Brightwater Home
Profile & contact details
| Premises name | Brightwater Home |
|---|---|
| Address | 69 Brightwater Terrace Terrace End Palmerston North 4410 |
| Total beds | 57 |
| Service types | Dementia care, Rest home care, Geriatric, Medical |
| Certification/licence name | Presbyterian Support Central - Brightwater Home |
|---|---|
| Current auditor | Health and Disability Auditing New Zealand Limited |
| End date of current certificate/licence | 16 August 2022 |
| Certification period | 36 months |
| Provider name | Presbyterian Support Central |
|---|---|
| Street address | 3-5 George Street Thorndon Wellington 6011 |
| Post address | PO Box 12706 Thorndon Wellington 6144 |
| Website | www.psc.org.nz/ |
Progress on issues from the last audit
What’s on this page?
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: 04 July 2019
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Consumers have a right to full and frank information and open disclosure from service providers. | Of the ten resident related incident forms reviewed, three did not evidence that family had been informed, progress notes review for the same incidents also did not evidence family had been informed. | Ensure that family communication is documented following an incident or accident. | PA Low | Reporting Complete | 14/11/2019 |
| Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers. | Key quality meetings such as the senior staff meeting, and the clinical meetings do not document that key quality data is discussed and issues raised though meetings are not always followed up. The new manager has recognised this issue and a plan is documented going forward to ensure the meeting minutes are robust and follow discussion points from meeting to meeting. | Ensure that key quality data is documented as discussed including infection control, restraint, incidents and accident. Ensure the issues raised in meetings are documented as followed up. | PA Low | Reporting Complete | 14/11/2019 |
| The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk. | Of the ten incident falls reviewed, four required neurological observations. All four had the observations commenced, three only documented two to three sets of observations. | Ensure that neurological observations are completed over the period of time set by the service or progress notes include why they were discontinued. | PA Low | Reporting Complete | 14/11/2019 |
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
Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits which gives an overview of the auditing process and explains what the audit reports mean.
What’s on this page?
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.
Prior to 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 Health and Disability Services Standards.
Note: From November 2013, as rest homes are audited, any issues from their latest audit (the corrective actions required by the auditor) will appear on the rest home’s page. As the rest home completes the required actions, the status on the web site will update.
Audit reports
Audit date: 04 July 2019Audit type:Certification Audit
Audit date: 01 December 2017Audit type:Surveillance Audit
Audit date: 23 May 2016Audit type:Certification Audit
Audit date: 10 December 2014Audit type:Surveillance Audit
Audit date: 20 June 2013Audit type:Certification Audit