Cunliffe House Rest Home

Profile & contact details

Premises details
Premises nameCunliffe House Rest Home
Address 7 Cunliffe Road Redwood Christchurch 8051
Total beds23
Service typesRest home care
Certification/licence details
Certification/licence nameCunliffe House Retirement Home 2006 Limited - Cunliffe House Rest Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence25 February 2021
Certification period36 months
Provider details
Provider nameCunliffe House Retirement Home 2006 Limited
Street address 7 Cunliffe Road Redwood Christchurch 8051
Post addressPO 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 requiredFound at auditAction requiredRisk ratingAction statusDate 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 LowReporting Complete08/05/2018
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 ModerateReporting Complete08/05/2018
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 LowIn Progress
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 LowIn Progress
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 LowIn Progress
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 ModerateIn Progress
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 ModerateReporting Complete03/09/2019

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. 

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 reports

Audit date: 30 May 2019

Audit type:Surveillance Audit

Audit date: 07 December 2017

Audit type:Certification Audit

Audit date: 17 December 2015

Audit type:Surveillance Audit

Audit date: 12 December 2013

Audit type:Certification Audit

Audit date: 07 August 2012

Audit type:Surveillance Audit

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