided. | Nine of nine resident files had no evidence of any property records being documented regarding what property a resident had brought into the facility on admission. | Ensure a system is implemented that ensures all resident property is documented when brought into the facility on admission. | PA Low | Reporting Complete | |
| My service provider shall practise open communication with me. | (i). Discussion with six family/whanau, review of resident family/whanau survey results, and complaints lodged evidenced that; communication pathways are unclear, and family/whanau are not always aware of who to discuss their concerns regarding their relative’s care with. (ii). Communication updates regarding resident changes is irregular and staff availability for discussion is inconsistent. | (i). Ensure information/communication pathways are implemented, maintained and shared with all family/whanau. (ii). Ensure correspondence with family/whānau is evidenced when there are changes in residents condition. | PA Low | Reporting Complete | |
| 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. | Three of seven pressure injury documents had no evidence of an incident/accident form being completed. | Ensure all pressure injuries have an incident/accident form completed. | PA Low | 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). Two files of residents on YPD contracts reviewed did not include the physiotherapy exercises posted in the residents’ rooms. (ii). Two files of residents on YPD contracts reviewed did not reflect a rehabilitative approach and not document strengths, goals, and aspirations to align with people’s values and beliefs and the support required to achieve these. (iii). The service schedule for the Younger Person Disabled contract states ‘Programmes have as their focus the achievement of positive | (i). Ensure that all support interventions suggested by allied services are included in the care plan. (ii). Ensure that plans of care and support for younger people reflect a goal and rehabilitative approach. (iii). Ensure that allied services are provided according to need. | 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 | Four of four fall related incidents reviewed all documented that neurological observations had not been document according to time frames in policy and / or were incorrectly completed (staff documenting ‘asleep’ at night). | Ensure the neurological observations are completed with timeframes set by policy and the documentation reflects the policy and neurological observation template. | PA Low | Reporting Complete | |
| 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). Where there has been a change to the resident’s needs/ condition short term care plans (or changes to the long-term care plan) have not always been documented, this includes one post fall head wound and two wounds. (ii). Wound care plans have not been evaluated according to the policy and template with dimensions and exudate not documented. | (i). Ensure that, where progress is different from expected, or acute/ short term changes to care are required, there are documented changed to the long- term care plan or a short-term care plan documented as per policy. (ii). Ensure that wound care plans are evaluated according to the policy and template with dimensions and exudate documented. | PA Low | Reporting Complete | |
| Meaningful activities shall be planned and facilitated to develop and enhance people’s strengths, skills, resources, and interests, and shall be responsive to their identity. | Activities for the younger age group are not well defined and do not reflect an enabling good lives approach. | Ensure there are meaningful activities directed at the younger age group that are also appropriate to their interests. | PA Low | Reporting 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. | On the morning and evening shifts, healthcare assistants are tasked with food services, laundry, and cleaning tasks that consistently take them away from resident care. | Ensure the healthcare assistants are supported by sufficient housekeeping and food services staff so they can focus on resident care on the morning and afternoon shifts. | PA Low | 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 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.
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: Surveillance Audit
Audit date:
Audit type: Certification Audit