Voguehaven Rest Home
Profile & contact details
|Voguehaven Rest Home
|143 Main Road Clive 4102
|Rest home care
|Vinada Limited - Voguehaven Rest Home
|Health and Disability Auditing New Zealand Limited
|End date of current certificate/licence
|01 April 2025
|Villa 6 178 Charles Street Westshore Napier 4110
|PO Box 78 Clive Hastings 4148
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: 16 November 2023
|Found at audit
|Date action reported complete
|The appointment of appropriate service providers to safely meet the needs of consumers.
|Four of five staff files reviewed did not include a current job description and documented reference checks, two of five staff files reviewed did not include an up-to-date performance appraisal
|Ensure each staff member has a current job description, documented reference check and an up-to-date performance appraisal
|My service provider shall ensure cultural safety for Pacific peoples and that their worldviews, cultural, and spiritual beliefs are embraced.
|The service does not have a Pacific health plan in place.
|Ensure a Pacific health plan is developed and implemented.
|Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care.
|(i). There was no evidence of any management meetings since last audit. (ii). Staff meetings were not evidenced as being held as scheduled.
|(i).& (ii). Ensure that meetings are completed as scheduled.
|Service providers shall evaluate progress against quality outcomes.
|There was no evidence of quality goals being monitored and progress measured.
|Ensure quality goals are monitored and progress measured.
|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).
|(i). One ‘hospital’ level care resident did not have detailed care plan interventions related to management of nutrition and pressure risk documented. (ii). There was no interventions documented in the care plan related to falls minimisation and management, recurring urinary tract infection and nutritional management (currently losing weight) for one resident. (iii). There were no detailed interventions documented to assist care staff to manage diabetes management, including monitoring, risks,… (this text has been trimmed due to space limits).
|(i-iv) Ensure care plans have detailed interventions to provide guidance to staff on care management.
|A medication management system shall be implemented appropriate to the scope of the service.
|(i). Weekly stock take for controlled drugs has not been completed consistently. (ii). Expired and discontinued medications as well as those for discharged/deceased resident have not been returned back to the pharmacy (including controlled drugs). (iii). The temperature of the room where medications are stored is not being monitored and recorded. (iv). Medication fridge temperature monitoring has not been consistently monitored. (v). Outcomes of pro re nata (PRN) medications have not been docum… (this text has been trimmed due to space limits).
|(i). Ensure that stock take of controlled drugs is completed weekly. (ii). Ensure medication management system is followed in relation to expired and discontinued medications. (iii)-(iv). Temperature monitoring for medication fridge and room where medications are stored to be completed as per schedule. (v). Ensure outcome / effectiveness of PRN medications is documented.
|Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services.
|Compliance of attendance has been very low with most training sessions having two to five staff attending. There was no evidence of ongoing learning and development for staff who have not attended training and competencies required (e.g, moving and handling) in the first instance in order to provide high quality safe services.
|Provide evidence that learning, and development is being completed by all for all staff as per annual education and training plan.
|Professional qualifications shall be validated prior to employment, including evidence of registration and scope of practice for health care and support workers.
|(i). Four of five employment agreements were not signed by employees. (ii). Five of five files did not provide evidence of police checks being completed.
|(i)-(ii)Ensure that pre-employment and employment processes are completed.
|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).
|(i). Neurological observations were not completed for four of four unwitnessed fall incidents. (ii). There was no evidence of re-assessment being completed for a resident who is fully dependent for all activities of daily living and review of level of care thereof.
|(i). Ensure all neurological observations are consistently completed post unwitnessed falls or head injuries as per policy requirements. (ii). Ensure risk assessments are completed to reflect resident needs, referral for reassessment with NASC and appropriate notification for one hospital-level resident to be cared for in a rest home service area to the Ministry of Health.
|Health care and support workers shall receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.
|For seven nights each week there is no first aid trained staff on duty. There was no evidence of these two staff having completed first aid training.
|Ensure that there is a first aid trained staff on duty 24/7.
|Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided.
|Two of five staff files reviewed did not have evidence of completed orientation and induction.
|Ensure the orientation and induction process is completed for staff.
|Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy.
|Current medication competencies not sighted for all caregivers who administer medications.
|Ensure that competencies are completed for all care givers who administer medications
|The nutritional value of menus shall be reviewed by appropriately qualified personnel such as dietitians.
|No evidence of dietitian input and review of the four-week menu.
|Ensure that the menu is reviewed by the dietician.
|Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data.
|Infection surveillance does not include ethnicity data.
|Ensure infection surveillance includes ethnicity data.
|Service providers shall facilitate safe self-administration of medication where appropriate.
|The resident self-administering medications did not have a competency completed as per policy.
|Ensure processes for self-administration are implemented.
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: 16 November 2023
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit