McKenzie HealthCare

Profile & contact details

Premises details
Premises nameMcKenzie HealthCare
Address 2 McKenzie Street Geraldine 7930
Total beds49
Service typesDementia care, Rest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameMcKenzie Healthcare Limited - McKenzie HealthCare
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence26 March 2021
Certification period36 months
Provider details
Provider nameMcKenzie Healthcare Limited
Street address 2 McKenzie Street Geraldine 7930
Post address

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 July 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.The six wounds (non- pressure injuries) did not have a short-term care plan in place and/or were not linked to the long-term care plans. Ensure that wounds have a short-term care plan in place or are reflected into the long-term care plan. PA LowReporting Complete07/05/2018
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.Three of three files reviewed who had completed six monthly care plan reviews did not record progress towards meeting goals. Ensure care plan reviews include progress towards meeting documented goals. PA LowIn Progress
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.i) One of four residents (hospital level care) did not have an interRAI assessment completed within 21 days of admission. ii) Two of three residents who required follow-up six monthly interRAI assessments (one hospital and one dementia) did not have these completed within required timeframes. Ensure all interRAI assessments occur within required timeframes. 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.(i) The times of controlled drug administration was not recorded on four occasions. (ii) The signatures of two staff in the controlled drug register were not recorded on two occasions (i)-(ii) Ensure the controlled drug register is fully completed to evidence two signatures and the time of administration PA ModerateReporting Complete10/10/2019
The appointment of appropriate service providers to safely meet the needs of consumers.Four of six new staff files reviewed had not had a three-month review on employment. Ensure that three-month reviews occur as per policy. PA LowReporting Complete11/11/2019
New service providers receive an orientation/induction programme that covers the essential components of the service provided.Four of seven staff files reviewed do not evidence that orientation packs have been completed, including the cook, the registered nurse, a healthcare assistant and the manager. Ensure that all employment documentation is completed and documented. PA ModerateReporting Complete11/11/2019
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.Corrective actions identified through meeting minutes and internal audits (medication, cultural spiritual, activities programme and staff training) have not been fully implemented or documented as completed and signed off. Ensure that all corrective actions are documented as implemented and signed off when completed. PA LowReporting Complete11/11/2019
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.In-service education has not been provided for all staff including, code of consumer rights, restraint, cultural safety, chemical safety, falls prevention, restraint, challenging behaviour, abuse and neglect and infection control. Two of three long-serving staff did not have a current annual appraisal Ensure all that all educational requirements are provided in-line with the annual plan. PA ModerateReporting Complete11/11/2019
The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.Incident forms did not always identify opportunities to minimise future events. Ensure all incident forms identify opportunities to minimise future events PA LowReporting Complete11/11/2019
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.One of four current wounds was not documented as dressed at least daily as scheduled in the management plan. Ensure that wounds are documented as re-dressed as identified in the wound management plan. PA ModerateReporting Complete11/11/2019
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.(i)Staff meeting minutes do not include discussion with staff around quality related activities and issues; and (ii) a resident survey has not been conducted in the past two years. (i)-(ii) Ensure that meeting minutes include discussion of quality outcomes at staff meetings and conducting an annual resident survey. PA LowReporting Complete11/11/2019

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: 10 July 2019

Audit type:Surveillance Audit

Audit date: 24 January 2017

Audit type:Certification Audit

Audit date: 08 August 2016

Audit type:Surveillance Audit

Audit date: 26 January 2015

Audit type:Certification Audit

Audit date: 06 December 2013

Audit type:Surveillance Audit

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