Melrose Rest Home and Retirement Village

Profile & contact details

Premises details
Premises nameMelrose Rest Home and Retirement Village
Address 159 Waihi Road Judea Tauranga 3110
Total beds91
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameOceania Care Company Limited - Melrose Park
Current auditorCentral Region's Technical Advisory Services Limited
End date of current certificate/licence06 July 2018
Certification period36 months
Provider details
Provider nameOceania Care Company Limited
Street address 2 Hargreaves Street Saint Marys Bay Auckland 1011
Post addressPO Box 9507 Newmarket Auckland 1149

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: 06 December 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.Three of nine residents had not had a medical assessment completed within 48 hours of admission Ensure residents have a medical assessment completed within 48 hours of admission. PA LowReporting Cancelled
The service respects the physical, visual, auditory, and personal privacy of the consumer and their belongings at all times.The curtains do not separate the two-resident bedrooms entirely (there is a small gap between the wall separating the beds and the curtain that closes the beds off from the hallway/doors). Ensure that there is privacy when cares are being provided and as the resident chooses. PA LowReporting Cancelled
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.Meeting minutes do not consistently evidence corrective actions are allocated to a staff member, given timeframes for completion and sign off when a corrective action has been implemented. Provide evidence corrective actions are addressed by developing and implementing a corrective action plan and recording this information. PA LowReporting Complete11/07/2017
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.i) Photos of residents were not dated. ii) Some of the photos were not current enough to safely identify the resident by using the photo. iii) Not all medicines charts had photo identification. iv) One medicines chart did not reflect the resident’s allergies. v) Medicines charts are typed up by the pharmacy, however, the GP did not sign all charts. vi) Sign-off of medicines occurred prior to administration of the medicines. Provide evidence the medication management system complies with legislation and guidelines. PA ModerateReporting Complete11/07/2017
The facilitation of safe self-administration of medicines by consumers where appropriate.Residents who self-administer medicines had not completed competency assessments to do so. Provide evidence residents who self-administer medicines are competent to do so. PA ModerateReporting Complete11/07/2017
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.Unobserved falls, are not consistently monitored by timely neurological observations and assessments. Staff to complete neurological observations for all unobserved falls, in a timely manner. PA ModerateReporting Complete11/07/2017
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.Wound care records are not consistently and comprehensively completed for all residents with wounds. All wounds to be comprehensively managed. PA ModerateReporting Complete11/07/2017
Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.The one-on-one activities do not evidence the duration or type of activities. One-on-one activity records to include the duration and the type of activities for residents. PA LowReporting Complete11/07/2017

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.

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