Profile & contact details
|Premises name||Waiapu House|
|Address||10 Danvers Street Havelock North 4130|
|Service types||Rest home care, Geriatric, Medical|
|Certification/licence name||Heritage Lifecare Limited - Waiapu House|
|Current auditor||The DAA Group Limited|
|End date of current certificate/licence||01 April 2021|
|Certification period||36 months|
|Provider name||Heritage Lifecare Limited|
|Street address||Level 2 111 Johnsonville Road Johnsonville Wellington 6037|
|Post address||PO Box 13223 Johnsonville Wellington 6440|
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: 19 September 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|All records are legible and the name and designation of the service provider is identifiable.||Nine of nine residents’ files sampled did not consistently record the staff member’s name in the progress notes.||Provide evidence that all records record the name of the staff member making any entry.||PA Low||Reporting Complete||20/07/2018|
|New service providers receive an orientation/induction programme that covers the essential components of the service provided.||Records are not available to demonstrate all staff have completed orientation requirements relevant to their roles.||Ensure all staff complete the organisation’s orientation requirements as relevant to their role and records are retained.||PA Moderate||Reporting Complete||06/08/2020|
|Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.||While quality and risk issues are discussed at caregiver monthly meetings, only one meeting (February 2019) has been formally documented in minutes in order to share the information discussed with staff that were not present. Many internal audits have not been completed as scheduled in 2019.||Consistently record the discussions occurring at caregiver meetings so any staff not present can be kept informed. Undertake internal audits as scheduled and act upon the results.||PA Low||Reporting Complete||06/08/2020|
|A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.||While there are some examples of appropriate corrective action planning, this is not consistent. Some corrective action plans have been developed months after internal audits. Time frames for corrective actions are not consistently identified and/or evidence the follow-up and completion.||Ensure corrective action plans are consistently developed in a timely manner when improvements are identified, are implemented and monitored for effectiveness.||PA Moderate||Reporting Complete||06/08/2020|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||Twenty-two staff are overdue by more than one month their annual performance appraisal. There are insufficient registered nurses with current interRAI competency. While some staff training is occurring, the training has not been provided as frequently as planned and three family members expressed they were not confident that all staff had been adequately trained for some components of care provided to their relatives.||Undertake annual performance appraisals with staff. Provide regular planned ongoing education for staff to ensure new staff are sufficiently trained for their roles and responsibilities. Increase the number of registered nurses with interRAI competency.||PA Moderate||Reporting Complete||06/10/2020|
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.
Audit reportsAudit date: 19 September 2019
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Provisional Audit