Profile & contact details
|Premises name||Dunblane Lifecare|
|Address||178 Rutene Road Kaiti Gisborne 4010|
|Service types||Geriatric, Medical, Dementia care, Rest home care|
|Certification/licence name||Heritage Lifecare Limited - Dunblane Lifecare|
|Current auditor||The DAA Group Limited|
|End date of current certificate/licence||27 September 2022|
|Certification period||36 months|
|Provider name||Heritage Lifecare Limited|
|Street address||Level 2 111 Johnsonville Road Johnsonville Wellington 6037|
|Post address||PO Box 13223 Johnsonville Wellington 6440|
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: 08 August 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Care plans do not consistently describe the required support the residents require to meet the desired outcome.||Provide evidence that care plans describe fully the required support each resident requires.||PA Moderate||Reporting Complete||24/01/2020|
|Consumers have a right to full and frank information and open disclosure from service providers.||Communication with residents or their family members to ensure involvement in the care planning process and reviews is not consistently occurring.||Provide evidence that residents and their families have opportunity to be fully involved in the care planning process.||PA Low||Reporting Complete||24/01/2020|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||The rostered reviewed did not include or reflect the hours of the previous clinical services manager. There is also no allocated time on the rosters reviewed for the two interRAI registered nurses to complete the interRAI assessments and to ensure oversight of the care provided to residents. There was insufficient number of registered nurses who are competent to complete the mandatory interRAI assessments on admission and six monthly despite being current and up-to-date presently.||Ensure the roster reflects all clinical hours of registered nurse coverage and that time is allocated to the interRAI competent registered nurses to complete the required interRAI assessments. The number of competent interRAI trained registered nurses is increased to manage the current number of residents and interRAI assessments to be completed on an ongoing basis.||PA Low||Reporting Complete||24/01/2020|
|The appointment of appropriate service providers to safely meet the needs of consumers.||The previous clinical services manager resigned in June 2019 and an appointment for this position has been advertised. The interim facility manager is not able to cover the FM role, orientate the newly appointed FM and complete the role of the clinical services manager (CSM) effectively so there is some urgency to appoint a CSM as soon as possible. More RNs are required to be competent in interRAI assessments to meet the requirements.||Ensure a clinical services manager is appointed to ensure adequate clinical support and supervision is provided for staff and residents. Further RNs are required to complete the interRAI training to support the two RNS who are currently trained.||PA Low||Reporting Complete||24/01/2020|
|An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.||A recent request to supply information to the Coroner’s Office was received by the acting facility manager. The information requested was sent to the organisation’s support office within the timeframe requested. The facility manager has not received any correspondence to verify management had further responded to the Coroner and/or had reported this request to HealthCERT.||To ensure the Coroner’s request to supply further information is followed through and to evidence that HealthCERT has been advised as required.||PA Moderate||Reporting Complete||24/01/2020|
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: 08 August 2019
Audit type:Certification Audit
Audit type:Provisional Audit