Summerset on Cavendish
Profile & contact details
|Premises name||Summerset on Cavendish|
|Address||147 Cavendish Road Casebrook Christchurch 8051|
|Service types||Rest home care, Geriatric, Medical, Dementia care|
|Certification/licence name||Summerset Care Limited - Summerset on Cavendish|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||17 March 2024|
|Certification period||36 months|
|Provider name||Summerset Care Limited|
|Street address||Majestic Centre Floor 27, 100 Willis Street Wellington Central Wellington 6011|
|Post address||PO Box 5187 Wellington 6140|
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: 18 January 2021
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|All buildings, plant, and equipment comply with legislation.||Water temperatures have not been monitored in the resident areas.||Ensure that water temperatures are monitored in the resident areas.||PA Low||Reporting Complete||12/04/2021|
|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.||Two hospital level, one dementia care level and one rest home level first interRAI and long-term care plans were not within timeframes.||Ensure that interRAI assessments and care plans are completed within required timeframes.||PA Low||Reporting Complete||02/07/2021|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i). Neurological observations were not completed for six unwitnessed falls with a potential head injury. (ii) One hospital level resident care plan did not include interventions for: skin care and an ileostomy, interventions for a red sacrum, a range limit for BSL monitoring and a schedule for indwelling catheter changes. (iii). One rest home level resident care plan did not include the need to elevate a leg with a chronic ulcer (and this was not evidenced to be occurring).||(i). Ensure that neurological observations are completed for any unwitnessed falls with a potential head injury. (ii) – (iii). Ensure that the care plans include interventions to support the care and support needs for residents||PA Moderate||Reporting Complete||02/07/2021|
|Consumers have a right to full and frank information and open disclosure from service providers.||Six of the fifteen forms reviewed did not have documented evidence that family had been notified of the incident/accident||Ensure documentation reflects that family are informed of adverse events.||PA Low||Reporting Complete||02/07/2021|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||Of the three-dementia level resident files reviewed, two of the activity plans did not cover a 24-hour period.||Ensure that each resident in the dementia unit has an activity plan that covers a 24-hour time span.||PA Low||Reporting Complete||02/07/2021|
Guide to table
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: 18 January 2021
Audit type:Certification Audit
- Summerset on Cavendish - Jan 2021 (docx, 45.15 KB)
- Summerset on Cavendish - Jan 2021 (pdf, 176.46 KB)
Audit type:Partial Provisional Audit