Oxford Court Lifecare
Profile & contact details
| Premises name | Oxford Court Lifecare |
|---|---|
| Address | 164 Oxford Street South Dunedin Dunedin 9012 |
| Website | www.oxfordcourt.nz |
| Total beds | 50 |
| Service types | Geriatric, Medical, Rest home care |
| Certification/licence name | Oxford Court Lifecare Limited - Oxford Court Lifecare |
|---|---|
| Current auditor | Health and Disability Auditing New Zealand Limited |
| End date of current certificate/licence | 19 April 2023 |
| Certification period | 48 months |
| Provider name | Oxford Court Lifecare Limited |
|---|---|
| Street address | 164 Oxford Street South Dunedin Dunedin 9012 |
| Post address |
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: 28 January 2021
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Where required by legislation there is an approved evacuation plan. | Partial provisional: The fire evacuation plan has been updated to include the new wings and is draft. | Ensure the amended fire evacuation plan has been approved by the fire service. | PA Low | Reporting Complete | 02/07/2019 |
| 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. | Partial Provisional: The medication room has not been completely fitted out and secured | Ensure the medication room includes locked cupboards where required, a medication trolley and is secure. | PA Low | Reporting Complete | 11/12/2019 |
| All buildings, plant, and equipment comply with legislation. | Partial Provisional: (i) The new wings are in the process of being completed and therefore a certificate for public use is yet to be completed. (ii) Hot water has not yet been turned on, so temperature requirements have not been tested. (iii) The sluice room has not yet been fitted out and secured. | (i) Provide evidence of a certificate of public use. (ii) Ensure hot water is turned on and the temperature monitored to ensure it is within the safe range. (iii) Ensure the sluice room has benches, shelves, a sluice sink, a sanitiser and is able to be secured. | PA Low | Reporting Complete | 11/12/2019 |
| An appropriate 'call system' is available to summon assistance when required. | Partial provisional: The call bell system is not yet up and running. | Ensure the call bell system is installed and working. | PA Low | Reporting Complete | 11/12/2019 |
| The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes. | i) There was no monitoring chart for a hospital resident with unintentional weight loss and another with a pressure injury. ii) There were no pressure relieving/prevention strategies documented on the care plan for a hospital resident with a current pressure injury. iii) Three wounds were documented on the same chart for a hospital level resident. iv) One wound was not classified correctly for a hospital level resident. | i) Ensure monitoring charts are completed for residents with unintentional weight loss. ii) Ensure all pressure relieving strategies are included in the care plans for residents with current pressure injuries, and residents at risk of developing a pressure injury. iii) Ensure all wounds have individual wound care assessments, plans and evaluations completed. iv) Ensure all wounds are classified correctly. | PA Moderate | Reporting Complete | 10/08/2021 |
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.
From 1 June 2009 to 28 February 2022 rest homes were audited against the Health and Disability Services Standards NZS 8134:2008. These standards have been updated, and from 28 February 2022 rest homes are audited against Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.
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 Ngā Paerewa Health and Disability Services Standard.
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: 28 January 2021Audit type:Surveillance Audit
Audit date: 21 February 2019Audit type:Partial Provisional Audit; Certification Audit
Audit date: 17 March 2017Audit type:Surveillance Audit
Audit date: 29 January 2015Audit type:Certification Audit