Hetherington House
Profile & contact details
| Premises name | Hetherington House |
|---|---|
| Address | 98 Parry Palm Avenue Waihi 3610 |
| Total beds | 50 |
| Service types | Geriatric, Medical, Dementia care, Rest home care |
| Certification/licence name | Waihi Senior Citizens Home Incorporated - Hetherington House |
|---|---|
| Current auditor | The DAA Group Limited |
| End date of current certificate/licence | 01 October 2025 |
| Certification period | 36 months |
| Provider name | Waihi Senior Citizens Home Incorporated |
|---|---|
| Street address | 98 Parry Palm Avenue Waihi 3610 |
| 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: 06 March 2024
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| The following aspects of the system shall be performed and communicated to people by registered health professionals operating within their role and scope of practice: prescribing, dispensing, reconciliation, and review. | Three monthly GP medication reviews were not completed within the required timeframes with four medicine charts overdue. | Ensure three-monthly medication reviews are completed as per policy and legislative requirements. | PA Low | Reporting Complete | 08/02/2023 |
| Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits). | (i) Not all outcome scores from interRAI assessments were identified on long-term care plans and there were no appropriate interventions to address these. (ii) Residents’ dietary profiles were not reviewed six-monthly as required. (iii) Eleven recent residents’ interRAI assessments, not covered by the waiver from MoH, were not completed in a timely manner. | (i) Ensure all outcome scores from assessments are identified with relevant interventions developed. (ii) Complete residents’ dietary profiles and activities care plan six-monthly as per policy requirements. (iii) Ensure all new interRAI assessments excluded from the waiver are completed within the required timeframes. | PA Moderate | Reporting Complete | 08/02/2023 |
| Each episode of restraint shall be evaluated, and service providers shall consider: (a) Time intervals between the debrief process and evaluation processes shall be determined by the nature and risk of the restraint being used; (b) The type of restraint used; (c) Whether the person’s care or support plan, and advance directives or preferences, where in place, were followed; (d) The impact the restraint had on the person. This shall inform changes to the person’s care or support plan, resulting f… (this text has been trimmed due to space limits). | Not all restraint evaluations have been completed six-monthly as required. | Restraint evaluation is to be completed six-monthly for all restraints in place. | PA Low | Reporting Complete | 08/02/2023 |
| Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin… (this text has been trimmed due to space limits). | In all six long-term care plans reviewed, residents’ goals of care were not consistently documented. | Ensure residents’ goals of care are consistently documented in the care plans to meet the criterion requirements. | PA Moderate | In Progress | |
| Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | An RN is not on site 24 hours a day. There was no RN on night duty. | Ensure there is at least one RN on site at all times as stipulated in the agreement with Te Whatu Ora. | PA Moderate | In Progress | |
| Service providers shall have a clearly defined and documented IP programme that shall be: (a) Developed by those with IP expertise; (b) Approved by the governance body; (c) Linked to the quality improvement programme; and (d) Reviewed and reported on annually. | The IP programme was overdue for annual review. | Ensure the IP programme is reviewed annually to meet the requirements of this standard. | PA Low | In Progress | |
| Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits). | In four of the six files reviewed, routine six-monthly care plan evaluations and diet profiles were overdue. Four six-monthly interRAI reassessments were overdue as per interRAI summary report. | Ensure that all routine six-monthly reviews are completed in a timely manner to meet the criterion requirements. | PA Moderate | In Progress | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | More than 76% of the workforce were overdue discussion and review of their performance. | Ensure all staff are given the opportunity to discuss and review their performance at the times determined in your policies and employment agreements. Maintain a copy of these in the staff records. | PA Moderate | 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.
From 1 June 2009 to 28 February 2022 rest homes were audited against the Health and Disability Services Standards NZS 8134:2008. These standards have been updated, and from 28 February 2022 rest homes are audited against Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.
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 Ngā Paerewa Health and Disability Services Standard.
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: 06 March 2024Audit type:Surveillance Audit
Audit date: 20 July 2022Audit type:Certification Audit
Audit date: 17 May 2021Audit type:Surveillance Audit
Audit date: 01 August 2019Audit type:Certification Audit
Audit date: 20 June 2018Audit type:Surveillance Audit