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Premise details

Address
21 Stoke Street Oamaru 9400
Total beds
93
Service types
Medical, Rest home care, Geriatric

Certification/licence details

Certification/licence name
Observatory Village Charitable Trust - Observatory Village Lifecare
Current auditor
BSI Group New Zealand Ltd
End date of current certificate/licence
Certification period
48 months

Provider details

Provider name
Observatory Village Charitable Trust
Street address
21 Stoke Street Oamaru 9400
Postal address
PO Box 39 Oamaru 9400

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: 05 June 2024

Outcome required Found at audit Action required Risk rating Action status Date action reported 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 One rest home resident had four falls in three months 2022 and no post falls risk assessments had been completed or interventions updated in the care plan. The resident had a fractured pubic ramus. The facility completed a short-term care plan for the fractured pubic rami; however, there was no pain assessment completed on return to the facility from hospital, to assess and manage the residents pain level. Staff were fully aware of care needs and supports and the relative was kept informed. O (i).To ensure that risk assessments are completed following an incident or change in residents’ health status and, (ii) ensure the changes are updated in the care plan and implemented. PA Low Reporting Complete
A medication management system shall be implemented appropriate to the scope of the service. i). Eight of the sixteen charts reviewed did not have effectiveness of ‘as required’ PRN medications recorded either in the electronic residents file or on the electronic medication chart. ii). Three medications kept with the stock medications were expired. iii). Four medications kept with the stock medications had been prescribed to residents who were no longer at Observatory Lifecare. i). Ensure the effectiveness of prn medications are recorded as per the policy. ii). & iii). Ensure out of date medications and those prescribed for residents who are no longer at Observatory Lifecare, are returned to the pharmacy. PA Moderate 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). There were no documented interventions around a change of medications for one rest home resident and one hospital resident. One rest home resident had no care plan interventions documented for a change in sleeping medication. ii). One rest home resident had no interventions documented for a skin tear. iii). One hospital level resident had no interventions documented for an infection. iv). There were no interventions documented for a hospital resident who requires specialist nutritional re i).- vi). Ensure care plan interventions are documented to meet the resident’s current needs. PA Low In Progress
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). Six incidents of unwitnessed falls for three rest home and three hospital level residents had neurological observations completed to some degree but not as per policy. (ii). One rest home resident's wound assessment was not being completed every third day as required in the wound management plan. (i). Ensure neurological observations are completed as per policy. (ii). Ensure wound dressings are completed as per the wound management plan. 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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