Roseneath Lifecare

Profile & contact details

Premises details
Premises nameRoseneath Lifecare
Address 227 High Street South Carterton 5713
Total beds45
Service typesRest home care, Geriatric, Medical, Dementia care
Certification/licence details
Certification/licence nameHeritage Lifecare Limited - Roseneath Lifecare
Current auditorThe DAA Group Limited
End date of current certificate/licence06 August 2020
Certification period36 months
Provider details
Provider nameHeritage Lifecare Limited
Street addressLevel 2 111 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: 19 February 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate 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 24 hour activity plan for each resident in the dementia wing is not completed by the recreation officer or DT. Time sections, particularly overnight, are not all completed to include activities for staff about a range of suitable activities that they could undertake with residents at indicated times, when the recreation officer is not present. The sections during daytime include cares, meals and other caregiving tasks. During the night time the sections have either been left blank or inclu… (this text has been trimmed due to space limits).The 24 hour activity plan for residents in the dementia wing is to include activities over a 24 hour period including during night times when the resident is awake. PA LowReporting Complete06/10/2017
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.There is no evaluation or analysis of the collected data to establish if there are trends. Data is only summarised on a monthly basis so there no opportunity to look for any issues which are arising over longer periods of time or for systemic issues to be addressed. In relation to the use of restraints and enablers, the six monthly quality review of restraint use does not analyse the overall use of restraints in the facility. Rather a summary of use by individual residents is discussed and a fo… (this text has been trimmed due to space limits).HLL has processes for analysing quality improvement data and these need to be utilised so that there is effective evaluation of all information to identify trends and manage any shortfalls in service delivery. PA ModerateReporting Complete06/10/2017
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.Security of the external environment to cater for people with dementia is required. Add fencing , secure external door and secure garden as planned for the reconfigured rooms. PA LowIn Progress
The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate.Care plans do not consistently describe fully the residents’ required needs to ensure continuity of care. Provide evidence that care plans reflect residents’ needs and support continuity of care. PA ModerateReporting Complete27/05/2019
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.The recent changes to the roster do not safely meet the needs of the current residents as indicated by the urgent increase in hours the day following audit. Review the current roster to provide additional staffing hours to safely meet the needs of current residents. PA ModerateReporting Complete27/05/2019

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: 19 February 2019

Audit type:Surveillance Audit

Audit date: 07 June 2017

Audit type:Certification Audit

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