Summerset Richmond Ranges

Profile & contact details

Premises details
Premises name	Summerset Richmond Ranges
Address	195/1 Hill Street North Richmond 7020
Total beds	121
Service types	Dementia care, Rest home care, Geriatric, Medical

Certification/licence details
Certification/licence name	Summerset Care Limited - Summerset Richmond Ranges
Current auditor	Health and Disability Auditing New Zealand Limited
End date of current certificate/licence	07 April 2025
Certification period	36 months

Provider details
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
Website	www.summerset.co.nz/

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: 01 August 2023

Outcome required	Found at audit	Action required	Risk rating	Action status	Date action reported complete
A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.	The temperature in the memory care unit medication room had not been monitored during the month of January 2022.	Ensure the medication room temperature is monitored daily and temperatures documented.	PA Low	Reporting Complete	31/10/2023
Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this.	(i). One dementia resident did not have an initial interRAI assessment completed, and two rest home residents and one hospital resident had overdue interRAI assessments. (ii). One dementia, one hospital and one rest home level care files reviewed evidenced that admission assessments were not completed within 24 hours of admission. (iii). Long-term care plans were not developed within three weeks of admission for two rest home, one hospital and one dementia files reviewed.	(i).- (iii). Ensure timeframes for admission assessments, interRAI assessments (initial and six-monthly) and development of initial long-term care plans demonstrate completion within expected timeframes.	PA Low	In Progress
Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin… (this text has been trimmed due to space limits).	There are no detailed interventions to guide staff in the delivery of care service for: (i) Diabetic residents (one hospital and one rest home) related to diabetes management including (but not limited to) signs and symptoms of hypo and hyperglycaemia and management of same. (ii) One resident self-medicating did not have it reflected and updated in long-term care plan. (iii) One dementia level care resident with under nutrition / weight loss CAP trigger.	(i-iii) Ensure care plans have detailed interventions to provide guidance to staff on care management and are updated to reflect changes to resident needs and management plan.	PA Low	In Progress
Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided.	(i). Three of five staff files reviewed did not have evidence of a completed orientation workbook, including the three-week post induction interview on file. (ii). Two newly employed staff confirmed the induction process was not always coordinated and comprehensive.	(i)-(ii)Ensure the orientation and induction process demonstrate a coordinated process that reflects the Summerset employee orientation policy requirements.	PA Low	In Progress
A medication management system shall be implemented appropriate to the scope of the service.	(i). Medication room temperature monitoring and recording has not been completed in the memory care centre between January and June 2023. (ii). Medication fridge temperature monitoring and recording has not been completed daily in the memory care centre since January 2023 (except for July 2023). (iii). Effectiveness for pro re nata (PRN) medications administered for four of ten records reviewed (three rest home and one hospital level care resident), was not consistently documented in resident … (this text has been trimmed due to space limits).	(i)– (ii) Ensure temperature monitoring and recording for the medication room and fridge is occurring as per policy. (iii) Ensure staff assess and document effectiveness of PRN medications when administered.	PA Moderate	Reporting Complete	09/01/2024
Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits).	Three of three care evaluations were not completed six-monthly in line with contractual requirements and policy (one dementia, one hospital and one rest home).	Ensure care evaluations are completed six-monthly as per policy and contractual requirements.	PA Low	Reporting Complete	09/01/2024
In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov… (this text has been trimmed due to space limits).	Five incident report for unwitnessed falls did not have neurological observations completed as per policy requirements.	Ensure all neurological observations following unwitnessed falls, or for residents with suspected head injuries are carried out as per policy requirements.	PA Low	Reporting Complete	09/01/2024

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: 01 August 2023

Audit type:Surveillance Audit

Audit date: 27 January 2022

Audit type:Certification Audit

Audit date: 07 April 2021

Audit type:Partial Provisional Audit

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