Elmswood Rest Home

Profile & contact details

Premises details
Premises nameElmswood Rest Home
Address 154 Waihi Road Judea Tauranga 3110
Websitewww.oceaniahealthcare.co.nz/find-a-place/aged-care/elmswood-care
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 2022
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
Websitewww.oceaniahealthcare.co.nz/

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: 20 October 2020

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.Resident incidents did not have corrective actions consistently developed and implemented. Ensure that a corrective actions plan are: i) developed for all resident incidents/accidents, ii) consistently implemented to minimise the risk of further falls or other injury. PA LowReporting Cancelled
The consumer and when appropriate and requested by the consumer the family/whānau of choice or other representatives, are consulted on their individual values and beliefs.Specific cultural needs identified in assessments were not consistently reflected in the residents’ care plans. Ensure that assessments of ethnic and cultural needs, beliefs and sexuality are reflected in resident care plans. PA LowReporting Cancelled
The consumer and when appropriate and requested by the consumer the family/whānau of choice or other representatives, are consulted on their individual values and beliefs.Cultural needs for residents who identified as Māori were not consistently reflected in the assessment and care planning processes. Ensure that cultural needs are assessed and addressed in the plan of care of all residents. PA LowReporting Complete29/12/2020
An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.i) The complaints policy available to staff is not current. ii) The complaints register in use was not a controlled document. iii) The internal audit of complaints did not follow the required criteria identified in the organisation audit tool template. Ensure that: i) The complaints policy is current, reflects Right 10 of the Code and that all staff have read and understood the revised policy. ii) The complaints register in use is a controlled document. iii) The internal audit of complaints follows the required criteria identified in the organisation audit tool template. PA LowReporting Complete29/12/2020
The use of enablers shall be voluntary and the least restrictive option to meet the needs of the consumer with the intention of promoting or maintaining consumer independence and safety.Patio bolts were in place on residents’ bedroom doors for the purpose of preventing other residents entering the room. Ensure: i) External locks are not in use on resident bedrooms. ii) Alternative non-restrictive strategies are implemented to reduce the likelihood of residents entering another resident’s room. PA NegligibleReporting Complete10/08/2021
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.The exception from monthly GP/NP reviews had not been documented in the five files reviewed. Ensure exception from monthly GP/NP reviews is documented and signed by the GP/NP. PA LowReporting Complete10/08/2021

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: 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

Audit date: 08 March 2016

Audit type:Certification Audit

Audit date: 25 September 2014

Audit type:Surveillance Audit

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