Clare House
Profile & contact details
| Premises name | Clare House |
|---|---|
| Address | Clare House 51 Durham Street Waikiwi Invercargill 9810 |
| Total beds | 83 |
| Service types | Medical, Dementia care, Rest home care, Geriatric |
| Certification/licence name | Clare House Care Limited - Clare House |
|---|---|
| Current auditor | The DAA Group Limited |
| End date of current certificate/licence | 21 December 2022 |
| Certification period | Other months |
| Provider name | Clare House Care Limited |
|---|---|
| Street address | 51 Durham Street Waikiwi Invercargill 9810 |
| Post address | 51 Durham Street Waikiwi Invercargill 9810 |
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: 20 October 2020
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures. | Three oxygen cylinders and two cylinders in the empty cylinder space were not secured. It was unclear on one cylinder of the content status (full or empty) and there was no evidence of a documented routine check of the status of the oxygen cylinders. | Oxygen cylinders are secured when in storage and there is a clear process for identifying the status of the content of the cylinders. | PA Low | Reporting Complete | 17/01/2019 |
| Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers. | Quality improvement data is not routinely analysed and evaluated to identify trends that will lead to improvements. | All quality data is analysed and evaluated to identify trends that lead to improvements of the service. | PA Low | Reporting Complete | 02/04/2019 |
| Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer. | In the dementia unit, some details of activities and behaviour management were observed in the activities care plan; however, none of the residents’ files evidenced a plan describing how behaviour is best managed or activities best suited to the needs of the resident over the 24-hour period. | As required in clause E4.3iii and iv of the ARRC agreement, each resident in the dementia unit will have a plan describing behaviour management and individualised activities reflecting former routines covering the 24-hour period. | PA Low | Reporting Complete | 03/03/2021 |
| A process to measure achievement against the quality and risk management plan is implemented. | There are aspects of the quality and risk system that are not consistent with those described within the quality and risk management plan. These include: - Corrective actions identified are not all being closed out in a timely manner - Service providers are not all receiving communication / updates about various aspects of the quality and risk management system - Health and safety meetings and follow-up have become infrequent - Attendance at quality and risk meetings is minimal - Resident, next … (this text has been trimmed due to space limits). | Processes for the purpose of maintaining the quality assurance and risk management system and to measure achievement against the quality and risk management plan are implemented. These include the follow-up of corrective actions, the re-institution of health and safety reviews and of resident, relative and staff surveys as well as, staff involvement and improved attendances at relevant meetings. | PA Low | Reporting Complete | 17/06/2021 |
| The appointment of appropriate service providers to safely meet the needs of consumers. | There is a lack of evidence that human resource processes are being implemented according to the service provider policies and procedures: - Records confirming police checks are being undertaken for new staff are no longer available - Signed position descriptions were not found in five of the sample of eight staff files viewed - Performance appraisals are not being consistently completed on an annual basis. | Human resources processes are implemented according to organisational policies and procedures and legislative requirements to ensure the needs of residents are safely met. | PA Low | Reporting Complete | 17/06/2021 |
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: 20 October 2020Audit type:Surveillance Audit
Audit date: 24 July 2018Audit type:Certification Audit
Audit date: 15 February 2017Audit type:Surveillance Audit
Audit date: 24 August 2016Audit type:Partial Provisional Audit
Audit date: 15 May 2014Audit type:Certification Audit