Premise details
- Address
- 1 Layard Street Opunake 4616
- Total beds
- 21
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Opunake Districts Rest Home Trust - Opunake Cottage Rest Home
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Opunake Districts Rest Home Trust
- Street address
- 1 Layard Street Opunake 4616
- 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 |
|---|---|---|---|---|---|
| Buildings, plant, and equipment shall be fit for purpose, and comply with legislation relevant to the health and disability service being provided. The environment is inclusive of peoples’ cultures and supports cultural practices. | One piece of equipment necessary to support a resident who may require intravenous medication, had an expired calibration date of 5 days prior to the audit. | Ensure the syringe driver is recalibrated as soon as possible. Ensure that the system for calibration of equipment, particularly medical devices, includes the syringe driver to ensure that recalibration is organised prior to the expiry date. | 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. | The competencies for qualified staff to manage syringe drivers had expired. | Provide evidence that yearly syringe driver competencies are maintained. | 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. | The infection control programme is not documented. | Provide evidence the infection control programme is documented and reviewed yearly. | PA Low | Reporting Complete | |
| The following aspects of the system shall be performed and communicated to people by registered health professionals operating within their role and scope of practice: prescribing, dispensing, reconciliation, and review. | There were errors identified in the management of controlled drugs at The Cottage. The required six-monthly checks of controlled drugs had not occurred. | Provide evidence medications are managed in accordance with best practice and legislative guidelines. | 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. | The infection control programme had not been reviewed in the past year as required. | Provide evidence that the infection control programme has been reviewed, and that a process for annual review has been put into place. | PA Low | In Progress | |
| Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | The education programme was not planned and did not cover all aspects of education to support culturally and clinically safe services. | Provide evidence that the education programme has been planned to cover all aspects of education to support culturally and clinically safe services. | PA Moderate | In Progress | |
| The following aspects of the system shall be performed and communicated to people by registered health professionals operating within their role and scope of practice: prescribing, dispensing, reconciliation, and review. | The six-monthly stocktake of controlled drugs had not occurred. | Provide evidence that a six-monthly stocktake of controlled drugs is occurring. | 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. | There was not always a first aid certified staff member in the facility 24/7, and not all staff administering medication had completed medication competency annually. | Provide evidence that a first aid certified staff member is rostered 24/7 and that all staff administering medication have completed medication competency annually. | PA Moderate | Reporting Complete | |
| Professional qualifications shall be validated prior to employment, including evidence of registration and scope of practice for health care and support workers. | Annual validation of certification to practise had not been completed for all health professionals working in the service. | Provide evidence that there is a process in place to ensure annual validation of certification to practise has been completed for all health professionals working in the service. | PA Low | Reporting Complete | |
| Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin | Care plans did not fully identify the support the residents required to meet their goals. Early warning signs and risks that may adversely affect the residents’ wellbeing were not always documented. A resident was not reviewed by the NP within the timeframe requested. | Provide evidence that care plans fully identify the support the residents require to meet their goals. Early warning signs and risks that may adversely affect the residents’ wellbeing are documented, and that residents are reviewed by the NP within the timeframe requested. | PA Moderate | Reporting Complete | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Performance reviews were not being undertaken three months after commencement of employment and annually thereafter as per the policy of the organisation. | Provide evidence that performance reviews are being undertaken three months after commencement of employment for new employees, then annually as per the policy of the organisation. | PA Moderate | Reporting Complete | |
| Service providers shall follow the National Adverse Event Reporting Policy for internal and external reporting (where required) to reduce preventable harm by supporting systems learnings. | Neurological observations are not being completed as per the facility’s policy and best practice protocols post-unwitnessed falls. | Provide evidence that neurological observations are being fully completed as per the documented policy protocol post-unwitnessed falls. | 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: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
