Raeburn Rest Home

Profile & contact details

Premises details
Premises nameRaeburn Rest Home
Address 170 Burns Street Leamington Cambridge 3432
Total beds54
Service typesDementia care, Rest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameOceania Care Company Limited - Raeburn Rest Home
Current auditorCentral Region's Technical Advisory Services Limited
End date of current certificate/licence22 June 2019
Certification period36 months
Provider details
Provider nameOceania Care Company Limited
Street address 2 Hargreaves Street Saint Marys Bay Auckland 1011
Post addressPO Box 9507 Newmarket Auckland 1149

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: 03 October 2017

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.The nine staff who have received the training packs for dementia and who have completed part or most of the training have not been formally enrolled in the programme with Oceania. Ensure that staff who work in the dementia unit receive and complete training as per the requirements of the Oceania programme. PA ModerateReporting Complete10/10/2016
Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.i) Documentation of assessments and individual activity planning is not comprehensive and does not clearly reflect the personal choices and abilities of the residents. ii) The overall activities programme is not currently working well as the majority of activities are held in the rest home lounge. Residents from the hospital and dementia unit who are mobile and able to attend these activities do so, under supervision. However the residents in the hospital and dementia unit who are not able to at… (this text has been trimmed due to space limits).i) Activity assessments and past and present interests (as part of the planning process) should be clearly documented and person specific. ii) Activities for the residents in the hospital and the dementia unit, who are not able to attend the activities in the rest home lounge should be implemented throughout the day, the activities should be according to the written activities programmes, prepared for these areas of care, should be varied and promote resident participation (not just having musi… (this text has been trimmed due to space limits).PA LowReporting Complete10/10/2016
Key components of service delivery shall be explicitly linked to the quality management system.The meeting minutes and monthly facility reports do not evidence discussion around all aspects of the quality and risk management programme, including clinical indicators and human resources. Ensure that meetings held include all aspects of the quality and risk management programme, with discussion of data at meetings. PA LowReporting Complete21/11/2016
Service providers responsible for medicine management are competent to perform the function for each stage they manage.Not all staff who administer medicines could verify current medication competencies. Ensure all staff who administer medicines have current medication competencies. PA ModerateIn Progress
Consumers who have additional or modified nutritional requirements or special diets have these needs met.i) The residents’ nutritional profiles could not all be verified in the kitchen and not all were current. ii) The residents were not offered meal choices in relation to meal preference, likes and dislikes. i) Ensure all residents’ nutritional profiles are current and communicated to the kitchen staff. ii) Ensure residents are provided with meal choices in relation to meal preference, likes and dislikes. PA LowIn Progress
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.The service provision timeframes are not consistently adhered to. Provide evidence each stage of service provision is provided within the required timeframes. PA ModerateIn Progress
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.Risk assessment outcomes were not consistently recorded in the initial and long-term care plans. Ensure risk assessments outcomes are reflected in the initial care plans and the long term care plans. PA ModerateIn Progress
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.Incident and accident data, including medicines management issues, skin tears and a pressure injuries, were not included in the key quality indicators entered into the facilities quality system. All incident and accidents (quality improvement data) to be collected, analysed, evaluated and communicated. PA LowIn Progress
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.Provisional rosters, review of resident files, and interviews confirmed a lack of suitably skilled and experienced RN cover at the facility, including on-call. Ensure suitably skilled and experienced RN cover is provided, including appropriate on-call services. PA ModerateIn Progress

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: 03 October 2017

Audit type:Surveillance Audit

Audit date: 27 April 2016

Audit type:Certification Audit

Audit date: 17 November 2014

Audit type:Surveillance Audit

Audit date: 23 April 2013

Audit type:Certification Audit

Audit date: 09 October 2012

Audit type:HealthCERT Inspection

Audit date: 21 September 2011

Audit type:Surveillance Audit

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