Chadderton Rest Home

Profile & contact details

Premises details
Premises nameChadderton Rest Home
Address 28 Alpers Avenue Epsom Auckland 1023
Total beds23
Service typesRest home care
Certification/licence details
Certification/licence nameKapsan Enterprises Limited - Chadderton Rest Home
Current auditorHealthShare Limited
End date of current certificate/licence10 January 2019
Certification period36 months
Provider details
Provider nameKapsan Enterprises Limited
Street address 28 Alpers Avenue Epsom Auckland 1023
Post addressPO Box 27631 Mount Roskill Auckland 1440

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: 12 June 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Alternative energy and utility sources are available in the event of the main supplies failing.There is insufficient water on site for three litres of water per day for three days per resident. Ensure that there is sufficient water on site in the event of an emergency. PA LowReporting Complete23/05/2016
The appointment of appropriate service providers to safely meet the needs of consumers. Criminal vetting is not completed. Complete criminal vetting prior to appointing staff. PA LowReporting Complete26/10/2016
Where progress is different from expected, the service responds by initiating changes to the service delivery plan.Resident’s records are not always updated on a regular basis and as changes occur. Ensure that resident records are updated on a regular basis and as changes occur. PA ModerateIn Progress
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.Not all timeframes for service delivery have been met. Ensure timeframes for service provision are met. PA ModerateIn Progress
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.There is particle board that is not able to be cleaned effectively. There is a strong odour in some areas of the facility. i) Repair any particle board that is not able to be cleaned effectively. ii) Continue to address issues related to the strong odour. PA LowIn Progress
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.Not all short-term needs are signed off as resolved. Ensure that there is evidence of resolution of issues for short term needs. 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: 12 June 2017

Audit type:Surveillance Audit

Audit date: 09 November 2015

Audit type:Certification Audit

Audit date: 17 February 2015

Audit type:Surveillance Audit

Audit date: 14 November 2013

Audit type:Certification Audit

Audit date: 16 August 2012

Audit type:Surveillance Audit

Audit date: 25 November 2010

Audit type:Certification Audit

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