Profile & contact details
|Premises name||CHT Bernadette|
|Address||25 Taupo Avenue Mount Maunganui 3116|
|Service types||Medical, Rest home care, Geriatric|
|Certification/licence name||CHT Healthcare Trust - CHT Bernadette|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||31 March 2022|
|Certification period||36 months|
|Provider name||CHT Healthcare Trust|
|Street address||97 Great South Rd Market Road Auckland 1543|
|Post address||PO Box 74341 Market Road Auckland 1543|
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: 13 November 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|All buildings, plant, and equipment comply with legislation.||A certificate for public use has not yet been issued for the new building.||Obtain a certificate for public use for the new building.||PA Low||Reporting Complete||16/12/2019|
|A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.||The resident satisfaction survey results were collated during the audit. Seven of twenty-nine resident satisfaction survey results indicated that residents were dissatisfied. Seven residents rated the food as poor, two residents rated laundry as poor, two rated the building maintenance as poor, three would not recommend the facility to others, and three rated activities as poor. No corrective action plans were sighted to address these issues.||Ensure corrective action plans are developed where negative trends are identified.||PA Low||Reporting Cancelled|
|An appropriate 'call system' is available to summon assistance when required.||During a walk-through of facility over two days, it was observed that a selection of residents did not have access to their call bell. The HCAs responded by stating that they do not have enough long cords to reach from the beds to where the residents are sitting (note: the unit manager reported that they do have enough long cords). The acting clinical manager stated that if a resident is not considered by staff as competent to use their call bell, they are not given one. The unit manager conf… (this text has been trimmed due to space limits).||Ensure that all residents have access to a call bell to summon assistance if needed.||PA Low||Reporting Cancelled|
|All buildings, plant, and equipment comply with legislation.||Records reviewed over the last six months identified hot water temperatures documented at 45 degrees and above. The service implemented a corrective action plan on the day of audit.||Ensure all hot water temperatures in resident areas are maintained at temperatures of 45 degrees or below||PA Low||Reporting Cancelled|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Care plans had not been updated for two residents with changes in dietary requirements as per dietitian instructions.||Ensure care plans include interventions to support all allied health instructions.||PA Low||Reporting Cancelled|
|The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.||(i). Walkways to link the new and existing buildings are not yet fully operational. (ii). The new building is not fully operational, and equipment is not completely installed. (iii). Approximately 30% of the new building has yet to have interior painting completed and flooring laid. (iv). The kitchen is not yet operational (v). The sluice room in the new build is mostly completed with the sluice to be installed.||(i). Ensure that residents can move freely and safely between the new and existing buildings via safe and accessible walkways. (ii). Operationalise electricity, plumbing, utilities, and ensure that appropriate equipment to meet the needs of residents is in place. (iii). Complete planned interior painting and flooring. (iv). Ensure the kitchen is fully operational. (v). Ensure the sluice room is fully operational.||PA Low||Reporting Complete||12/12/2019|
|An appropriate 'call system' is available to summon assistance when required.||The call bell system is installed but not activated.||Activate the call bell system prior to occupancy and ensure that it is linked to the existing system.||PA Low||Reporting Complete||12/12/2019|
|Consumers are provided with safe and accessible external areas that meet their needs.||Pathways, driveways and outdoor areas are yet to be completed to a point where they can be accessed by residents.||Complete pathways, driveways and outdoor areas to a point where they can be accessed by residents.||PA Low||Reporting Complete||12/12/2019|
|The organisation identifies and implements appropriate security arrangements relevant to the consumer group and the setting.||Locks for external doors is not completed as this will be influenced by final completion of walkways.||Ensure that there are external locks that keep the new and existing buildings secure and that can be opened in the event of a fire.||PA Low||Reporting Complete||12/12/2019|
|Where required by legislation there is an approved evacuation plan.||A fire evacuation scheme has not yet been issued.||Obtain an approved fire evacuation scheme for the new and existing building.||PA Low||Reporting Complete||12/12/2019|
|Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.||Staff have not yet been orientated to the new building and trained in fire and emergency response considering the new configuration.||Ensure that all staff are orientated to the new building and trained in fire and emergency response.||PA Low||Reporting Complete||12/12/2019|
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: 13 November 2019
Audit type:Partial Provisional Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit