Aparangi Village Residential Care Unit
Profile & contact details
|Premises name||Aparangi Village Residential Care Unit|
|Address||6 Pilgrim Place Te Kauwhata 3710|
|Service types||Geriatric, Medical, Rest home care|
|Certification/licence name||Te Kauwhata Retirement Trust Board - Aparangi Village Residential Care Unit|
|Current auditor||The DAA Group Limited|
|End date of current certificate/licence||15 February 2021|
|Certification period||36 months|
|Provider name||Te Kauwhata Retirement Trust Board|
|Street address||6 Pilgrim Place Te Kauwhata 3710|
|Post address||PO Box 31 Te Kauwhata 3741|
Progress on issues from the last audit
What’s on this page?
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: 21 November 2017
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||The service has recently been reconfigured and is now more spread-out than in the past. The number of staff on night duty does not take into consideration the lay-out of the facility which is required to meet ARRC requirements under section D17.4 (a) (iii). There are two staff on duty overnight. Staff stated their concerns about being able to meet resident needs in a timely manner on night duty. Staff reported they cannot take their allocated breaks without interruption. These concerns are suppo… (this text has been trimmed due to space limits).||Provide evidence that safe staffing levels are provided across all shifts to meet contractual requirements, specifically night duty staffing levels which must consider the lay-out of the facility and allow for the addition staff time taken for the oversight and call bell response for ORA residents.||PA High||Reporting Complete||09/02/2018|
|An appropriate 'call system' is available to summon assistance when required.||There is no formalised system in place to ensure all call bells are checked to be in working order on a regular basis.||Provide evidence that a formalised process is in place to ensure all call bells are checked on a regular basis.||PA Low||Reporting Complete||09/02/2018|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||InterRAI assessment findings including Maori health care beliefs and residents with chronic infections do not consistently have this information and/or interventions reflected in residents’ long-term care plans.||Provide evidence that long term care plans identify all residents’ needs as reflected in interRAI findings and outcomes, including cultural requirements and chronic infections.||PA Low||Reporting Complete||09/02/2018|
|Results of surveillance, conclusions, and specific recommendations to assist in achieving infection reduction and prevention outcomes are acted upon, evaluated, and reported to relevant personnel and management in a timely manner.||Infection control surveillance results are not identified and being shared in caregiver and registered staff meetings. Also refer to comments in criterion 188.8.131.52.||Provide evidence that surveillance results are shared with all staff in a timely manner.||PA Moderate||Reporting Complete||09/02/2018|
|Each episode of restraint is documented in sufficient detail to provide an accurate account of the indication for use, intervention, duration, its outcome, and shall include but is not limited to: (a) Details of the reasons for initiating the restraint, including the desired outcome; (b) Details of alternative interventions (including de-escalation techniques where applicable) that were attempted or considered prior to the use of restraint; (c) Details of any advocacy/support offered, provided o… (this text has been trimmed due to space limits).||Two restraints in the restraint register were documented as enablers, but do not comply with being voluntary and are clearly restraints.||Provide evidence that the restraint register accurately records the type of restraint being used, and if it is a restraint or an enabler, as identified in policy.||PA Low||Reporting Complete||09/02/2018|
|A restraint register or equivalent process is established to record sufficient information to provide an auditable record of restraint use.||Two restraints in the restraint register were documented as enablers, but do not comply with being voluntary and are clearly restraints.||Provide evidence that the restraint register accurately records the type of restraint being used, and if it is a restraint or an enabler, as identified in policy.||PA Low||Reporting Complete||09/02/2018|
|Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.||Initial assessments are completed on admission and an initial care plan developed. An interRAI assessment is undertaken and long-term care plan is developed within 21 days of admission. Of the residents admitted six months prior to audit, two of six residents’ files reviewed had no interRAI assessment in place. Interviews identified this was related to some confusion around whose responsibility it was to enable Aparangi access to the residents’ interRAI files. This confusion has since been clari… (this text has been trimmed due to space limits).||Provide evidence interRAI assessments and GP visits are occurring within the required timeframes.||PA Low||Reporting Complete||01/05/2020|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Care plans do not always describe fully the support the resident requires to meet their needs.||Provide evidence care plans describe fully the support the resident requires to meet their needs.||PA Moderate||Reporting Complete||01/05/2020|
|Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.||There is no established system or process for the sharing of quality improvement data to all staff.||Ensure all staff are reliably informed about quality and risk matters and trends from incident/accident reporting.||PA Low||Reporting Complete||01/05/2020|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits which gives an overview of the auditing process and explains what the audit reports mean.
What’s on this page?
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.
Prior to 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 Health and Disability Services Standards.
Note: From November 2013, as rest homes are audited, any issues from their latest audit (the corrective actions required by the auditor) will appear on the rest home’s page. As the rest home completes the required actions, the status on the web site will update.
Audit reportsAudit date: 21 November 2017
Audit type:Certification Audit
- Aparangi Village Residential Care Unit - Nov 2017 (docx, 50.56 KB)
- Aparangi Village Residential Care Unit - Nov 2017 (pdf, 196.35 KB)
Audit type:Surveillance Audit
- Aparangi Village Residential Care Unit - May 2016 (docx, 31.41 KB)
- Aparangi Village Residential Care Unit - May 2016 (pdf, 124.8 KB)
Audit type:Certification Audit
- Aparangi Village Residential Care Unit - Dec 2014 (docx, 65.37 KB)
- Aparangi Village Residential Care Unit - Dec 2014 (pdf, 188.27 KB)
Audit type:Partial Provisional Audit
- Aparangi Village Residential Care Unit - Jun 2014 (docx, 61.29 KB)
- Aparangi Village Residential Care Unit - Jun 2014 (pdf, 520.44 KB)
Audit type:Surveillance Audit