Premise details
- Address
- 228C Levers Road Matua Tauranga 3110
- Total beds
- 35
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Hospital & Rehab Aotearoa Limited - Makoha Tauranga
- Current auditor
- Quality Health
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Hospital & Rehab Aotearoa Limited
- Street address
- 2 Armistead Lane 228C Levers Road Matua Tauranga 3110
- Postal address
- 228C Levers Road Matua Tauranga 3110
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 |
|---|---|---|---|---|---|
| Alternative essential energy and utility sources shall be available, in the event of the main supplies failing. | There is no alternative source of power for lighting and heating should the main supply fail. | Ensure there is an alternative source of power available. | PA Low | In Progress | |
| Service providers shall understand and comply with statutory and regulatory obligations in relation to essential notification reporting. | Section 31 reports to HealthCERT were not completed for a death of a resident and an absconding resident. | Ensure essential notifications are completed as required. | PA Low | Reporting Complete | |
| Service providers shall ensure that there is a pandemic or infectious disease response plan in place, that it is tested at regular intervals, and that there are sufficient IP resources including personal protective equipment (PPE) available or readily accessible to support this plan if it is activated. | The pandemic supplies are not checked and or monitored regularly and stocks of hand sanitiser were expired. | Ensure the pandemic supplies are checked and monitored regularly. | PA Low | Reporting Complete | |
| Service providers shall implement a process to support a safe, timely, seamless transition, transfer, or discharge. | The transfer/discharge process is not consistently arranged in a timely manner | Ensure the transfer/discharge process is arranged in a safe manner | PA Moderate | Reporting Complete | |
| An appropriate call system shall be available to summon assistance when required. | In six of the rooms in Tōtara wing there was no call bell in the shower area to summon assistance. | Ensure call bells are installed where residents can reach them when showering. | PA Moderate | Reporting Complete | |
| Meaningful activities shall be planned and facilitated to develop and enhance people’s strengths, skills, resources, and interests, and shall be responsive to their identity. | The activities programme does not enhance the resident’s skills, interests and identity as confirmed in interviews and results of the satisfaction survey. | Ensure the activities programme enhances the resident’s skills, interests and identity. | PA Low | Reporting Complete | |
| Service providers shall have a clearly defined and documented IP programme that shall be: (a) Developed by those with IP expertise; (b) Approved by the governance body; (c) Linked to the quality improvement programme; and (d) Reviewed and reported on annually. | The infection prevention programme is not reported on annually | Ensure the infection prevention programme is reported on annually | 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: Provisional Audit
