Oceania Care Company Limited - Eldon Lodge Current Status: 5 May 2014 The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Certification Audit conducted against the Health and Disability Services Standards (NZS8134.1:2008; NZS8134.2:2008 and NZS8134.3:2008) on the audit date(s) specified. General overview Eldon Lodge Rest Home and Hospital (Eldon) provides residential care for up to 133 residents who require hospital, rest home and dementia level care. Occupancy on the day of the audit is at 116. The facility is operated by Oceania Care Company Limited. Staffing is stable with minimal turnover and staff hours are increased if required to meet the needs of residents. Residents and family interviewed provide positive feedback on the care provided. There have been no changes to the building, staffing structure, management or systems since the last audit. Continuous improvements have been noted during this audit relating to all aspects of service delivery with the exception of the food service which has been identified as an area that requires some improvement. Audit Summary as at 5 May 2014 Standards have been assessed and summarised Key Indicator Description Definition Includes commendable elements above the required levels of performance All standards applicable to this service fully attained with some standards exceeded No short falls Standards applicable to this service attained Some minor shortfalls but no major deficiencies and required levels of performance seem achievable without extensive extra activity Some standards applicable to this service partially attained and of low risk A number of shortfalls that require specific action to address Some standards applicable to this service partially attained and of medium or high risk and/or unattained and of low risk shortfalls, significant action is needed to achieve the required levels of performance Some standards applicable to this service unattained and of moderate or high risk
Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.) Criterion 1.3.8.3 (HDS(C)S.2008:1.3.8.3) Where progress is different from expected, the service responds by initiating changes to the service delivery plan. Attainment and Risk: FA Evidence: Finding: Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.) Standard 1.3.9: Referral To Health And Disability Services (Internal And External) (HDS(C)S.2008:1.3.9) Consumer support for access or referral to other health and/or disability service providers is appropriately facilitated, or provided to meet consumer choice/needs. ARC D16.4c; D16.4d; D20.1; D20.4 ARHSS D16.4c; D16.4d; D20.1; D20.4 Attainment and Risk: FA Evidence: Review of 11 resident files show documentation and records confirming referrals to other health and disability services. There are processes in place to ensure residents have choices regarding access and referrals to other services. Resident files sampled evidence referral forms and letters to nurse practitioners, medical specialists, the NASC assessment team and specialist services at the DHB. The service maintains effective family communication, confirmed during eight resident and six family interviews and supported by resident records such as the communication sheets and progress notes. The district health contract requirements are met.