Cairnfield House

Profile & contact details

Premises details
Premises nameCairnfield House
Address 60 Jack Street Otangarei Whangarei 0112
Total beds88
Service typesMedical, Rest home care, Geriatric
Certification/licence details
Certification/licence nameAtivas Limited - Cairnfield House
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence04 October 2020
Certification period36 months
Provider details
Provider nameAtivas Limited
Street address 52-60 Jack Street Otangarei Whangarei 0112
Post addressPO Box 1478 Whangarei Whangarei 0110

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: 18 March 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Attendance at in-service training is still low, (ie, below 50%) and the improvement required at the previous audit remains. The risk rating has not been increased as there is recognition for efforts made to improve attendance. Ensure that staff receive training as per the training plan. PA LowIn Progress
Where progress is different from expected, the service responds by initiating changes to the service delivery plan.Care plan interventions were not always updated as a result of a change identified through the interRAI reassessment or care plan evaluation Ensure care plan interventions are updated as a result of a change identified through the care plan evaluation of interRAI reassessment. PA LowIn Progress
Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.InterRAI assessments for four of the six files reviewed were not completed in a timely manner as per ARCC contract. Complete interRAI assessments in a timely manner as per ARCC contract. PA ModerateIn Progress
Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.The activities programme does not include documentation of planning of activities for young people or for residents who do not wish or cannot engage in group activities. Provide an activities programme for residents who are less able to engage in group activities and one for young people. PA LowIn Progress
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i)The assessment, plan and evaluation of two pressure injuries for one resident (tracer) were confusing as both injuries were documented on the same form. (ii) One resident with a surgical wound did not have a short-term care plan or wound management plan documented. Ensure that each wound has a separate assessment, plan and review documented. PA ModerateReporting Complete23/09/2019
Consumers who have additional or modified nutritional requirements or special diets have these needs met.1. Dietary assessments for residents whose records had been reviewed by the auditor did not have these reviewed. These were out of date and had not been updated to reflect current changes in diet. Dietary records in the kitchen were not reviewed at least six monthly or as changes occurred. 2. The kitchen does not have an up to date record of resident preferences, meal types (eg, pureed meals) etc displayed on the whiteboard and the whiteboard is not able to be seen by kitchen staff when prep… (this text has been trimmed due to space limits).1. Ensure that each resident has a dietary assessment that is reviewed six monthly and updated as changes occur and ensure that the kitchen has a copy of these. 2. Ensure that the dietary preferences, allergies and meal types can be seen by kitchen staff when preparing or serving food. PA ModerateReporting Complete23/09/2019

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: 18 March 2019

Audit type:Surveillance Audit

Audit date: 16 January 2018

Audit type:Partial Provisional Audit

Audit date: 18 July 2017

Audit type:Certification Audit

Audit date: 12 August 2016

Audit type:Surveillance Audit

Audit date: 27 July 2015

Audit type:Certification Audit; Partial Provisional Audit

Audit date: 13 August 2014

Audit type:Surveillance Audit

Audit date: 30 January 2014

Audit type:Partial Provisional Audit

Audit date: 14 August 2013

Audit type:Certification Audit

Audit date: 29 April 2013

Audit type:Surveillance Audit

Audit date: 07 September 2012

Audit type:Provisional Audit

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