Riverleigh Care Ltd
Profile & contact details
|Premises name||Riverleigh Care Ltd|
|Address||1-5 Connolly Street Boulcott Lower Hutt 5010|
|Service types||Medical, Physical, Rest home care, Geriatric|
|Certification/licence name||Riverleigh Care Limited - Riverleigh Care Ltd|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||11 December 2022|
|Certification period||Other months|
|Provider name||Riverleigh Care Limited|
|Street address||5 Conolly Street Boulcott Lower Hutt 5010|
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: 13 January 2021
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||The individual activity plans for two younger residents did not reflect the needs of the age group or their assessment. The overall activity plan for the service did not provide for the activity need for the younger resident group.||Ensure that there are activities for the younger residents’ which reflect their needs and community links.||PA Low||Reporting Complete||28/02/2022|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i) Recognition and treatment of seizures was not documented in one rest home and one hospital level residents’ file. (ii) Management and interventions for pain control was not documented or implemented in one rest home level resident’s file. (iii) The wound care specialist has not documented the wound review or advice given to staff. (iv) A hospital level long-term respite resident did not have; monthly blood sugar levels and catheter bag care, in their care plan.||(i) Ensure that the recognition and treatment of seizures is documented in residents’ care plans for residents with known seizure activity. (ii) Ensure that the management and interventions for pain control are documented and implemented for residents with known pain. (iii) Ensure that the wound care specialist documents the wound review and advice given to staff. (iv) Ensure that all interventions are documented in the resident’s care plans including: blood sugar levels and catheter bag care… (this text has been trimmed due to space limits).||PA Moderate||Reporting Complete||28/02/2022|
|A process to measure achievement against the quality and risk management plan is implemented.||Not all internal audits have been undertaken as per schedule and/or have not been fully completed.||Ensure that all internal audits are undertaken as per schedule.||PA Low||Reporting Complete||28/02/2022|
|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.||(i) Timeframes for routine interRAI assessments were not within timeframes for one rest home and one hospital level resident under the ARRC contract. (ii) One YPD (rest home level) and one LTS-CHC (hospital level) had no formal assessments on their file.||(i) Ensure that interRAI assessments are documented within timeframes. (ii) Ensure that there is a documented assessment process for those residents who are not assessed using the interRAI system.||PA Low||Reporting Complete||09/03/2022|
|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.||Two hospital level and two rest home level resident files did not have a formal evaluation of care documented.||Ensure that six monthly evaluations of care are documented and include progress towards stated goals.||PA Low||Reporting Complete||06/05/2022|
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.
Audit reportsAudit date: 13 January 2021
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Provisional Audit