Methven House
Profile & contact details
| Premises name | Methven House |
|---|---|
| Address | 28 Morgan Street Methven 7730 |
| Total beds | 14 |
| Service types | Rest home care |
| Certification/licence name | Methven Aged Person's Welfare Association Incorporated - Methven House |
|---|---|
| Current auditor | The DAA Group Limited |
| End date of current certificate/licence | 05 October 2023 |
| Certification period | 36 months |
| Provider name | Methven Aged Person's Welfare Association Incorporated |
|---|---|
| Street address | 24 Morgan Street Methven 7730 |
| Post address | PO Box 59 Methven 7745 |
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: 23 September 2021
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken. | There is not currently an up-to-date complaint register that includes all complaints, dates and actions taken. | A complaints register that includes all complaints, dates, and actions taken is instituted and maintained. | PA Low | Reporting Complete | 15/10/2020 |
| 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. | Formal evaluations of care plans were not evident in the files reviewed. The interventions are not always being updated to reflect the current needs of the resident. | Assessments and service delivery plans are reviewed and evaluated six monthly in line with interRAI reassessments, or sooner if the condition of a resident changes, and this is documented in the residents’ care plans. | PA Low | Reporting Complete | 15/10/2020 |
| A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented. | Outcomes of interventions for corrective actions are not always being documented and there is a lack of evaluation of the effectiveness of the interventions. | The outcomes of interventions related to corrective actions are documented and the effectiveness of these are evaluated. | PA Low | Reporting Complete | 15/10/2020 |
| The organisation is managed by a suitably qualified and/or experienced person with authority, accountability, and responsibility for the provision of services. | There was a lack of evidence that the manager has suitable management qualifications, has experience managing a rest home, and nor have they attended professional development related to managing a rest home. | Ensure the rest home manager has attended suitable training and is undertaking the relevant ongoing professional development as required in clause (D17.3d.i.) of the ARC Agreement. | PA Low | Reporting Complete | 15/10/2020 |
| 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 current risk management system is incomplete and requires further development to ensure all organisational risks are identified, managed and reviewed. | Develop an effective risk management system which ensures all organisational risks are identified, managed and reviewed. | PA Moderate | Reporting Complete | 05/05/2022 |
| A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented. | Corrective action planning remains informal and the processes to recognise the need for and implement corrective actions is not reliably occurring. | Implement clear, consistent processes for corrective action planning and evaluate its effectiveness. | PA Low | Reporting Complete | 05/05/2022 |
| Key components of service delivery shall be explicitly linked to the quality management system. | KPI data is reported within the committee structure – this includes incidents, accidents and complaints, infection control and health and safety. Further development, including inclusion of all required indicators and improved accuracy of data will improve the usefulness of the indicators. | Develop and implement a system which enables consistent, accurate collection, analysis and reporting relevant key performance indicators | PA Low | Reporting Complete | 05/05/2022 |
| 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. | Effective evaluation is not yet consistently implemented for all aspects of care. | Implement and document regular evaluation of all aspects of resident’s care plans. | PA Low | Reporting Complete | 05/05/2022 |
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.
Audit reports
Audit date: 23 September 2021Audit type:Surveillance Audit
Audit date: 03 March 2020Audit type:Certification Audit
Audit date: 25 September 2018Audit type:Surveillance Audit
Audit date: 08 March 2017Audit type:Certification Audit
Audit date: 01 October 2015Audit type:Surveillance Audit