Premise details
- Address
- 1866 Cambridge Road Cambridge 3434
- Website
- https://www.teawalifecare.nz
- Total beds
- 78
- Service types
- Dementia care, Medical, Rest home care, Geriatric
Certification/licence details
- Certification/licence name
- Te Awa Care Limited - Te Awa Care
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Te Awa Care Limited
- Street address
- 1866 Cambridge Road Cambridge 3434
- Postal address
- PO Box 907 Cambridge 3450
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 data that is being collected (eg, falls, skin tears, bruising, episodes of challenging behaviours, infections, etc) and internal audit results (including corrective actions) are not consistently documented in meeting minutes. ii) Quality data is not consistently trended and analysed. | i) Ensure discussions in relation to quality data, including clinical indicator data and internal audit results/corrective actions are evidenced in meeting minutes. ii) Ensure quality data is consistently trended and analysed, to assist in looking for opportunities for improvements and monitor progress. | PA Low | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | Weekly controlled drug checks have not occurred as scheduled with a gap of up to 4 weeks. | Ensure weekly controlled drug checks are completed weekly as scheduled. | PA Moderate | Reporting Complete | |
| Service providers shall facilitate safe self-administration of medication where appropriate. | The three self-administration competences in place had not been reviewed for a period of 10 months. | Ensure self-medication competencies are reviewed at least three monthly and signed off by the RN and GP. | 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 dementia level residents initial interRAI assessment was completed five months after admission ii). One dementia level resident did not have an initial interRAI assessment completed for three months post admission. iii). One hospital level resident and one rest home level resident did not have an interRAI assessment completed for two months post admission. iv). One dementia level resident, and one hospital level resident did not have an interRAI reassessment completed for a period of 10 | i) – iv) Ensure all interRAI assessments are completed within timeframes. v). Ensure all long term care plans are reviewed at least six monthly. | PA Moderate | Reporting Complete | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Four of five staff who have been employed for more than 12 months do not have a current performance appraisal on file. | Ensure that performance appraisals are completed as scheduled. | PA Low | In Progress | |
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | (i). Staff meetings have not been completed as scheduled since last audit. (ii). Resident and family/whānau meetings have not been completed as scheduled since last audit. (iii). Resident and family/whānau satisfaction surveys have not been completed since last audit. | (i)-(ii). Ensure meetings are completed as scheduled. (iii) Ensure that resident and family/whānau satisfaction surveys are completed. | 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. | One respite resident who has been in for seven weeks has no initial care plan or long-term care plan | Ensure all respite residents have an initial plan completed and if in for longer than three weeks a long-term care plan. | PA Low | Reporting Complete | |
| Service providers shall facilitate safe self-administration of medication where appropriate. | One resident who has a self-administration competency in place had a nine-month gap between reviews. | Ensure self-medication competencies are reviewed at least three monthly and signed off by the RN and GP | PA Moderate | Reporting Complete | |
| Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data. | Infection surveillance does not include ethnicity data. | Ensure infection surveillance includes ethnicity data. | 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: Surveillance Audit
Audit date:
Audit type: Partial Provisional Audit
Audit date:
Audit type: Partial Provisional Audit; Certification Audit
Audit date:
Audit type: Partial Provisional Audit
