Kohatu Resthome

Profile & contact details

Premises details
Premises nameKohatu Resthome
Address 35B Nelson Street Waitara 4320
Total beds24
Service typesRest home care
Certification/licence details
Certification/licence nameKohatu Resthome Limited - Kohatu Resthome
Current auditorThe DAA Group Limited
End date of current certificate/licence09 November 2020
Certification period36 months
Provider details
Provider nameKohatu Resthome Limited
Street address 35B Nelson Street Waitara 4320
Post addressPO Box 13 Waitara 4346

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: 26 February 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
All buildings, plant, and equipment comply with legislation.The extension built in July 2016 and occupied by residents since completion, has not been inspected by the local authority and a code compliance certificate has not been provided. Provide evidence of a code compliance certificate for the extension built on to the existing building. PA LowReporting Complete20/11/2017
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.There are no handrails on either side of the ramp that extends from the external conservatory door to the outside. Provide evidence that handrails have been installed on both sides of the ramp leading from the conservatory to the outside. PA LowReporting Complete20/11/2017
Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.The civil defence kit does not contain all essential supplies and the check list evidenced the contents have not been checked since 2015. Provide evidence that the civil defence kit has the required items in the event of an emergency and the contents checked on a regular basis. PA LowReporting Complete20/11/2017
Where required by legislation there is an approved evacuation plan.There is no evidence available that shows the fire evacuation scheme remains approved following the building of an extension on to the existing building. Provide evidence that the fire evacuation scheme remains approved following the extension built onto the existing building. PA LowReporting Complete20/11/2017
The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate.Care plans do not consistently describe fully the residents’ required needs to ensure continuity of service delivery. Provide evidence care plans describe fully the care the resident requires to ensure continuity of care can be provided. PA LowIn Progress
The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.(i) Neurological observations are not being taken and recorded. (ii) Not all incident/accident forms are signed appropriately. Some are not signed and dated. (iii) An incident/accident form is not always completed following an adverse event. (iv) Completed incident/accident forms are not currently reviewed by the FM/RN. (v) Corrective actions are not being entered into the resident’s care plan. Provide evidence that: (i) neurological observations are taken and recorded on incident/accident forms and all forms are signed and dated following review; (ii) an incident/accident form is completed following all adverse events experienced by residents; (iii) the FM/RN takes responsibility for review of all incident/accidents received especially where clinical input is indicated; (iv) any corrective actions are entered into the resident’s care plan. PA ModerateReporting Complete05/06/2019

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: 26 February 2019

Audit type:Surveillance Audit

Audit date: 06 September 2017

Audit type:Certification Audit

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