Elmswood Rest Home

Profile & contact details

Premises details
Premises nameElmswood Rest Home
Address 154 Waihi Road Judea Tauranga 3110
Total beds38
Service typesDementia care
Certification/licence details
Certification/licence nameOceania Care Company Limited - Elmswood Rest Home
Current auditorThe DAA Group Limited
End date of current certificate/licence18 May 2025
Certification period36 months
Provider details
Provider nameOceania Care Company Limited
Street addressLevel 11, Deloitte building 80 Queen Street Auckland Central Auckland 1010
Post addressPO Box 9507 Newmarket Auckland 1149

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: 02 November 2023

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
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.Five out of five incident reports related to unwitnessed falls did not have neurological monitoring completed at the frequency required by organisation’s policy. The policy stated that neurological observations will be completed every 30 minutes for the first two hours then half hourly for the next four hours then hourly for four hours and four-hourly until 24 hours is completed. The sampled records showed that the neurological observations were completed but not at the recommended frequency. On… (this text has been trimmed due to space limits).Ensure post unwitnessed falls neurological monitoring is completed at the frequency required, as per organisational policy. Ensure interRAI assessments are completed in a timely manner. Ensure the service has access to interRAI software system. PA LowReporting Complete10/01/2023
I shall give informed consent in accordance with the Code of Health and Disability Services Consumers’ Rights and operating policies.Two residents in the secure unit had no evidence to verify an activated EPOA/current welfare guardianship was in place as required when placement has been made to a secure environment. Provide evidence all residents held in a secure environment have an activated EPOA or current welfare guardianship. PA ModerateIn Progress
Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin… (this text has been trimmed due to space limits).Care plans do not consistently identify the care the residents require to meet all their needs. This was a documentation issue only. Provide evidence that care plans fully describe all the care the residents require to meet their needs. PA ModerateIn Progress
Service providers shall implement systems to determine and develop the competencies of health care and support workers to meet the needs of people equitably.Not all shifts at Elmswood have a first aid certified staff member on duty. Provide evidence that all shifts at Elmswood have a first aid certified staff member on duty. PA ModerateIn Progress

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: 02 November 2023

Audit type:Surveillance Audit

Audit date: 23 February 2022

Audit type:Certification Audit

Audit date: 20 October 2020

Audit type:Surveillance Audit

Audit date: 12 March 2019

Audit type:Certification Audit

Audit date: 28 August 2017

Audit type:Surveillance Audit

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