Premise details
- Address
- 91 Harewood Road Papanui Christchurch 8053
- Total beds
- 108
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Christchurch Methodist Central Mission - WesleyCare
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Christchurch Methodist Central Mission
- Street address
- 91 Harewood Road Papanui Christchurch 8053
- Postal address
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 |
|---|---|---|---|---|---|
| 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. | (i). Not all tagging and testing of residents’ equipment and WesleyCare equipment is current. (ii). Not all resident’s equipment and medical equipment were included in the annual compliance testing schedule. | (i). Ensure all clinical and non-clinical equipment is appropriately monitored and tagged for use. (ii). Ensure all resident and medical equipment is scheduled to be monitored for compliance. | PA Low | Reporting Complete | |
| The frequency and extent of monitoring of people during restraint shall be determined by a registered health professional and implemented according to this determination. | Five of five care plans reviewed related to restraint interventions does not evidence an implemented process describing the frequency and extent of monitoring related to identified risks. | Ensure describing the frequency and extent of monitoring related to identified risks. | PA Low | Reporting Complete | |
| There shall be a clinical governance structure in place that is appropriate to the size and complexity of the service provision. | The information about clinical governance occurs at the operational level through reporting on the business and quality plans and reports on infection prevention and control/anti-microbial stewardship and restraint. However, a shortfall is noted in the absence of a clinical governance structure there is inadequate reporting provided to the board infection prevention and control/anti-microbial stewardship and restraint. | Ensure a clinical governance structure is in place which includes reporting on infection prevention and control/antimicrobial stewardship and restraint. | 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). The internal audit results were not available for 2024. (ii). There was no evidence in the 2024 meeting minutes, except for two meeting minutes (August 2024 and November 2024), that detailed discussions around the performance of the quality programme with staff occurred. (iii). The meeting minutes for 2025 identified discissions related to the performance of the quality programme; however, corrective actions following from the meetings were not always assigned to a member of staff to follo | (i). -(iii). Ensure that all key aspects of the quality and risk management system is available, documented, followed up and discussed with staff. | PA Low | Reporting Complete | |
| Service providers shall develop and implement policies and procedures in accordance with good employment practice and meet the requirements of legislation. | Seven of the individual files reviewed did not evidence the integration of individual training records, current competencies, performance appraisals and orientation records within the individual employment file. The paper records were not easily accessible and available. | Ensure individual training, competencies, performance appraisal and orientation records are integrated into the individual`s employment file. | PA Low | Reporting Complete | |
| Results of surveillance and recommendations to improve performance where necessary shall be identified, documented, and reported back to the governance body and shared with relevant people in a timely manner. | A trend has been identified related to a high number of skin and soft tissue infections; however, there were no recommendations documented to work towards the decrease in the prevalence of the type of infections. | Ensure that where trends in infection rates are identified, a quality improvement plan is documented to improve the performance. | 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.
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: Certification Audit
Audit date:
Audit type: Surveillance Audit
