Redroofs Rest Home

Profile & contact details

Premises details
Premises nameRedroofs Rest Home
Address 15 Dunblane Street Maori Hill Dunedin 9010
Total beds50
Service typesRest home care
Certification/licence details
Certification/licence nameHeritage Lifecare (BPA) Limited - Redroofs Rest Home
Current auditorThe DAA Group Limited
End date of current certificate/licence03 April 2025
Certification period36 months
Provider details
Provider nameHeritage Lifecare (BPA) Limited
Street address16 Johnsonville Road Johnsonville Wellington 6037
Post addressPO 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: 01 February 2022

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate 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.Twelve percent (12%) of policies and procedures were not current at the time of audit. The provider was not able to provide an employment policy. Provide evidence that the policies and procedures are current. Provide evidence that an employment policy has been developed and implemented in accordance with good employment practice to meet the requirements of legislation. PA ModerateIn Progress
The facilitation of safe self-administration of medicines by consumers where appropriate.The process of safe administration for three residents choosing to administer some of their own medications is not occurring according to the organisation’s medication policy. The policy for safe administration of medication by residents is implemented and documented. PA ModerateReporting Complete26/05/2022
Protective equipment and clothing appropriate to the risks involved when handling waste or hazardous substances is provided and used by service providers.Eye protection and face shields are not cleaned and sanitised after use. Provide evidence that eye protection and face shields are cleaned and sanitised after each use. PA ModerateReporting Complete29/06/2022
The methods, frequency, and materials used for cleaning and laundry processes are monitored for effectiveness.The documentation on the daily cleaning schedules did not evidence that all tasks had been consistently completed. Provide evidence that the documentation on the daily cleaning schedules is completed as required by the facility. PA LowReporting Complete29/06/2022
The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed.The 2022 business plan has not yet been developed. The review of the 2021 goals has not taken place. Provide evidence that the 2022 Business Plan has been developed, and that the 2021 goals have been reviewed. PA LowReporting Complete21/07/2022
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.Files reviewed showed care planning was occurring, however none of the files reviewed had the long term care plan developed within the required time frame of three weeks. This varied between four and nine weeks. All long term care plans are developed within three weeks of admission. PA LowReporting Complete21/07/2022

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. 

From 1 June 2009 to 28 February 2022 rest homes were audited against the Health and Disability Services Standards NZS 8134:2008. These standards have been updated, and from 28 February 2022 rest homes are audited against Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.

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 Ngā Paerewa Health and Disability Services Standard.

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: 01 February 2022

Audit type:Certification Audit

Audit date: 27 November 2020

Audit type:Surveillance Audit

Audit date: 14 February 2019

Audit type:Certification Audit

Audit date: 20 February 2018

Audit type:Provisional Audit

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