Waireka
Profile & contact details
| Premises name | Waireka |
|---|---|
| Address | 11 Halls Road Pahiatua 4910 |
| Total beds | 61 |
| Service types | Rest home care, Geriatric, Medical |
| Certification/licence name | Waireka Lifecare Limited - Waireka |
|---|---|
| Current auditor | The DAA Group Limited |
| End date of current certificate/licence | 01 July 2024 |
| Certification period | 12 months |
| Provider name | Waireka Lifecare Limited |
|---|---|
| Street address | Level 5 25 Broadway Newmarket Auckland 1023 |
| Post address | PO Box 56114 Dominion Road Auckland 1446 |
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: 24 August 2022
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this. | Initial interRAI assessments and long-term care plans were not developed within three weeks of admission in three out of six files of residents who required these to be completed. Routine six-monthly interRAI reassessment and long-term care plan evaluations were not completed in two files. The interRAI summary assessment report evidenced that 21 routine six-monthly interRAI reassessments were overdue. | Ensure interRAI assessment, long-term care plans and routine six-monthly evaluations are completed in a timely manner as per contractual requirements. | PA Moderate | Reporting Complete | 27/02/2023 |
| Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided. | There is an orientation processes which includes role appropriate workbooks which are to be completed and put into staff personnel files. There have been 15 new staff employed since January and not all of these have completed their workbooks within the required three-month timeframe. | All new staff complete a role specific orientation within three months of commencing and the evidence of this s held in personnel files. | PA Low | Reporting Complete | 27/02/2023 |
| Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | There is a Bupa annual training calendar. However, the records of training including competencies showed that not all staff have completed these requirements. This was also confirmed in staff files reviewed. | All staff complete mandatory training and competencies. | PA Moderate | Reporting Complete | 27/03/2023 |
| Service providers shall develop and implement policies and procedures in accordance with good employment practice and meet the requirements of legislation. | Not all volunteers’ files contained a signed agreement which included confidentiality. | Volunteers have a signed agreement which includes how they will maintain confidentiality. | PA Low | Reporting Complete | 14/04/2023 |
| Service providers shall ensure that the environment is clean and there are safe and effective cleaning processes appropriate to the size and scope of the health and disability service that shall include: (a) Methods, frequency, and materials used for cleaning processes; (b) Cleaning processes that are monitored for effectiveness and audit, and feedback on performance is provided to the cleaning team; (c) Access to designated areas for the safe and hygienic storage of cleaning equipment and chemi… (this text has been trimmed due to space limits). | There were areas identified such as cupboards, residents’ rooms, and lounge areas where corners, under beds and furnishings cleaning has not been up to the appropriate standard. | Cleaning is completed appropriately to ensure a safe and hygienic environment for residents. | PA Low | Reporting Complete | 14/04/2023 |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Not all staff have completed an appraisal three months following appointment, or an annual appraisal. | All staff undertake a three-month post appointment and an annual appraisal as per organisational policy. | PA Low | Reporting Complete | 14/04/2023 |
| Service providers shall ensure the quality and risk management system has executive commitment and demonstrates participation by the workforce and people using the service. | Approximately a third of audits in the internal audit schedule had not occurred. Where a result is below 95%, corrective actions are to occur, and this was sighted as occurring in the register and in residents' files. There was no evidence of resident or whanau satisfactions surveys occurring this year. The quality meeting has not occurred since January to allow for an ongoing review of the quality systems, trending and analysis. The ‘closing-off’ of clinical incidents in the electronic sy… (this text has been trimmed due to space limits). | Internal audits are undertaken as per the annual schedule. Clinical incidents are ‘closed off’ in the electronic system. Resident and whanau satisfaction surveys occur. Regular quality meetings occur to allow for analysis of the audit processes and trending of the data. | PA Low | Reporting Complete | 14/04/2023 |
| I shall be informed about and have easy access to a fair and responsive complaints process that is sensitive to, and respects, my values and beliefs. | Although there are few complaints, two out of three received in the past year showed that the process was incomplete. | All complaints are documented in such a way that allows for the time frames to be readily identifiable and met, and all complaints responded to within the time frames specified in the Code. | PA Low | Reporting Complete | 17/04/2023 |
| The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. | A programme of refurbishment is underway and is being held up due to supply issues. However, there are areas requiring attention, for example, ceilings are in need of painting, chipped wooden doors and surfaces in need of maintenance and painting, and wallpaper is peeling off. Hot water issues have seen failure of the heating systems and portable heaters have been bought to ensure temperatures of the areas. This is an ongoing issue. The temperature of the different areas is not easily contr… (this text has been trimmed due to space limits). | Environmental audit of the facility is undertaken, and areas of maintenance listed with a programme to ensure these areas are repaired. The gas hot water system is explored to ensure a continuous supply of heating to all areas of the facility. All areas of repair and maintenance are recorded in the maintenance log to alert the maintenance manager to the areas, for example, call bells in two shower rooms. Biomedical waste is stored securely. | PA Low | Reporting Complete | 03/05/2023 |
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: 24 August 2022Audit type:Provisional Audit