Profile & contact details
|Premises name||Resthaven-on-Burns street|
|Address||170 Burns Street Leamington Cambridge 3432|
|Service types||Rest home care, Geriatric, Medical, Dementia care|
|Certification/licence name||Cambridge Resthaven Trust Board Incorporated - Resthaven on Burns Street|
|Current auditor||The DAA Group Limited|
|End date of current certificate/licence||24 April 2024|
|Certification period||36 months|
|Provider name||Cambridge Resthaven Trust Board Incorporated|
|Street address||6 Vogel Street Cambridge 3434|
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: 10 February 2021
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|There are adequate numbers of accessible toilets/showers/bathing facilities conveniently located and in close proximity to each service area to meet the needs of consumers. This excludes any toilets/showers/bathing facilities designated for service providers or visitor use.||There are not enough safe and accessible showers in close proximity to the six bedrooms proposed for hospital level care.||Ensure there are sufficient safe and accessible bathrooms for hospital level care residents.||PA Low||Reporting Complete||16/04/2021|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||The provider will not be able to demonstrate safe and suitable staffing levels until the number of hospital level care residents exceeds 18 and up to a maximum of 24.||Ensure there are sufficient suitably qualified and skilled RNs and HCAs available on all shifts to meet the needs of the number of frail elderly/hospital level care residents.||PA Low||Reporting Complete||16/04/2021|
|The following aspects of the system shall be performed and communicated to people by registered health professionals operating within their role and scope of practice: prescribing, dispensing, reconciliation, and review.||Eight out of 10 sampled medication charts did not have evidence of consistent evaluation of the effectiveness of the administered PRN medicines. These medicines included pain relief, behaviour management and respiratory management medicines.||Provide evidence that administered PRN medicines are consistently evaluated for effectiveness.||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.
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 reportsAudit date: 10 February 2021
Audit type:Partial Provisional Audit; Certification Audit
- Resthaven-on-Burns street - Feb 2021 (docx, 55.14 KB)
- Resthaven-on-Burns street - Feb 2021 (pdf, 210.25 KB)
Audit type:Provisional Audit