Lara Lodge

Profile & contact details

Premises details
Premises nameLara Lodge
Address 4 Pegasus Drive Sunnybrook Rotorua 3015
Total beds27
Service typesRest home care
Certification/licence details
Certification/licence nameLara Lodge 2017 Limited - Lara Lodge
Current auditorHealthShare Limited
End date of current certificate/licence31 March 2021
Certification period36 months
Provider details
Provider nameLara Lodge 2017 Limited
Street addressLara Lodge 4 Pegasus Drive Sunnybrook Rotorua 3015
Post address4 Pegasus Drive Sunnybrook Rotorua 3015

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: 24 July 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
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.Timeframes for review of the care plan do not always align with the completion of the interRAI assessment. Ensure that review of the resident care plans occurs in a timely manner following completion of the interRAI assessment. PA NegligibleReporting Complete29/05/2018
All records pertaining to individual consumer service delivery are integrated. Resident files are not integrated. Ensure that each resident has an integrated record. PA LowReporting Complete28/11/2018
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).An in-depth evaluation, re-assessment and subsequent care plan is not well documented. Ensure that there is sufficient documentation of the use of restraint for an individual resident. PA LowReporting Complete28/11/2018
Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.The menu which was approved by a dietician is not the menu which is being consistently provided. The food plan was not sighted. Provide evidence that the menu which is being provided meets the nutritional needs of the older person and a copy of the food plan. PA ModerateIn Progress
The appointment of appropriate service providers to safely meet the needs of consumers.Not all staff have a current first aid certificate, as required by the organisation. All staff are required to have a current first aid certificate. PA ModerateIn Progress
The service has an easily accessed, responsive, and fair complaints process, which is documented and complies with Right 10 of the Code.The amended documented complaint procedure has not yet been implemented. Implemented and newly amended documented complaints procedure. PA LowIn Progress
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.Fridge and freezer temperatures are not being consistently monitored. Maintain consistent records of fridge and freezer temperatures. PA LowIn 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.Medicines were being transcribed on the administration records of ‘as required’ (PRN) medication. Cease transcribing PRN medications. 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. 

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: 24 July 2019

Audit type:Surveillance Audit

Audit date: 01 February 2018

Audit type:Certification Audit

Audit date: 07 September 2017

Audit type:Surveillance Audit

Audit date: 23 February 2017

Audit type:Provisional Audit

Back to top