Waihi Hospital & Rest Home

Profile & contact details

Premises details
Premises nameWaihi Hospital & Rest Home
Address 18 Toomey Street Waihi 3610
Total beds56
Service typesMaternity, Medical, Rest home care, Geriatric
Certification/licence details
Certification/licence nameWaihi Hospital (2001) Limited - Waihi Hospital & Rest Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence26 March 2020
Certification period36 months
Provider details
Provider nameWaihi Hospital (2001) Limited
Street address 18 Toomey Street Waihi 3610
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: 23 January 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.Two of four short-term care plans reviewed did not document evaluation of progress towards the desired goal and two had not been signed off when resolved. Ensure short-term care plans are evaluated to monitor progress towards the desired goal and are signed off by a registered nurse when resolved. PA LowIn Progress
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.i) On-line training has not been embedded into practice with low attendance rates. ii) The designated health and safety officer has not attended any formal health and safety training. iii) Cultural training has not been provided for staff. iv) InterRAI assessments are behind schedule due to a lack of RN accessibility to InterRAI training. i) Ensure staff complete all online education and training topics that are required. ii) Ensure the health and safety officer attends external health and safety training. iii) Ensure cultural training is included in the annual education and training plan. iv) Ensure there are adequate numbers of InterRAI trained RNs. PA LowIn Progress
The facilitation of safe self-administration of medicines by consumers where appropriate.Maternity: Review of the maternity medication charts showed missing documentation with regards to prescribing, dispensing and documentation requirements as follows: (a) Two of ten files reviewed did not have a self-medication chart in the client file but it was identified that the client was self-medicating; (b) Two of ten self-medication charts had no strength of medication documented; (c) Two of ten self-medication charts had client identifiers but no medications documented on them, within t… (this text has been trimmed due to space limits).(a-e) Ensure that self-medication charts are fully completed and reflect current legislation and guidelines. PA ModerateIn Progress
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Rest home and hospital; Two hospital and one rest home resident file did not evidence that care plan interventions provided sufficient detail to guide care staff. Maternity Five of five maternity files reviewed; a) did not include a labour/birth and infant summary enclosed; and b) did not identify daily updates to the postnatal care plan. Rest home and hospital: Ensure that long-term care plans document sufficient intervention detail relating to diabetes management, medication management and weight loss. Maternity (a-b) Ensure all documentation meets facility and legal requirements. Include dietary requirements to the postnatal care plan. PA ModerateIn Progress
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.Maternity: Review of the maternity medication charts showed missing documentation with regards to prescribing, dispensing and documentation requirements as follows; (a) Two of ten medication charts had no allergy noted or not; b) Two of 10 medication charts had no designation of prescriber; c) Two of ten medication charts had no frequency of medication prescribed; d) Two of ten medication charts had no route of medication prescribed; e) One of ten medication charts had no specimen signature of … (this text has been trimmed due to space limits).Ensure all medications are prescribed correctly including the noting of allergies, correct dosage, route and frequency of medications and include prescriber’s designation and specimen signature. PA ModerateIn Progress
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.The current LMC roster did not have a named midwife for a 24-hour rostered period but does provide a list of on-call LMCs that can be called starting at the top of the list and working down until a LMC responds. If a HCA fails to get hold of a LMC they would then call 111, as stated in the ‘Waihi maternity annexe-24 hour midwifery cover’ policy statement. The service policy clearly describes the process for accessing on-call midwives. Management stated there has not been a time when the on-cal… (this text has been trimmed due to space limits).Ensure the current on-call rostering meets the contract and is approved for Waihi maternity service. PA LowIn 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. 

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: 23 January 2017

Audit type:Certification Audit

Audit date: 18 April 2016

Audit type:Surveillance Audit

Audit date: 12 January 2015

Audit type:Certification Audit

Audit date: 21 November 2013

Audit type:Surveillance Audit

Audit date: 15 February 2012

Audit type:Certification Audit

Audit date: 19 May 2011

Audit type:Surveillance Audit

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