Premise details
- Address
- 46 Main South Road Sockburn Christchurch 8042
- Total beds
- 119
- Service types
- Physical, Dementia care, Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- St Allisa Rest Home (2010) Limited - St Allisa Lifecare
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- St Allisa Rest Home (2010) Limited
- Street address
- 46 Main South Road Sockburn Christchurch 8042
- Postal address
- PO Box 6183 Upper Riccarton Christchurch 8042
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 |
|---|---|---|---|---|---|
| The appointment of appropriate service providers to safely meet the needs of consumers. | Annual staff appraisals were not completed for nine staff files reviewed, the other two were for new staff that had not yet been employed for a year. | Ensure that all staff who have been employed for over one year complete an annual staff appraisal. | PA Low | Reporting Complete | |
| A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented. | There was no corrective action plan implemented/completed for the annual resident satisfaction survey in February 2021. | Ensure that a corrective action plan is implemented and completed for the annual resident satisfaction survey. | PA Low | Reporting Complete | |
| A process to measure achievement against the quality and risk management plan is implemented. | Internal audits not completed include staff personal files, food service, tracers (behaviours that challenge) and environmental, and care planning. Also there were no internal audits completed for October, November, and December 2021 as scheduled. | Ensure all internal audits are completed as scheduled. | 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 care plan did not always identify the interventions required to support the pressure injury risk status for one hospital level resident: (a) frequency of repositioning is recorded at different frequencies throughout the care plan; (b) the care plan did not reflect all the equipment the resident is using (bed cradle, pressure relieving pillow, slippery sam, sheepskin bootie, recliner chair, pressure relieving pillow). (ii)The care plan did not always identify the medication risks including | (i) Ensure the interventions describe in detail all support required to address assessed needs. (ii) Ensure the care plan identifies medication risks. | 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 | (i)Short-term issues were not always added and documented as resolved as part of the support plan for three of the six files reviewed (a) One hospital resident presented with a chest infection that was treated with antibiotics; (b) one rest home resident presented with cellulitis that was treated with antibiotics; the same resident was on short-term frusemide use that was not addressed; (c) another hospital resident with a stage III pressure injury had a swab taken and antibiotics started. | (i)Ensure acute changes in health status are documented on short term care or support plans or updated on the long-term care or support plan. | PA Low | Reporting Complete | |
| Service providers shall facilitate safe self-administration of medication where appropriate. | (i) The following shortfalls were identified for two residents that self-administer inhalers: (a) there were no self-medication administration assessments completed; (b) the medication chart did not indicate the inhalers are for self- administration. | Ensure that the medication policy is fully implemented for residents that wish to self-medicate. | 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.
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: Certification Audit
