Cantabria Lifecare

Profile & contact details

Premises details
Premises nameCantabria Lifecare
Address 369 Old Taupo Road Springfield Rotorua 3015
Total beds236
Service typesIntellectual, Dementia care, Rest home care, Geriatric, Medical, Physical
Certification/licence details
Certification/licence nameHeritage Lifecare Limited - Cantabria Lifecare
Current auditorThe DAA Group Limited
End date of current certificate/licence31 January 2025
Certification period36 months
Provider details
Provider nameHeritage Lifecare Limited
Street address 16 Johnsonville Road Johnsonville Wellington 6037
Post addressPO 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: 01 May 2023

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed.The service’s organisational philosophy, values and goals and the strategic plan do not reflect a person/family centred approach that has appropriate specifics for the younger people with disabilities residing in the facility. Review current strategic plan and philosophical/value statements to incorporate principles and activity reflective of those contained in the ‘Enabling Good Lives’ MoH strategy to ensure the service provision for younger residents with disability is reflected and inclusive of their differing age appropriate needs. PA LowReporting Complete14/09/2022
Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy.The medication in the secure dementia unit was not stored safely. Provide evidence medication is stored safely in the secure dementia unit. PA ModerateReporting Complete10/07/2023
Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care.Not all internal audits have corrective action documented. Where corrective action is documented, these are not been signed off as having been addressed. Provide evidence that deficits in internal audits have corrective actions documented and that these are signed off as completed once the corrective actions have been addressed. PA LowReporting Complete01/12/2023
Service providers shall understand and comply with statutory and regulatory obligations in relation to essential notification reporting.While there is a process within the Cantabria service for managing essential notifications, there is no process in place to confirm that these have been sent by the Heritage Lifecare support office on behalf of the service. Provide evidence that a process has been put in place to notify Cantabria when a section 31 notification has been sent to the Ministry of Health and Te Whatu Ora Lakes on their behalf by the Heritage Lifecare support office. PA ModerateReporting Complete01/12/2023
Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services.There are insufficient RNs rostered to provide clinically and culturally safe services. Residents in the secure dementia unit do not have an activities programme being provided. The service considers the number of residents receiving care so that there is sufficient RN cover to provide safe clinical and cultural services, including timely care planning. Provide evidence that the roster for the activities staff has been reviewed to roster one member of the activities team to the dementia unit to provide activities to the residents in the area. PA ModerateReporting Complete01/12/2023
Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin… (this text has been trimmed due to space limits).The cultural needs of residents who identified as Māori or Pasifika were not documented in the residents’ long-term care plans. Provide evidence consideration is given to residents’ cultural needs when planning the residents’ care. PA ModerateReporting Complete01/12/2023
In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov… (this text has been trimmed due to space limits).The documentation describing the care the residents require was not consistent with meeting the residents’ assessed needs and GP reviews are not being completed as scheduled. Provide evidence each resident has a long-term care plan in place that describes the care the resident requires to meet their assessed needs and that GP reviews are completed as required. PA ModerateReporting Complete01/12/2023
Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits).No review of the care plans for 16 residents was evidenced to have been undertaken. Provide evidence a planned review of the resident’s care plan is documented in the care plan at defined intervals in collaboration with the person and their whānau. PA ModerateReporting Complete01/12/2023
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.Observations and interviews confirmed that the facility was not being internally maintained to the required standard. There is a need for significant refurbishment across the facility. The dementia unit is not fit for purpose, and it poses health and safety risks for residents. Residents do not have easy access to external areas. Residents’ wellbeing needs are not being considered in relation to external lighting and noise pollution in the two residents’ rooms adjacent to the thermal bore. … (this text has been trimmed due to space limits).Provide evidence of a refurbishment programme to improve the internal cleaning and maintenance in the facility with particular attention to the secure dementia unit. Provide evidence of consideration for the move of two residents (in conjunction with their whānau) subjected to reduced light and noise pollution to a different room. PA ModerateReporting Complete05/02/2024

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. 

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.

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 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) 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: 01 May 2023

Audit type:Surveillance Audit

Audit date: 23 November 2021

Audit type:Certification Audit

Audit date: 13 November 2018

Audit type:Certification Audit

Audit date: 23 November 2017

Audit type:Provisional Audit

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