Profile & contact details
|Premises name||Kohatu Resthome|
|Address||35B Nelson Street Waitara 4320|
|Service types||Rest home care|
|Certification/licence name||Kohatu Resthome Limited - Kohatu Resthome|
|Current auditor||The DAA Group Limited|
|End date of current certificate/licence||09 November 2020|
|Certification period||36 months|
|Provider name||Kohatu Resthome Limited|
|Street address||35B Nelson Street Waitara 4320|
|Post address||PO 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 required||Found at audit||Action required||Risk rating||Action status||Date 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 Low||Reporting Complete||20/11/2017|
|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 Low||Reporting Complete||20/11/2017|
|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 Low||Reporting Complete||20/11/2017|
|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 Low||Reporting Complete||20/11/2017|
|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 Moderate||Reporting Complete||05/06/2019|
|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 Low||Reporting Complete||16/10/2019|
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: 26 February 2019
Audit type:Surveillance Audit
Audit type:Certification Audit