Premise details
- Address
- 145 Main Road Clive 4102
- Total beds
- 26
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Aritha Care Limited - Voguehaven Rest Home
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 12 months
Provider details
- Provider name
- Aritha Care Limited
- Street address
- Voguehaven rest home 145 Main Road Clive 4102
- Postal address
- 145 Main Road Clive 4102
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 |
|---|---|---|---|---|---|
| All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal shall comply with current legislation and guidelines. | The dried goods are decanted into sealed containers do not evidence the date of decanting or expiry dates. | Ensure decanted goods evidence the date of decanting and expiry dates. | 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. | (i). Clinical audits are undertaken by a non-clinical person. (ii). Meeting minutes do not evidence sharing if quality data including review of incidents, infections and internal audit results with staff. (iii). The results of the 2025 satisfaction surveys have not been evidenced as being collated or shared with respondents or staff. | (i). Ensure that clinical audits are undertaken by a clinical person. (ii). Ensure meeting minutes evidence the discussions held with staff in relation to quality data including incidents, infections and internal audit results. (iii). Ensure satisfaction surveys are evidenced as being collated and the results are shared with respondents and staff. | PA Moderate | Reporting Complete | |
| My service provider shall practise open communication with me. | (i). Two of seven incident forms reviewed did not document if family/whānau had been informed. (ii). Five of five resident files did not document family information or communication | (i). Ensure that communication with family/whanau is documented post incidents (ii). Ensure that family involvement and communication is documented regarding resident care. | PA Moderate | Reporting Complete | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Performance appraisals have not been completed annually for all staff. | Ensure that all staff have an annual performance appraisal. | 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).InterRAI assessments were not completed within 21 days of admission for two of five files reviewed. (ii).InterRAI assessments were not completed prior to long-term care plan development of reviews for four of five files reviewed. (iii).InterRAI re-assessments were not completed six-monthly for three of three files, where reviews were required. (iv). Activities care plans were not consistently documented within three weeks of admission for one of five files and/or reviewed six-monthly for two | (i to iii). Ensure interRAI assessments are completed within 21 days of admission and reviewed six-monthly and inform the care plan. (iv). Ensure activities care plans are completed within 21 days of admission and reviewed six-monthly. | PA Moderate | 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).Four out of five resident records reviewed did not have sufficient detail to inform staff of their cultural needs, values and beliefs. ii).Four of five resident records reviewed did not have sufficient detail to inform staff of care needs; three residents with diabetes did not include frequency of BGLs, signs and symptoms of hypoglycaemia and hyperglycaemia or reportable ranges; two residents with documented evidence of challenging behaviours did not include information on behavioural managem | i). – ii). Ensure all care plan interventions are current, individualised and reflect the assessed needs of residents. i). Ensure care planning informs staff of cultural needs, values and beliefs. | PA Moderate | 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). Evaluations are not evidenced as occurring six-monthly for two of three plans where this was required. ii) Evaluations do not consistently report progress towards goals for two of three reviews where this was required. | i). Ensure care plan evaluations are completed six-monthly. ii).Ensure that care plan evaluations document progress towards meeting documented goals. | PA Low | Reporting Complete | |
| Menu development that considers food preferences, dietary needs, intolerances, allergies, and cultural preferences shall be undertaken in consultation with people receiving services. | Nutritional profiles do not identify special diet (eg, diabetic) and do not consistently evidence review dates since admission. | Ensure nutritional profiles identify special diets and evidence regular reviews. | PA Low | Reporting Complete | |
| Service providers shall identify external and internal risks and opportunities, including potential inequities, and develop a plan to respond to them. | The hazard register has not been evidenced as reviewed or updated with new hazards identified. | Ensure the hazard register is evidenced as being reviewed and updated identifying all new hazards. | PA Moderate | Reporting Complete | |
| Service providers shall understand and comply with statutory and regulatory obligations in relation to essential notification reporting. | (i). There was no evidence of a formal review of three serious events. (ii). Section 31 notifications have not been evidenced as completed for one fire and one for a resident who was missing and the police informed. | (i). Ensure all serious events are evidenced as being investigated and evidence a risk-based approach to improve service delivery (ii). Ensure notification to relevant authorities in relation to essential notifications is implemented. | PA Moderate | Reporting Complete | |
| Service providers shall ensure health care and support workers are able to provide a level of first aid and emergency treatment appropriate for the degree of risk associated with the provision of the service. | Four-night shifts in the last two weeks did not have a trained first aider on shift. | Ensure there is always a staff member qualified in first aid on every shift. | PA Moderate | Reporting Complete | |
| Governance bodies shall ensure service providers’ structure, purpose, values, scope, direction, performance, and goals are clearly identified, monitored, reviewed, and evaluated at defined intervals. | The governance and quality plan have not been formally evaluated. | Ensure that the governance and quality plan document a formal evaluation. | 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 corrective action manager.
- Date action reported complete
The date that the corrective action manager was told the issue was fixed.
