Makoha Rest Home

Profile & contact details

Premises details
Premises nameMakoha Rest Home
Address 19 Ruihi Street Victoria Rotorua 3010
Total beds35
Service typesGeriatric, Sensory, Physical, Intellectual, Rest home care, Medical
Certification/licence details
Certification/licence nameThe Rest Homes Limited - Makoha Rest Home
Current auditorHealthShare Limited
End date of current certificate/licence30 March 2021
Certification period36 months
Provider details
Provider nameThe Rest Homes Limited
Street address 19 Ruihi Street Victoria Rotorua 3010
Post address122 Pacific Drive Fitzherbert Palmerston North 4410

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 January 2018

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
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.The general practitioner does not always see the resident in a timely manner when initially entering the service. Ensure that the initial medical review of a new resident is completed in a timely manner. PA LowIn Progress
All records are legible and the name and designation of the service provider is identifiable.Not all entries in a resident record include the date of the entry, name and designation of the recorder and the signature of the recorder. Ensure that the date of the entry, name and designation of the recorder and the signature of the recorder is documented against each entry in the resident record. PA LowIn Progress
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.Documentation does not always include evidence of resolution of issues. Ensure that there is documentation of resolution of issues. PA LowIn Progress
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.At times, there is insufficient documentation of strategies and/or interventions in the care plan to support achievement of desired outcomes. Ensure that each care plan includes sufficient detail of strategies or interventions that will support the resident to achieve desired outcomes. PA ModerateIn Progress
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.A smell of smoke was detected at the entrance of the room adjacent to the designated smoking deck with some staff and residents interviewed stating that they could smell smoke in the facility in this area at certain times. Review the smokefree strategies currently in place and implement actions as a result of the review. PA LowIn 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: 24 January 2018

Audit type:Certification Audit

Audit date: 22 June 2017

Audit type:Surveillance Audit

Audit date: 08 August 2016

Audit type:Surveillance Audit

Audit date: 20 January 2015

Audit type:Certification Audit

Audit date: 24 March 2014

Audit type:Surveillance Audit

Audit date: 30 January 2013

Audit type:Certification Audit

Audit date: 09 March 2012

Audit type:Provisional Audit

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