Hillcrest Rest Home
Profile & contact details
|Premises name||Hillcrest Rest Home|
|Address||73 Simla Avenue Havelock North 4130|
|Service types||Rest home care|
|Certification/licence name||Muralz Limited|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||20 August 2018|
|Certification period||36 months|
|Provider name||Muralz Limited|
|Street address||20 Clifford Road Johnsonville Wellington 6037|
|Post address||PO Box 28006 Havelock North 4157|
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: 01 December 2016
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Professional qualifications are validated, including evidence of registration and scope of practice for service providers.||Two new staff files reviewed did not have a documented reference checks||Ensure all new staff have a documented reference check||PA Low||Reporting Complete||19/08/2015|
|Consumers are given the choice and advised of their options to access other health and disability services where indicated or requested. A record of this process is maintained.||One resident was non-weight bearing and required assistance by two staff members. This resident has not been reassessed.||Ensure that residents are re- assessed when their level of need increased/ changes||PA Low||Reporting Complete||19/08/2015|
|A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.||Five of ten medication charts did not identify an allergy status.||Ensure medication charts have an allergy status identified on the chart.||PA Low||Reporting Complete||23/02/2017|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||1.Three resident’s long-term care plans do not have interventions for: (i) fluctuations in weight and weigh management, (ii) diabetic management for resident on insulin and (iii) new pain management plan as per GP notes. 2. One resident (LTCHC) has no documented interventions, early warning signs and symptoms for a diagnosed mental health condition. The same resident does not have any interventions for a suspected cardiac condition or infection as per GP notes.||Ensure interventions are documented for all changes in health status.||PA Moderate||Reporting Complete||21/06/2017|
|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.||The use of interRAI assessments have not been reflected in the admission and care planning policy. Pressure injury prevention and management policy requires updating to reflect the Ministry of Health guidelines.||Ensure that the utilisation of interRAI assessments are reflected in the admission and care planning policy. Ensure that the pressure injury prevention and management policy is updated to reflect the Ministry of Health guidelines.||PA Low||Reporting Complete||02/10/2017|
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: 01 December 2016
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Provisional Audit