Profile & contact details
|Premises name||Dunblane Lifecare|
|Address||178 Rutene Road Kaiti Gisborne 4010|
|Service types||Dementia care, Rest home care, Geriatric, Medical|
|Certification/licence name||Heritage Lifecare Limited - Dunblane Lifecare|
|Current auditor||The DAA Group Limited|
|End date of current certificate/licence||27 September 2019|
|Certification period||12 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: 30 July 2018
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||Service provider availability does not consistently meet service delivery requirements and considerations in regard to service complexity and the layout of the facility.||Ensure sufficient and accessible staff coverage is in place for all residents.||PA Moderate||Reporting Complete||23/10/2018|
|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.||The person centred care plans were not always completed within the required timeframes or when the residents’ condition changes.||Ensure that all evaluations are completed to meet the required timeframes or when the residents’ condition changes.||PA Moderate||Reporting Complete||23/10/2018|
|Information is entered into the consumer information management system in an accurate and timely manner, appropriate to the service type and setting.||There are discrepancies in the dates of different types of resident review records and staff are not always noting their designation on entries in residents’ progress notes, multi-disciplinary review forms and monitoring records for example.||Resident related information is entered into person centred care plans within the expected times, demonstrates service coordination and meets best practice guidelines. All areas of residents’ records shall include the designation of the author.||PA Low||Reporting Complete||23/10/2018|
|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.||The ‘About Me’ personal profiles used for assessment of activity, spiritual and cultural related information are blank in some cases or lack substantive information causing activity related goals and those related to cultural and spiritual interests to be non-definitive. Admission reviews by a GP are not all being completed within the required timeframe to ensure medical information is up to date.||All aspects of the assessment processes are sufficiently comprehensive to enable the person-centred care plans to be individualised and prepared in a manner that will enhance the person’s lifestyle.||PA Low||Reporting Complete||23/10/2018|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Not all aspects of the service delivery plans meet the requirements of the standard and the ARRC agreement as many personal goals are generic and lack prospective improvement and direction; interventions are generalised and do not consistently show individualisation and there are care plans that do not reflect activity planning or acknowledgement of individual values and beliefs.||Service delivery plans are personalised, sufficiently detailed to ensure adequate resident care and are based on individual goals that include residents’ assessed physical, psychosocial, spiritual and cultural abilities, deficits and needs, and actual or potential problems/deficits, as required in the ARRC agreement.||PA Moderate||Reporting Complete||23/10/2018|
|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) The initial interRAI assessments and person centre care plans are not always completed within three weeks of admission. ii) The general practitioner initial medical reviews within five days after admission and the ongoing monthly or three monthly reviews are not always completed within the required timeframes to meet contractual requirements.||Ensure interRAI assessments, the person centred care plans and general practitioner medical reviews are completed within the required timeframes to meet contractual requirements.||PA Moderate||Reporting Complete||23/10/2018|
|An appropriate 'call system' is available to summon assistance when required.||An appropriate call bell system is not always available for residents to summon assistance and the current malfunction issues put both residents and staff at risk.||Resolve the call bell issues to ensure residents can summon assistance when required.||PA Moderate||Reporting Complete||20/05/2019|
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.