Marinoto Rest Home
Profile & contact details
|Premises name||Marinoto Rest Home|
|Address||72 Matai Street Inglewood 4330|
|Service types||Rest home care|
|Certification/licence name||Inglewood Welfare Society Incorporated - Marinoto Rest Home|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||01 July 2021|
|Certification period||36 months|
|Provider name||Inglewood Welfare Society Incorporated|
|Street address||72 Matai Street Inglewood 4330|
|Post address||72 Matai Street Inglewood 4330|
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: 19 November 2018
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Four of five long-term care plans did not include the required support and interventions to meet the resident goals as follows; i) There were no documented cares and management for one resident with a suprapubic catheter. ii) For one resident there were no documented supports for behaviours or pain as identified through the interRAI assessment. iii) There was no documented signs/symptoms/treatment or management of hypo and hyperglycaemia for two insulin dependent residents.||Ensure that care plans document required supports and interventions to reflect the resident’s current needs.||PA Moderate||Reporting Complete||23/10/2018|
|Consumers are provided with safe and accessible external areas that meet their needs.||The construction team are to ensure the ramp access to the evacuation assembly point and access to the deck areas from the new wing is safely cordoned off prior to occupancy||Ensure the construction areas for stage two are safely cordoned off and there is safe access to the deck area and ramp to the evacuation assembly point for residents in the 12-bed wing||PA Low||In Progress|
|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 orientation checklist for the new wing includes attending a fire drill prior to occupancy. A date is to be set for this to occur for all staff, volunteers and trust board members.||Ensure a fire drill is completed prior to occupancy||PA Low||In Progress|
|New service providers receive an orientation/induction programme that covers the essential components of the service provided.||A specific orientation checklist has been developed for orientation to the new building including the layout of the new 12 bed wing, fire evacuation, fire drill, infection control and health and safety including hazard management, emergency preparedness and the call bell system.||All staff (existing and new), volunteers and board members will be required to complete the orientation checklist to the new wing.||PA Low||In Progress|
|Where required by legislation there is an approved evacuation plan.||An application has been made to the fire service for approval of the fire evacuation scheme but not yet received||Ensure approval of the fire evacuation scheme||PA Low||In Progress|
|An appropriate 'call system' is available to summon assistance when required.||The installation of the new call bell system has not yet been completed in the existing rest home Complete installation of the new call bell system in the rest home to ensure calls bells from the new wing can be heard and seen by all staff in all areas||Complete installation of the new call bell system in the rest home to ensure calls bells from the new wing can be heard and seen by all staff in all areas||PA Low||In Progress|
|Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.||i) There was no documented evidence that meeting minutes included discussion around quality data trends analysis and what actions were required by staff. ii) There was no documented evidence of internal audits being completed for July, August, October, November and December 2017 as per the required schedule.||i) Ensure that staff meeting minutes include discussion of quality data trends analysis and actions required, if any. ii) Ensure that all internal audits are completed as per the required schedule.||PA Low||Reporting Complete||05/12/2018|
|Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.||There is not a first aid trained staff member on duty 24/7, as two HCAs that work together on night duty are not first aid trained.||Ensure that there is a first aid trained staff member on duty 24/7.||PA Moderate||Reporting Complete||05/12/2018|
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: 19 November 2018
Audit type:Partial Provisional Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Provisional Audit