Premise details
- Address
- 57 Wai-iti Crescent Woburn Lower Hutt 5010
- Website
- http://www.psc.org.nz/enliven/rest-homes/woburn-home-lower-hutt/
- Total beds
- 100
- Service types
- Medical, Dementia care, Rest home care, Geriatric
Certification/licence details
- Certification/licence name
- Presbyterian Support Central - Woburn Home
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Presbyterian Support Central
- Street address
- 3-5 George Street Thorndon Wellington 6011
- Postal address
- PO Box 12706 Thorndon Wellington 6144
- Website
- https://www.enlivencentral.org.nz/
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. | The resident’s satisfaction survey results were consistently down on the satisfaction survey in 2022. There were no corrective actions implemented around keys areas for improvement i.e. resident interests, socialising, food services and housekeeping. | Ensure that any required corrective actions are implemented and completed for the annual resident and family/whānau satisfaction surveys. | PA Low | 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. | Corrective actions were being implemented for hot water temperature inconsistencies; however, a number of the high temperature readings were recurring and not followed up to ensure they were correct. | Ensure corrective actions around hot water temperatures are maintained and checked. | PA Moderate | Reporting Complete | |
| Service providers demonstrate routine analysis to show entry and decline rates. This must include specific data for entry and decline rates for Māori. | The provider is yet to implement a system to include ethnicity data with enquiry, entry and decline data. | Ensure a system is implemented that includes ethnicity data for all enquiries, entry and decline rates. | PA Low | 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 building warrant of fitness expired in June 2025. | Ensure the building has a current building warrant of fitness. | PA Moderate | In Progress | |
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | (i). Staff, quality, RN/clinical and resident meetings have not always been completed as per the annual schedule. Not all agenda items, discussion points and corrective actions have been documented, followed up, and signed off when completed. (ii). There were no documented corrective actions implemented around keys areas for improvement from completed the resident and family/whānau satisfaction surveys. | (i). Ensure that all staff, quality, RN/clinical and resident meetings are completed as per the annual schedule and all agenda items, discussion points and corrective actions are documented, followed up, and signed off when completed. (ii). Ensure that any required corrective actions are implemented and completed for the annual resident and family/whānau satisfaction surveys | PA Moderate | 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. | Staff completion percentage rates for the mandatory and scheduled training topics including the aging process, code of rights, privacy/dignity, cultural safety, abuse/neglect, communication, pain management, restraint, and complaints management were low. | Ensure that staff completion percentage rates for the mandatory and scheduled training topics are increased to the required level. | PA Low | In Progress | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Eight staff files were reviewed; four out of the eight staff files did not have a documented up-to-date annual performance appraisal. | Ensure that all staff who have been employed for over one year have an annual performance appraisal completed. | 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: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit