Rangiura Rest Home & Retirement Village
Profile & contact details
|Premises name||Rangiura Rest Home & Retirement Village|
|Address||17 Matai Crescent Putaruru 3411|
|Service types||Dementia care, Rest home care, Geriatric, Medical|
|Certification/licence name||Rangiura Trust Board - Rangiura Rest Home & Retirement Village|
|Current auditor||The DAA Group Limited|
|End date of current certificate/licence||22 October 2020|
|Certification period||24 months|
|Provider name||Rangiura Trust Board|
|Street address||17 Matai Crescent Putaruru 3411|
|Post address||PO Box 207 Putaruru 3443|
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: 17 October 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.||Not all food in the fridges, chiller and dry stores are stored appropriately or have expiry dates documented.||Provide evidence that that storage of food complies with current legislation and guidelines.||PA Moderate||Reporting Complete||05/02/2019|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||Residents were left unattended in the common area in the secure unit for at least four minutes. No care staff were on the floor in the hospital /rest home wings for 20 minutes during afternoon handover.||Ensure there is at least one staff member with residents at all times in the dementia unit. Rearrange staff hours of duty to ensure cover in the hospital/rest home area during shift hand over times.||PA Moderate||Reporting Complete||05/02/2019|
|The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.||There is insufficient evidence that neurological observations are being completed for residents with unwitnessed falls. Re-assessments of residents who are showing signs of change is not occurring within a reasonable timeframe.||To ensure that assessments of residents occurs according to best safe practice and contractual requirements.||PA Moderate||Reporting Complete||05/02/2019|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Three of 15 residents’ files reviewed did not have initial short-term care plans developed in every acute situation, and not all information in the short-term care plans for the remaining six residents’ files reviewed is then transferred to long term care plans.||Provide evidence that residents’ interim and changing needs are documented in short and long-term care plans as per contractual requirements.||PA Moderate||Reporting Complete||05/02/2019|
|The responsibility for restraint process and approval is clearly defined and there are clear lines of accountability for restraint use.||Information about restraint interventions has not been included in eight of the residents’ interRAI care plans.||Provide evidence that all restraint use is documented in interRAI long term care plans.||PA Low||Reporting Complete||05/02/2019|
|Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is undertaken by suitably qualified and/or experienced service providers who are competent to perform the function.||There is no documented evidence that the long-term care plans created by the physiotherapist are signed off by a registered nurse.||Provide evidence that a registered nurse agrees to and signs of all resident care plans as per contractual requirements.||PA Low||Reporting Complete||05/02/2019|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||Five of five residents’ files reviewed in the dementia unit did not have a 24-hour behaviour clock plan to support challenging behaviour.||Ensure that all residents in the dementia unit have a 24-hour challenging behaviour plan to meet contractual requirements.||PA Low||Reporting Complete||05/02/2019|
|Service providers have access to designated areas for the safe and hygienic storage of cleaning/laundry equipment and chemicals.||The cleaning trolley with chemicals was left unobserved and within easy reach of the residents in the secure unit.||Ensure all steps are taken to prevent confused residents from accessing cleaning chemicals.||PA Moderate||Reporting Complete||05/02/2019|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||Six of the ten staff files sampled showed that performance appraisals were overdue.||Provide evidence that all staff engage in regular performance appraisals.||PA Low||Reporting Cancelled|
|The service has an easily accessed, responsive, and fair complaints process, which is documented and complies with Right 10 of the Code.||There is insufficient documented evidence of investigation into complaints, communication between all parties or an effective resolution. There was a lack of clarity amongst staff about their role or responsibilities regarding the complaint process.||Ensure that management of complaints conforms to policy, regulations, legislation and these standards.||PA Moderate||In Progress|
|All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.||The chipped surfaces of the shelves in the chiller pose an infection control risk.||Provide evidence that surfaces in the food service area are impervious to spills and contaminants.||PA Low||In Progress|
|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.||Evaluations of the residents’ nursing care plans that occur every six months by the RN are not documented.||Provide evidence evaluation of care is being documented.||PA Moderate||In Progress|
|All buildings, plant, and equipment comply with legislation.||The 2015 evacuation scheme has not been reviewed subsequent to the changes in the main building layout.||Review the fire evacuation scheme, taking into account the change in the building foot-print and if required seek approval from Fire and Emergency NZ.||PA Low||In Progress|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Care plans did not describe fully the required support the resident requires to meet their assessed needs. Care staff in the secure unit do not have access to residents’ short term care plans.||Provide evidence that care plans describe fully the required support the resident requires to meet their needs, and all care staff have access to residents’ care plans.||PA Moderate||In Progress|
|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 the twenty adverse events records sampled did not have clear descriptions of the event, and more than 50% had no evidence of review and /or investigation or that actions for improvement or to prevent recurrence had been implemented.||Provide evidence that adverse events are documented with sufficient detail to describe the event, that events are reviewed and where necessary investigation and follow action/s are taken to minimise risk and/or prevent recurrence.||PA Moderate||In Progress|
|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.||No evidence was sighted of reconciliation of medications each month. Eye drops are not currently monitored to ensure use by dates are adhered to.||Provide evidence a system is in place to ensure medication management is consistent with guidelines.||PA Low||In Progress|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||The evening and night shift RN leaves the hospital/rest home building to attend call outs in the dementia wing. This is a breach of the ARCC requirements in D17.4.||Ensure there is an RN in the hospital building 24 hours a day seven days a week.||PA Moderate||In Progress|
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: 17 October 2019
Audit type:Surveillance Audit
- Rangiura Rest Home & Retirement Village - Oct 2019 (docx, 39.41 KB)
- Rangiura Rest Home & Retirement Village - Oct 2019 (pdf, 153.28 KB)
Audit type:Certification Audit
- Rangiura Rest Home & Retirement Village - Aug 2018 (docx, 52 KB)
- Rangiura Rest Home & Retirement Village - Aug 2018 (pdf, 200.74 KB)
Audit type:Surveillance Audit
- Rangiura Rest Home & Retirement Village - Dec 2016 (docx, 32.85 KB)
- Rangiura Rest Home & Retirement Village - Dec 2016 (pdf, 129.42 KB)
Audit type:Partial Provisional Audit
- Rangiura Rest Home & Retirement Village - Jul 2015 (docx, 39.03 KB)
- Rangiura Rest Home & Retirement Village - Jul 2015 (pdf, 111.73 KB)
Audit type:Certification Audit
- Rangiura Rest Home & Retirement Village - Aug 2014 (docx, 148.46 KB)
- Rangiura Rest Home & Retirement Village - Aug 2014 (pdf, 743.94 KB)
Audit type:Surveillance Audit