Willard Elderly Care

Profile & contact details

Premises details
Premises nameWillard Elderly Care
Address 17 Russell Street Palmerston North 4414
Total beds45
Service typesRest home care
Certification/licence details
Certification/licence namePresbyterian Support Central - Willard Elderly Care
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence18 September 2022
Certification period36 months
Provider details
Provider namePresbyterian Support Central
Street address 3-5 George Street Thorndon Wellington 6011
Post addressPO Box 12706 Thorndon Wellington 6144

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: 11 July 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines.Two of fourteen medication charts did not identify the resident allergy status. Ensure all medication charts have an allergy status documented. PA LowReporting Complete07/11/2019
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.(i)Clinical meetings do not document discussion of internal audits or incidents and accidents. Staff meetings are held infrequently with two meetings documented, one for November 2018 and one for June 2019, and do not document discussion of any quality information. (ii) Resident and family survey results are not communicated back to residents, family or staff. (i) Ensure that meetings document that all staff are informed of quality information and any actions needed. (ii) Ensure that survey results are communicated to survey respondents and staff. PA LowReporting Complete14/11/2019
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i) The respite care resident was identified to have a break in skin integrity of the sacrum on admission but there was no wound assessment evident for the sacral wound. (ii) The care summary for another resident admitted with a pressure injury did not identify the presence of a pressure injury or pressure injury preventions strategies. (i) Ensure there are wound assessments for all wounds. (ii) Ensure care plans include identification of pressure injuries and strategies for pressure injury prevention. PA ModerateReporting Complete18/12/2019
The facilitation of safe self-administration of medicines by consumers where appropriate.There was no three-monthly RN/GP review of the resident’s ability to continue self-medicating. Ensure self-medication assessments are reviewed at least three monthly. PA LowReporting Complete18/12/2019

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.

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