Pacific Haven Residential Care
Profile & contact details
|Premises name||Pacific Haven Residential Care|
|Address||365 Marine Parade New Brighton Christchurch 8061|
|Service types||Rest home care|
|Certification/licence name||Pacific Haven (2015) Limited - Pacific Haven Residential Care|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||03 November 2019|
|Certification period||36 months|
|Provider name||Pacific Haven Residential Care (2015) Limited|
|Street address||365 Marine Parade New Brighton Christchurch 8061|
|Post address||365 Marine Parade New Brighton Christchurch 8061|
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: 26 March 2018
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Information is entered into the consumer information management system in an accurate and timely manner, appropriate to the service type and setting.||The night shift do not document the time progress notes are written.||Ensure that the time of entry is documented for all progress notes.||PA Low||Reporting Complete||21/03/2017|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||Weight recordings showed weight loss for one rest home resident assessed as L1 – medium risk of under nutrition. There were no documented interventions to manage weight loss.||Ensure there are short-term care plans/interventions in place for identified weight loss.||PA Low||Reporting Complete||21/03/2017|
|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 signing sheet identified the resident had self-administered Ural sachets which were not prescribed on the medication sheet.||Ensure household remedies are prescribed as required or a verbal GP order is taken and recorded.||PA Low||Reporting Complete||21/03/2017|
|All buildings, plant, and equipment comply with legislation.||Two hand basin/shower areas had hot water temperatures recorded at 48 degrees over a three-month period. There was no evidence of corrective actions.||Ensure hot water temperatures are maintained at 45 degrees or below.||PA Low||Reporting Complete||21/03/2017|
|All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.||i) The current menu has not been reviewed since April 2015. ii) Dried food stored in the basement is not stored safely.||i) Ensure the menu is reviewed regularly. ii) Ensure dried foods are stored in appropriate areas or containers.||PA Moderate||Reporting Complete||24/07/2018|
|Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.||Four of five care plans sampled did not document progress towards goals when they were reviewed.||Ensure progress towards goals are documented when care plans are reviewed.||PA Low||Reporting Complete||13/08/2018|
|The organisation is managed by a suitably qualified and/or experienced person with authority, accountability, and responsibility for the provision of services.||The two managers have not completed eight hours of training related to managing an aged care service.||Ensure the manager completes eight hours of training related to managing an aged care service.||PA Low||Reporting Complete||23/10/2018|
|Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.||Resident/relative surveys have not been completed since May 2015 apart from a specific food service survey in November 2017, which has not been analysed.||Ensure resident surveys occur as scheduled and that the results are analysed for trends.||PA Low||Reporting Complete||23/10/2018|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||i) Education around manual handling, health and safety, falls prevention and pressure injury prevention have not been conducted in the last two years. ii) The infection control nurse has not received infection control training in the last two years.||i - ii) Ensure all required training is provided.||PA Low||Reporting Complete||23/10/2018|
|All buildings, plant, and equipment comply with legislation.||Records form Jan- March 2018 reviewed identified water temperatures above 48 degrees. This is a consistent problem for the managers. Advised they get a plumber in at the time to adjust the tempering valve but do not document the corrective actions and effectiveness around this.||Ensure hot water temperatures are maintained at 45 degrees Celsius or below.||PA Low||Reporting Complete||23/10/2018|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||Three of five residents did not have interventions to address all identified needs in the care plan - examples included diet, continence, and behaviour.||Ensure care plans document interventions for all identified needs.||PA Moderate||Reporting Complete||23/10/2018|
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: 26 March 2018
Audit type:Surveillance Audit
- Pacific Haven Residential Care - Mar 2018 (docx, 33.3 KB)
- Pacific Haven Residential Care - Mar 2018 (pdf, 130.18 KB)
Audit type:Certification Audit