Premise details
- Address
- 2 Ednam Street Roxburgh 9500
- Total beds
- 14
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Teviot Valley Rest Home Limited - Teviot Valley Rest Home
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Teviot Valley Rest Home Limited
- Street address
- 2 Ednam Street Roxburgh 9500
- Postal address
- PO Box 64 Roxburgh 9441
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. | Completed orientation records were missing in both staff RN files reviewed. | Ensure RN staff complete and submit evidence of a completed, job specific orientation programme. | PA Low | Reporting 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. | Two caregivers employed after the first aid/CPR training course which was offered in August 2022 did not have a current CPR/first aid certificate and occasionally work alone on the night shift. | Ensure that there is always one staff available 24 hours a day, 7 days a week with a current first aid/CPR certificate. | PA Low | Reporting Complete | |
| Meaningful activities shall be planned and facilitated to develop and enhance people’s strengths, skills, resources, and interests, and shall be responsive to their identity. | (i). The activities care plan did not evidence input by the activities coordinator. (ii). Individualised activity care plans are not in place for three of five residents. (iii). Activity care plan evaluations have not been completed for two resident files reviewed. | (i). Ensure resident activity plans evidence input from the activities coordinator. (ii). Ensure activity plans are individualised and in place for all residents. (iii). Ensure activity care plans are evaluated as scheduled. | PA Low | In Progress | |
| Service providers shall ensure their health care and support workers have the skills, attitudes, qualifications, experience, and attributes for the services being delivered. | i). Topics including skin management, wound care, spirituality, intimacy and sexuality have not been completed as per the training plan. ii). The RN has yet to complete aged care management, cultural training, external infection prevention and control. | i). Ensure the training plan is completed as scheduled and includes all compulsory training sessions. ii). Ensure the RN completes all required training. | PA Low | In Progress | |
| A medication management system shall be implemented appropriate to the scope of the service. | (i). Three out of five medication charts did not have current photographs. (ii). Efficacy of “as required” medications was not recorded in six of the ten medication charts reviewed. (iii). Controlled drugs are checked by two medication competent staff, one of these was the RN. The controlled drug once checked is left in the locked drug trolley for the caregivers to re-check, sign on the electronic medication management system and then administer to the resident as required. | (i). Ensure all medication files have current photographic identification. (ii). Ensure efficacy of ‘as required medications is evidenced. (iii). Ensure controlled drugs are administered as per policy. | PA Moderate | In Progress | |
| 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 | (i). One care plan had no information to guide caregivers regarding the ‘as required’ self-medication process for the residents. (ii). One file had limited information to guide caregivers regarding the requirements for the resident whose spouse is also at the facility in regard to privacy. (iii). One file had insufficient information to guide caregivers regarding diversion for a resident with behaviours that are challenging. (iv). One file had insufficient information to guide caregivers regar | (i). - (iv). Ensure interventions are sufficiently detailed to provide guidance and support for caregivers | PA Low | In Progress | |
| Service providers shall facilitate safe self-administration of medication where appropriate. | (i). Three residents were self-administering medications, only one of whom had been appropriately assessed for competence. (ii). The rooms of self-medicating residents did not have safe storage available in their rooms. (iii). Medications and creams are stored in rooms of residents who have not been assessed as competent. | (i). Ensure all residents who self-administer their medications are assessed as competent. (ii). Ensure all medications residents are self-administering are stored securely in resident rooms. (iii). Ensure only residents with self-medicating competencies have medications stored in their rooms. | PA Moderate | In Progress |
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
