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Premise details

Address
156 Milton Street The Wood Nelson 7010
Total beds
113
Service types
Physical, Medical, Rest home care, Geriatric

Certification/licence details

Certification/licence name
The Wood Lifecare (2007) Limited - The Wood Lifecare
Current auditor
BSI Group New Zealand Ltd
End date of current certificate/licence
Certification period
36 months

Provider details

Provider name
The Wood Lifecare (2007) Limited
Street address
156 Milton Street The Wood Nelson 7010
Postal address

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: 25 March 2024

Outcome required Found at audit Action required Risk rating Action status Date action reported 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 Three of five hospital files reviewed had the following shortfalls: (i)One hospital level resident did not have sufficient documented interventions to manage the resident’s identified clinical risks related to behaviour, mood, and pain as assessed in the last interRAI. The pain care plan documented with insufficient interventions. (ii)One hospital resident’s unintentional weight loss of more than 5% in two months was identified but was not further investigated by the RNs. (iii) One YPD residen Ensure interventions are: (i) documented to ensure sufficient guidance are provided to manage all clinical risks;(ii)-(ii) reflective of early and timely investigation of early warning signs and (iv) focussed on prevention. PA Low In Progress
Service providers shall identify external and internal risks and opportunities, including potential inequities, and develop a plan to respond to them. (i)Meetings have not been completed as scheduled. There were no recorded staff meetings for March, April, and September 2023. There were no recorded registered nurses and enrolled nurses’ meetings from March to August 2023 and December 2023. (ii)Where there were identified corrective actions or quality actions in the meeting minutes, there was not always evidence of follow-up and sign of once completed (i)Ensure meetings are held as scheduled. (ii)Ensure that quality or corrective actions are followed up and there is evidence of sign off when completed. 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 Four incident and accident forms were reviewed related to unwitnessed falls. The following shortfalls were identified: (i)Two incident reports related to unwitnessed falls did not have any neurological observations completed for the unwitnessed falls. (ii)Two incident reports identified that neurological observations were commenced but not completed to policy requirements. (ii)Fluid charts and toileting regimens have not been commenced for two hospital level residents at the time of a UTI. (i)-(iii)Ensure the appropriate monitoring is implemented where required. PA Low In Progress
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)Acute changes related to identified infections are addressed within the infection register but have not always been documented in the support plan or updated in the LTCP. (ii)There are not well documented family/whānau involvement/communication/collaboration documented when acute changes in particular infections and prescribing of ABs are identified/occurring. (i)Ensure infections are added to and addressed in the LTCP. (ii)Ensure family/whānau are informed of all acute changes (including infections) and change in medications. 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.

© Ministry of Health – Manatū Hauora