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Premise details

Address
136 Hurndall Street East Maungaturoto 0520
Total beds
30
Service types
Rest home care, Dementia care

Certification/licence details

Certification/licence name
Maungaturoto Residential Care Limited - Maungaturoto Rest Home
Current auditor
The DAA Group Limited
End date of current certificate/licence
Certification period
24 months

Provider details

Provider name
Maungaturoto Residential Care Limited
Street address
136 Hurndall Street East Maungaturoto 0520
Postal address
PO Box 52 Maungaturoto 0547

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.

Details of corrective actions

Date of last audit: 02 April 2024

Outcome required Found at audit Action required Risk rating Action status Date action reported complete
An appropriate call system shall be available to summon assistance when required. The current call system in the rest home is not appropriate to meet the needs of the residents. Provide evidence of an appropriate call bell system. PA Moderate In Progress
Service providers shall understand and comply with statutory and regulatory obligations in relation to essential notification reporting. Not all events that require essential notification are reported. Ensure that all essential notifications are reported. PA Moderate Reporting Complete
Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. There are not enough staff rostered in the dementia unit to support the residents' current needs. Ensure that there are sufficient health care workers on duty at all times to provide culturally and clinically safe services. 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 health equity and Te Tiriti o Waitangi training. Provide evidence that staff have completed health equity and Te Tiriti o Waitangi training. PA Low Reporting Complete
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) No assessment was completed for a resident who had significantly deteriorated in the secure unit. (ii) Residents’ nutritional profiles were not reviewed six-monthly as required. (iii) Progress notes were not being signed off and completed by the nurse manager/registered nurse as per policy requirements. (i) Provide evidence of appropriate and timely assessments for residents’ change in status. (ii) Complete residents’ nutritional profiles six-monthly as per policy requirements. (iii) Ensure progress notes are completed as required. PA Moderate Reporting Complete
A medication management system shall be implemented appropriate to the scope of the service. (i) Medication room temperatures were not being completed as required. (ii) PRN medications were being transcribed by staff on the pharmacy signing charts. (i) Ensure medication room temperatures are completed as per policy and legislative requirements. (ii) Ensure PRN medications are not transcribed by staff on signing charts. 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. External scaffolding blocked the external pathway affecting five residents' bedrooms on the west side of the facility. Ensure that the external environment is safe and accessible to promote safe mobility and independence. PA Moderate Reporting 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 was a low attendance of staff that attended fire training, staff interviewed did not know what to do in a civil defence emergency nor where to access the procedures specific to their facility and/or who their support systems were in the community. Provide evidence of appropriate information/procedures and training of staff to respond to identified fire and civil defence procedures/emergencies. PA Moderate 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. There was no evidence of an annual review of the IP programme. Ensure that the IP programme is reviewed annually to meet the standard requirement. PA Low Reporting Complete
Service providers shall ensure their health care and support workers have the skills, attitudes, qualifications, experience, and attributes for the services being delivered. A staff member with an up-to-date medication competency is not rostered on duty at all times. Staff and residents do not have access to a trained diversional therapist in regard to oversight of the activities programme that is in place in the dementia unit. Ensure that health care workers have an up-to-date medication competency. Ensure that a trained diversional therapist has oversight of the residents’ activities programme in the dementia unit. 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 district health board.

Date action reported complete

The date that the district health board was told the issue was fixed.

About audit reports

Audit reports for this rest home’s latest audits can be downloaded below.

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.

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