Maungaturoto Rest Home

Profile & contact details

Premises details
Premises nameMaungaturoto Rest Home
Address 136 Hurndall Street East Maungaturoto 0520
Total beds30
Service typesDementia care, Rest 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 2024
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: 10 August 2021

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
An appropriate 'call system' is available to summon assistance when required.The devices enabling staff working in the secure dementia unit to call for assistance have not yet been delivered, and the link with the wider call bell system tested. The call bell in the refurbished bathroom in the rest home closest to the secure dementia unit is not accessible. The call bells in two rest home bedrooms (rooms 15 and 16) were not functioning. Ensure staff working in the secure dementia unit can call for assistance when required. Ensure the call bells in the refurbished part of the rest home are accessible to residents and fully functioning. PA ModerateReporting Complete26/10/2021
The organisation has a clearly defined and documented infection control programme that is reviewed at least annually.There was no evidence of an annually reviewed infection control programme. Provide evidence of a documented infection control programme that is annually reviewed. PA LowReporting Cancelled
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.The six-monthly controlled drugs stock checks were not completed as required by the legislative requirements. Provide evidence of weekly and six-monthly controlled drugs stock checks. PA ModerateReporting Cancelled
The appointment of appropriate service providers to safely meet the needs of consumers.Staff files reviewed did not have all the required documentation to evidence all the required components of the recruitment policy had been completed. All staff files need to be reviewed for completeness and to be kept up to date with the relevant documents. PA LowReporting Cancelled
The appointment of appropriate service providers to safely meet the needs of consumers.Reference checks, interview records, and a signed copy of the code of conduct and/or confidentiality agreement is not consistently included in sampled staff files. Ensure staff files consistently include all necessary records including staff interviews, reference checks, a signed code of conduct and confidentiality statements. PA ModerateReporting Complete26/10/2021
New service providers receive an orientation/induction programme that covers the essential components of the service provided.Staff and the volunteer have not yet been provided with an orientation to the secure dementia facility, kitchen and laundry, new equipment, emergency, security, and activities and therapies. Not all staff have not been trained on the fire evacuation procedures. Ensure all staff and volunteer are provide with an orientation to the new secure dementia unit, kitchen and laundry including the physical environment, call bells, security, use of new equipment, fire safety/emergency response, and how to do activities and therapies, and that orientation records are retained. PA ModerateReporting Complete26/10/2021
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.Quantity control checks for controlled drugs were not completed six-monthly as required. Ensure quantity stock counts occur six monthly as required. PA LowReporting Complete26/10/2021
All buildings, plant, and equipment comply with legislation.A Certificate of Public Use has yet to be issued for the new build area, and telephone and internet connection yet to be installed. Obtain a Certificate of Public Use and install telephone and internet services as planned. PA LowReporting Complete26/10/2021
Consumers are provided with safe and accessible external areas that meet their needs.The environment in the outside courtyard for residents in the secure dementia unit is not yet fit for purpose or safe for residents’ use. Ensure the courtyard for residents in the secure dementia unit is made fit for purpose and safe for resident use, including completing the landscaping, installing the outside furniture, removing the wooden trellis/ladder and visible power box, and permanently securing closed the gate as planned that is in the fence. PA ModerateReporting Complete26/10/2021
Where required by legislation there is an approved evacuation plan.The updated fire evacuation plan (December 2020) does not accurately reflect the building footprint and room numbering. It is not clear what if any impact this has on the fire evacuation plan that has been approved by the New Zealand Fire Service, and this requires clarification. Ensure there is a current, appropriately detailed fire evacuation plan that is approved by the New Zealand Fire Service. PA LowReporting Complete26/10/2021
Alternative energy and utility sources are available in the event of the main supplies failing.Appropriate emergency supplies are not yet available for staff and residents in the secure dementia unit. Ensure appropriate emergency supplies are readily available/accessible by staff working in the secure dementia unit. PA LowReporting Complete26/10/2021
The organisation identifies and implements appropriate security arrangements relevant to the consumer group and the setting.The security locking mechanisms at exit/entry points to and from the secure dementia unit have yet to be activated. It is unclear if the location of emergency release buttons by the door inside the secure dementia unit may compromise the other security features in the dementia unit. Signage (internal and external) has yet to be installed identifying security cameras are in use. Ensure the dementia unit is appropriately secure. Install signage alerting that security cameras are in use. PA ModerateReporting Complete26/10/2021
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.There are five caregiving shifts that have yet to be filled for the staff roster developed for the rest home and secure dementia unit. Ensure appropriate staff have been recruited to cover all required shifts in the rest home and secure dementia unit. Ensure at least one staff member on duty in the secure dementia unit and the rest home each shift have completed the organisation’s medicine competency requirements and has a current first aid certificate. PA LowReporting Complete26/10/2021
Actual and potential risks are identified, documented and where appropriate communicated to consumers, their family/whānau of choice, visitors, and those commonly associated with providing services. This shall include: (a) Identified risks are monitored, analysed, evaluated, and reviewed at a frequency determined by the severity of the risk and the probability of change in the status of that risk; (b) A process that addresses/treats the risks associated with service provision is developed and im… (this text has been trimmed due to space limits).The risk/hazard register is not always specific or relevant to the facility or the trust. A number of documented risks and hazards are not relevant, it is not reported on adequately or reviewed and updated regularly. Review and update the risk register and subsequent management processes. Implement a regular reporting process to the board and staff. PA LowReporting Complete25/01/2022
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.The long-term care plans only addressed the interRAI triggered items, and other care needs were not documented. Provide evidence of long-term care plans that address all the care needs of the client as per standard requirement and the organisation’s policy. PA ModerateReporting Complete25/01/2022
Infection control education is provided by a suitably qualified person who maintains their knowledge of current practice.The infection control coordinator has not attended to any education in infection control. Provide evidence of infection control training/education for the infection control coordinator. PA LowReporting Complete25/01/2022

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. 

From 1 June 2009 to 28 February 2022 rest homes were audited against the Health and Disability Services Standards NZS 8134:2008. These standards have been updated, and from 28 February 2022 rest homes are audited against Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.

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 Ngā Paerewa Health and Disability Services Standard.

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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