Premise details
- Address
- 25 Ruru Street Waikiwi Invercargill 9810
- Website
- https://www.waikiwigardens.co.nz/
- Total beds
- 45
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Waikiwi Healthcare Limited - Waikiwi Gardens
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 12 months
Provider details
- Provider name
- Waikiwi Healthcare Limited
- Street address
- Waikiwi Gardens 1/25 Ruru Street Waikiwi Invercargill 9810
- Postal address
- 1/25 Ruru Street Waikiwi Invercargill 9810
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. | Not all elements of the quality improvement framework had been fully implemented. · Meeting minutes did not include evidence of discussions and agreed actions. · Analysis of infection surveillance data was not evident. · Quality improvement and/or corrective action planning was not put in place based on satisfaction surveys and adverse event reporting. · Annual review of the quality goals had not occurred. | Ensure all elements of the quality improvement framework are fully implemented, including: • Documentation of discussions that occur at meetings. • Documentation of agreed actions. • Development and documentation of quality improvement and/or corrective action planning. • That a review of the annual quality goals occurs. | PA Moderate | In Progress | |
| Buildings, plant, and equipment shall be fit for purpose, and comply with legislation relevant to the health and disability service being provided. The environment is inclusive of peoples’ cultures and supports cultural practices. | The designated smoking room did not meet the requirements of the Smokefree Environments and Regulated Products Act 1990 (Section 6) in relation to the requirement for a mechanical ventilation system to be installed that takes air from the room to a place outside the workplace where any emissions the air may contain will not re-enter any part of the workplace. | Ensure the smoking room is either disestablished or a mechanical ventilation system is installed that meets the requirements of the Smokefree Environments and Regulated Products Act 1990 (Section 6). | PA Moderate | In Progress | |
| Service providers shall identify external and internal risks and opportunities, including potential inequities, and develop a plan to respond to them. | The risk register had not been reviewed or updated since June 2025. There was no evidence or review of risks by governance. | Ensure the risk register is reviewed and updated at defined intervals and that risks are reported to and reviewed by governance. | PA Low | In Progress | |
| Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | Not all staff had completed all education required by the Ngā Paerewa standard, the provider’s contract and organisational policies including education on infection prevention, restraint and de-escalation, cultural safety, Te Tiriti o Waitangi and specific training to meet the requirements of younger people with a physical disability. | Ensure all staff complete education as detailed in the training plan and policy, including education on infection prevention, restraint and de-escalation, cultural safety, Te Tiriti o Waitangi and specific training to meet the requirements of younger people with a physical disability. | 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 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: Provisional Audit