Radius Windsor Court Rest Home

Profile & contact details

Premises details
Premises nameRadius Windsor Court Rest Home
Address 20 Sandes Street Ohaupo 3803
Total beds78
Service typesRest home care, Medical, Geriatric, Dementia care
Certification/licence details
Certification/licence nameRadius Residential Care Limited - Radius Windsor Court Rest Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence29 September 2021
Certification period36 months
Provider details
Provider nameRadius Residential Care Limited
Street address 12 Viaduct Harbour Avenue Auckland Central Auckland 1010
Post addressPO Box 450 Auckland 1140
Websitewww.radiuscare.net.nz/

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: 11 February 2020

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) A number of planned education sessions have not been held as scheduled. This includes cultural safety, medication management, accident and incident reporting, open disclosure, food handling, health and safety, nutrition and hydration, continence, skin management and pressure injury prevention and advanced directives. ii) Attendance numbers at scheduled education sessions (including mandatory) have been less than 50 % at most sessions. i)Ensure all scheduled training is delivered as planned; ii) Ensure all staff attend mandatory training sessionsPA LowReporting Complete23/04/2019
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 being developed where areas for improvements were identified (eg, internal audits with scores below 95%). Ensure corrective action plans are consistently developed where opportunities for improvements are identified. PA LowReporting Complete15/06/2020
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.i) Not all planned education sessions have taken place as scheduled. Work is underway to complete mandatory training in four-hour blocks (implemented November 2019). ii) Attendance numbers at scheduled mandatory education sessions (including those who have completed competency questionnaires) have been less than 50% for most sessions. i) Ensure all scheduled training is delivered as planned. ii) Ensure all staff complete their mandatory training. PA ModerateReporting Complete15/06/2020
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.Two resident files (one dementia care and one hospital care) reviewed did not have interRAI assessments completed within 21 days of admission. Six monthly interRAI assessments for 16 long-term residents were also overdue. Ensure all initial interRAI assessments are completed within the required timeframe. PA LowReporting Complete15/06/2020
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.One residents file was reviewed and there was no behaviour assessment in place, or behaviour management plan. The interRAI assessment had triggered behaviour as a concern and the resident had recently assaulted a staff member and another resident. Ensure behaviour assessments and behaviour management care plans are in place for all residents where behavioural concerns are identified as being a care need. PA ModerateReporting Complete15/06/2020
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.i) Twelve of thirty-six audits were not completed in 2019. ii) Seven of eleven audit scores were below 95% without evidence of a re-audit in eight weeks as per Radius policy. iii) Quality data that is being collected in not being trended and evaluated. iv) Quality results, in particular internal audit results, complaints received and corrective action plans, are not routinely communicated to staff. i) Ensure internal audits are completed as per the audit schedule. ii) Ensure that internal audits with scores below 95% are repeated within eight weeks as per Radius policy. iii) Ensure that quality data that is being collected (eg, falls, bruising, skin tears, medication errors) is trended and evaluated. iv) Ensure that quality results are regularly communicated to staff. PA LowReporting Complete15/06/2020
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.i) Wound care management had not been undertaken at the required frequency for one wound care management plan reviewed. ii) A repositioning chart was not in place for one resident whose file stated that a repositioning chart and regular repositioning was required, this resident had a stage three sacral pressure injury. i) Ensure wound care management occurs at the correct frequency as stated in the wound care management plan. ii) Ensure all residents requiring repositioning charts have repositioning charts in place and the resident is repositioned and the chart is documented at the required frequency. PA LowReporting Complete15/06/2020

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.

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