Copper Crest Living Well Limited
Profile & contact details
|Premises name||Copper Crest Living Well Limited|
|Address||52 Condor Drive Pyes Pa Tauranga 3112|
|Service types||Rest home care, Geriatric, Medical, Dementia care|
|Certification/licence name||Copper Crest Living Well Limited - Copper Crest Living Well Limited|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||10 March 2025|
|Certification period||36 months|
|Provider name||Copper Crest Living Well Limited|
|Street address||52 Condor Drive Pyes Pa Tauranga 3112|
|Post address||52 Condor Drive Pyes Pa Tauranga 3112|
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: 29 June 2023
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|A process to measure achievement against the quality and risk management plan is implemented.||Internal audits not completed include medication management, interRAI, behaviours tracer, controlled medications, staff induction, and complaint management.||Ensure all internal audits are completed as scheduled.||PA Low||Reporting Complete||15/12/2022|
|A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.||Corrective actions were not signed off as completed and discussed at meetings for falls management, wound management, medications, interRAI assessments, staff files, pain management tracer and the medication audit.||Ensure corrective actions are signed off when completed.||PA Low||Reporting Complete||15/12/2022|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||i). There were no implemented interventions for a) one hospital resident requiring weekly weigh and food and fluid chart as per the care plan, b) another hospital resident with undernutrition triggered in the interRAI assessment had unintentional weight loss over three months and c) one dementia care resident had unintentional weight loss and below the recorded ideal weight in the care plan. ii). Wound assessments including for two of three pressure injuries had not been fully completed includ… (this text has been trimmed due to space limits).||i). Ensure monitoring forms and interventions are implemented to meet resident goals and wellbeing around weight management. ii). Ensure wound assessments are fully completed including size of wounds. iii). Ensure neurological observations are completed as per policy. iv). Ensure the outcome/effectiveness is recorded for as required medications administered.||PA Moderate||Reporting Complete||15/12/2022|
|The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.||Behavioural assessments and behaviour support plans had not been completed for two residents (one rest home and one dementia care) with known behaviours recorded on the behaviour charts. A pain assessment had not been completed for one rest home resident recently returned from hospital with a fracture.||i) and ii) Ensure risk assessments are completed to identify supports and needs required.||PA Low||Reporting Complete||15/12/2022|
|The appointment of appropriate service providers to safely meet the needs of consumers.||The kitchen manager, wellness leader, two wellness partners and the registered nurse did not have signed job descriptions on file.||Ensure all staff have a copy of their signed job description which remains on file.||PA Low||Reporting Complete||15/12/2022|
|Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this.||Two of five residents did not have an initial interRAI assessment completed within 21 days of admission to the facility.||Ensure all assessments are completed within the required timeframes.||PA Low||In Progress|
|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).||Nine of nine unwitnessed falls did not have neurological observations completed as per policy requirements.||Ensure all policy requirements related to neurological observations are met.||PA Moderate||In Progress|
|A process shall be implemented to identify, record, and communicate people’s medicinerelated allergies or sensitivities and respond appropriately to adverse events.||Four of ten medication charts reviewed did not have medication allergy status completed.||Ensure the process to identify, record, and communicate residents’ medicine related allergies and sensitivities on the electronic medication chart is followed as per policy.||PA Moderate||In Progress|
|Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.||Minutes of meetings held do not evidence discussion around quality data collated internal audits and corrective actions (where identified) with staff.||Ensure meeting minutes document discussion around quality data and corrective actions with staff.||PA Low||Reporting Complete||16/11/2023|
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.
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 reportsAudit date: 29 June 2023
Audit type:Surveillance Audit
- Copper Crest Living Well Limited - Jun 2023 (docx, 53.8 KB)
- Copper Crest Living Well Limited - Jun 2023 (pdf, 164.71 KB)
Audit type:Certification Audit
- Copper Crest Living Well Limited - Dec 2021 (docx, 47.57 KB)
- Copper Crest Living Well Limited - Dec 2021 (pdf, 184.52 KB)
Audit type:Partial Provisional Audit