Leighton House

Profile & contact details

Premises details
Premises nameLeighton House
Address 2 Cheeseman Road Inner Kaiti Gisborne 4010
Total beds50
Service typesGeriatric, Medical, Rest home care
Certification/licence details
Certification/licence nameLeighton House Limited
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence10 July 2021
Certification period48 months
Provider details
Provider nameLeighton House Limited
Street addressLeighton House 2 Cheeseman Road Inner Kaiti Gisborne 4010
Post address14 Browning Crescent Stoke Nelson 7011

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: 04 June 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines.The controlled medication register had not been stock-checked weekly. Ensure that the controlled medication register has a documented weekly stock check PA LowReporting Complete20/09/2019
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.i) One staff was observed administering medications with five individual robotic packs and pre-poured liquids on top of the trolley during a medication round. ii) Two eyedrops in the medication trolley had not been discarded after being opened for 30 days as per manufacturer’s instructions. i) Ensure that staff who administer medication follow acceptable medication administration practices, and guidelines. ii) Ensure eyedrops are discarded as per manufacturer’s instructions. PA ModerateReporting Complete20/09/2019
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i) Effectiveness of ‘as required’ analgesia was not documented for one hospital resident. (ii) Wound assessments were not fully documented for six current wounds including two pressure injuries. (iii) Wound management plans were not fully documented for three current wounds. (iv) One wound assessment and management plan was documented for a resident with two separate wounds. (i) Ensure effectiveness of analgesia is documented. (ii)-(iii) Ensure wound assessments and management plans are fully documented. (iv) Ensure all wounds are individually documented. PA ModerateReporting Complete30/09/2019
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) One of five resident (rest home) reviewed did not have an interRAI assessment completed within 21 days of admission. (ii)Three of five resident files (two hospital and one rest home) reviewed did not evidence interRAI assessments had been reviewed six monthly (iii) Three of five (two hospital and one rest home) long terms care plans had not been reviewed six monthly. (i)-(ii) Ensure interRAI assessments are completed within 21 days of admission and reviewed six monthly. (iii) Ensure long-term care plans are reviewed six monthly. PA LowReporting Complete04/11/2019

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.

Audit reports

Audit date: 04 June 2019

Audit type:Surveillance Audit

Audit date: 03 May 2017

Audit type:Certification Audit

Audit date: 18 January 2016

Audit type:Surveillance Audit

Audit date: 20 May 2014

Audit type:Certification Audit

Audit date: 06 December 2013

Audit type:Partial Provisional Audit

Audit date: 22 May 2013

Audit type:Provisional Audit

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