An investigation into a now-closed rest home in New Plymouth has seen the company and a registered nurse criticised for their care of an elderly resident.
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Deputy Health and Disability Commissioner Rose Wall issued the report into Carrington Rest Home, which was owned by Beta Pacifica Corporation before it closed in 2012.
Beta Pacifica owns another New Plymouth rest home - Brooklands Home for the Elderly.
In her report, Ms Wall said the nurse, who was in his first job after graduating, inadequately assessed, monitored and evaluated the elderly woman during the nine days she was unwell.
The woman was taken to hospital on the 10th day of being sick but died three days later.
The report also criticised the rest home for assigning an inexperienced graduate nurse too much responsibility.
The nurse was under the supervision of a clinical services manager for the first three months of his employment but when that person resigned a replacement was not appointed.
The nurse said that he registered his concerns with management that he was left to cover registered nurse duties at two facilities without clinical supervision.
In her findings, Ms Wall said: “The decision made to leave a new graduate nurse without clinical supervision responsible for direction and delegation of care for rest home residents with a high level of need was inappropriate and placed both the residents and the nurse at risk.”
In a statement, Beta Pacifica Corporation director Paul Renwick said the company regretted the grief caused to the family and apologised unreservedly.
Internal and external audits had taken place and further monitoring structures were adopted.