Premise details
- Address
- 13 Clausen Street Takaro Palmerston North 4412
- Website
- http://www.masonicvillages.co.nz/retirement-living/manawatu-masonic-court/
- Total beds
- 49
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Masonic Care Limited - Masonic Court Rest Home and Hospital
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Masonic Care Limited
- Street address
- 63 Wai-Iti Crescent Woburn Lower Hutt 5010
- 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 | GP assessments were not observed to have been carried out monthly, and the GP had not verified the resident as stable and able to be reviewed three-monthly. The care plans did not demonstrate that the service being provided was consistent with the residents’ needs. | Provide evidence that: GP assessments are monthly unless the GP verifies the resident as stable and able to be reviewed three-monthly. Care plans demonstrate that the service being provided is consistent with the residents’ needs | PA Moderate | Reporting Complete | |
| The governance body shall identify the IP and AMS programmes as integral to service providers’ strategic plans (or equivalent) to improve quality and ensure the safety of people receiving services and health care and support workers. | The governing boards have not identified the IP and AMS programme within its strategic plan, nor have they responded to the annual report from the facility. | The governing board need to ensure that there are processes for oversight of the IP and AMS programme and to review and respond to the annual reporting against the plan from the facility. | PA Low | Reporting Complete | |
| There shall be an executive leader who is responsible for ensuring the commitment to restraint minimisation and elimination is implemented and maintained. | The role of the GM as the executive leader with responsibility for restraint minimisation and elimination is not formalised by the wider organisation along with processes for ensuring this occurs. | Ensure that the governance board(s) have systems which support the elimination of restraint. | PA Low | Reporting Complete | |
| Governance bodies shall demonstrate commitment toward eliminating restraint. | Masonic Care Limited has not yet developed systems to demonstrate their commitment to the elimination of restraint. | Ensure that the governance board(s) have systems which support the elimination of restraint. | PA Low | Reporting Complete | |
| Service providers shall evaluate progress against quality outcomes. | The monthly quality group (across Masonic Care Limited ) do not record any analysis or evaluation of collated data and there is no record of evaluation of data over time. It is unclear if there is any analysis and/or evaluation of data occurs during these meetings. At governance level the electronic bench-marking system and dashboard used to collate information for the governance board(s) does not identify individual facilities, note clinical governance activity and oversight, or provide any a | Ensure that the systems for evaluating progress against quality outcomes at the combined facility group and governance levels enable analysis and evaluation of data. | PA Low | Reporting Complete | |
| Service providers shall maintain an information management system that: (a) Ensures the captured data is collected and stored through a centralised system to reduce multiple copies or versions, inconsistencies, and duplication; (b) Makes the information manageable; (c) Ensures the information is accessible for all those who need it; (d) Complies with relevant legislation; (e) Integrates an individual’s health and support records. | Information collected in the resident management system was not centralised, did not make the information manageable, and was not integrated nor easily accessible. | Provide evidence the information management system related to resident care at Masonic Court is accessible to those who need access and is manageable and integrated. | PA Moderate | Reporting Complete | |
| Governance bodies shall ensure service providers identify and work to address barriers to equitable service delivery. | The Masonic Care Limited Governance board(s) have yet to develop ways to ensure service providers identify and work to address barriers to equitable service delivery. | The governance board(s) need to ensure that there are systems and/or processes to ensure for service providers can address barriers to equitable service delivery. | 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 district health board.
- Date action reported complete
The date that the district health board 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
