Mt Herbert House

Profile & contact details

Premises details
Premises nameMt Herbert House
Address 50 Mt Herbert Road Waipukurau 4200
Total beds45
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameKaylex Care (Waipukarau) Limited - Mt Herbert House
Current auditorThe DAA Group Limited
End date of current certificate/licence14 March 2022
Certification period36 months
Provider details
Provider nameKaylex Care (Waipukarau) Limited
Street address 4A Roberts Road Matakatia Whangaparaoa 0930
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: 08 September 2020

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Care plans reviewed did not always describe fully the required support the resident required in seven of the ten files reviewed. Provide evidence that residents’ care plans fully describe the care the resident requires to meet the desired outcomes. PA ModerateReporting Complete17/05/2019
The responsibility for restraint process and approval is clearly defined and there are clear lines of accountability for restraint use.The Kaylex Care Group policy does not provide sufficient detail to effectively meet all requirements of these standards, especially for Mt Herbert House which has not used restraints for seven years. In particular, there is no information to guide the restraint approval group on conducting a quality review of restraint use (refer standard 2.2.5) when the time comes for this to occur. Review the policies and procedures for the use of restraint and enablers for Kaylex Care Group against the requirements of these standards and ensure that all requirements are met. PA LowReporting Complete09/01/2020
All buildings, plant, and equipment comply with legislation.Chalet 3 does not have a current building warrant of fitness and hot water temperatures have not been taken and recorded. Provide evidence that chalet 3 has a current building warrant of fitness and hot water temperatures are recorded and meet the required temperature of 45 degrees Celsius or less. PA LowReporting Complete23/11/2020
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.There is no secure area in chalet 3 for the safe storage of medicines and the medication policy has not been updated to include chalet 3. Provide evidence of a secure area for the safe storage of medicines and the medication policy has been updated. PA LowReporting Complete23/11/2020
An appropriate 'call system' is available to summon assistance when required.There is no call bell in the bathroom and the existing call bells do not have cords attached. Provide evidence that a call bell has been installed in the bathroom and cords have been attached to the existing call bells in chalet 3. PA LowReporting Complete23/11/2020
Where required by legislation there is an approved evacuation plan.An approved fire evacuation scheme was not available for chalet 3. Provide evidence that an application has been submitted and approved by the NZ Fire Service for the evacuation scheme for chalet 3. Ensure all care givers rostered to chalet 3 have current first aid certificates. PA LowReporting Complete23/11/2020
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.Internal audits evidenced corrective actions are inconsistent and meeting minutes evidence no corrective actions, responsibility for the action and timeframes. Provide evidence that corrective action plans are developed and implemented for all deficits identified. PA ModerateReporting Complete23/11/2020

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: 08 September 2020

Audit type:Surveillance Audit

Audit date: 09 January 2019

Audit type:Certification Audit

Audit date: 18 October 2017

Audit type:Surveillance Audit

Audit date: 10 February 2016

Audit type:Certification Audit

Audit date: 08 July 2014

Audit type:Surveillance Audit

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