Malyon House

Profile & contact details

Premises details
Premises nameMalyon House
Address 4 Heath Street Mount Maunganui 3116
Total beds30
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameMunro Resthomes Limited - Mt Maunganui
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence12 April 2018
Certification period48 months
Provider details
Provider nameMunro Resthomes Limited
Street address 4 Heath Street Mount Maunganui 3116
Post address

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: 04 March 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
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.Three of five files (two hospital and one rest home resident), did not evidence that six monthly evaluations of long-term care plans had been conducted. Ensure that all long-term care plans are evaluated at least six monthly (or earlier if there is a change in health condition) and include an evaluation of achievement or progress towards the stated goal. PA LowIn Progress
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.Eight of ten medication charts reviewed (four rest home and four hospital) did not document the allergy status of the resident. Ensure that the allergy status is documented on the medication chart. PA LowIn Progress
The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.Five of twelve residents who had had a fall, had not had neurological observations fully completed according the organisational policy. Ensure that neurological observations are fully completed, according to the organisational policy, for all residents following an unwitnessed fall. PA LowIn Progress
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.Interventions noted in the progress notes were not documented in the care plan for one rest home resident with challenging behaviours. One hospital resident with identified pressure injury risk and changes in health care needs did not have these recorded in the long-term care plan. Ensure that there are interventions documented in the care plan for all assessed care needs. PA LowIn Progress
The use of enablers shall be voluntary and the least restrictive option to meet the needs of the consumer with the intention of promoting or maintaining consumer independence and safety.One resident using an enabler did not have the risks associated with the use of the enabler documented on the consent form and there was no enabler care plan. Ensure that all enabler consent forms are completed fully and include the risks associated with the use of the enabler. Ensure an enabler care plan is documented, detailing the interventions to manage the identified risks and the care required when the enabler is in use. PA LowReporting Complete30/11/2016
Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.One of three hospital residents admitted since 1 July 2015, did not have the interRAI assessment completed within 21 days of admission Ensure that all new admissions have an interRAI assessment completed within 21 days of admission. PA LowReporting Complete30/11/2016

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: 04 March 2016

Audit type:Surveillance Audit

Audit date: 21 January 2014

Audit type:Certification Audit

Audit date: 18 September 2012

Audit type:Verification Audit

Audit date: 17 September 2012

Audit type:Surveillance Audit

Audit date: 10 January 2012

Audit type:Verification Audit

Audit date: 14 February 2011

Audit type:Certification Audit

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