Redroofs Rest Home
Profile & contact details
| Premises name | Redroofs Rest Home |
|---|---|
| Address | 15 Dunblane Street Maori Hill Dunedin 9010 |
| Total beds | 50 |
| Service types | Rest home care |
| Certification/licence name | Heritage Lifecare (BPA) Limited - Redroofs Rest Home |
|---|---|
| Current auditor | The DAA Group Limited |
| End date of current certificate/licence | 03 April 2022 |
| Certification period | 36 months |
| Provider name | Heritage Lifecare (BPA) Limited |
|---|---|
| Street address | 111 Johnsonville Road Johnsonville Wellington 6037 |
| Post address | PO Box 13223 Johnsonville Wellington 6440 |
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: 27 November 2020
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| There is a document control system to manage the policies and procedures. This system shall ensure documents are approved, up to date, available to service providers and managed to preclude the use of obsolete documents. | There was evidence of non-approved and obsolete documents in use. For example: • Some care plans remain on the care plan template of the former owner of the facility, despite one or two residents’ reviews having occurred since the purchase. • Examples of recent short-term care plans and infection control records being documented on the templates of the former owner were sighted in residents’ files reviewed. | Documents, templates and associated forms being used in residents’ files consistently comply with the requirements of the current service provider. | PA Low | Reporting Complete | 19/11/2019 |
| 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 requirement for each stage of service provision to be provided within time frames that safely meet the resident’s needs is not being met. Eleven interRAI reassessments are outstanding dating back to the beginning of October 2020. | All interRAI reassessments are current and completed within the required time frames. | PA Low | In Progress | |
| The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group. | A half door that opens directly onto steep stairs going down to the laundry often needs to be left open; however, this poses a potential risk of harm to residents who may attempt to go down the stairs. The stairs and door also pose a health and safety hazard for laundry workers who use these facilities to transport heavy loads of laundry to and from the laundry. | Actions in relation to a half door and steep stairs that lead to the laundry are required in order to minimise the potential environmental risks of harm for residents and to address the health and safety hazards for laundry staff. | PA Moderate | In 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: 27 November 2020Audit type:Surveillance Audit
Audit date: 14 February 2019Audit type:Certification Audit
Audit date: 20 February 2018Audit type:Provisional Audit