Benhaven Rest Home
Profile & contact details
| Premises name | Benhaven Rest Home |
|---|---|
| Address | 29 Golders Road Elderslea Upper Hutt 5018 |
| Website | www.benhaven.co.nz/ |
| Total beds | 20 |
| Service types | Rest home care, Physical, Intellectual |
| Certification/licence name | Benhaven Care Limited - Benhaven Rest Home |
|---|---|
| Current auditor | Health and Disability Auditing New Zealand Limited |
| End date of current certificate/licence | 15 July 2019 |
| Certification period | 36 months |
| Provider name | Benhaven Care Limited |
|---|---|
| Street address | 31 Golders Rd 31 Golders Road Elderslea Upper Hutt 5018 |
| Post address | 31 Golders Rd Elderslea Upper Hutt 5018 |
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: 26 October 2017
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers. | Incident/accident data is not discussed at staff meetings. | Ensure the outcomes of incident/accident data analysis are discussed with all staff. | PA Low | Reporting Complete | 27/09/2016 |
| Consumers have a right to full and frank information and open disclosure from service providers. | Three of fourteen incidents did not document that the family were informed of the incident. | Ensure family are informed of incidents where family are available and that this is documented. | PA Low | Reporting Complete | 27/09/2016 |
| A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers. | Staff have not received recent training around cultural safety, wound management (caregivers dress simple wounds) or skin integrity. | Ensure all required education topics are included in the education programme. | PA Low | Reporting Complete | 27/09/2016 |
| The organisation has a clearly defined and documented infection control programme that is reviewed at least annually. | The infection control programme has not been reviewed annually. | Ensure the infection control programme is reviewed annually. | PA Low | Reporting Complete | 27/09/2016 |
| The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk. | A resident had collapsed following drinking a chemical (or alcohol) on-site and was transferred to hospital. There was no documented evidence that an accident and incident form had been completed or follow-up action pertaining to the adverse event and how to avoid a possible repeat of the adverse event. The resident involved received appropriate emergency care | Record all accidents and incidents as defined in the policy and follow through the adverse event to mitigate further risk | PA Low | Reporting Complete | 28/02/2018 |
| 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). | There was no restraint process documentation (assessment, approval and monitoring) completed for one resident with a bedrail | Ensure that the restraint process is followed for all restraints used. | PA Low | Reporting Complete | 28/02/2018 |
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
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 reports
Audit date: 26 October 2017Audit type:Surveillance Audit
Audit date: 28 April 2016Audit type:Certification Audit
Audit date: 04 June 2015Audit type:Surveillance Audit
Audit date: 15 May 2014Audit type:Certification Audit
Audit date: 08 November 2013Audit type:Surveillance Audit
Audit date: 14 May 2013Audit type:Provisional Audit