Whangaroa Health Services

Profile & contact details

Premises details
Premises nameWhangaroa Health Services
Address 180 Omaunu Road RD 2 Kaeo 0479
Total beds24
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameWhangaroa Health Services Trust - Whangaroa Health Services
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence01 June 2020
Certification period36 months
Provider details
Provider nameWhangaroa Health Services Trust
Street address 180 Omaunu Road RD2 Kaeo 0479
Post addressPO Box 64 Kaeo 0448

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: 20 March 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.i)The education plan for 2016 and the education plan 2017 (year to date) have not been fully implemented. ii) Three of six files sampled (cleaner, registered nurse and clinical manager) could not evidence that the required performance reviews had been completed. i) Ensure the annual education plan is fully implemented. ii) Ensure that all staff complete the required performance reviews. PA LowIn Progress
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.i) Corrective action plans are not consistently documented where opportunities for improvements are identified. ii) Not all corrective action plans are evaluated and signed off when completed. i-ii) Ensure that corrective actions plans are documented where opportunities for improvement are noted and the corrective action plans are then implemented, reviewed and signed off once completed. PA LowIn Progress
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.i) Fourteen of forty internal audits scheduled have not been completed as per the audit schedule. ii) Quality improvement data is not consistently trended and analysed to identify opportunities for improvement. i) Ensure that the monitoring schedule is fully implemented. ii) Ensure that all quality improvement data is trended and analysed and the results communicated to staff and residents where appropriate. PA LowIn Progress
Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines.i) Seven out of ten (two rest home and five hospital) medication charts reviewed did not have indications for use charted for ‘as required’ medication. Ensure that all ‘as required’ medication prescribing meets all contractual and legislative requirements. PA LowReporting Complete25/07/2017
The organisation has a clearly defined and documented infection control programme that is reviewed at least annually.The infection control programme has not been reviewed annually. Ensure the infection control programme is reviewed annually. PA LowReporting Complete07/11/2017
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.Reheated evening meals do not have food temperatures checked. Ensure reheated evening meals have food temperatures checked. PA LowReporting Complete07/11/2017
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.i) One respite resident in the rest home sample of two files had no details around care of the indwelling catheter and one resident in the hospital sample of three files had minimal de-escalation detail in the behaviour management plan. ii) Wound care plans were not always signed off as completed. iii) Neurological observations were not completed for two hospital residents following an unwitnessed fall. Neurological observations were commenced but not completed for the required timeframe for on… (this text has been trimmed due to space limits).i) Ensure interventions are documented in sufficient detail to guide the care needed. ii) Ensure wound care plans are signed off as completed. iii) Ensure neurological observations are completed according to policy. PA LowReporting Complete24/01/2018
The service has an easily accessed, responsive, and fair complaints process, which is documented and complies with Right 10 of the Code.Two of three complaints received were not responded to within the timeframes required by the Code. Ensure that complaints management complies with the requirements of the Code and the organisational policy on complaints management. PA LowReporting Complete24/01/2018

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. 

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.

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