Profile & contact details
|Premises name||Aversham House|
|Address||88 Cole Street Masterton 5810|
|Service types||Rest home care|
|Certification/licence name||Aversham House Rest Home 2017 Limited - Aversham House|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||01 December 2018|
|Certification period||12 months|
|Provider name||Aversham House Rest Home 2017 Limited|
|Street address||43 Lynwood Road New Lynn Auckland 0600|
|Post address||43 Lynwood Road New Lynn Auckland 0600|
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: 15 September 2017
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||Education not completed within the last two years includes code of rights, complaints/open disclosure, sexuality/intimacy, spirituality/counselling, wound care, skin integrity and pressure area, nutrition/hydration and the aging process.||Ensure staff attend compulsory training as scheduled.||PA Low||Reporting Complete||06/12/2017|
|Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.||(i) A fire evacuation drill was last completed on 26 April 2017; however, it was not completed within the six-month period of the previous fire evacuation drill completed on 12 June 2016. (ii) There was no up-to-date civil defence kit checklist. The civil defence kit reviewed had items that were past the expiry date.||(i) Ensure that fire evacuation drills are completed as per the schedule every six months. (ii) Ensure that there is an up-to-date civil defence kit checklist and that all items are up-to-date.||PA Moderate||Reporting Complete||06/12/2017|
|Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.||(i) There was no documented evidence in meeting minutes around quality data, trends analysis and what actions were required by staff. (ii) The quality/management meetings had not occurred as scheduled. The last staff meeting is scheduled monthly and was last held July 2017.||(i) Ensure that staff meeting minutes include discussion of quality data trends analysis and actions required. (ii) Ensure meetings occur as scheduled.||PA Moderate||Reporting Complete||06/12/2017|
|Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.||(i) For two recent admissions (in 2017), the interRAI assessments had not been completed within 21 days of admission. (ii) There was no long-term care plan in place for one resident following a routine interRAI assessment.||(i) Ensure interRAI assessments are completed within 21 days of admission. (ii) Ensure long-term care plans are place following routine interRAI assessments.||PA Low||Reporting Complete||06/12/2017|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
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.