Marinoto Rest Home

Profile & contact details

Premises details
Premises nameMarinoto Rest Home
Address 72 Matai Street Inglewood 4330
Total beds32
Service typesGeriatric, Medical, Rest home care
Certification/licence details
Certification/licence nameInglewood Welfare Society Incorporated - Marinoto Rest Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence01 July 2021
Certification period36 months
Provider details
Provider nameInglewood Welfare Society Incorporated
Street address 72 Matai Street Inglewood 4330
Post address72 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: 24 October 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.The 24-hour RN roster is not yet covered to provide hospital level services. Ensure the is 24/7 cover of RNs rostered prior to the admission of hospital residents. PA LowReporting Complete21/01/2020
All buildings, plant, and equipment comply with legislation.There is a standing hoist that has a physical check and requires a new sling which has been ordered, therefore it is still not fully functional Ensure the standing hoist if fully functional prior to use. PA LowReporting Complete21/01/2020
Where required by legislation there is an approved evacuation plan.The service has carried out remedial work required to meet fire service approval including installation of a fire wall in the kitchen. An application for fire service approval has been re-submitted. Ensure there is a fire service approved evacuation scheme. PA LowReporting Complete21/01/2020
A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.There was no documented evidence of medication reconciliation of the monthly blister packs against the medication charts. Ensure there is a record of medication reconciliation of medication blisters packs on delivery against the medication charts. PA ModerateReporting Complete03/07/2020
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i). Three of five unwitnessed falls did not have neurological observations completed as per protocol, (ii) )there were no documented interventions for one resident with unintentional weight loss; (iii) There were no documented interventions/guidelines for the management of cellulitis for one resident; and (iv) The resident under ACC and at high risk of falls did not have the risks of warfarin identified in the clinical risk plan. There was no evidence of checks for colour, warmth, movement a… (this text has been trimmed due to space limits).(i). Ensure neurological observations are completed as per protocol and (ii)-(iii). ensure there are documented interventions to meet the resident’s short-term needs. PA LowReporting Complete21/07/2020
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.Internal audits reviewed that identified shortfalls did not have corrective actions in place, follow-up or sign off when completed. Ensure corrective actions from internal audits are implemented and signed off when completed. PA LowReporting Complete21/09/2020

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 October 2019

Audit type:Surveillance Audit

Audit date: 23 August 2019

Audit type:Partial Provisional Audit

Audit date: 19 November 2018

Audit type:Partial Provisional Audit

Audit date: 23 April 2018

Audit type:Certification Audit

Audit date: 02 June 2017

Audit type:Surveillance Audit

Audit date: 26 April 2016

Audit type:Certification Audit

Audit date: 18 May 2015

Audit type:Provisional Audit

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