Cunliffe House Rest Home
Profile & contact details
|Premises name||Cunliffe House Rest Home|
|Address||7 Cunliffe Road Redwood Christchurch 8051|
|Service types||Rest home care|
|Certification/licence name||Cunliffe House Retirement Home 2006 Limited - Cunliffe House Rest Home|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||25 February 2021|
|Certification period||36 months|
|Provider name||Cunliffe House Retirement Home 2006 Limited|
|Street address||7 Cunliffe Road Redwood Christchurch 8051|
|Post address||PO Box 7172 Sydenham Christchurch 8240|
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: 30 May 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|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.||(i)Two nasal drops in use were not dated on opening. One nasal drops had been decanted into a smaller spray bottle and was not dated or named; and (ii) Regular medications prescribed were not individually dated on five of 10 medications charts.||(i)Ensure nasal drops are dated on opening and dated; and (ii) Ensure each medication is dated when prescribed.||PA Low||Reporting Complete||08/05/2018|
|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 baseline observations taken on admission for the respite care resident; (ii) There was no fluid restriction monitoring in place for one resident as per GP notes (link tracer) and; (iii) There were no neurological observations for five residents post unwitnessed falls.||(i)Ensure observations are taken on admission for respite care resident; (ii) Ensure GP instructions are followed, and (iii) Complete neurological observations for unwitnessed falls as per protocol.||PA Moderate||Reporting Complete||08/05/2018|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i) There was no hourly monitoring in place for a resident at high risk of falls as per the care plan. (ii) A wound management plan in place evidenced two wounds on the same plan. Individual wound assessments and management plans for each wound were not evident. (iii) The wound management plan did not evidence review at planned intervals.||(i) Ensure interventions are implemented as per the documented care plan. (ii) Ensure each wound is assessed and management plans documented individually. (iii) Ensure wound management plans evidence review at planned intervals.||PA Moderate||Reporting Complete||03/09/2019|
|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.||i) Four of five long-term care plans evaluations reviewed did not consistently evidence progress towards goals. ii) Three of six short-term care plans reviewed did not evidence evaluation and either resolution or changes made to the long-term care plan.||i) Ensure care plan evaluations include progress towards goals. ii) Ensure short-term care plans evidence regular review and are either resolved or added to the long-term care plan.||PA Low||Reporting Complete||30/10/2019|
|Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.||(i) Three of five interRAI assessments did not evidence reviews had been completed within six monthly timeframes. (ii) Three of five long-term care plans have not been completed within six monthly timeframes.||(i)-(ii) Ensure interRAI assessments and long-term care plans are completed at least six monthly or as required in response to change in health requirements.||PA Low||Reporting Complete||30/10/2019|
|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.||Four of ten incidents reviewed did not evidence the RN had assessed the resident or considered opportunities to minimise future events.||Ensure residents are reviewed following adverse events and that opportunities to minimise future events is considered.||PA Low||Reporting Complete||30/10/2019|
|The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate.||Four of five resident files did not evidence regular review by the registered nurse including follow-up following adverse events.||Ensure all residents are reviewed by a RN in response to adverse events and regularly.||PA Moderate||Reporting Complete||07/11/2019|
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.
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.
Audit reportsAudit date: 30 May 2019
Audit type:Surveillance Audit
- Cunliffe House Rest Home - May 2019 (docx, 33.05 KB)
- Cunliffe House Rest Home - May 2019 (pdf, 130.21 KB)
Audit type:Certification Audit
- Cunliffe House Rest Home - Dec 2017 (docx, 40.27 KB)
- Cunliffe House Rest Home - Dec 2017 (pdf, 157.26 KB)
Audit type:Surveillance Audit
- Cunliffe House Rest Home - Dec 2015 (docx, 31.71 KB)
- Cunliffe House Rest Home - Dec 2015 (pdf, 125.75 KB)
Audit type:Certification Audit