Premise details
- Address
- 530 Hillside Road Caversham Dunedin 9012
- Total beds
- 93
- Service types
- Dementia care, Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Radius Residential Care Limited - Radius Fulton Care Centre
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 48 months
Provider details
- Provider name
- Radius Residential Care Limited
- Street address
- 12 Viaduct Harbour Avenue Auckland Central Auckland 1010
- Postal address
- PO Box 450 Auckland 1140
- Website
- http://www.radiuscare.net.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 |
|---|---|---|---|---|---|
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | (i). Quality improvement/health and safety, staff, RN/clinical and resident meetings have not been held as per the required schedule policy. (ii). Not all agenda items, discussion points and actions have been followed up or completed. | (i). Ensure that quality improvement/health and safety, staff, RN/clinical meetings and resident meetings are held as per the required schedule policy. (ii). Ensure all agenda items, discussion points and actions are evidenced as followed up and 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). The information from the activity assessments (about me, pastoral care and leisure) includes a cultural assessment which gathers information about cultural needs, values, and beliefs, which have not been `published` as a care plan in three of the six files reviewed. (ii). There were four residents identified with recurrent UTIs (four and more in a 12-month period). Although there were STCP documented for each event; the early warning signs were not always documented in the continence, risk | (i). Ensure that all residents have an activities/leisure care plan accessible for staff to read. (ii). Ensure the long-term care plans of residents with recurrent UTIs have individual early warning signs documented in the continence, risk and toileting care plan, with associated prevention or escalation for appropriate interventions. | 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 | Although there are family/whānau involvement related to day-to-day information; the review of the care plan process was not always within the policy requirements to evidence family/whānau was involved in the care plan review process by either completing the case conference checklist, or stated involvement in the care plan in the progress notes. | Ensure family/whānau involvement in the care planning review process are clearly documented in residents’ records. | PA Low | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | Effectiveness of PRN medications was not always documented in either the medication chart, or in the progress notes in seven of twelve medication charts reviewed. | Ensure the effectiveness of PRN medications is documented. | 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.
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