Tarahill Resthome

Profile & contact details

Premises details
Premises nameTarahill Resthome
Address 5 Golf Road Te Awamutu 3800
Total beds19
Service typesRest home care
Certification/licence details
Certification/licence nameG A & H J Lydford
Current auditorHealthShare Limited
End date of current certificate/licence21 December 2018
Certification period36 months
Provider details
Provider nameG A & H J Lydford
Street address5 Golf Road Te Awamutu 3800

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: 28 April 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Professional qualifications are validated, including evidence of registration and scope of practice for service providers.The service does not monitor the annual practicing certificates of visiting health professionals. Criminal vetting does not occur and referee checks are not documented. Monitor the annual practicing certificates of visiting health professionals. Complete checks of new staff with documentation of criminal vetting and reference checks. PA LowReporting Complete21/12/2015
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.Registered nurse initiated orders with nurse prescribing are used in the service. Stop using the registered nurse initiated orders on the day of the audit and implement standing orders if still required. The timeframe designated for this corrective action is 90 days for the review process to occur and standing orders to be put in place if still required noting that the service has confirmed that they would cease using the registered nurse initiated orders on the day of audit. PA ModerateReporting Complete21/12/2015
Service providers responsible for medicine management are competent to perform the function for each stage they manage.The registered nurse and facility manager administer medications but have not completed annual medication competencies. Ensure that the registered nurse and facility manager complete annual medication competencies. PA ModerateReporting Complete21/12/2015
Where progress is different from expected, the service responds by initiating changes to the service delivery plan.There are instances noted in two files reviewed where changes in the resident’s condition had occurred outside of the six monthly review period and the care plans had not been updated to reflect the management of the issues. Ensure that care plans are updated as changes to care are identified. PA ModerateReporting Complete22/12/2015
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.Medication management documentation and storage do not meet the practice guidelines for residential aged care. Ensure medicines are managed according to the Medicines Care Guides for Residential Aged Care. PA ModerateReporting Complete28/06/2017
Service providers responsible for medicine management are competent to perform the function for each stage they manage.Medication competencies have not been maintained as required in the practice guidelines for residential aged care. Maintain medicines administration competencies are completed as required. PA ModerateReporting Complete28/06/2017
The facilitation of safe self-administration of medicines by consumers where appropriate.The self-administration process has not been completed as required in practice guidelines for residential aged care. Ensure residents who are self-administering medicines are managed according to the requirements of the Medicine Care Guides for Residential Aged Care. PA ModerateReporting Complete28/06/2017
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.The required InterRAI assessments had not been completed prior to the development of long term care plans in the residents records sampled. Complete interRAI assessments prior to the development of the resident’s long term care plan. PA LowReporting Complete20/09/2017

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: 28 April 2017

Audit type:Surveillance Audit

Audit date: 05 October 2015

Audit type:Certification Audit

Audit date: 25 July 2014

Audit type:Surveillance Audit

Audit date: 01 November 2012

Audit type:Certification Audit

Audit date: 26 August 2011

Audit type:Surveillance Audit

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