Summerset on Cavendish

Profile & contact details

Premises details
Premises nameSummerset on Cavendish
Address 147 Cavendish Road Casebrook Christchurch 8051
Total beds121
Service typesRest home care, Geriatric, Medical, Dementia care
Certification/licence details
Certification/licence nameSummerset Care Limited - Summerset on Cavendish
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence17 March 2024
Certification period36 months
Provider details
Provider nameSummerset Care Limited
Street addressMajestic Centre Floor 27, 100 Willis Street Wellington Central Wellington 6011
Post addressPO 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: 27 October 2022

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate 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 LowReporting Complete12/04/2021
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 LowReporting Complete02/07/2021
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 ModerateReporting Complete02/07/2021
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 LowReporting Complete02/07/2021
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 LowReporting Complete02/07/2021

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. 

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 reports

Audit date: 27 October 2022

Audit type:Surveillance Audit

Audit date: 18 January 2021

Audit type:Certification Audit

Audit date: 19 February 2020

Audit type:Partial Provisional Audit

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