Trinity Home & Hospital

Profile & contact details

Premises details
Premises nameTrinity Home & Hospital
Address 61 Puriri Street Hawera 4610
Total beds78
Service typesMedical, Dementia care, Rest home care, Geriatric
Certification/licence details
Certification/licence nameTrinity Home and Hospital Limited - Trinity Home & Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence23 November 2022
Certification period36 months
Provider details
Provider nameTrinity Home and Hospital Limited
Street address 47 Puriri Street 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: 13 April 2021

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Professional qualifications are validated, including evidence of registration and scope of practice for service providers.Staff allocated to drive residents in the facility van do not have a current first aid certificate. Ensure all staff who drive residents in the facility van have a current first aid certificate. PA LowReporting Complete21/10/2019
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.Quality improvement data is collected and analysed, however the data is not evaluated to indicate improvements made are effective. When quality improvements are made in response to incidents, actions plans are evaluated to indicate improvements are effective. PA LowReporting Complete23/10/2019
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.Medication management does not meet legislative requirements or current best practice: • Medication held in stock had passed the best before date. • Prescribed medication for oral administration was crushed prior to administration without the GP’s authority on prescription chart. • Documentation in the Controlled drug register was incorrect. • No indications for use and/or maximum dose on prescribed PRN medications. • Temperature of the medication rooms currently not monitored for temperature c… (this text has been trimmed due to space limits).Ensure all medication management meets legislative requirements. PA ModerateReporting Complete23/10/2019
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.Assessment, treatment and evaluation of wounds does not comply with policy and best practice Ensure that all wound care complies with Trinity Home and Hospital wound care policy and best practice. PA ModerateReporting Complete17/09/2021
The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.Accident/incident records for residents who had unwitnessed falls, did not consistently evidence neurological observations had occurred over the 24 hours as per policy. Ensure accident/incident records for residents who experienced unwitnessed falls consistently record neurological observations as per policy. PA LowReporting Complete17/09/2021
Key components of service delivery shall be explicitly linked to the quality management system.Meeting minutes define the action to be taken, however this does not include who is to complete or the timeframe when this is to occur. Ensure meeting minutes actions define, who will complete and the time frame for completion. PA LowReporting Complete17/09/2021

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.

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