Profile & contact details
|Premises name||Cantabria Lifecare|
|Address||369 Old Taupo Road Springfield Rotorua 3015|
|Service types||Rest home care, Geriatric, Medical, Physical, Intellectual, Dementia care|
|Certification/licence name||Heritage Lifecare limited - Cantabria Lifecare|
|Current auditor||The DAA Group Limited|
|End date of current certificate/licence||31 January 2022|
|Certification period||36 months|
|Provider name||Heritage Lifecare Limited|
|Street address||Level 2 111 Johnsonville Road Johnsonville Wellington 6037|
|Post address||PO Box 13223 Johnsonville Wellington 6440|
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: 13 November 2018
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||A training schedule is in place and training opportunities are being made available to staff. - Records demonstrated that not all staff have completed the mandatory training topics. - There was limited evidence of caregivers participating in qualifications, such as the national certificate. - The staff training recording system could not consistently demonstrate that relevant unit standards on dementia care have been completed by all staff working in the dementia service. - Activity coordina… (this text has been trimmed due to space limits).||The system that facilitates ongoing education of service providers shall ensure staff complete mandatory training topics and contractual requirements are met for the ongoing training of caregivers and dementia services workers. Evidence is required that activity coordinators in the dementia service have access to a relevant qualified professional who can oversee the assessment, goal planning and evaluation of activities for dementia care residents. New staff require a three-month appraisal, as… (this text has been trimmed due to space limits).||PA Moderate||In Progress|
|Service providers have access to designated areas for the safe and hygienic storage of cleaning/laundry equipment and chemicals.||Cupboards containing potentially hazardous products are not always being locked as required to ensure residents’ safety.||Cleaning chemicals, including those used by care staff, are held in safe storage areas, at all times.||PA Low||In Progress|
|The facilitation of safe self-administration of medicines by consumers where appropriate.||Staff are not monitoring and recording a controlled drug that a resident is self-administering.||Provide evidence that all residents who are self-administering a controlled drug have this information recorded when the controlled drug is been taken.||PA Low||In Progress|
|A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.||Not all fridges storing medication had regular temperatures monitored and recorded.||Provide evidence that all fridges that store medication have temperatures monitored.||PA Low||In Progress|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||A comprehensive two weekly roster is in place. It is unclear on this roster who covers the night shift in the dementia service, or who covers the different wings within the hospital facility, and there is no documented framework or guidelines as to how these various areas shall be covered by suitably qualified and experienced staff.||The roster, or associated documentation, clearly demonstrates how the hospital and dementia care areas will be staffed by suitably qualified and experienced staff during the night shift.||PA Low||In Progress|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
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 reportsAudit date: 13 November 2018
Audit type:Certification Audit
Audit type:Provisional Audit