Wensley House

Profile & contact details

Premises details
Premises nameWensley House
Address 49 Wensley Road Richmond 7020
Total beds30
Service typesRest home care
Certification/licence details
Certification/licence nameExperion Care NZ Limited - Wensley House
Current auditorHealth Audit (NZ) Limited
End date of current certificate/licence29 June 2022
Certification period36 months
Provider details
Provider nameExperion Care NZ Limited
Street address 283 Kennedy Road Onekawa Napier 4112
Post address283 Kennedy Road Pirimai 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: 09 May 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.The food service did not meet current legislative requirements. Provide evidence that the food service is registered under the new food control plan, internal audits are consistently completed and all staff in the kitchen have food handling training. PA ModerateIn Progress
Infection control education is provided by a suitably qualified person who maintains their knowledge of current practice.No evidence sighted to confirm infection control coordinator had attended infection control training to maintain knowledge of current practices. Provide evidence to show that infection control coordinator maintains knowledge of current practice on infection control. PA LowIn Progress
The service develops and implements policies and procedures that are aligned with current good practice and service delivery, meet the requirements of legislation, and are reviewed at regular intervals as defined by policy.Policies and procedures have not been adapted to contain the details specific to Wensley house. Provide evidence that the policies and procedures are adapted to contain specific details to the facility. PA LowIn Progress
There are adequate numbers of accessible toilets/showers/bathing facilities conveniently located and in close proximity to each service area to meet the needs of consumers. This excludes any toilets/showers/bathing facilities designated for service providers or visitor use.Work in one of the communal showers has been completed. However, there are still shelves in the laundry and bathroom wall and floor surfaces that require action. Provide evidence that the laundry shelves and shower areas are repaired to ensure all surfaces meet good infection control requirements. PA LowIn Progress
There is a document control system to manage the policies and procedures. This system shall ensure documents are approved, up to date, available to service providers and managed to preclude the use of obsolete documents.There is no current document control system or authorisation date, authoriser and/or review date. Provide evidence that a document control system is introduced for all policies and procedures. PA LowIn Progress
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Both long term and activity care plans did not reflect some outcomes from interRAI assessment tools. Provide evidence that the care plans reflect outcomes from interRAI assessment tool. PA ModerateIn Progress
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.PRN medicines held in stock were expired and not returned to the pharmacy. Outcomes of PRN medicines administered were not documented in the residents’ electronic file and/or progress notes. Ensure that all medications held in stock are current and not expired. Provide evidence that outcomes for PRN medicines are documented. PA ModerateIn Progress

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. 

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 Health and Disability Services Standards.

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: 09 May 2019

Audit type:Certification Audit

Audit date: 19 February 2019

Audit type:Surveillance Audit

Audit date: 15 May 2018

Audit type:Certification Audit

Audit date: 19 October 2017

Audit type:Surveillance Audit

Audit date: 26 April 2017

Audit type:Provisional Audit

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