The Kawerau Social Services Trust Board Current Status: 28 January 2014 The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Surveillance Audit conducted against the Health and Disability Services Standards (NZS8134.1:2008; NZS8134.2:2008 and NZS8134.3:2008) on the audit date(s) specified. General overview Mountain View Rest Home continues to provide rest home and hospital care to a maximum of 50 older people. On the day of audit there are a total of 43 residents, 16 in the rest home and 27 in the hospital. There have been no changes to the service scope or size of the facility or significant changes to staff. Building improvements have occurred since the previous certification audit in 2012. This unannounced audit revealed three areas requiring improvement. One relates to the analysis of clinical quality indicators and the other two are ongoing improvements required to restraint practice. Six of the eight areas identified for improvement at the previous audit are now resolved. Audit Summary as at 28 January 2014 Standards have been assessed and summarised below: Key Indicator Description Definition Includes commendable elements All standards applicable to this the required levels of service fully attained with some performance standards exceeded Standards applicable to this service No short falls fully attained Some minor shortfalls but no major deficiencies and required Some standards applicable to this levels of performance seem service partially attained and of low achievable without extensive risk extra activity Some standards applicable to this A number of shortfalls that service partially attained and of require specific action to address medium or high risk and/or unattained and of low risk Major shortfalls, significant Some standards applicable to this action is needed to achieve the service unattained and of moderate required levels of performance or high risk
The Kawerau Social Services Trust Board Current Status: 28 January 2014 The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Surveillance Audit conducted against the Health and Disability Services Standards (NZS8134.1:2008; NZS8134.2:2008 and NZS8134.3:2008) on the audit date(s) specified. General overview Mountain View Rest Home continues to provide rest home and hospital care to a maximum of 50 older people. On the day of audit there are a total of 43 residents, 16 in the rest home and 27 in the hospital. There have been no changes to the service scope or size of the facility or significant changes to staff. Building improvements have occurred since the previous certification audit in 2012. This unannounced audit revealed three areas requiring improvement. One relates to the analysis of clinical quality indicators and the other two are ongoing improvements required to restraint practice. Six of the eight areas identified for improvement at the previous audit are now resolved. Audit Summary as at 28 January 2014 Standards have been assessed and summarised below: Key Indicator Description Definition Includes commendable elements the required levels of performance All standards applicable to this service fully attained with some standards exceeded No short falls Standards applicable to this service fully attained Some minor shortfalls but no major deficiencies and required levels of performance seem achievable without extensive extra activity Some standards applicable to this service partially attained and of low risk A number of shortfalls that require specific action to address Some standards applicable to this service partially attained and of medium or high risk and/or unattained and of low risk Major shortfalls, significant action is needed to achieve the required levels of performance Some standards applicable to this service unattained and of moderate or high risk
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