Woodfall Lodge Retirement Home

Profile & contact details

Premises details
Premises nameWoodfall Lodge Retirement Home
Address 4 Bowen Street Feilding 4702
Total beds51
Service typesRest home care, Geriatric
Certification/licence details
Certification/licence nameKaylex Care (Fielding) Limited - Woodfall Lodge Retirement Home
Current auditorThe DAA Group Limited
End date of current certificate/licence21 February 2020
Certification period36 months
Provider details
Provider nameKaylex Care (Fielding) Limited
Street address 2 Bowen Street Feilding 4702
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: 14 December 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
A process to measure achievement against the quality and risk management plan is implemented.The outcomes from quality monitoring activities, including satisfaction surveys and internal audits, are not being linked to the organisation’s quality indicators as detailed in the quality and risk plan Ensure the outcomes from quality monitoring activities are linked with the organisation’s quality indicators. PA LowReporting Complete15/05/2017
The appointment of appropriate service providers to safely meet the needs of consumers.The results of police vetting and records of reference checks and / or interviews are not present in some of the staff files reviewed for employees who commenced since February 2016. Ensure records are available to demonstrate that the recruitment process consistently includes reference checks, interviews and police vetting PA LowReporting Complete15/05/2017
New service providers receive an orientation/induction programme that covers the essential components of the service provided.Records are not available to demonstrate that two out of four staff employed since July 2016 have completed their orientation programme within three months of employment. Ensure records are retained to demonstrate staff have completed orientation within the time frame set by Woodfall Lodge. PA LowReporting Complete15/05/2017
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.Records are not available to demonstrate that the two cooks have completed an industry approved food safety training programme. Ensure records are available to verify that staff involved with food preparation and cooking have completed food safety training. PA LowReporting Complete15/05/2017
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.Some current policies and procedures are not readily available for staff and managers. Ensure current policies and procedures are available for staff and document control processes implemented. PA LowReporting Complete15/05/2017
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.Some of the bathroom linen is needing replacement. There is insufficient supplies readily available. The carpet in parts of the facility is heavily stained. There is a hole in the floor in the laundry. The television in the resident lounge is not reliably working, and monitoring of the hot water temperatures does not include all resident care areas. Ensure the facility and supplies are fit for purpose and the temperature of hot water is monitored in resident care areas and is at or below 45 degrees Celsius. PA LowReporting Complete15/05/2017

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: 14 December 2016

Audit type:Certification Audit

Audit date: 28 June 2016

Audit type:Surveillance Audit

Audit date: 03 November 2015

Audit type:Surveillance Audit

Audit date: 28 July 2015

Audit type:Partial Provisional Audit

Audit date: 02 December 2013

Audit type:Certification Audit

Audit date: 27 September 2012

Audit type:Surveillance Audit

Audit date: 12 June 2012

Audit type:Partial Provisional Audit

Audit date: 07 December 2010

Audit type:Certification Audit

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