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Premise details

Address
104 Wharenui Road Upper Riccarton Christchurch 8041
Total beds
86
Service types
Rest home care, Geriatric, Medical

Certification/licence details

Certification/licence name
Mayfair Lifecare (2008) Limited - Mayfair Lifecare
Current auditor
BSI Group New Zealand Ltd
End date of current certificate/licence
Certification period
36 months

Provider details

Provider name
Mayfair Lifecare (2008) Limited
Street address
104 Wharenui Road Upper Riccarton Christchurch 8041
Postal address

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: 29 October 2024

Outcome required Found at audit Action required Risk rating Action status Date action reported 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 Six of ten neurological observations were discontinued after four hours; however, there was no clinical evidence to support this decision documented in the progress notes. Ensure all neurological observations are completed as per policy and if discontinued within 24 hours, the rationale for this is documented in progress notes. PA Low Reporting Complete
Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this. (i). One resident admitted a month ago as rest home level of care did not have an initial care plan, interRAI assessment, risk assessments or long term care plan completed. Note that the care plan documentation was completed on the second day of the audit. (ii). One rest home respite level resident did not have an initial care plan completed withing 24 hours after admission. (iii). One ACC resident admitted in May did not have an initial care plan, risk assessments or long term care plan complet (i)-(vi). Ensure that care plan documentation to support the resident`s care needs are completed within the required timeframes. PA Low In Progress
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 rest home residents (both in the serviced apartments) with a history of recurrent urinary tract infection (UTIs) and admissions to hospital due to the UTIs did not have interventions completed for the prevention of recurrent UTIs. (iii). One resident (ACC) had a self-medication assessment completed; however, there were no interventions completed in the care plan to ensure staff know what medications are administered and to follow up after administration. (i)-(ii). Ensure interventions are detailed to ensure early warning signs and risks have appropriate interventions completed. 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.

© Ministry of Health – Manatū Hauora