Millvale House Levin

Profile & contact details

Premises details
Premises nameMillvale House Levin
Address 42 Mako Mako Road Levin 5510
Total beds29
Service typesMedical, Geriatric, Psychogeriatric
Certification/licence details
Certification/licence nameMillvale House Levin Limited
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence10 March 2018
Certification period48 months
Provider details
Provider nameMillvale House Levin Limited
Street address 34 Averill Street Richmond Christchurch 8013
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: 18 February 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Approved restraint is only applied as a last resort, with the least amount of force, after alternative interventions have been considered or attempted and determined inadequate. The decision to approve restraint for a consumer should be made: (a) Only as a last resort to maintain the safety of consumers, service providers or others; (b) Following appropriate planning and preparation; (c) By the most appropriate health professional; (d) When the environment is appropriate and safe for successful … (this text has been trimmed due to space limits).Overall residents with a t belt approved have this approved for up to two hours at any one time. However, one resident has a t belt restraint approved for a maximum of 30 minutes at a time. Restraint records show that this had been applied once for a period of two hours. Ensure restraints are only applied for the duration for which they have been approved. PA LowReporting Complete09/06/2014
Approved restraint is only applied as a last resort, with the least amount of force, after alternative interventions have been considered or attempted and determined inadequate. The decision to approve restraint for a consumer should be made: (a) Only as a last resort to maintain the safety of consumers, service providers or others; (b) Following appropriate planning and preparation; (c) By the most appropriate health professional; (d) When the environment is appropriate and safe for successful … (this text has been trimmed due to space limits).Overall residents with a t belt approved have this approved for up to two hours at any one time. However, one resident has a t belt restraint approved for a maximum of one hour at a time. Restraint records show that this had been applied three times over the last month for a period of two hours. Ensure restraints are only applied for the duration for which they have been approved PA LowReporting Complete31/05/2016
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.Registered nurse staffing levels do not meet the requirements for a hospital and a psychogeriatric unit. There are two registered nurses on duty for two mornings a week only (clinical manager and a registered nurse). For five mornings a week there is one registered nurse on duty and for afternoon shifts there is one RN on duty to cover both the psychogeriatric and hospital units. There is one RN on duty overnight. The risk is considered to be low due to low resident numbers currently in the … (this text has been trimmed due to space limits).Ensure there is 1. A registered nurse rostered on duty in the hospital between the hours of 7am and 10pm 2. A registered nurse rostered on duty in the psychogeriatric unit between the hours of 7am and 10pm 3. If the total occupancy is below 50, there is one registered nurse on duty between 10pm and 7am. PA LowReporting Complete28/07/2016

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: 18 February 2016

Audit type:Surveillance Audit

Audit date: 17 December 2013

Audit type:Certification Audit

Audit date: 27 September 2012

Audit type:Surveillance Audit

Audit date: 21 December 2010

Audit type:Certification Audit

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