Woburn Masonic Care

Profile & contact details

Premises details
Premises nameWoburn Masonic Care
Address 63 Wai-iti Crescent Woburn Lower Hutt 5010
Total beds58
Service typesGeriatric, Medical, Rest home care
Certification/licence details
Certification/licence nameMasonic Care Limited - Woburn
Current auditorThe DAA Group Limited
End date of current certificate/licence07 December 2018
Certification period48 months
Provider details
Provider nameMasonic Care Limited
Street address 63 Wai-Iti Crescent Woburn Lower Hutt 5010
Post address

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: 14 February 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The appointment of appropriate service providers to safely meet the needs of consumers.Four of the seven staff files reviewed do not have a current performance appraisal. Provide evidence that all staff have a current performance appraisal. PA LowIn Progress
New service providers receive an orientation/induction programme that covers the essential components of the service provided.Three of the seven staff files reviewed did not have evidence that an orientation had been completed. Provide documented evidence that all staff have a completed orientation on file. PA LowIn Progress
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.In-service education for staff has been inconsistent over the last two years and required subjects have not been provided to staff on a regular basis. Provide documented evidence of an in-service programme that includes all required topics, and in-service education sessions are provided for staff on a regular basis. PA ModerateIn Progress
Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is undertaken by suitably qualified and/or experienced service providers who are competent to perform the function.Residents are not always reviewed either monthly or three monthly as per the required timeframes. Evidence is provided to verify the GP reviews residents within the required timeframes. PA LowIn Progress
All buildings, plant, and equipment comply with legislation.Recordings of hot water temperatures at several resident outlets evidenced temperatures are consistently exceeding the required temperature. Provide documented evidence that hot water temperatures at all resident outlets are consistently within the required temperature range. PA ModerateIn Progress
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.Reporting of quality data at the RN meetings is not documented. Staff meetings have not been held since January 2015 and care staff reported they do not receive information or discuss collated data. Provide documented evidence that: (i) the RN meeting minutes include reporting of quality data; (ii) Staff meetings are held on a regular basis including reporting of quality data to staff and this is documented in the minutes. PA LowIn 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.Medicines management does not verify evidence of medicine reconciliation and three monthly medication reviews. There is evidence that GPs review residents’ medications three monthly. There is a process for reconciliation of residents’ medication implemented. PA LowIn Progress

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: 14 February 2017

Audit type:Surveillance Audit

Audit date: 30 September 2014

Audit type:Certification Audit

Audit date: 13 March 2013

Audit type:Surveillance Audit

Audit date: 03 October 2011

Audit type:Certification Audit

Audit date: 13 January 2011

Audit type:Surveillance Audit

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