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Premise details

Address
6 Brunner Street Greymouth 7805
Total beds
42
Service types
Geriatric, Medical, Rest home care

Certification/licence details

Certification/licence name
Dixon House Trust Board (Inc) - Dixon House Rest Home
Current auditor
The DAA Group Limited
End date of current certificate/licence
Certification period
36 months

Provider details

Provider name
Dixon House Trust Board (Inc)
Street address
6 Brunner Street Greymouth 7805
Postal address

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 2024

Outcome required Found at audit Action required Risk rating Action status Date action reported complete
Service providers shall ensure there are implemented fire safety and emergency management policies and procedures identifying and minimising related risk. The trial evacuation was overdue by two months. Provide evidence that the trial has been successfully completed. PA Low Reporting Complete
There shall be a clinical governance structure in place that is appropriate to the size and complexity of the service provision. The clinical governance structure in place is not appropriate to service provision. It is in contravention of the service’s contract with Te Whatu Ora West Coast and the CM is working beyond their scope of practice. Provide evidence that the clinical governance structure complies with the requirements of the service’s contract with Te Whatu Ora West Coast, and that the clinical manager’s scope of practice is appropriate for the position. PA Moderate In Progress
Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. There is no plan in place to identify, plan and facilitate ongoing learning and development, relevant to the service, so that health care and support workers can provide high-quality, safe services. Provide evidence of a plan to identify, plan and facilitate ongoing learning and development, relevant to the service, so that health care and support workers can provide high-quality, safe services. PA Moderate In Progress
Service providers shall implement systems to determine and develop the competencies of health care and support workers to meet the needs of people equitably. Not all staff had completed annual competencies as required by the schedule. Provide evidence that staff have completed annual competencies as required by the schedule. PA Low Reporting Complete
Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin The care plans at Dixon House were developed by the CM who is an EN with no evidence of oversight by a RN. Two residents’ wound care plans were not effective in managing the wound and were not developed or evaluated by a RN. Wound care was not being provided by a RN. Timely referrals to seek specialist input was not initiated. Provide evidence care plans and wound care plans are implemented and overseen by a RN. Provide evidence wound care plans demonstrate effective management of wounds. PA Moderate Reporting Complete

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.

About audit reports

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.

Before 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) appear on the rest home’s page. As the rest home completes the required actions, the status on the website updates.

Audit date:

Audit type: Partial Provisional Audit; Surveillance Audit

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