Golden Pond Private Hospital
Profile & contact details
| Premises name | Golden Pond Private Hospital |
|---|---|
| Address | 47 Bracken Street Whakatane 3120 |
| Total beds | 61 |
| Service types | Rest home care, Geriatric |
| Certification/licence name | Golden Pond Private Hospital Limited - Golden Pond Private Hospital |
|---|---|
| Current auditor | The DAA Group Limited |
| End date of current certificate/licence | 02 June 2021 |
| Certification period | 36 months |
| Provider name | Golden Pond Private Hospital Limited |
|---|---|
| Street address | 47 Bracken Street Whakatane 3120 |
| 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: 30 October 2019
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| 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 mandatory six-monthly checks have not been undertaken by the service. The RNs were observed undertaking medication administration practices that did not follow policy or legislative requirements in relation to security of medications during medication rounds and recording of the reasons for medications refused. | Provide evidence that RNs ensure safe medication practices in relation to security of medications during the medication round and recording of reasons for refusal. Mandatory six monthly controlled drug checks are completed. | PA Moderate | Reporting Complete | 22/09/2018 |
| All records are legible and the name and designation of the service provider is identifiable. | Staff do not consistently sign residents’ progress notes with their full name, but rather use initials and designation. | Staff sign progress note documentation using their full name and designation. | PA Low | Reporting Complete | 22/09/2018 |
| All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines. | Storage shelving is in poor condition evidenced with flaking paint, limiting kitchen storage areas and the shelving cannot be cleaned to meet infection/food control standards. | Provide evidence that the poor shelving condition has been remedied to improve storage and that infection/food control standards are maintained. | PA Low | Reporting Complete | 04/10/2018 |
| All buildings, plant, and equipment comply with legislation. | One sling hoist has rust on the lower joints and chipped paint on the frame. This cannot be cleaned to meet infection control requirements. The doors to the communal showers and toilets located in each wing have damage at the bottom of the doors and one shower wall has a small hole in it. The damage does not allow cleaning to be undertaken to meet good infection control standards. | Provide evidence that the sling hoist and bathroom areas can be cleaned to meet infection control cleaning standards. | PA Low | Reporting Complete | 05/12/2018 |
| 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. | Five out of 58 interRAI reassessments were not completed six monthly as required. | Provide evidence that all interRAI reassessments are completed six monthly. | PA Low | In 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: 30 October 2019Audit type:Surveillance Audit
- Golden Pond Private Hospital - Oct 2019 (docx, 33.14 KB)
- Golden Pond Private Hospital - Oct 2019 (pdf, 130.26 KB)
Audit type:Certification Audit
- Golden Pond Private Hospital - Apr 2014 (docx, 50.83 KB)
- Golden Pond Private Hospital - Apr 2014 (pdf, 195.02 KB)
Audit type:Surveillance Audit
- Golden Pond Private Hospital - Aug 2016 (docx, 30.97 KB)
- Golden Pond Private Hospital - Aug 2016 (pdf, 121.46 KB)
Audit type:Certification Audit