Wairarapa Village

Profile & contact details

Premises details
Premises nameWairarapa Village
Address 140 Chapel Street Masterton 5810
Total beds47
Service typesRest home care, Geriatric, Medical, Physical
Certification/licence details
Certification/licence nameWairarapa Village Limited - Wairarapa Village
Current auditorThe DAA Group Limited
End date of current certificate/licence30 June 2020
Certification period36 months
Provider details
Provider nameWairarapa Village Limited
Street address49/140 Chapel Street Masterton 5810
Post addressPO Box 166 Masterton 5840

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: 11 April 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
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.Not all the current polices have been updated and reviewed as per the review policy and still reflect the previous owners practice. None of the current policies and procedures address the specific needs and aspirations of the younger people who reside at the facility and the quality system does not include initiatives to ensure continuous improvements for this group. Ensure all policies are updated and reviewed to reflect the current ownership and service management. Develop relevant policies and procedures to ensure involvement in quality activity occurs for the group of younger residents. PA ModerateReporting Complete10/10/2017
Adequate space is provided to allow the consumer and service provider to move safely around their personal space/bed area. Consumers who use mobility aids shall be able to safely maneuvers with the assistance of their aid within their personal space/bed area.Not all rooms that are reported to be designated dual purpose, are large enough to deliver all hospital level services, if the use of some mobility equipment is indicated to meet residents’ assessed needs. There is a policy framework in place to guide staff with room allocation to enable appropriate service delivery. Work with the DHB to clarify room designations and make any required changes to ensure all rooms are able to provide the required services as per contractual agreements. PA LowReporting Complete10/10/2017
Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.Residents are not always reviewed monthly by the GP and no evidence was sighted to verify the GP has exempted the resident from requiring monthly reviews. Evidence is provided to verify the GP supports any resident not requiring monthly visits. PA LowReporting Complete10/10/2017
The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed.The current Business Plan (2017), currently in draft, is focussed on the care of older people. There is no acknowledgement of the needs of the non-aged care residents at the facility in the philosophy or the goals of the plan. Include in the vision and planning processes, a reflection of a person centred approach for this service that has specifics on the needs of people with physical disability. PA LowReporting Complete11/10/2017

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: 11 April 2017

Audit type:Certification Audit

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