Premise details
- Address
- 4 Heath Street Mount Maunganui 3116
- Total beds
- 57
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Munro Resthomes Limited - Malyon House
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Munro Resthomes Limited
- Street address
- 4 Heath Street Mount Maunganui 3116
- 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 |
|---|---|---|---|---|---|
| In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov | Six of six unwitnessed falls did not have neurological observations completed as per policy requirements. | Ensure all policy requirements related to neurological observations are met. | PA Moderate | Reporting Complete | |
| Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data. | i). Ethnicity data is not included in surveillance. ii). The data related to infections and tabled in the infection prevention and control analysis reports is incomplete. iii). There is inadequate documentation around potential outbreaks such as scabies and gastroenteritis including confirmation of cases, interventions to manage the cases and prevention of spread, or of involvement of health professionals to support the service. iv). There is no evidence that trends are identified and analysed, | i). Ensure ethnicity data is included in surveillance data. ii). Ensure that data related to infections and tabled in the infection prevention and control analysis reports is correct. iii). Provide adequate documentation around potential outbreaks such as scabies and gastroenteritis with evidence of a summary of the outbreak, learnings etc. iv). Identify and analyse trends with corrective actions established where trends are identified. | PA Moderate | Reporting Complete | |
| Service providers, shall evaluate the effectiveness of their AMS programme by: (a) Monitoring the quality and quantity of antimicrobial prescribing, dispensing, and administration and occurrence of adverse effects; (b) Identifying areas for improvement and evaluating the progress of AMS activities. | There is no documented evaluation of the AMS programme to the directors or through meetings to evidence the effectiveness of the Malyon House AMS programme. | Ensure that the effectiveness of the Malyon House AMS programme is evaluated. Report on the effectiveness of the AMS programme regularly throughout the year. | PA Low | Reporting Complete | |
| Results of surveillance and recommendations to improve performance where necessary shall be identified, documented, and reported back to the governance body and shared with relevant people in a timely manner. | Meeting minutes did not document that surveillance information was used to determine infection control activities, resources and education needs within the service. | Document evidence of discussion in relevant meetings that confirms that information obtained through surveillance is used to determine infection control activities, resources and education needs within the service. | PA Moderate | Reporting Complete | |
| Service providers shall evaluate progress against quality outcomes. | There was limited evidence of discussion of data in meeting minutes reviewed for the past year. | Use meeting minutes to record evidence of discussion of data and improvements to service delivery. | 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 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
