Cornwall Rest Home

Profile & contact details

Premises details
Premises nameCornwall Rest Home
Address 3 Cornwall Street Masterton 5810
Total beds27
Service typesRest home care
Certification/licence details
Certification/licence nameMany Hands Limited - Cornwall Rest Home
Current auditorCentral Region's Technical Advisory Services Limited
End date of current certificate/licence29 September 2022
Certification periodOther months
Provider details
Provider nameMany Hands Limited
Street address157 Renall Street Masterton 5810
Post address157 Renall Street Masterton 5810

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: 10 May 2021

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.i) Altered level of consciousness observations are not completed within the timeframes specified in policy. ii) Neurological observations are not included in policy and are not completed for unwitnessed falls. i) Monitoring should occur as specified in policy. ii) Review policy to include accepted best practice in regard to management of a resident with a potential/suspected head injury to mitigate the risk to safety, and prevention of delays in timely referral of the resident. PA ModerateReporting Complete17/10/2019
Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.Files reviewed did not evidence the residents’ activity needs were fully assessed to inform the activities programme. Provide evidence to confirm all residents’; cognitive, physical, social and individual needs are fully assessed and inform the activities programme. PA LowReporting Complete25/11/2019
The methods, frequency, and materials used for cleaning and laundry processes are monitored for effectiveness.Cleaning chemicals in the kitchen and cleaning cupboard were not stored securely. Ensure that all cleaning products and chemicals are stored securely and unable to be accessed by residents or visitors. PA LowReporting Complete25/11/2019
Alternative energy and utility sources are available in the event of the main supplies failing.There was insufficient evidence of fresh water to support residents and staff for the required seven days in an emergency. Ensure that the facility has access to sufficient fresh water in the advent of an emergency. PA LowReporting Complete25/11/2019
A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.The process for checking in of medicines that require two signatures does not comply with legislation, protocols, and guidelines. Ensure the process for checking in of medicines that require two signatures complies with legislation, protocols, and guidelines. PA LowReporting Complete25/11/2019
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.Formal LTCP evaluations are not documented to record evidence of progress or achievement against goals and desired outcomes and are not signed off by the RN, resident or family/whānau. All care plan evaluations to be formally documented, signed off and are to include progress or the degree of achievement against goals and desired outcomes. PA LowReporting Complete25/11/2019

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. 

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: 10 May 2021

Audit type:Surveillance Audit

Audit date: 05 June 2019

Audit type:Certification Audit

Audit date: 17 July 2018

Audit type:Provisional Audit

Back to top