WesleyCare
Profile & contact details
| Premises name | WesleyCare |
|---|---|
| Address | 91 Harewood Road Papanui Christchurch 8053 |
| Total beds | 108 |
| Service types | Medical, Rest home care, Geriatric |
| Certification/licence name | Christchurch Methodist Central Mission - WesleyCare |
|---|---|
| Current auditor | Health and Disability Auditing New Zealand Limited |
| End date of current certificate/licence | 23 April 2024 |
| Certification period | 36 months |
| Provider name | Christchurch 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 required | Found at audit | Action required | Risk rating | Action status | Date 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 Low | Reporting Complete | 15/09/2021 |
| 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 Low | Reporting Complete | 15/09/2021 |
| 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 Low | Reporting Complete | 15/09/2021 |
| 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 Moderate | Reporting Complete | 15/09/2021 |
| 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 Moderate | Reporting Complete | 15/09/2021 |
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 2021Audit type:Certification Audit
Audit date: 18 September 2019Audit type:Surveillance Audit
Audit date: 13 February 2018Audit type:Certification Audit
Audit date: 20 March 2017Audit type:Partial Provisional Audit
Audit date: 16 September 2016Audit type:Partial Provisional Audit; Surveillance Audit
Audit date: 18 February 2015Audit type:Certification Audit