Cheviot Rest Home

Profile & contact details

Premises details
Premises nameCheviot Rest Home
Address 20 Reeves Street Cheviot 7310
Total beds14
Service typesRest home care
Certification/licence details
Certification/licence nameCheviot Rest Home Limited - Cheviot Rest Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence23 July 2019
Certification period36 months
Provider details
Provider nameCheviot Rest Home Limited
Street address 20 Reeves Street Cheviot 7310
Post address

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: 09 March 2018

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The service is able to demonstrate that written consent is obtained where required.Two of five resident files sampled did not have a signed admission agreement. Ensure all residents have a signed admission agreement on file PA LowReporting Complete25/11/2016
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.No incident form was completed for the current pressure injury. Ensure all pressure injuries have an incident form completed. PA LowReporting Complete25/11/2016
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Staff have not completed recent training around the Code of rights, cultural safety or safe hoist use. Ensure that staff complete all required and relevant training. PA LowReporting Complete25/11/2016
A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.One resident assessed as requiring long-term oxygen therapy did not have the oxygen therapy, timeframe for use and litres per minute prescribed on the medication chart. The controlled drug register did not evidence regular weekly stocktakes signed by two staff. Ensure oxygen is prescribed for residents assessed as requiring oxygen. Ensure there are weekly stocktakes of controlled medications undertaken and signed by two staff. PA LowReporting Complete30/03/2017
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.Two of five resident files sampled had not been seen by the GP within two working days of admission. Advised that it is a small town with one GP and that the GP can not always make planned appointments due to other emergencies. Ensure all residents are seen by the GP within two days of admission. PA LowReporting Complete30/03/2017
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.In four of four files where the long-term care plan had been evaluated, progress towards meeting of goals was not consistently documented. In the same four files, activities plans had not been reviewed six monthly and the reviews did not document progress towards meeting goals. Ensure all evaluations are documented six monthly and include sufficient documentation of progress toward meeting goals. PA LowReporting Complete30/03/2017
Where progress is different from expected, the service responds by initiating changes to the service delivery plan.Two of five residents with recent changes in health status, did not have interventions updated in the long-term care plan or a short-term care plan implemented. Ensure that when residents’ needs change, care plan documentation is updated to include new goals and recent interventions. PA LowReporting Complete30/03/2017
A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.The respite resident had a printed list of medications from the doctor, but this was not signed. Ensure that all residents have a medication chart that is signed, dated and meets legislative requirements. PA LowReporting Complete23/07/2018

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: 09 March 2018

Audit type:Surveillance Audit

Audit date: 09 May 2016

Audit type:Certification Audit

Audit date: 20 November 2014

Audit type:Surveillance Audit

Audit date: 07 May 2013

Audit type:Certification Audit

Audit date: 18 January 2012

Audit type:Surveillance Audit

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