Rhodes on Cashmere
Profile & contact details
|Premises name||Rhodes on Cashmere|
|Address||5 Overdale Drive Cashmere Christchurch 8022|
|Service types||Geriatric, Medical, Rest home care|
|Certification/licence name||Rhodes on Cashmere HealthCare Limited - Rhodes on Cashmere|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||18 July 2023|
|Certification period||12 months|
|Provider name||Rhodes on Cashmere HealthCare Limited|
|Street address||5 Overdale Drive Cashmere Christchurch 8022|
|Post address||5 Overdale Drive Cashmere Christchurch 8022|
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 May 2022
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided.||Induction weeks scheduled are yet to occur and all staff will complete required inductions packages, competencies and orientation to new equipment||Ensure all inductions and competencies are completed||PA Low||Reporting Complete||11/07/2022|
|A medication management system shall be implemented appropriate to the scope of the service.||(i). The medication fridge is yet to be installed. (ii). The medication room is not yet secure. (iii). Flooring is yet to be laid||(i). – (iii). Ensure the medication fridge is installed, swipe access to secure the room is activated and appropriate flooring is laid||PA Low||Reporting Complete||11/07/2022|
|Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy.||Staff who will be administering medications have not yet completed medication competencies||Ensure all staff administering medications have competencies completed||PA Low||Reporting Complete||11/07/2022|
|Buildings, plant, and equipment shall be fit for purpose, and comply with legislation relevant to the health and disability service being provided. The environment is inclusive of peoples’ cultures and supports cultural practices.||(i). A CPU is yet to be obtained. (ii). Hot water temperatures are yet to be checked. (iii). Office areas and the staff room are yet to be furnished and functional. (iv). The kitchen is yet to be fully furnished.||(i). Ensure the CPU is obtained prior to opening. (ii). Ensure hot water temperatures are checked and within recommended ranges. (iii). Ensure office areas and the staff room are fully fitted, furnished and functional (iv). Ensure the kitchen is fully furnished and operational.||PA Low||Reporting Complete||11/07/2022|
|Where required by legislation, there shall be a Fire and Emergency New Zealand- approved evacuation plan.||The draft fire evacuation plan is currently with the fire service||Ensure the fire evacuation plan is approved||PA Low||Reporting Complete||11/07/2022|
|The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence.||Landscaping has not yet been completed, outdoor resident’s areas in the care centre are not yet safe for residents to access. Ranch slider doors have been installed in the communal areas on the second floor, glass balustrades have yet to be fitted for safety.||(i).Ensure landscaping is completed. (ii). Ensure glass balustrades are fitted off ranch sliders in communal areas.||PA Low||Reporting Complete||11/07/2022|
|Service providers shall ensure safe and appropriate storage and disposal of waste and infectious or hazardous substances that complies with current legislation and local authority requirements. This shall be reflected in a written policy.||The sluice rooms are not yet functional with the sanitiser, sink, shelving and bench space fitted||Ensure the sluice rooms are fully fitted and functional||PA Low||Reporting Complete||11/07/2022|
|Service providers shall ensure that the environment is clean and there are safe and effective cleaning processes appropriate to the size and scope of the health and disability service that shall include: (a) Methods, frequency, and materials used for cleaning processes; (b) Cleaning processes that are monitored for effectiveness and audit, and feedback on performance is provided to the cleaning team; (c) Access to designated areas for the safe and hygienic storage of cleaning equipment and chemi… (this text has been trimmed due to space limits).||i). The cleaning cupboard is yet to be completed with cabinetry and shelving. ii). Swipe access is yet to be activated||). & ii). Ensure the cleaning cupboard is fully fitted and functional and swipe access is activated||PA Low||Reporting Complete||11/07/2022|
|Service providers shall ensure there are safe and effective laundry services appropriate to the size and scope of the health and disability service that include: (a) Methods, frequency, and materials used for laundry processes; (b) Laundry processes being monitored for effectiveness; (c) A clear separation between handling and storage of clean and dirty laundry; (d) Access to designated areas for the safe and hygienic storage of laundry equipment and chemicals. This shall be reflected in a writt… (this text has been trimmed due to space limits).||The resident laundry on the ground floor is yet to be functional, and the main laundry on the ground floor is yet to be fitted, and fully functional||Ensure the laundry areas are fully fitted and functional||PA Low||Reporting Complete||11/07/2022|
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.