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Premise details

Address
7 Glamorgan Avenue Tamatea Napier 4112
Total beds
30
Service types
Psychogeriatric

Certification/licence details

Certification/licence name
Millvale House Napier Limited - Millvale House Napier
Current auditor
BSI Group New Zealand Ltd
End date of current certificate/licence
Certification period
12 months

Provider details

Provider name
Millvale House Napier Limited
Street address
7 Glamorgan Avenue Tamatea Napier 4112
Postal address
8 Prestons Road Redwood Christchurch 8051

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: 07 March 2024

Outcome required Found at audit Action required Risk rating Action status Date action reported complete
Service providers shall ensure health care and support workers are able to provide a level of first aid and emergency treatment appropriate for the degree of risk associated with the provision of the service. Staff are in the process of being employed and all registered nurses who do not have a current CPR certificate will complete this at induction. Ensure there is a staff member across 24/7 with a current CPR certificate PA Low 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. The service is currently interviewing to employ sufficient number of staff to cover the initial roster on opening, this includes registered nurse cover 24/7 Ensure staff are employed to safely cover the opening roster, including registered nurses to cover 24/7 PA Low Reporting Cancelled
The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. (i). Refurbishment is in the process of being completed. (ii). Hot water tests have yet to be completed. (iii). Equipment/furniture is yet to be installed. (iv) The outdoor secure garden area is overgrown. (i). Ensure all refurbishment is completed as planned; (ii) Ensure hot water temperatures to resident areas do not exceed 45 degrees; (iii) Ensure all equipment/furnishings are in place; (iv) Ensure the garden area has been tidied up and paths fully accessible and safe. PA Low Reporting Cancelled
A medication management system shall be implemented appropriate to the scope of the service. (i) Equipment for the medication room is yet to be purchased and installed. (ii) a contract with a pharmacy and a medication practice/GP service is yet to be confirmed. (i) Ensure the medication room is fully functional, (ii) Ensure a pharmacy contract and GP services is confirmed. PA Low Reporting Cancelled
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. Specific fire evacuation training/drill is yet to be completed for new staff. Ensure specific fire drill and emergency management training is completed for staff working in the PG wing prior to opening PA Low Reporting Cancelled
Service providers shall ensure health care and support workers are able to provide a level of first aid and emergency treatment appropriate for the degree of risk associated with the provision of the service. Staff are in the process of being employed and all registered nurses who do not have a current CPR certificate will complete this at induction. Ensure there is a staff member across 24/7 with a current CPR certificate PA Low Reporting Cancelled
Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy. New staff who will be administering medications have not yet completed medication competencies Ensure all staff administering medications have competencies completed PA Low Reporting Cancelled
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal shall comply with current legislation and guidelines. Equipment has yet to be purchased for the new dining room/kitchenette and kitchen to ensure they are fully functional Ensure equipment is purchased and the kitchenette, dining room and kitchen are fully functional PA Low Reporting Cancelled
Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided. Induction days are scheduled prior to opening and all staff will complete required inductions packages, competencies, and orientation to new equipment Ensure all inductions and competencies are completed. PA Low Reporting Cancelled
The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. (i). Refurbishment is in the process of being completed. (ii). Hot water tests have yet to be completed. (iii). Equipment/furniture is yet to be installed. (iv) The outdoor secure garden area is overgrown. (i). Ensure all refurbishment is completed as planned; (ii) Ensure hot water temperatures to resident areas do not exceed 45 degrees; (iii) Ensure all equipment/furnishings are in place; (iv) Ensure the garden area has been tidied up and paths fully accessible and safe. PA Low Reporting Complete
The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. (i). Refurbishment is in the process of being completed. (ii). Hot water tests have yet to be completed. (iii). Equipment/furniture is yet to be installed. (iv) The outdoor secure garden area is overgrown. (i). Ensure all refurbishment is completed as planned; (ii) Ensure hot water temperatures to resident areas do not exceed 45 degrees; (iii) Ensure all equipment/furnishings are in place; (iv) Ensure the garden area has been tidied up and paths fully accessible and safe. PA Low Reporting Complete
The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. Specific fire evacuation training/drill is yet to be completed for new staff. Ensure specific fire drill and emergency management training is completed for staff working in the PG wing prior to opening PA Low Reporting Complete
Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy. New staff who will be administering medications have not yet completed medication competencies Ensure all staff administering medications have competencies completed PA Low Reporting Complete
Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided. Induction days are scheduled prior to opening and all staff will complete required inductions packages, competencies, and orientation to new equipment Ensure all inductions and competencies are completed. PA Low Reporting Complete
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal shall comply with current legislation and guidelines. Equipment has yet to be purchased for the new dining room/kitchenette and kitchen to ensure they are fully functional Ensure all inductions and competencies are completed. PA Low 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. The service is currently interviewing to employ sufficient number of staff to cover the initial roster on opening, this includes registered nurse cover 24/7 Ensure staff are employed to safely cover the opening roster, including registered nurses to cover 24/7 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.

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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