Walmsley House
Profile & contact details
| Premises name | Walmsley House |
|---|---|
| Address | 88 Mary Street Richmond Invercargill 9810 |
| Total beds | 31 |
| Service types | Rest home care |
| Certification/licence name | Presbyterian Support Southland - Walmsley House |
|---|---|
| Current auditor | Health and Disability Auditing New Zealand Limited |
| End date of current certificate/licence | 15 October 2023 |
| Certification period | 48 months |
| Provider name | Presbyterian Support Southland |
|---|---|
| Street address | 181 Spey Street Invercargill 9810 |
| Post address | PO Box 314 Invercargill 9840 |
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 November 2021
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk. | Eight of ten incident reports did not document opportunities to minimise the risk of future incidents. | Ensure all opportunities to minimise risks are identified and documented on incident forms and in the care plans. | PA Low | Reporting Complete | 07/11/2019 |
| 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. | InterRAI assessments for three of five permanent residents’ files sampled were not completed within the required timeframe. | Ensure all interRAI assessments are completed within the required timeframe. | PA Low | Reporting Complete | 07/11/2019 |
| Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer. | i) One resident is active with assisting setting tables and other jobs within the home, this was not evident in the care plan. ii) Two residents’ files did not evidence a documented activity assessment or plan. iii) Two activity plans reviewed were not individualised to specific residents’ individual preferences. | i-iii) Ensure all residents have an individualised activities assessment and care plan documented within expected timeframes as per policy. | PA Low | Reporting Complete | 16/08/2022 |
| 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. | i) One initial interRAI assessment was not completed within 21 days of admission. ii) Two long term care plans were not completed within 21 days of admission. iii) One initial assessment was not located for one resident. | i-iii) Ensure all initial assessments, interRAI assessments and long-term care plans are completed within expected timeframes. | PA Moderate | Reporting Complete | 16/08/2022 |
| 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. | Weekly checks of the controlled drug book have not consistently been completed with gaps of 11 days noted between checks. | Ensure weekly checks are completed and recorded appropriately in the controlled drug register. | PA Low | Reporting Complete | 16/08/2022 |
| The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes. | i) Daily observations were not consistently documented for a resident as instructed in a short-term care plan. ii) Behaviour monitoring charts were not completed for a resident with challenging behaviours as per policy. iii) No individualised triggers or de-escalation strategies were documented in a care plan for a resident with challenging behaviours. | i-iii) Ensure all monitoring charts are utilised and maintained according to policy. | PA Low | Reporting Complete | 16/08/2022 |
| The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk. | One resident with challenging behaviours had behaviours, verbal aggression and physical altercations with residents well documented in the progress notes, however, these were not recorded according to policy on an electronic incident report. | Ensure all incidents are recorded on incident reports as per policy. | PA Moderate | Reporting Complete | 16/08/2022 |
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 November 2021Audit type:Surveillance Audit
Audit date: 12 August 2019Audit type:Certification Audit
Audit date: 18 December 2017Audit type:Surveillance Audit
Audit date: 05 August 2015Audit type:Certification Audit