Profile & contact details
|Premises name||Wairarapa Village|
|Address||140 Chapel Street Masterton 5810|
|Service types||Rest home care, Geriatric, Medical, Physical|
|Certification/licence name||Wairarapa Limited Partnership - Wairarapa Village|
|Current auditor||Central Region's Technical Advisory Services Limited|
|End date of current certificate/licence||30 November 2022|
|Certification period||12 months|
|Provider name||Wairarapa Limited Partnership|
|Street address||Suite 3, Level 2 8A Cleveland Road Parnell Auckland 1052|
|Post address||PO Box 137103 Parnell Auckland 1151|
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: 27 October 2021
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.||The new fire evacuation plan is yet to be approved by FENZ.||Ensure that approval of the new fire evacuation plan is obtained.||PA Low||In Progress|
|Each episode of restraint is documented in sufficient detail to provide an accurate account of the indication for use, intervention, duration, its outcome, and shall include but is not limited to: (a) Details of the reasons for initiating the restraint, including the desired outcome; (b) Details of alternative interventions (including de-escalation techniques where applicable) that were attempted or considered prior to the use of restraint; (c) Details of any advocacy/support offered, provided o… (this text has been trimmed due to space limits).||Observation and monitoring of residents while restraint is in use is inconsistent and does not comply with policy and best practice.||Ensure that monitoring of restraint use complies with policy and best practice.||PA Moderate||In Progress|
|The service provider understands their statutory and/or regulatory obligations in relation to essential notification reporting and the correct authority is notified where required.||The facility has currently two un-stagable pressure injuries which have not been notified as required under section 31 of the Act.||Ensure all statutory and/or regulatory notifications are carried out.||PA Low||In Progress|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Short-term care plans are not consistently developed to guide the care of residents with an infection.||Ensure that short-term care plans are developed for the care of all residents with infections.||PA Low||In Progress|
|The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.||The hospital dining room hot beverage tap is at boiling point and does not have a guard to protect inadvertent scalding.||Ensure that the hot drink water appliance has a guard to prevent injury due to the high water temperature.||PA Low||In Progress|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||i). Wound care is not managed as per Wairarapa Village policy. ii). Routine monitoring of observations and weight is inconsistent. iii) The Wairarapa Village falls policy does not meet best practice recommendations. Neurological observations are not consistently recorded as per existing Wairarapa Village falls policy||i). Ensure that wound care is maintained as per Wairarapa Village wound care policy. ii). Ensure that routine monitoring of observations and weight are carried out consistently. iii). Ensure that the falls management policy aligns with best practice recommendations and that neurological observations are carried out in accordance with the revised policy.||PA Moderate||In Progress|
|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.||i) Allergies and sensitivities are not consistently documented on the electronic medication system. ii) Effectiveness of PRN medications administered is not consistently documented. iii) The required six-monthly stocktake of medication had not been carried out.||i) Ensure that allergies and sensitivities are documented on the electronic system. ii) Ensure that the documentation of the effectiveness of all PRN medication administered is documented on the electronic medication management system. iii) Ensure that the required six-monthly stocktake of medication is completed.||PA Moderate||In Progress|
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.
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.