Te Arahina O Arihia Rest Home

Profile & contact details

Premises details
Premises nameTe Arahina O Arihia Rest Home
Address 9 Golf Road Taumarunui 3920
Total beds15
Service typesRest home care
Certification/licence details
Certification/licence nameTaumarunui Community Kokiri Enterprises Limited - Te Arahina O Arihia Rest Home
Current auditorThe DAA Group Limited
End date of current certificate/licence30 June 2020
Certification period36 months
Provider details
Provider nameTaumarunui Community Kokiri Enterprises Limited
Street address 9 Golf Road Taumarunui 3920
Post addressPO Box 286 Taumarunui 3946

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: 10 April 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The appointment of appropriate service providers to safely meet the needs of consumers.The system for evaluating new staff and monitoring staff performance is not being adhered to. Although the manager stated that she engages in frequent 1:1 discussions with individual staff about their work, these discussions are not documented. The majority of staff are overdue a formal performance appraisals, and new staff have not been signed off as meeting requirements after their 90-day probation period. Ensure all new staff engage in a 90-day post-employment appraisal, and that all other staff performance is formally reviewed at least annually. PA LowIn Progress
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.Where incident reports and internal audit tools identified areas that needed improvement, remedial actions are recorded but there was no evidence that these actions were implemented or followed up on. Provide evidence that corrective actions have been implemented and then reviewed for effectiveness. PA ModerateIn Progress
In assessing whether restraint will be used, appropriate factors are taken into consideration by a suitably skilled service provider. This shall include but is not limited to: (a) Any risks related to the use of restraint; (b) Any underlying causes for the relevant behaviour or condition if known; (c) Existing advance directives the consumer may have made; (d) Whether the consumer has been restrained in the past and, if so, an evaluation of these episodes; (e) Any history of trauma or abuse, whi… (this text has been trimmed due to space limits).There was insufficient evidence that assessment for the safe use of restraint had occurred prior to initiating the restraint, for example, no risks related to the use of restraint were identified. The new RNs require education and support to better understand all the requirements of this standard. Ensure that the RNs understand these requirements and that the process for assessing the need for restraint is documented. The assessment needs to take into account all the factors identified in this criterion. PA ModerateIn Progress
Services conduct comprehensive reviews regularly, of all restraint practice in order to determine: (a) The extent of restraint use and any trends; (b) The organisation's progress in reducing restraint; (c) Adverse outcomes; (d) Service provider compliance with policies and procedures; (e) Whether the approved restraint is necessary, safe, of an appropriate duration, and appropriate in light of consumer and service provider feedback, and current accepted practice; (f) If individual plans of care/… (this text has been trimmed due to space limits).There is no evidence of a formal and comprehensive review of restraint activity having been conducted since 2015. Conduct a comprehensive review of all restraint activity within the facility over a period of time as determined by policy. This review needs to consider and report on all the aspects required in this criterion. PA ModerateIn Progress
A restraint register or equivalent process is established to record sufficient information to provide an auditable record of restraint use.Staff knew who was using bedrails or other equipment for safety and to assist mobilisation, but records for what restraints had been in place for 2016 and up to 2017 were not readily accessible. There is no simple process for determining the extent of restraint or enabler use in the facility. Maintain an up to date restraint register or other similar process to provide an easy to access and accurate account of past and present restraint use. PA LowIn Progress
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Not all residents have identified interventions related to infections documented in long term care planning. Ensure that residents have long term care plans to meet the needs of the residents and contractual requirements. PA LowIn Progress
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.There is insufficient evidence that the quality data being collected is analysed or compared. A number of the quality tools in use, for example, the records audit tool and the incident summary sheet, are difficult to interpret and do not produce easy to understand data. Review the tools that are being used for internal auditing, and the systems for collecting and reporting quality data. Ensure that quality data is analysed and evaluated in ways that identify positive or negative trends. PA LowIn Progress
The service develops and implements policies and procedures that are aligned with current good practice and service delivery, meet the requirements of legislation, and are reviewed at regular intervals as defined by policy.Although the system indicated that policy reviews had been occurring annually, these reviews had not identified required changes or additions (for example, an interRAI policy had not been developed). A number of policies require updating to meet current best practice and new legislation, for example, wound/skin/care pressure injury, infection control, consumer records, health and safety. Ensure that the policy and procedure set is thoroughly reviewed and changes are made where required. PA LowReporting Complete27/09/2017

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: 10 April 2017

Audit type:Certification Audit

Audit date: 06 October 2015

Audit type:Surveillance Audit

Audit date: 10 April 2013

Audit type:Certification Audit

Audit date: 04 April 2013

Audit type:Surveillance Audit

Audit date: 04 April 2012

Audit type:Certification Audit

Audit date: 06 May 2011

Audit type:Surveillance Audit

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