CHT Bernadette

Profile & contact details

Premises details
Premises nameCHT Bernadette
Address 25 Taupo Avenue Mount Maunganui 3116
Total beds113
Service typesMedical, Rest home care, Geriatric
Certification/licence details
Certification/licence nameCHT Healthcare Trust - CHT Bernadette
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence31 March 2022
Certification period36 months
Provider details
Provider nameCHT Healthcare Trust
Street address 97 Great South Rd Market Road Auckland 1543
Post addressPO Box 74341 Market Road Auckland 1543
Websitewww.cht.co.nz/index.php

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: 16 January 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
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 LowIn Progress
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 LowIn Progress
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 LowIn Progress
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 LowIn 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

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: 16 January 2019

Audit type:Certification Audit

Audit date: 09 October 2017

Audit type:Surveillance Audit

Audit date: 20 January 2016

Audit type:Certification Audit

Audit date: 02 September 2015

Audit type:Surveillance Audit

Audit date: 25 February 2015

Audit type:Provisional Audit

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