Greendale Residential Care

Profile & contact details

Premises details
Premises nameGreendale Residential Care
Address 169 Tait Drive Greenmeadows Napier 4112
Total beds27
Service typesRest home care
Certification/licence details
Certification/licence nameExperion Care NZ Limited - Greendale Residential Care
Current auditorHealth Audit (NZ) Limited
End date of current certificate/licence15 March 2022
Certification period36 months
Provider details
Provider nameExperion Care NZ Limited
Street address 283 Kennedy Road Onekawa Napier 4112
Post address283 Kennedy Road Pirimai Napier 4112

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: 28 October 2020

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Each episode of restraint is evaluated in collaboration with the consumer and shall consider: (a) Future options to avoid the use of restraint; (b) Whether the consumer's service delivery plan (or crisis plan) was followed; (c) Any review or modification required to the consumer's service delivery plan (or crisis plan); (d) Whether the desired outcome was achieved; (e) Whether the restraint was the least restrictive option to achieve the desired outcome; (f) The duration of the restraint episode… (this text has been trimmed due to space limits).Review and evaluation of each individual episode of restraint use has not been done. Provide evidence of review and evaluation of the one restraint episode recorded in the restraint register. PA LowReporting Complete06/10/2020
Services conduct comprehensive reviews regularly, of all restraint practice in order to determine: (a) The extent of restraint use and any trends; (b) The organisation's progress in reducing restraint; (c) Adverse outcomes; (d) Service provider compliance with policies and procedures; (e) Whether the approved restraint is necessary, safe, of an appropriate duration, and appropriate in light of consumer and service provider feedback, and current accepted practice; (f) If individual plans of care/… (this text has been trimmed due to space limits).Review and evaluation of restraint processes has not been undertaken. Provide evidence of review of restraint processes, as required by the organisational documented policy. PA LowReporting Complete08/10/2020
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.Neurological observations are not done when a resident has an unwitnessed fall. Residents who complain of dizziness leading to a fall do not have their medications reviewed. Provide evidence of training for staff in the requirement to undertake neurological assessment when a resident has an unwitnessed fall and review medications where a resident complains of dizziness leading to a fall. Include a place in the accident report form to report these items. PA ModerateReporting Complete08/10/2020
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) InterRAI assessments were completed within 21 days of admission with the exception of one file reviewed. The interRAI for this resident was more than three months late. (ii) Long-term care plans were completed within three weeks of admission by registered nurses with the exception of one resident whose file was reviewed, and the long-term care plan was completed five weeks following admission. (iii) The interRAI report generated from the interRAI website demonstrated that reviews were not c… (this text has been trimmed due to space limits).(i) Ensure all initial interRAI assessments are completed within the required time frames. (ii) Ensure all initial long-term care plans are completed within the required time frames. (iii) Ensure all interRAI reviews are completed within the required time frames. PA LowIn Progress
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.Not all corrective actions sampled were closed off. Ensure all corrective actions identified are closed off. 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.Neurological observations are not routinely completed for all unwitnessed resident falls. Ensure all staff routinely complete neurological assessments for all unwitnessed resident falls. PA ModerateIn Progress
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.There was no documentation in place to demonstrate that the medication room temperature had been recorded as required. There was a document in place to record the temperatures, but there were no entries on the document. Ensure the medication room temperature is recorded as required. PA LowIn 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. 

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.

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