Wharekaka Rest Home

Profile & contact details

Premises details
Premises nameWharekaka Rest Home
Address 20 Oxford Street Martinborough 5711
Total beds21
Service typesGeriatric, Medical, Rest home care
Certification/licence details
Certification/licence nameWharekaka Trust Board Incorporated - Wharekaka Rest Home
Current auditorThe DAA Group Limited
End date of current certificate/licence30 June 2022
Certification period36 months
Provider details
Provider nameWharekaka Trust Board Incorporated
Street address 20 Oxford Street Martinborough 5741
Post addressPO Box 127 Martinborough 5741

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: 17 April 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.There is no up to date complaints register that includes all concerns/complaints dates and actions taken. Ensure all resident and family concerns are entered into the complaints register and therefore linked into the quality and risk management system. PA LowReporting Complete09/08/2019
Services conduct comprehensive reviews regularly, of all restraint practice in order to determine: (a) The extent of restraint use and any trends; (b) The organisation's progress in reducing restraint; (c) Adverse outcomes; (d) Service provider compliance with policies and procedures; (e) Whether the approved restraint is necessary, safe, of an appropriate duration, and appropriate in light of consumer and service provider feedback, and current accepted practice; (f) If individual plans of care/… (this text has been trimmed due to space limits).Comprehensive review of all restraint practice was not occurring at the time of audit. Instigate comprehensive review of the restraint use at Wharekaka Rest Home to comply with policy and this standard. PA LowReporting Complete09/08/2019
Key components of service delivery shall be explicitly linked to the quality management system.Health and safety actual and potential risks are inconsistently identified, documented and managed and there is no current up to date hazard register. Document a relevant hazard register in conjunction with staff and residents that reflects the current hazards, provides relevant safety information to staff and residents, is reviewed regularly and is based on current best practice. PA LowReporting Complete09/08/2019
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.Corrective actions are not consistently documented in response to identified areas of non-compliance. Create corrective action plans in response to all areas requiring improvement to provide a link to the quality and risk system. PA LowReporting Complete25/11/2019
Service providers responsible for medicine management are competent to perform the function for each stage they manage.There is evidence of a process for staff responsible for medication management to follow to complete and maintain annual medication competency. There was no evidence able to be sighted that indicates that this has been completed by staff for the last 12 months. Staff responsible for medication management complete a formal competency assessment and this is documented. PA LowReporting Complete25/11/2019

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.

Audit reports

Audit date: 17 April 2019

Audit type:Certification Audit

Audit date: 17 October 2017

Audit type:Surveillance Audit

Audit date: 14 July 2016

Audit type:Partial Provisional Audit

Audit date: 12 April 2016

Audit type:Certification Audit

Audit date: 24 November 2014

Audit type:Surveillance Audit

Audit date: 17 April 2013

Audit type:Certification Audit

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