Premise details
- Address
- 84 Waughs Road Aorangi Feilding 4775
- Total beds
- 26
- Service types
- Dementia care, Rest home care
Certification/licence details
- Certification/licence name
- Westella Limited - Westella
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 24 months
Provider details
- Provider name
- Westella Limited
- Street address
- 84 Waughs Road Aorangi Feilding 4775
- Postal address
- PO Box 455 Feilding 4740
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 |
|---|---|---|---|---|---|
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Not all staff members are having the regular, 90-day coaching opportunities. | Ensure all staff have access to opportunities to discuss and review their performance. | PA Low | 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 | Care plans were not fully reflective of residents’ required needs. Where progress was different from that expected, changes were made to the care being delivered but were not updated in the care plan. For residents under one GP, there were no GP notes onsite. The management of unwitnessed falls by a resident who was a high falls risk was not documented, and neurological observations were not taken within the required timeframes. | Provide evidence that care plans describe fully the support required to address the residents’ needs. Provide evidence that early warning signs and risks that may affect the persons wellbeing are documented, with a focus on prevention. Provide evidence medical records are kept onsite. | PA Moderate | Reporting Complete | |
| Service providers shall understand and comply with statutory and regulatory obligations in relation to essential notification reporting. | No essential notifications had been made under Section 31(5) for reportable events involving a resident who had left the secure property and another who attempted to leave and had been injured while doing so. | Ensure that the requirement for essential notifications is understood and complied with. | PA Moderate | Reporting Complete | |
| Service providers shall implement policies and procedures underpinned by best practice that shall include: (a) The process of holistic assessment of the person’s care or support plan. The policy or procedure shall inform the delivery of services to avoid the use of restraint; (b) The process of approval and review of de-escalation methods, the types of restraint used, and the duration of restraint used by the service provider; (c) Restraint elimination and use of alternative interventions shall | For rest home residents, the secure environment represents an environmental restraint and needs to be managed as such. The Westella restraint policy was still being revised at the time of the audit. It did not meet the requirements of this criterion or subsection, nor did it describe the process in place for those residents who were receiving rest home level care and did not require a secure environment. | Ensure that the restraint policy and procedures are updated to be consistent with this subsection and are implemented for any residents who are receiving rest home level care and do not require a secure environment. | PA Moderate | Reporting Complete | |
| Service providers shall ensure the quality and risk management system has executive commitment and demonstrates participation by the workforce and people using the service. | People using the service, and their whānau, are not currently involved in quality management activities and staff meeting minutes show limited involvement of staff members. | Ensure that there is participation by people and their whānau so that they are informed of trends in quality indicators, any significant issues, and can contribute to decision-making where appropriate. Ensure that staff are provided with collated and analysed quality data throughout the year. | PA Moderate | Reporting Complete | |
| I shall receive information in my preferred format and in a manner that is useful for me. | None of the staff members wore name badges or had other ways of being identified by name for residents or whānau. There were no whānau meetings being held and residents provide minimal feedback at residents' meetings. There was no process in place to ensure residents and whānau were receiving the information in a manner that was useful, or were enabled to provide feedback (refer criterion 2.2.1). | Provide evidence residents and their whānau are aware of who they are communicating with. Provide evidence residents and their whānau are receiving information in a manner that is useful to them. | PA Low | Reporting Complete | |
| The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. | Westella is a large spacious home with deep balconies on the upper floor and verandas on the ground floor. The upper floor balconies are not currently accessible. Having these two balconies unavailable limits the choices for residents to have comfortable outside spaces for sitting and enjoying the views, sunshine and conversations. All of which were observed throughout the two days onsite. | Take action to make the upper floor balconies are safe and accessible for residents. | PA Moderate | Reporting Complete | |
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | There is no evidence that the quality management activities taking place improve service delivery or care provided to residents. Formal corrective action plans were not evident and there is no collation or trending of events over time. | Ensure that the quality management activities include collation and analysis of quality data; and formal corrective action plans with follow-up, closure and reporting using the organisation’s management systems. | PA Moderate | Reporting 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. | The sluice room and staff toilet off the administration office are both in a poor condition. The stainless steel of the sluice is stained and worn and needs to be replaced. There is no sanitiser available. The toilet cubicle is unsightly. The sink is very stained and unhygienic. The toilet doesn’t flush adequately. This toilet is one of only two available for all staff and visitors in the building (there is a third toilet for staff only in the staff bathroom). | Ensure the sluice and identified staff/visitors’ toilet are remediated to provide hygienic facilities. | PA Moderate | Reporting Complete | |
| Service providers shall implement systems to determine and develop the competencies of health care and support workers to meet the needs of people equitably. | The system for determining and developing the competencies of staff members does not reflect current best practice in the aged care sector. Reliance has been placed on some core skills and knowledge which had been obtained when staff obtained their qualifications, which is not usual practice. | Ensure the process for determining and developing competencies is consistent with current best practice in the aged care sector. | PA Moderate | Reporting Complete | |
| Service providers shall assist with training and support for people and service providers to maximise people and whānau receiving services participation in the service. | No training or support is provided to whānau or residents to participate in the service. | Ensure that training and support is provided for residents and their whānau to participate in the service. | PA Low | Reporting Complete | |
| Meaningful activities shall be planned and facilitated to develop and enhance people’s strengths, skills, resources, and interests, and shall be responsive to their identity. | Activities are not planned or facilitated to develop and enhance residents’ strengths, skills, resources and interests. There was no 24-hour lifestyle care plan in place | Provide evidence the activities plan provided ensures residents are facilitated to develop and enhance resident's strengths skills and interest. There is a 24-hour care plan in place that identifies people's previous lifestyle patterns and routines. | PA Moderate | Reporting Complete | |
| People receiving services shall be supported to access their communities of choice where possible. | Residents at Westella are not supported to access their community activities of choice. | Provide evidence residents are supported to access community activities of their choice. | PA Moderate | 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: Certification Audit
Audit date:
Audit type: Provisional Audit
