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 2021|
|Certification period||12 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: 19 February 2020
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.||As the facility has not yet opened, staff have not completed a fire drill or training around the fire evacuation procedure.||Implement fire drills and emergency training for all staff. Ensure there is staff across 24/7 with a current first aid certificate.||PA Low||Reporting Complete||13/03/2020|
|New service providers receive an orientation/induction programme that covers the essential components of the service provided.||Orientation for staff is yet to be provided. An orientation programme has been developed for all staff which commences 2 March 2020 across three weeks. This includes completing orientation documentation and competencies. The orientation programme also includes specific training around (but not limited to) equipment, manual handling, safe chemical handling, medimap, emergency and fire training and dementia model of care. Registered nurses are to complete an extra week orientation week, speci… (this text has been trimmed due to space limits).||Ensure the facility orientation is completed.||PA Low||Reporting Complete||13/03/2020|
|Where required by legislation there is an approved evacuation plan.||The New Zealand Fire Service has not yet approved the fire evacuation scheme.||Provide evidence that the NZFS has approved a fire evacuation scheme for the care centre.||PA Low||Reporting Complete||13/03/2020|
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.
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 reportsAudit date: 19 February 2020
Audit type:Partial Provisional Audit