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Premise details

Address
14 Robinson Street Foxton 4814
Total beds
61
Service types
Geriatric, Medical, Dementia care, Rest home care

Certification/licence details

Certification/licence name
Lonsdale 2005 Limited - Lonsdale Total Care Centre
Current auditor
BSI Group New Zealand Ltd
End date of current certificate/licence
Certification period
48 months

Provider details

Provider name
Lonsdale 2005 Limited
Street address
14 Robinson Street Foxton 4814
Postal address
PO Box 74 Foxton 4848

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: 12 April 2023

Outcome required Found at audit Action required Risk rating Action status Date action reported complete
A medication management system shall be implemented appropriate to the scope of the service. (i). The controlled drug medication register has not always been checked weekly, and controlled medication have not been signed by two staff members on administration in the electronic system. (ii). Medications were not always labelled with the resident’s name, including one insulin pen and one nasal spray. (iii). Not all PRN (as required) medications included an ‘indication for use’ on the electronic system and not all ‘as required’ medications administered included an efficiency documented. (i). Ensure weekly checks are completed of the controlled medication register and administration of controlled medication is signed by two staff members as per policy. (ii). Ensure medication in use are correctly labelled. (iii). Ensure that all ‘as required’ medications include an ‘indication for use’ on the electronic system and all ‘as required’ medications administered include documenting the outcome. 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). Two resident care plans (one hospital and one dementia) did not document the triggers and de-escalation techniques to manage behaviours that challenge. (ii). Two resident care plans (hospital) included the management of pain as identified by the assessment process; however, interventions were purely medication and not nursing interventions. (iii). Care plan interventions for the management of a pressure injury and risks associated with anticoagulant therapy were not documented for two hospi (i)- (iii). Ensure that interventions are documented to support all assessed needs. (iv). Ensure that the risks associated with restraint are documented. 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 Repositioning and restraint monitoring were not always documented as occurring according to timeframes for two hospital level residents. Ensure that monitoring charts are completed within set timeframes. 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 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.

© Ministry of Health – Manatū Hauora