Clare House

Profile & contact details

Premises details
Premises nameClare House
AddressClare House 51 Durham Street Waikiwi Invercargill 9810
Total beds83
Service typesMedical, Dementia care, Rest home care, Geriatric
Certification/licence details
Certification/licence nameClare House Care Limited - Clare House
Current auditorThe DAA Group Limited
End date of current certificate/licence21 December 2022
Certification periodOther months
Provider details
Provider nameClare House Care Limited
Street address 51 Durham Street Waikiwi Invercargill 9810
Post address51 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 requiredFound at auditAction requiredRisk ratingAction statusDate 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 LowReporting Complete17/01/2019
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 LowReporting Complete02/04/2019
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 LowReporting Complete03/03/2021
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 LowReporting Complete17/06/2021
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 LowReporting Complete17/06/2021

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 2020

Audit type:Surveillance Audit

Audit date: 24 July 2018

Audit type:Certification Audit

Audit date: 15 February 2017

Audit type:Surveillance Audit

Audit date: 24 August 2016

Audit type:Partial Provisional Audit

Audit date: 15 May 2014

Audit type:Certification Audit

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