Kohatu Resthome

Profile & contact details

Premises details
Premises nameKohatu Resthome
Address 35b Nelson Street Waitara 4346
Total beds24
Service typesRest home care
Certification/licence details
Certification/licence nameKohatu Resthome Limited
Current auditorHealth Audit (NZ) Limited
End date of current certificate/licence09 November 2017
Certification period24 months
Provider details
Provider nameKohatu Resthome Limited
Street address 35B Nelson Street Waitara 4320
Post addressPO Box 13 Waitara 4346

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: 15 September 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.Corrective action plans are not consistently developed and implemented following audits, surveys and staff and resident meetings. There is no evidence of who is responsible, the timeframe for completion and review. Provide evidence that corrective action plans are consistently developed and implemented following any deficit identified. Document who is responsible for the action, timeframes for completion of the action and review following completion of the corrective action. PA ModerateReporting Complete21/10/2015
The appointment of appropriate service providers to safely meet the needs of consumers.Four of the five staff files reviewed do not have documented reference checks completed. Provide evidence that all potential employees have reference checks completed prior to employment. PA LowReporting Complete21/10/2015
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.There has been no ongoing education on wound management and the safe use of chemicals. Provide evidence that staff have received ongoing education on wound management and the safe use of chemicals. PA ModerateReporting Complete21/10/2015
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.Medications are not being administered as prescribed or as per guidelines. Provide evidence a safe medicines management system is operating. PA ModerateReporting Complete21/10/2015
Service providers responsible for medicine management are competent to perform the function for each stage they manage.Staff had current medication competencies, however observation by the audit team evidenced practices did not reflect the competency standard. To provide evidence that staff responsible for medicine management are competent. PA ModerateReporting Complete21/10/2015
Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines.Medicine management information is not recorded to a level of detail to comply with legislation and guidelines. Provide evidence medicine information is monitored to ensure it is recorded to a level of detail to comply with legislation and guidelines and be administered correctly. PA ModerateReporting Complete21/10/2015
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Care plans do not always describe the support required to achieve the desired outcome. Provide evidence that residents’ care plans describe the required support the resident needs to achieve the desired outcome. PA ModerateReporting Complete21/10/2015
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.Care plans are not evaluated in a comprehensive manner. Provide evidence care plans are documented in a comprehensive manner to indicate the degree of progress towards the desired outcome. PA ModerateReporting Complete21/10/2015
All buildings, plant, and equipment comply with legislation.Hot water temperatures delivered to some resident outlets is above the required temperature of 45 degrees Celsius or below. Provide evidence that hot water temperatures monitored at resident outlets are consistantly 45 degrees Celsius or below. PA ModerateReporting Complete21/10/2015
Consumers are provided with safe and accessible external areas that meet their needs.Potholes have developed in the sealed driveway in front of the main entrance and the rest of the surface is uneven where other potholes have been repaired. Provide evidence that the section of seal outside the front entrance has been replaced so that the surface is safe for residents walk on. PA ModerateReporting Complete21/10/2015
Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.Fridge and freezer temperatures as well as fridge temperature in the medication room are only monitored once a month. Provide evidence of daily fridge/freezer temperatures as well as fridge temperature in the medication room. PA LowReporting Complete19/04/2017
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.Short term care plans in five of five reviewed files have not been closed off and do not indicate the degree of achievement or the resident’s response to the interventions put in place. Provide evidence of evaluation and resolution of short term care plans. PA LowReporting Complete09/05/2017

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: 15 September 2016

Audit type:Surveillance Audit

Audit date: 15 September 2015

Audit type:Certification Audit

Audit date: 12 March 2014

Audit type:Surveillance Audit

Audit date: 17 September 2012

Audit type:Certification Audit

Audit date: 15 March 2011

Audit type:Surveillance Audit

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