Premise details
- Address
- 41 Chester Street Patea 4520
- Total beds
- 22
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Te Mahana Limited - Te Mahana Limited
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Te Mahana Limited
- Street address
- 41 Chester Street Patea 4520
- Postal address
- PO Box 79 Patea 4545
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 |
|---|---|---|---|---|---|
| Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided. | Not all staff who enter the service have completed an orientation programme within the required timeframe of three months. | Ensure all staff who enter the service complete an orientation programme within the required timeframe of three months. | PA Low | In Progress | |
| Governance bodies shall have meaningful Māori representation on relevant organisational boards, and these representatives shall have substantive input into organisational operational policies. | Māori do not have substantive input into organisational policies and procedures. | Ensure Māori have substantive input into organisational policies and procedures. | PA Low | In Progress | |
| 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 insufficient RN hours in the service to meet the requirements of the provider’s contract with Te Whatu Ora. | Ensure there are sufficient RN hours in the service to meet the requirements of the provider’s contract with Te Whatu Ora. | PA Moderate | 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. | The medication chart being used had been generated by the pharmacy, after any medication changes were made. The chart being used by care staff often did not have a GP’s signature to verify the medication had been prescribed by the GP, did not evidence the date when the medication was prescribed, did not evidence the medication had been reviewed on the medication chart, and did not ensure the most recently updated medication chart was being used. The medication refrigerator and medication room ha | Provide evidence the medication system in place verifies that the medication has been prescribed by the GP, the date when the medication was prescribed, when the medication has been reviewed on the medication chart and ensures the most recently updated medication chart is being used. Provide evidence the medication refrigerator and medication room have temperatures monitored to ensure medications are stored at the correct temperatures. | PA High | Reporting Complete | |
| Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy. | There were no records available to verify staff dealing with medications (either administering or checking) had been deemed competent to perform that function. | Provide evidence all staff administering or checking medications are competent to perform that function. | PA Moderate | Reporting Complete | |
| Service providers shall develop and implement policies and procedures in accordance with good employment practice and meet the requirements of legislation. | Not all staff who enter the service have been police vetted. | Ensure all staff who enter the service undergo police vetting. | 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.
