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 | 10 May 2020 |
| 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: 25 September 2018
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group. | The menu in use has not been reviewed by an appropriate registered professional to confirm the nutritional needs of the residents are being met. | A relevant registered health professional reviews the menu to ensure the food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate for older people. | PA Low | Reporting Complete | 11/06/2019 |
| Service providers responsible for medicine management are competent to perform the function for each stage they manage. | An example of medicine administration not consistent with accepted medication administration competency was observed during the audit. Six of nine staff who require a medicine administration competency have not completed this within the past twelve months. | All service providers responsible for any aspect of medicine management have completed a relevant medicine management competency within the past twelve months. | PA Moderate | Reporting Complete | 11/06/2019 |
| A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers. | Not all staff training topics have been delivered according to the schedule; therefore, not all staff have received training on some key mandatory topics such as emergency management, safe food handling or restraint use, for more than two years. The interRAI competency of the registered nurse has lapsed. | Service providers are required to complete mandatory training requirements to ensure service delivery to residents is safe and effective. Adequate numbers of staff with a current interRAI competency are required. | PA Moderate | Reporting Complete | 11/06/2019 |
| The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed. | The goals and action plans in a 2016-2017 business plan have not been reviewed and therefore do not reflect all current aspects of the operations of the service. | The goals and action plans of the organisation within the business plan require updating to reflect current intentions and operations of the service. | PA Low | Reporting Complete | 11/06/2019 |
| Key components of service delivery shall be explicitly linked to the quality management system. | Components of the quality management system, including internal audits, corrective action follow-up, an infection report and family and resident surveys have not been fully implemented, or reviewed, within expected timeframes. | All aspects of the quality management system, including those related to service delivery, shall be implemented according to the documented timeframes. | PA Low | Reporting Complete | 11/06/2019 |
| Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer. | There are minimal staff hours and limited staff resource dedicated to the activity programme. This is restricting community-based activities and is not enabling individual programmes to be fully implemented, nor individual activities to be provided, as required in clause 16.5 (c) (iii) and 16.5 (d) of the contract. | The residents’ activity programme enables strong links with the community and meaningful individual activities to be pursued. | PA Low | Reporting Complete | 11/06/2019 |
| 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). | A risk management plan is in place; however, neither the plan, nor many of its components have been fully reviewed within the last 18 months. | The risk management plan and all identified risks are monitored, evaluated and reviewed within timeframes commensurate with the level of risk. | PA Moderate | Reporting Complete | 14/06/2019 |
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: 25 September 2018Audit type:Surveillance Audit
Audit date: 08 March 2017Audit type:Certification Audit
Audit date: 01 October 2015Audit type:Surveillance Audit
Audit date: 05 March 2014Audit type:Certification Audit
Audit date: 07 May 2013Audit type:Surveillance Audit