Premise details
- Address
- 56 - 58 Marine Parade Otaki Beach Otaki 5512
- Total beds
- 24
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Capital Residential Care Limited - Ocean View Residential Care
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Capital Residential Care Limited
- Street address
- 56 - 58 Marine Parade Otaki Beach Wellington 5032
- Postal address
- 56 - 58 Marine Parade Otaki Beach Wellington 5032
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 |
|---|---|---|---|---|---|
| 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 | Five files reviewed showed that activity care plans were not updated every six months as required; the earliest updates were completed annually. | Ensure that activities plans are reviewed at least six monthly. | PA Low | Reporting Complete | |
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | There is no evidence to demonstrate that clinical internal audits were completed as scheduled since the last audit. | Ensure internal audits are completed as scheduled. | PA Moderate | Reporting Complete | |
| Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | Not all staff have completed the scheduled training. This includes (but is not limited to) abuse and neglect (one staff completed); challenging behaviour and dementia (three staff completed), code of rights and consent (three staff completed), complaints and advocacy (three staff completed), continence (three staff completed), cultural awareness and safety (two staff completed), infection control (four staff completed), ageing process (two staff completed), health and safety (0 staff completed ) | Ensure staff training is completed as per plan. | PA Moderate | Reporting Complete | |
| Service providers shall maintain an information management system that: (a) Ensures the captured data is collected and stored through a centralised system to reduce multiple copies or versions, inconsistencies, and duplication; (b) Makes the information manageable; (c) Ensures the information is accessible for all those who need it; (d) Complies with relevant legislation; (e) Integrates an individual’s health and support records. | Resident records are not integrated. The cloud based back up technology does not work consistently for electronic records back up. Privacy of each resident medical information was not ensured for the medical records uploaded in the resident files. Clinic records following resident review by the general practitioner are not always received by the facility from the medical practice in all the resident files reviewed. For the clinic records that are received from the medical practice these are | Ensure integration of resident records. Ensure back up technology is consistently working. (iii)-(vi) Ensure management of resident clinic records, assessments and care plans comply with standards. Ensure that document control processes are robust to ensure business continuity. | PA Moderate | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | (i)There were expired medications stored in the medication cupboard. (ii)Effectiveness of PRN medicines is not consistently documented in the resident records reviewed. | (i)Ensure expired medicines are returned to pharmacy. (ii)Ensure effectiveness of PRN medicines is documented. | PA Moderate | Reporting Complete | |
| Service providers shall facilitate safe self-administration of medication where appropriate. | One of two residents self-administering medications did not have processes in place including (but not limited to) competency assessment, care plan interventions, and safe storage of the medicines. | Ensure self-administration processes are implemented as per policy. | 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 | A review of the progress notes of all resident files does not evidence weekly registered nurse resident review and documentation as per policy. | Ensure resident reviews and documentation in progress notes is completed at least weekly by the registered nurse. | PA Moderate | 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. | Five of five InterRAI assessments have not been reviewed six monthly as per policy. | Ensure assessments are reviewed as per timeframes to meet policy and contractual requirements. | 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 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.
Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits. The guide gives an overview of the auditing process and explains what the audit reports mean.
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: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
