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Premise details

Address
204 Manchester Street Feilding 4702
Website
https://www.wimbledonvilla.co.nz/
Total beds
38
Service types
Rest home care, Geriatric, Medical, Dementia care

Certification/licence details

Certification/licence name
Jonwell Healthcare Limited - Wimbledon Rest Home
Current auditor
BSI Group New Zealand Ltd
End date of current certificate/licence
Certification period
48 months

Provider details

Provider name
Jonwell Healthcare Limited
Street address
Wimbledon Villa 204 Manchester Street Feilding 4702
Postal address
204 Manchester Street Feilding 4702

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: 10 December 2024

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. (i)There is no evidence in the combined staff meeting minutes on consistent review and discussions related to complaints, compliments, restraint, training, internal audits, corrective actions and outcomes. (ii)Outcome of the resident, family/whanau satisfaction surveys 2024 has not been shared and discussed with staff and residents, family/whanau. (i)Ensure the combined staff meeting evidence review and discussion of all quality data. (ii)Ensure outcome of satisfaction surveys is feedback to staff residents and family/whanau PA Low 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. Hot water temperature checks have not been completed weekly as per the annual maintenance plan. Ensure hot water temperature checks are completed as scheduled. PA Low In Progress
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. Initial care plans, interRAI assessments, long term care plans and general practitioner initial medical assessments were not completed as scheduled in one dementia and one rest home resident file reviewed. Ensure that assessments and care plans are completed within the required time frames. PA Low In Progress
Service providers shall evaluate progress against quality outcomes. Annual quality goals/ objectives have not been completed and reviewed as scheduled per audit schedule since last audit. Ensure that annual quality goals / objectives are completed as scheduled. PA Low In Progress
A medication management system shall be implemented appropriate to the scope of the service. (i)Three eye drops in the two medication trolleys have not been consistently dated on opening. (ii)There were eye drops still in use post their use by date. (i)-(ii)Ensure that eye drops are dated on opening and discarded by the use by date. PA Moderate In Progress
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 There are no detailed interventions documented in resident records in relation to identified risk related to: (i)Diabetes management including signs and symptoms of hypo and hyperglycaemia and management thereof for one dementia level care resident and one hospital level care resident. (ii)falls risk minimisation strategies and management of falls for one dementia level care resident (iii)management of undernutrition for one hospital resident. Same resident was on a restraint but did not have d (i)-(iii)Ensure care plan documentation reflects detailed interventions to provide adequate guidance for care staff related to management of resident needs. PA Low In Progress
Governance bodies shall ensure service providers’ structure, purpose, values, scope, direction, performance, and goals are clearly identified, monitored, reviewed, and evaluated at defined intervals. (i)There is no documented evidence of governance review and involvement in quality and risk management system and processes. (ii)There is no documented evidence to demonstrate that the business goals have been reviewed and evaluated at defined intervals since last audit. (i)Ensure there is evidence of governance review and involvement in quality and risk management. (ii)Ensure that there is evidence of ongoing review and evaluation of progress towards business goals. 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.

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