Profile & contact details
|Premises name||Longview Home|
|Address||14 Sunrise Boulevard Tawa Wellington 5028|
|Service types||Rest home care, Geriatric, Medical|
|Certification/licence name||Presbyterian Support Central - Longview Home|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||14 October 2019|
|Certification period||24 months|
|Provider name||Presbyterian Support Central|
|Street address||3-5 George Street Thorndon Wellington 6011|
|Post address||PO Box 12706 Thorndon Wellington 6144|
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 2018
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The service has an easily accessed, responsive, and fair complaints process, which is documented and complies with Right 10 of the Code.||In the seven complaint files sampled for 2016 and 2017: i) Four of seven (three hospital, one rest home), did not document all actions taken regarding the complaint. ii) Two of seven (one rest home and one hospital) did not evidence a written acknowledgement of the complaint within five working days. iii) Three of seven (hospital) did not evidence that the outcome of the complaint investigation was communicated to the complainant.||Ensure that all aspects of complaint management comply with Right 10 of the Code.||PA Low||Reporting Complete||09/11/2017|
|All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.||In two lounges, there were kitchenettes that contained food for residents; (i) The food was not covered or dated (ii) the fridge temperatures were not recorded.||Ensure that all food storage complies with current legislation and guidelines.||PA Low||Reporting Complete||20/11/2017|
|An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.||One verbal complaint from a resident’s family member that was documented by a staff member via email and verbal complaints about another residents behaviour had not been documented on the complaint register.||Ensure that all complaints received are entered onto the complaint register.||PA Low||Reporting Complete||20/11/2017|
|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.||Two of three PIs (one rest home and one hospital) had not had the PI documented on an accident and incident form.||Ensure an accident and incident form is completed for all pressure injuries.||PA Low||Reporting Complete||28/11/2017|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i) Neurological observations had not been undertaken according to policy, for two of three rest home level residents following an unwitnessed fall; (ii) Two of two hospital residents using a restraint had no restraint monitoring recorded since March 2017; (iii) Directions were given to weigh a resident monthly. Four months had passed with it not undertaken; (iv) A hospital resident requiring assistance with feeding was not assisted till twenty-five minutes had passed and the meal had become c… (this text has been trimmed due to space limits).||Ensure that all directions and documented interventions are followed to contribute to meeting the consumers' assessed needs.||PA Moderate||Reporting Complete||06/12/2017|
|An appropriate 'call system' is available to summon assistance when required.||On two separate occasions, residents confined to lounge chairs were noted in the lounge areas with no access to call for assistance, and on three separate occasions residents with limited mobility, or residents who were confined to a lounge chair or lying on their bed, did not have the call bell within reach.||Ensure that resident call bells are within reach.||PA Moderate||Reporting Complete||06/12/2017|
|Key components of service delivery shall be explicitly linked to the quality management system.||General staff meetings are not being held as per the meeting schedule and there is no evidence in meeting minutes that quality data, trends, and corrective actions are communicated to staff.||Ensure that general staff meetings are held in accordance with the PSC meeting planner and communicate all relevant aspects of the Longview quality management system to staff.||PA Low||Reporting Complete||23/01/2018|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||Four of eight staff files reviewed did not evidence completion of an annual performance review.||Ensure that all staff have a performance review completed as least annually.||PA Low||Reporting Complete||23/01/2018|
|A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.||i) Corrective action plans were not consistently documented and implemented where opportunities were identified (falls, UTIs, conjunctivitis, medication errors, skin tears). ii) The resident and relative satisfaction survey completed in December 2016 identified that residents were unhappy with the call bell response times, and the activities programme. There was no evidence that corrective actions had been put in place to address these issues.||Ensure that corrective actions plans are documented and implemented where opportunities for improvement are identified.||PA Low||Reporting Complete||23/01/2018|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||On interview of residents and relatives it was found that the activity programme did not consistently meet the recreational needs of individual residents and the male gender group.||Ensure that activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the individual consumer or group of consumers.||PA Low||Reporting Complete||25/10/2018|
|A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.||Corrective action plans were not consistently documented and implemented where improvements were identified.||Ensure that any corrective action plans are documented and implemented where improvements are identified.||PA Moderate||Reporting Complete||19/03/2019|
|A process to measure achievement against the quality and risk management plan is implemented.||Eighteen out of thirty-eight internal audits for 2018 year to date, had not been completed as per the annual schedule. Corrective actions were not always documented as completed.||Ensure that the annual internal audit calendar schedule is adhered to||PA Low||Reporting Complete||16/04/2019|
|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.||Routine interRAI assessments had not been completed within the timeframe for two hospital residents and one first interRAI assessment had not been completed for one rest home resident. There have not been enough interRAI trained staff (due to RN turnover) and no training places until 2019. A training course was arranged for PSC RNs at the Wellington head office. All five RNs are now interRAI trained and working to complete all overdue interRAI assessments that occurred during the RN recruitme… (this text has been trimmed due to space limits).||Ensure interRAI assessments and reassessments are completed within the required timeframes.||PA Low||Reporting Complete||16/04/2019|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||i) Weight on admission had not been completed for one respite care resident. The same resident did not have known pain identified in the short-stay support plan. ii) Interventions for communication as triggered in the interRAI assessment, were not reflected in the care plan for one rest home resident. There was no behaviour chart in place for confusion, as reported in progress notes and GP notes. iii) Another rest home resident who was an insulin dependent diabetic, did not have any signs… (this text has been trimmed due to space limits).||Ensure interventions and supports required are documented to meet residents’ health needs.||PA Moderate||Reporting Complete||16/04/2019|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||Five staff files were reviewed; three of the five files did not have documented evidence of an up-to-date annual performance appraisal completed.||Ensure that all staff files include a completed annual performance appraisal.||PA Low||Reporting Complete||14/05/2019|
|The service has an easily accessed, responsive, and fair complaints process, which is documented and complies with Right 10 of the Code.||Seven complaints (two in 2017 and four in 2018 year to date) have been made since the last audit in August 2017. The complaints reviewed have been acknowledged and investigated, however there is no documented evidence in three of six complaints reviewed that the complainants have been informed or are happy with the complaint outcome/result.||Ensure that all complaint outcomes are communicated to the complainant and that the complainant is happy with the outcome.||PA Moderate||Reporting Complete||07/06/2019|
|An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.||One of the complaints from 2018 was made through the HDC in March, which was followed up, investigated and closed off, however the complaint had not been documented on the complaint register.||Ensure that all complaints are entered in to the complaint register.||PA Moderate||Reporting Complete||07/06/2019|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
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 reportsAudit date: 21 November 2018
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit