The Cascades Retirement Resort

Profile & contact details

Premises details
Premises nameThe Cascades Retirement Resort
Address 55 Pembroke Street Hamilton Lake Hamilton 3204
Total beds74
Service typesGeriatric, Medical, Rest home care
Certification/licence details
Certification/licence nameThe Cascades Retirement Resort Limited - The Cascades Retirement Resort
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence22 September 2021
Certification period36 months
Provider details
Provider nameThe Cascades Retirement Resort Limited
Street address 55 Pembroke Street Hamilton Lake Hamilton 3204
Post address

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: 16 July 2018

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The appointment of appropriate service providers to safely meet the needs of consumers.Eleven staff files were reviewed, five of eleven files did not have documented evidence of an up-to-date annual performance appraisal and reference checks completed. Ensure that all staff files include completed annual performance appraisals and reference checks. PA LowReporting Complete12/02/2019
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.The service has experienced a high turnover of RNs. The service has also experienced difficulty in securing training places for newly employed RNs. There are only two RNs who are interRAI trained with three RNs booked for training in July/August 2018. As a result, the service has been unable to meet the required timeframes for interRAI assessments. Ensure the trainers provide interRAI training for RNs to enable the service to meet its contractual requirements. PA NegligibleReporting Complete15/04/2019
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i) Pressure injury prevention care/monitoring to be completed by caregivers during their daily cares were not documented as completed in the daily care logs for two hospital residents at high risk of pressure injury. (ii) Neurological observations had not been completed for the required time frame as per protocol for four of seven unwitnessed falls reviewed. (i)Ensure interventions are documented as implemented where required. (ii) Ensure neurological observations are completed as per protocol. PA LowReporting Complete15/04/2019

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.

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