Waverley House
Profile & contact details
| Premises name | Waverley House |
|---|---|
| Address | 5 Lannie Place Greenmeadows Napier 4112 |
| Total beds | 20 |
| Service types | Rest home care |
| Certification/licence name | Waverley Care Limited - Waverley House |
|---|---|
| Current auditor | The DAA Group Limited |
| End date of current certificate/licence | 01 July 2022 |
| Certification period | 12 months |
| Provider name | Waverley Care Limited |
|---|---|
| Street address | Waverley House 5 Lannie Place Greenmeadows Napier 4112 |
| Post address | 5 Lannie Place Greenmeadows Napier 4112 |
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: 12 May 2021
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome. | Neurological observations are not consistency occurring of residents following unwitnessed falls. Fluid balance charts are infrequently totalled. There is variation in where vital signs are recorded for the resident requiring daily monitoring making it difficult to assess results and trends over time. | Ensure the organisations requirements for neurological observation of residents post applicable falls are clearly communicated and implemented. Total fluid balance charts daily. Ensure vital signs are recorded in a format that enables monitoring of themes and trends over time. | PA Moderate | In Progress | |
| 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. | One resident’s initial interRAI assessment and long-term care plan was not completed until 27 days after admission in variance to ARRC contract requirements. Another resident’s interRAI re-assessment was completed 12 days after it was due. The initial care plan of one resident and the long-term care plan for two residents did not include all relevant individualised information to guide care. | Ensure interRAI assessments and re-assessments are consistently conducted and long-term care plans developed and reviewed within ARRC timeframe requirements. Ensure initial and long-term care plans are sufficiently detailed to guide individual resident care. | PA Moderate | Reporting Complete | 23/09/2021 |
| Consumers who have additional or modified nutritional requirements or special diets have these needs met. | Two out of five residents sampled did not have a completed diet profile present in either their clinical record or located in the kitchen. | Ensure individual resident diet profiles are consistently available for all residents and readily available for kitchen staff to refer to. | PA Low | Reporting Complete | 23/09/2021 |
| Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group. | The menu has not been reviewed by a registered dietitian to ensure it continues to meet the nutritional needs of residents since 2018. | Ensure the menu is reviewed by a registered dietitian. | PA Low | Reporting Complete | 23/09/2021 |
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: 12 May 2021Audit type:Provisional Audit