Premise details
- Address
- 4 Bowen Street Feilding 4702
- Total beds
- 38
- Service types
- Rest home care, Geriatric
Certification/licence details
- Certification/licence name
- Experion Care NZ Limited - Woodfall Lodge Home and Hospital
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Experion Care NZ Limited
- Street address
- 283 Kennedy Road Onekawa Napier 4112
- Postal address
- 283 Kennedy Road Pirimai Napier 4112
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 |
|---|---|---|---|---|---|
| My service provider shall ensure my services are operating in ways that are culturally safe. | Cultural/ te Tiriti o Waitangi training has not been provided for staff in 2023 year to date. | Ensure staff have documented training to ensure they are able to provide services in a culturally safe manner. | PA Low | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | Five of ten medication charts reviewed did not evidence effectiveness of ‘as required’ medication when used. | Record evidence of effectiveness of PRN medications when administered. | PA Low | Reporting Complete | |
| 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. | 1) Initial assessments in two hospital and two rest home had only been partially completed. 2) Initial care plans had not been completed in one rest home and two hospital resident files. 3) Two hospital and one rest home resident had not been assessed by a general practitioner (GP) within five working days of admission. | 1) Ensure that initial assessments are completed in a timely manner. 2) Ensure that initial care plans are completed in a timely manner. 3) Ensure that each resident is assessed by a general practitioner (GP) within five working days of admission. | 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. | Internal audit outcomes and reports are not always reported to the quality/staff meeting. The resident and family/whanau satisfaction survey has not been collated or reported. The two monthly resident and family/whanau meetings have not always taken place as per schedule. | Ensure that internal audit outcomes are reported to the staff/quality meetings along with any action plans as required. Ensure that the resident/ whanau survey is collated and reported to the respondents along with any planned actions as needed. Ensure that resident and family/whānau meetings are undertaken as per the schedule. | PA Low | Reporting Complete | |
| Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | A review of the staffing roster for the most recent two weeks evidenced four-night shifts with no RN on duty. The shifts were covered by a level four HCA and the facility manager (an RN) was available on call. | Ensure there is a registered nurse on duty each shift. | PA Low | Reporting Complete | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Of the six staff files reviewed; three did not evidence a staff appraisal completed within the last two years. | Ensures staff appraisals are completed as per the policy. | 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 district health board.
- Date action reported complete
The date that the district health board 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: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Provisional Audit
