Lansdowne Park Village

Profile & contact details

Premises details
Premises nameLansdowne Park Village
Address 100 Titoki Street Lansdowne Masterton 5810
Total beds79
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameLansdowne Park Village Limited - Lansdowne Park Village
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence18 October 2021
Certification period36 months
Provider details
Provider nameLansdowne Park Village Limited
Street address 100 Titoki Street Lansdowne Masterton 5810
Post addressPO Box 1 Masterton 5840

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: 06 August 2018

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
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.The following medication documentation shortfalls were identified across the 20 medication charts reviewed. (i) Pharmacy generated medication signing sheets includes all medications and not just those in the robotic pack. Therefore, not all non-packed medications such as eyedrops were signed for separately. (ii) One resident had two charts (one faxed, one other). It was difficult to determine which is the current chart and leva dopa included different administration times charted on each cha… (this text has been trimmed due to space limits).Ensure medication documentation meets legislative requirements and medication guidelines. PA ModerateReporting Complete22/11/2018
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.i) Fifteen accident/incident forms were reviewed in total. Six of the fifteen accident/incident forms reviewed were for resident unwitnessed falls with a potential head injury. There was no documented evidence for five of the six neurological observations being completed as per the policy requirement; ii) There was no documented evidence that eight falls and two pressure injuries identified in June and July 2018 had an accident/incident form completed. i) Ensure that neurological observations forms are fully completed for any resident fall with a head injury as per the policy requirement. ii) Ensure that incident forms are completed for any falls and pressure injuries that occur. PA LowReporting Complete13/02/2019
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Four of eight care plans did not include interventions to support all current assessed needs; (i) Hospital resident on palliative respite did not have a care plan in place on admission. This was addressed during the audit; (ii) The care plan for a hospital resident on a Health Recovery contract did not include interventions specifically around supporting the resident to manage alone at home; (iii) Two residents (one hospital and one rest home) did not have any interventions to support skin inte… (this text has been trimmed due to space limits).(i) Ensure care plans are in place on admission to support all respite residents. (ii) Ensure interventions are documented to support all assessed needs. PA LowReporting Complete13/02/2019
The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate.(i) Progress notes reviewed in eight resident files identified, after incidents/accidents and changes in health status, RNs did not always document follow-up on consecutive shifts. (ii) A serviced apartment resident file reviewed identified needs assessments identifying resident was reassessed as hospital level care without the service being aware (this was followed up with a dispensation from HealthCERT during the audit). (iii) Wound assessment and management plans were incomplete for one re… (this text has been trimmed due to space limits).(i) Ensure progress notes reflect follow-up and ongoing assessments for residents where there is a change of health status identified. (ii) Ensure documentation is updated to reflect the residents needs/current level of care. (iii) Ensure wound assessments and management plans are fully completed for all current wounds. PA LowReporting Complete13/02/2019

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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