Woodfall Lodge Home and Hospital
Profile & contact details
|Premises name||Woodfall Lodge Home and Hospital|
|Address||4 Bowen Street Feilding 4702|
|Service types||Geriatric, Rest home care|
|Certification/licence name||Experion Care NZ Limited - Woodfall Lodge Home and Hospital|
|Current auditor||Health Audit (NZ) Limited|
|End date of current certificate/licence||17 September 2021|
|Certification period||Other months|
|Provider name||Experion Care NZ Limited|
|Street address||283 Kennedy Road Onekawa Napier 4112|
|Post address||283 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: 25 July 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The service provider understands their statutory and/or regulatory obligations in relation to essential notification reporting and the correct authority is notified where required.||There was no documented evidence that family notifications were routinely made following an adverse event. or that improvements or changes made as required. Close off dates for each incident or adverse event were also not routinely recorded.||Review the process for managing incidents and adverse events to ensure that the required information is documented, and records are maintained.||PA Low||Reporting Complete||01/10/2019|
|An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.||Documentation does not match the list of complaints on the register.||An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.||PA Moderate||Reporting Complete||13/11/2019|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||Residents have difficulty going on outings due to the van being inaccessible to several residents. The current van only has seating for six residents and access up and into the van is difficult for some residents.||Address the need for transporting residents for activities in the community.||PA Moderate||Reporting Complete||13/11/2019|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||Not all shifts have had the level of staff stated on the roster.||Ensure the staffing levels and skill mix meet the requirements of the Mid Central DHB providers contract and that a plan is developed to replace staff unable to work.||PA Moderate||Reporting Complete||13/11/2019|
|The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.||Worn and wrinkled carpet in Makino lounge and hallway needs rectifying to prevent tripping.||Make carpet in Makino lounge and hallway safe and fit for purpose.||PA Low||Reporting Complete||17/03/2020|
|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.||Activity plans are not aligned with interRAI assessments and long-term care plans.||Provide evidence that evaluation/reviewing of activity plans is occurring at the same time with InterRAI assessments and long-term care plans.||PA Low||Reporting Complete||17/03/2020|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
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 reportsAudit date: 25 July 2019
Audit type:Provisional Audit