Premise details
- Address
- 40 Head Street Sumner Christchurch 8081
- Total beds
- 63
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Heritage Lifecare Limited - Edith Cavell Lifecare
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Heritage Lifecare Limited
- Street address
- 16 Johnsonville Road Johnsonville Wellington 6037
- Postal address
- PO Box 13223 Johnsonville Wellington 6440
Progress on issues from the last audit
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.
Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
---|---|---|---|---|---|
Service providers shall evaluate progress against quality outcomes. | The organisation has a quality framework in place, but there is no evidence that quality outcomes have been set for the facility, and therefore the service is unable to evaluate progress against these quality outcomes as required by the standard. | For the facility to identify and set quality outcomes for the service as part of their quality improvement framework, and then evaluate progress against these quality outcomes. | PA Low | In Progress | |
Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | The standard requires that there is a system in place to identify, plan, facilitate and record ongoing learning development for staff. While there is a training and competency plan in place, there is no system to record which staff have completed or not completed the required training and competences relevant to their role. | To implement a system to record the training and competencies of staff. | PA Low | In Progress | |
Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Not all employees have had the opportunity to discuss and review their performance at regular intervals as required by the standard. | Ensure employee appraisals are completed within expected timeframes. | PA Low | In Progress |
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
About audit reports
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.
Before 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) appear on the rest home’s page. As the rest home completes the required actions, the status on the website updates.
Audit date:
Audit type: Certification Audit
- (docx, 76.26 KB) Edith Cavell Lifecare - Jan 2024
- (pdf, 195.69 KB) Edith Cavell Lifecare - Jan 2024
Audit date:
Audit type: Surveillance Audit
- (docx, 35.05 KB) Edith Cavell Lifecare - Feb 2022
- (pdf, 135.95 KB) Edith Cavell Lifecare - Feb 2022
Audit date:
Audit type: Certification Audit
- (docx, 43.5 KB) Edith Cavell Lifecare - Jan 2020
- (pdf, 166.55 KB) Edith Cavell Lifecare - Jan 2020
Audit date:
Audit type: Surveillance Audit
- (docx, 32.82 KB) Edith Cavell Lifecare - Aug 2018
- (pdf, 128.45 KB) Edith Cavell Lifecare - Aug 2018