Profile & contact details

Premises details
Premises nameWesleyCare
Address 91 Harewood Road Papanui Christchurch 8053
Total beds108
Service typesMedical, Rest home care, Geriatric
Certification/licence details
Certification/licence nameChristchurch Methodist Central Mission - WesleyCare
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence23 April 2024
Certification period36 months
Provider details
Provider nameChristchurch Methodist Central Mission
Street address 91 Harewood Road Papanui Christchurch 8053
Post address

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 February 2021

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed.Goals for the facility are documented. Goals documented for 2020 are scheduled to be reviewed this month as an end of year responsibility. Goals documented for the previous year (2019) do not show evidence of any reviews. Ensure that facility goals are regularly reviewed, not only at year end. PA LowReporting Complete15/09/2021
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.i) At the last (surveillance) audit 18 months prior to this audit, it was reported that a satisfaction survey was being planned. This survey has not taken place yet. The quality manager stated a resident/family satisfaction survey will be conducted later this month. ii) There was a lack of evidence to indicate that staff are informed of internal audit results and corrective actions (where applicable). i) Ensure resident and family satisfaction surveys occur on a regular basis. ii) Ensure staff are informed of quality results, including internal audit results and corrective actions (where applicable). PA LowReporting Complete15/09/2021
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.The dry food decanted into sealed containers did not identify expiry dates. Ensure all containers storing decanted food displays the expiry date. PA LowReporting Complete15/09/2021
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 hospital resident on an SMI contract did not have a long-term care plan completed within three-weeks of admission. (ii) One hospital level resident did not have a care plan review completed within six-months. (iii) One hospital and four rest home residents did not have an interRAI assessment completed or reviewed within expected timeframes. (i) Ensure all initial care plans are complete within three weeks of admission. (ii) Ensure all care plans are reviewed at least six-monthly. (iii) Ensure interRAI assessments are completed and reviewed within expected timeframes. PA ModerateReporting Complete15/09/2021
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.(i). The long-term care plan did not reflect the current mobility interventions of a hospital resident. (ii). There were no individualised de-escalation techniques documented for a rest home resident with challenging behaviour. (iii). There were no non-pharmaceutical interventions included in the care plan for a hospital resident with chronic pain. (i)-(iii) Ensure all care plan interventions are individualised, reflect resident current needs, and are holistic including utilising non-pharmaceutical nursing interventions. PA ModerateReporting Complete15/09/2021

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: 09 February 2021

Audit type:Certification Audit

Audit date: 18 September 2019

Audit type:Surveillance Audit

Audit date: 13 February 2018

Audit type:Certification Audit

Audit date: 20 March 2017

Audit type:Partial Provisional Audit

Audit date: 16 September 2016

Audit type:Partial Provisional Audit; Surveillance Audit

Audit date: 18 February 2015

Audit type:Certification Audit

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