Annie Brydon Lifecare
Profile & contact details
| Premises name | Annie Brydon Lifecare |
|---|---|
| Address | 71 Glover Road Hawera 4610 |
| Total beds | 71 |
| Service types | Rest home care, Geriatric, Medical |
| Certification/licence name | Heritage Lifecare Limited - Annie Brydon Lifecare |
|---|---|
| Current auditor | The DAA Group Limited |
| End date of current certificate/licence | 13 December 2025 |
| Certification period | 36 months |
| Provider name | Heritage Lifecare Limited |
|---|---|
| Street address | 16 Johnsonville Road Johnsonville Wellington 6037 |
| Post address | PO Box 13223 Johnsonville Wellington 6440 |
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: 04 October 2022
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Governance bodies shall ensure service providers’ structure, purpose, values, scope, direction, performance, and goals are clearly identified, monitored, reviewed, and evaluated at defined intervals. | Antimicrobial stewardship and restraint elimination are not incorporated into the strategic planning process. | Provide evidence that antimicrobial stewardship and restraint elimination have been incorporated into the strategic planning process. | PA Low | Reporting Complete | 02/05/2023 |
| Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | Having an EN on night duty with no RN support and no dispensation from Te Whatu Ora Taranaki is in contravention of section D17.4(i) of the provider’s agreement with Te Whatu Ora Taranaki given the presence of hospital level residents in the facility. | Reorganise staffing to make sure that there is a registered nurse on duty 24/7 or, if this is not possible, seek a dispensation from Te Whatu Ora Taranaki to allow the presence of an EN on duty during the night making sure the EN is supported by an RN. | PA Low | Reporting Complete | 02/05/2023 |
| Service providers shall ensure health care and support workers are able to provide a level of first aid and emergency treatment appropriate for the degree of risk associated with the provision of the service. | There are no staff on night duty with first aid certification on the roster. | Provide evidence that at least one rostered member of staff on night duty has current first aid certification | PA Moderate | Reporting Complete | 02/05/2023 |
| Each episode of restraint shall be evaluated, and service providers shall consider: (a) Time intervals between the debrief process and evaluation processes shall be determined by the nature and risk of the restraint being used; (b) The type of restraint used; (c) Whether the person’s care or support plan, and advance directives or preferences, where in place, were followed; (d) The impact the restraint had on the person. This shall inform changes to the person’s care or support plan, resulting f… (this text has been trimmed due to space limits). | There is no process in place to ensure restraint evaluation is documented six-monthly or as necessary if the resident’s status changes. | Provide evidence that a process has been put into place to evaluate and document restraint six-monthly and as necessary if the resident’s status changes. | PA Moderate | Reporting Complete | 02/05/2023 |
| Service providers shall conduct comprehensive reviews at least six-monthly of all restraint practices used by the service, including: (a) That a human rights-based approach underpins the review process; (b) The extent of restraint, the types of restraint being used, and any trends; (c) Mitigating and managing the risk to people and health care and support workers; (d) Progress towards eliminating restraint and development of alternatives to using restraint; (e) Adverse outcomes; (f) Compliance w… (this text has been trimmed due to space limits). | There is no documentation in relation to restraint approval group meetings or that a six-monthly review of restraint use at Annie Brydon has been reported to governance level. | Provide evidence that there is a process in place to ensure that restraint approval group meetings are in place and minuted, and that a six-monthly review of restraint is conducted and reported to governance level. | PA Low | Reporting Complete | 06/06/2023 |
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: 04 October 2022Audit type:Certification Audit
Audit date: 03 February 2021Audit type:Surveillance Audit
Audit date: 11 October 2018Audit type:Certification Audit
Audit date: 06 May 2014Audit type:Partial Provisional Audit
Audit date: 09 October 2017Audit type:Provisional Audit