Lister Home

Profile & contact details

Premises details
Premises nameLister Home
Address 24 Innes Street Waimate 7924
Total beds63
Service typesMedical, Rest home care, Geriatric
Certification/licence details
Certification/licence nameLister Home Incorporated - Lister Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence23 March 2021
Certification period36 months
Provider details
Provider nameLister Home Incorporated
Street address 24 Innes Street Waimate 7924
Post addressPO Box 25 Waimate 7960

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 November 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.(i) Not all compulsory training is documented as provided, examples include; pain, documentation and continence. (ii) First aid certificates are out-of-date for many staff and this has led to eight of twenty-one shifts over the last week not having a qualified first aider. (i)Ensure training is delivered as per training plan. (ii) Ensure that each shift has a qualified first aider rostered. PA ModerateReporting Complete10/05/2018
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.(i)Quality data is not consistently documented as discussed at the two monthly quality meetings or monthly RN meetings. Examples include falls, infection control, restraint, incident and accidents and survey results. (ii) Internal audits are not always documented as undertaken as per schedule, examples include: care plan audits (August 2017), cleaning audits, and resident care audits for April and August 2017 (i)Ensure that meetings document that quality data and trends are documented as discussed at meetings. (ii) Ensure that internal audits are undertaken as per schedule PA LowReporting Complete29/05/2018
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.One resident who had a fall, which resulted in a head impact, did not have neuro-observations recorded. To ensure neuro-observations are completed and documented for any resident who experiences an unwitnessed fall or head impact caused by a fall. PA LowReporting Complete29/05/2018
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.i) Meetings have not been held according to schedule including RN/EN, quality, restraint, unit meetings, and department meetings. ii) Meeting minutes do not consistently reflect discussions around trending and analysis of quality data or results of internal audits. Ensure meetings are held according to schedule and reflect discussions around quality data, trending and analysis. PA ModerateReporting Complete07/07/2020
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.(i). There was no evidence of training sessions for abuse and neglect, falls, restraint, sexuality, pain and aging process. (ii). Five of six staff files reviewed did not have a current appraisal in place. (i). Ensure all required education sessions are held and included in the education planner. (ii). Ensure all staff have an appraisal completed annually PA ModerateReporting Complete21/07/2020
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 medication fridge thermometer on the rest home wing was not working on the day of the audit. Ensure staff monitor the temperature of the medication fridges regularly. PA LowReporting Complete21/07/2020
The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate.There were gaps in RN progress notes for up to four days in two of three hospital files Ensure RNs are documenting progress notes in line with policy PA LowReporting Complete21/07/2020
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.Four of ten incident reports did not evidence RN follow-up following falls (including one unwitnessed fall) either documented in progress notes or incident report. Ensure adverse events (especially falls) have clinical follow-up documented appropriately. PA ModerateReporting Complete03/09/2020
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i) Three of three restraint files did not have risks identified. (ii) One of three restraint files had no interventions around the use of restraint documented. (i)-(ii) Ensure care plans for restraint identify risks associated and contain interventions around usage and monitoring requirements. PA ModerateReporting Complete03/09/2020
Consumers have a right to full and frank information and open disclosure from service providers.Four of ten incident reports did not evidence NOK notification or reason why not notified. Ensure documentation of notifications is clearly documented. PA LowReporting Complete03/09/2020

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: 21 November 2019

Audit type:Surveillance Audit

Audit date: 29 January 2018

Audit type:Certification Audit

Audit date: 27 June 2016

Audit type:Surveillance Audit

Audit date: 19 January 2015

Audit type:Certification Audit

Audit date: 29 October 2013

Audit type:Surveillance Audit; Verification Audit

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