Maungaturoto Rest Home

Profile & contact details

Premises details
Premises nameMaungaturoto Rest Home
Address 136 Hurndall Street East Maungaturoto 0520
Total beds16
Service typesRest home care
Certification/licence details
Certification/licence nameMaungaturoto Residential Care Limited - Maungaturoto Rest Home
Current auditorThe DAA Group Limited
End date of current certificate/licence28 June 2021
Certification period36 months
Provider details
Provider nameMaungaturoto Residential Care Limited
Street address 136 Hurndall Street East Maungaturoto 0520
Post addressPO Box 52 Maungaturoto 0547

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: 01 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.There is no clearly documented and implemented process which determines service provider levels and skill mix to provide safe service delivery. There is one hospital level resident with a dispensation from HealthCERT but consideration is required currently for another resident with declining health status to ensure the shifts are adequately staffed. The night shift does not meet the needs of two residents who require the use of hoists and two carers. Ensure a documented and implemented process is available for determining service provider coverage of this service. The roster is reviewed to ensure adequate staff are rostered on the night duty to meet the care needs of the current residents. PA ModerateReporting Complete19/09/2018
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.Not all food in the fridge and freezer have expiry dates documented. Expired food was found in the fridge in the kitchen. Not all residents’ beverages found in the fridge in the kitchen were labelled with the residents’ name and date when put in the fridge. Provide evidence that the storage of food complies with current legislation and guidelines. PA ModerateReporting Complete19/09/2018
The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.At the time of audit, the auditor and/or service provider were unable to access the reports on the interRAI database to show the level of care report and the resident interRAI assessments due. Not all interRAI assessments completed by the nurse manager reflected the current needs and outcomes of the resident. One resident admitted on the 17 April 2018 still requires an admission assessment and short-term care plan. Not all residents with weight loss or residents who had wound care management pla… (this text has been trimmed due to space limits).To provide evidence that all interRAI assessments are completed to reflect the current needs and outcomes for the resident. To provide evidence that all assessments are completed to support residents with changes to their health and to meet timeframes and contractual requirements. To provide evidence that all residents who require a higher level of care are reassessed to reflect those needs. PA ModerateReporting Complete19/09/2018
The use of enablers shall be voluntary and the least restrictive option to meet the needs of the consumer with the intention of promoting or maintaining consumer independence and safety.The current restraint minimisation and safe practice policy has not been reviewed since 2010. One of two residents recorded as using an enabler was found to be using a bedrail as a restraint and not an enabler. The organisation`s restraint minimisation and safe practice policy needs to evidence that this has been appropriately reviewed. The current interRAI documentation, (assessment and care plan) and the restraint register require updating to reflect the resident’s needs and use of the restraint. PA LowReporting Complete19/09/2018
The organisation has a quality and risk management system which is understood and implemented by service providers.The business, quality and risk plan for the previous two years had not been fully evaluated to set the objectives for 2018-2019. Business has rolled over for the current year and staff are continuing to perform their same responsibilities and tasks allocated. Ensure the business quality and risk plan is reviewed and that a new plan is instigated for the next two years as documented in policy. PA LowReporting Complete17/12/2018
There is a document control system to manage the policies and procedures. This system shall ensure documents are approved, up to date, available to service providers and managed to preclude the use of obsolete documents.Three policy and procedure manuals were sighted. The manuals contained current, newly reviewed and documents that needed to be made obsolete. Procedures documented are not followed and templates provided are not implemented by the service provider (eg, wound care management plans, infection control and short-term care planning forms). Plans are documented on pieces of paper. Ensure the required templates are implemented and utilised on the appropriate templates provided by the quality consultant which align with the policies documented. Obsolete documented are removed from the manuals sighted as per policy. PA LowReporting Complete17/12/2018
A process to measure achievement against the quality and risk management plan is implemented.There is a documented process in place to measure achievement against the business, quality and risk plan. The achievement against the 2016 -2017 plan was not evident at the time of audit. There is no plan for 2018 that has been developed and implemented. Ensure the organisation`s process is followed to measure achievement against the business, quality and risk plan. PA LowReporting Complete17/12/2018
Information is entered into the consumer information management system in an accurate and timely manner, appropriate to the service type and setting.The sample of files reviewed did not contain unique identifiers on residents’ progress notes. Ensure that all documents related to residents contain uniquely identifying information (for example, NHI and full name or date of birth). PA LowReporting Complete17/12/2018
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.Not all inhalers and spacers in use are labelled with the resident’s name. Two spacers required cleaning. Provide evidence that all medication and supporting consumables are dispensed and stored as per best practice medication guidelines and policy. PA LowReporting Complete18/12/2018
The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.Three of five residents’ files reviewed did not always have the interventions to reflect the current needs and outcomes for the residents in their long-term care plans and/or interRAI assessments. Provide evidence that all interRAI assessments and long-term care plans reflect the current needs and interventions required for the residents. PA LowIn Progress
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.Medication documentation processes were not undertaken in accordance with good practice in relation to documentation of discontinued medication and indication for use of pro re nata (PRN) medication. To provide evidence that all residents medication charts with short course medication and medication that has been discontinued meets best practice medication guidelines documentation. 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.

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