Te Whare Hauora o Ngati Porou

Profile & contact details

Premises details
Premises nameTe Whare Hauora o Ngati Porou
Address 4 McKenzie Street Te Puia Springs 4048
Total beds21
Service typesMedical, Rest home care, Geriatric, Maternity
Certification/licence details
Certification/licence nameNgati Porou Oranga - Te Whare Hauora o Ngati Porou
Current auditorThe DAA Group Limited
End date of current certificate/licence14 February 2026
Certification period24 months
Provider details
Provider nameNgati Porou Oranga
Street address 4 McKenzie Street RD 1 Tokomaru Bay 4079
Post addressPO Box 2 Te Puia Springs 4048

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: 27 November 2023

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Buildings, plant, and equipment shall be fit for purpose, and comply with legislation relevant to the health and disability service being provided. The environment is inclusive of peoples’ cultures and supports cultural practices.There are two areas in the maternity annexe; one in the labour and birthing room and one in a recessed area where resources are stored where the ceiling tiles have collapsed. There is also mould on the ceiling of one of the postnatal rooms. The maternity annexe smells strongly of dampness. In addition to this there is a ceiling plasterboard that is partially separated from the ceiling overhead of where staff would be working in an emergency. This area is a risk to staff. None of the areas had be… (this text has been trimmed due to space limits).Ensure a plan of action is developed and implemented to address the areas of concern and that a copy is sent through to HealthCERT. PA HighIn Progress
There is an IP role, or IP personnel, as is appropriate for the size and the setting of the service provider, who shall: (a) Be responsible for overseeing and coordinating implementation of the IP programme; (b) Have clearly defined responsibility for IP decision making; (c) Have documented reporting lines to the governance body or senior management; (d) Follow a documented mechanism for accessing appropriate multidisciplinary IP expertise and advice when needed; (e) Receive continuing education… (this text has been trimmed due to space limits).The CNM at Ngāti Porou Hauora is the interim ICN, until the new RN with a post graduate certificate in infection control commences employment in a week. The interim ICN has had no education in IP or AMS. Provide evidence the ICN has education in IP and AMS. PA ModerateIn Progress
Service providers shall have a documented AMS programme that sets out to optimise antimicrobial use and minimising harm. This shall be: (a) Appropriate for the size, scope, and complexity of the service; (b) Approved by the governance body; (c) Developed using evidence-based antimicrobial prescribing guidance and expertise (which includes restrictions and approval processes where necessary and access to laboratory diagnostic testing reports). Ngāti Porou Hauora, at the time of audit, had no evidence to verify a commitment to AMS. Provide evidence there is an AMS programme operating at Ngāti Porou Hauora. PA ModerateIn Progress
In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov… (this text has been trimmed due to space limits).In implementing care, the needs of residents who had experienced an unwitnessed fall did not have a post fall or ongoing neurological assessment completed. Provide evidence that residents who experience an unwitnessed fall have a post fall and ongoing neurological assessment completed. PA ModerateIn Progress
Service providers shall ensure health care and support workers are able to provide a level of first aid and emergency treatment appropriate for the degree of risk associated with the provision of the service.Whilst there is a plan for all staff to be first aid and emergency trained, this requires implementation. To ensure staff are trained in first aid and emergency treatment training and to ensure a first aider is on duty for all shifts in the hospital due to the complexity and nature of services provided. PA LowIn Progress
Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy.Medicines were stored securely, although there was no evidence to verify medicines are stored within the recommended temperature range. Provide evidence medications are stored within the required range. PA ModerateIn Progress
Surveillance activities shall be appropriate for the service provider and take into account the following: (a) Size and complexity of the service; (b) Type of services provided; (c) Acuity, risk factors, and needs of the people receiving services; (d) Health and safety risk to, and of, the workforce; (e) Systemic risk to the health and disability system as a whole. There were no surveillance activities were being undertaken. Provide evidence surveillance of infections in accordance with the services being provided, was being undertaken. PA ModerateIn Progress
Service providers, through their IP role or personnel, shall determine the type of surveillance required and the frequency with which it is undertaken, taking into account the size and setting of the service and national and regional surveillance programmes and guidelines.There is no documentation identifying the types of infections to be surveyed. Provide evidence there is documentation that identifies the type of infections to be surveyed. PA ModerateIn Progress
Service providers, shall evaluate the effectiveness of their AMS programme by: (a) Monitoring the quality and quantity of antimicrobial prescribing, dispensing, and administration and occurrence of adverse effects; (b) Identifying areas for improvement and evaluating the progress of AMS activities. There is no AMS programme in place to evaluate the effectiveness of the AMS programme. Provide evidence the AMS programme monitors antimicrobial prescribing and identifies areas for improvement. PA ModerateIn Progress
Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data.There is no surveillance documentation that identifies the surveillance process. Provide evidence that there is a surveillance programme that describes methods, documentation, analysis, and assignment of responsibilities. PA ModerateIn Progress
Results of surveillance and recommendations to improve performance where necessary shall be identified, documented, and reported back to the governance body and shared with relevant people in a timely manner.There is no analysis of the results of surveillance. Results are not shared with staff and the governing body. Provide evidence there is analysis of the results of surveillance and results are shared with staff and the governing body with recommendations to improve performance. PA ModerateIn Progress

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. 

From 1 June 2009 to 28 February 2022 rest homes were audited against the Health and Disability Services Standards NZS 8134:2008. These standards have been updated, and from 28 February 2022 rest homes are audited against Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.

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 Ngā Paerewa Health and Disability Services Standard.

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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