Premise details
- Address
- 35B Nelson Street Waitara 4320
- Total beds
- 24
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Kohatu Homes Limited - Kohatu Homes Limited
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 12 months
Provider details
- Provider name
- Kohatu Homes Limited
- Street address
- 35B Nelson Street Waitara 4320
- Postal address
- 35B Nelson Street Waitara 4320
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 |
|---|---|---|---|---|---|
| Governance bodies shall have demonstrated expertise in Te Tiriti, health equity, and cultural safety as core competencies. | The owner/directors are yet to complete training and core competencies in Te Tiriti o Waitangi, health equity, and cultural safety. | Ensure the owner/directors complete training and core competencies in Te Tiriti o Waitangi, health equity, and cultural safety. | PA Low | In Progress | |
| Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review | i). Of the five files reviewed, there is evidence the care plan is reviewed; however, the care plan is not changed to reflect new issues identified in the interRAI assessment. ii). There was no clear progression towards residents meeting their goals documented in the care plan reviews. | i). & ii). Ensure care plan reviews reflect changes identified in the interRAI assessment and evidence resident progression towards meeting goals. | PA Moderate | In Progress | |
| Service providers shall facilitate safe self-administration of medication where appropriate. | i). On the day of the audit an unlabelled bottle of tablets was sighted in the resident’s room on their bedside table. ii). Within the locked box, there were loose tablets which the resident had removed from the original packaging and stored in a plastic container. | i). & ii). Ensure storage of medications for residents who self-administer medications meets the requirements of the manufacturer and policy. | PA Moderate | In 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.
