Nazareth Rest Home

Profile & contact details

Premises details
Premises nameNazareth Rest Home
Address 14 Hillside Terrace Saint Johns Hill Wanganui 4500
Total beds46
Service typesMedical, Rest home care, Geriatric
Certification/licence details
Certification/licence nameNazareth Rest Home Limited - Nazareth Rest Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence23 May 2018
Certification period36 months
Provider details
Provider nameNazareth Rest Home Limited
Street address 14 Hillside Terrace Saint Johns Hill Wanganui 4500
Post addressPO Box 4233 Whanganui 4541

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: 25 October 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i) Two residents with incident forms for a head injury did not have documented neurological observations. (ii) One resident in the rest home with behaviours that challenge did not have interventions documented to manage the behaviour. (iii) Monitoring of residents was not consistently documented including; turning charts for two hospital residents, and weight charts for two residents (one hospital and one rest home). (iv) One resident with an enabler did not have the risks associated with … (this text has been trimmed due to space limits).(i) Ensure resident with a head injury have documented neurological observations (ii) Ensure care plan interventions are documented for behaviour that challenges (iii) Ensure ongoing monitoring is documented as directed by care plans (iv) Ensure that the risks associated with enablers are documented in the care plan (v) Ensure that wound care plans follow service policy and procedure with a formal assessment plan and evaluations. PA ModerateReporting Complete22/03/2017
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) One resident had been administered oxygen which had not been prescribed. (ii) ‘As needed’ analgesia did not have the efficacy documented for three residents. (I) Ensure that all medication administered is prescribed. (ii) Ensure that ‘as needed’ medications have the outcome documented. PA ModerateReporting Complete22/03/2017
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.Two of three identified pressure injuries did not have a documented incident form. Ensure that all pressure injuries are recorded through the incident form process. PA LowReporting Complete22/03/2017
Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.Two of three hospital residents’ activity plan had not been updated to reflect resident need. Of the two rest home resident files reviewed, one did not have an activity plan and one had not been updated to reflect resident need. Ensure that all residents have an individual activity plan and that activity plans are updated to reflect resident needs. PA LowReporting Complete22/03/2017
Where progress is different from expected, the service responds by initiating changes to the service delivery plan.The care plan for one hospital resident, who had commenced the palliative care journey, had not been updated to reflect current needs. Ensure care plans are updated with changes to care. PA LowReporting Complete22/03/2017

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: 25 October 2016

Audit type:Surveillance Audit

Audit date: 26 March 2015

Audit type:Certification Audit

Audit date: 11 November 2013

Audit type:Surveillance Audit

Audit date: 23 September 2013

Audit type:Partial Provisional Audit

Audit date: 22 March 2012

Audit type:Certification Audit

Audit date: 02 May 2011

Audit type:Surveillance Audit

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