Premise details
- Address
- 98 Parry Palm Avenue Waihi 3610
- Total beds
- 51
- Service types
- Dementia care, Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Waihi Senior Citizens Home Incorporated - Hetherington House
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 24 months
Provider details
- Provider name
- Waihi Senior Citizens Home Incorporated
- Street address
- 98 Parry Palm Avenue Waihi 3610
- Postal address
Progress on issues from the last audit
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.
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Health care and support workers shall receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures. | There have been no education or competency assessments provided to staff regarding security, fire and emergency procedures. | Provide documentation demonstrating that staff have received education and competency assessments related to security, fire and emergency procedures. | 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 currently no process in place for planning and accurately monitoring education for staff. Education provided does not meet the requirements of Ngā Paerewa and the facility’s contracts with Te Whatu Ora. | Provide evidence of a formal education plan to meet the requirements of Ngā Paerewa and the facility’s contracts with Te Whatu Ora. Provide evidence that the system for delivering and recording of relevant education for staff has been implemented. | PA Moderate | In Progress | |
| Health care and support workers shall be trained in least restrictive practice, safe practice, the use of restraint, alternative cultural-specific interventions, and de-escalation techniques within a culture of continuous learning. | Staff have not received training in least restrictive practice, safe practice, the use of restraint, alternative cultural-specific interventions, and de-escalation techniques in the last two years. | Provide documentation to confirm that staff have been trained in least restrictive practice, safe practice, the use of restraint, alternative cultural-specific interventions, and de-escalation techniques. | PA Moderate | Reporting Complete | |
| Service providers shall follow the National Adverse Event Reporting Policy for internal and external reporting (where required) to reduce preventable harm by supporting systems learnings. | Neurological observations are not being completed as per the documented protocol post-unwitnessed falls. | Provide evidence that neurological observations are being fully completed as per the documented protocol post-unwitnessed falls. | PA Moderate | 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 supports required to achieve the residents’ needs were not always documented. Early warning signs and risks that may adversely affect the resident were not always recorded, with a focus on prevention or escalation for appropriate intervention. | Provide evidence the support required to achieve the residents’ needs are documented. Early warning signs and risks that may adversely affect the resident are recorded, with a focus on prevention or escalation for appropriate intervention. | PA Moderate | Reporting Complete | |
| Service providers shall conduct comprehensive reviews at least six-monthly of all restraint practices used by the service, including: (a) That a human rights-based approach underpins the review process; (b) The extent of restraint, the types of restraint being used, and any trends; (c) Mitigating and managing the risk to people and health care and support workers; (d) Progress towards eliminating restraint and development of alternatives to using restraint; (e) Adverse outcomes; (f) Compliance w | The review of restraint does not meet all the requirements of the Ngā Paerewa standard, and there was no evidence to demonstrate that such reviews had been completed on a six-monthly basis. | Provide evidence demonstrating that the review of restraint practices meets all the requirements of the Ngā Paerewa standard and that there are processes in place showing that restraint reviews are scheduled at six-monthly intervals. | PA Low | Reporting Complete | |
| Service providers shall identify external and internal risks and opportunities, including potential inequities, and develop a plan to respond to them. | Organisational risks are being identified but there is no formal system established to manage them. Internal audits are not consistently aligned with the documented internal audit programme, and corrective actions are not reliably recorded. Not all identified corrective actions have corresponding documentation to confirm resolution. | Provide evidence to show that organisational risks have been identified and that there is a formal system established to manage them. Provide evidence to show that internal audits are aligned with the documented internal audit programme, that corrective actions are being reliably recorded, and that identified corrective actions have corresponding documentation to confirm resolution. | PA Moderate | Reporting Complete | |
| 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 have completed all the annual competencies required and there is no process currently in use to monitor and track completion of competency for staff. | Provide evidence that a process has been implemented to monitor and track competency completion for all staff, and that all staff have completed the competencies required annually. | PA Moderate | Reporting Complete | |
| The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. | The kitchen area requires refurbishment, specifically in the areas of repainting, replacement of shelf linings with suitable, cleanable materials in compliance with hygiene standards, and treatment or removal of rust from the metal oven hood. | Provide evidence to verify that refurbishment of the kitchen area has been completed, specifically in the areas of repainting, replacement of shelf linings with suitable, cleanable materials in compliance with hygiene standards, and treatment or removal of rust from the metal oven hood. | PA Low | 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 corrective action manager.
- Date action reported complete
The date that the corrective action manager was told the issue was fixed.
Audit reports
About audit reports
Audit reports for this rest home’s latest audits can be downloaded below.
Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits. The guide gives an overview of the auditing process and explains what the audit reports mean.
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: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
