Profile & contact details
|Address||14 Stanley Street Claudelands Hamilton 3214|
|Service types||Dementia care|
|Certification/licence name||YHKT LIMITED - Roselea|
|Current auditor||The DAA Group Limited|
|End date of current certificate/licence||20 August 2024|
|Certification period||36 months|
|Provider name||YHKT LIMITED|
|Street address||5 Strathmore Drive Rototuna Hamilton 3210|
|Post address||5 Strathmore Drive Rototuna Hamilton 3210|
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 May 2021
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|A process to measure achievement against the quality and risk management plan is implemented.||Not all internal audit forms are being fully completed and the audit schedule is not being adhered to.||Internal audit forms are fully completed and show the level of achievement so that the necessity for corrective action can be addressed. Ensure that restraint audits are completed as scheduled.||PA Low||Reporting Complete||13/07/2021|
|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.||Of the PRN medications held in stock, 10 rolls did not display an expiry date on each individual sachet or identified as being packed over 30 days ago and 5 rolls were expired.||Ensure the all PRN medication have visible expiry dates on them, and that expired medication is removed from circulation and returned to the pharmacy for disposal.||PA Moderate||Reporting Complete||13/07/2021|
|The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.||Hot water temperatures and corrections to deviations from acceptable limits have not been documented and there is no evidence that deviations have been addressed.||Hot water temperature testing are documented and deviations from acceptable limits addressed and documented.||PA Low||Reporting Complete||13/07/2021|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
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.