Te Mahana Resthome
Profile & contact details
| Premises name | Te Mahana Resthome |
|---|---|
| Address | 41 Chester Street Patea 4520 |
| Total beds | 22 |
| Service types | Rest home care |
| Certification/licence name | Annie Brydon Complex Limited - Te Mahana Resthome |
|---|---|
| Current auditor | The DAA Group Limited |
| End date of current certificate/licence | 21 September 2024 |
| Certification period | 36 months |
| Provider name | Annie Brydon Complex Limited |
|---|---|
| Street address | 71 Glover Road Hawera 4610 |
| 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: 14 February 2023
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer. | Two out of five residents did not have the applicable self-assessment completed to identify interests, hobbies and abilities to help inform the activities programme. | Ensure assessments are completed for all residents detailing their interests, hobbies, and abilities and this is used to help inform the development of the activities programme. | PA Low | Reporting Complete | 26/11/2021 |
| Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers. | Quality data is not being comprehensively analysed to identify any trends, and results including graphs are not being reported to staff and the directors. | Provide evidence that quality data is comprehensively analysed to identify trends and reported back to staff and the directors. | PA Moderate | Reporting Complete | 26/11/2021 |
| The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning. | Bowel charts and daily skin/wound care assessments are not consistently being completed where indicated. | Ensure bowel charts and daily skin / wound assessments are consistently undertaken as clinically indicated. | PA Moderate | Reporting Complete | 26/11/2021 |
| Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process. | Some residents’ care plans are not sufficiently detailed to guide care. For example, a resident requiring insulin does not have any information in the care plan on the frequency blood glucose levels are to be tested, the target blood glucose range, the process for managing blood glucose levels when outside of the accepted range, dietary and fluid needs. The ‘Te Whare Tapa Wha’ care plan for a resident that identifies as Māori could not be located in the resident’s records. Short term care plans … (this text has been trimmed due to space limits). | Ensure the residents’ long term care plans are sufficiently detailed to guide the individual resident’s care, including where applicable, cultural needs. Ensure short term care plans are developed when new care needs are identified. | PA Moderate | Reporting Complete | 26/11/2021 |
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: 14 February 2023Audit type:Surveillance Audit
Audit date: 14 July 2021Audit type:Certification Audit
Audit date: 08 October 2019Audit type:Surveillance Audit
Audit date: 11 July 2017Audit type:Certification Audit