Homestead Ilam Care & Hospital

Profile & contact details

Premises details
Premises nameHomestead Ilam Care & Hospital
Address 7 Ilam Road Upper Riccarton Christchurch 8041
Total beds40
Service typesMedical, Rest home care, Geriatric
Certification/licence details
Certification/licence nameHomestead Ilam Care & Hospital Limited - Homestead Ilam Care & Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence18 January 2025
Certification period36 months
Provider details
Provider nameHomestead Ilam Care & Hospital Limited
Street address7 Ilam Road Upper Riccarton Christchurch 8041
Post address91 Fendalton Road Fendalton Christchurch 8014

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: 21 September 2023

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
New service providers receive an orientation/induction programme that covers the essential components of the service provided.(i) Three staff (cook and two caregivers) have not signed off all the key components in their orientation documentation. (ii) One RN had completed orientation and signed all key components, however this occurred six months after commencement of employment. (i) Ensure all key components of the orientation is completed and signed off. (ii) Ensure orientation documentation is completed within a timely manner. PA LowReporting Complete04/05/2022
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.Three of twelve medication charts reviewed did not have the allergy status documented. Ensure all residents files document the residents’ allergy status. PA ModerateReporting Complete04/05/2022
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Two of six care plans had not been updated to reflect care needs and/or did not reflect individualised care needs. This included: (i) One resident file documented care of IV antibiotic infusions, however this had been discontinued. The same resident did not have the risks of treatment associated with diabetes, blood glucose testing and insulin in their care plan. The care plan referred to care of a surgical implant which had been removed. The care plan did not fully reflect the changes in mobil… (this text has been trimmed due to space limits).Ensure that care plans document the individualised care needs for each resident. PA LowReporting Complete04/05/2022
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 reassessments were not completed within timeframes for one rest home and three long-term hospital files reviewed. (ii) Long-term care plans had not been evaluated in line with interRAI assessments for two hospital residents. (iii) Long term care plans had not been evaluated six-monthly for two hospital residents. (i) - (ii) Ensure interRAI reassessments are completed within expected timeframes and correspond with care plan evaluations. (iii) Ensure long term care plans are evaluated six-monthly. PA LowReporting Complete04/05/2022
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.Evaluations did not reflect progress towards meeting goals in three of six files reviewed. Ensure evaluations document progress towards meeting goals. PA LowReporting Complete04/05/2022
In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov… (this text has been trimmed due to space limits).Three of six adverse event forms related to unwitnessed falls did not have neurological observations completed as per policy. Ensure staff complete neurological observations within the stated frequencies for unwitnessed falls with or without suspected head injuries. 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. 

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.

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