CHT Te Awamutu Home & Hospital
Profile & contact details
|Premises name||CHT Te Awamutu Home & Hospital|
|Address||414 Swarbrick Drive Te Awamutu 3800|
|Service types||Medical, Dementia care, Geriatric|
|Certification/licence name||CHT Healthcare Trust - CHT Te Awamutu Home & Hospital|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||21 March 2021|
|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: 24 June 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||One of three hospital files, and one of three rest home files did not include all interventions to support all aspects of assessed needs. Examples include; one hospital resident identified with diabetes instructed to monitor BSLs. There were no accepted blood sugar levels identified. One rest home resident care plan instructed staff to ‘reassess medications’ and ‘avoid constipation’ but no specific interventions and how to do this. The risks associated with restraint and enabler use was not … (this text has been trimmed due to space limits).||To ensure that all resident care plans include interventions to support all resident assessed needs. Ensure interventions are documented to manage the risks associated with restraint and enablers.||PA Low||Reporting Complete||23/01/2019|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i)One hospital resident (identified as having swollen legs) care plan instructs staff to monitor twice daily. There was no recording of monitoring of swollen legs. (ii) Two residents who required neurological observation post fall did not have these documented according to set time frames.||Ensure monitoring is completed as per care plan instructions.||PA Low||Reporting Complete||23/01/2019|
|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.||(i). Not all medications in the dementia unit were labelled with the resident’s name. (ii). The progress notes for one resident in the dementia unit documented that covert medications were given. There was no documented GP approval or family/EPOA consultation.||(i). Ensure that resident’s medication is clearly labelled with their name. (ii). Ensure that medication administration complies with the Code of Rights.||PA Moderate||Reporting Complete||13/12/2019|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||One hospital and one dementia level resident’s file included that the residents’ exhibited behaviours that challenge, however the strategies to manage the environment, resident triggers and management of the behaviour were not well documented.||To ensure that all resident care plans include management strategies to manage behaviours that challenge.||PA Moderate||Reporting Complete||06/03/2020|
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: 24 June 2019
Audit type:Surveillance Audit
- CHT Te Awamutu Home & Hospital - Jun 2019 (docx, 32.84 KB)
- CHT Te Awamutu Home & Hospital - Jun 2019 (pdf, 130.85 KB)
Audit type:Certification Audit
- CHT Te Awamutu Home & Hospital - Jan 2018 (docx, 42.31 KB)
- CHT Te Awamutu Home & Hospital - Jan 2018 (pdf, 166.29 KB)
Audit type:Partial Provisional Audit