Crossley Court Holiday and Retirement Home

Profile & contact details

Premises details
Premises nameCrossley Court Holiday and Retirement Home
Address 398 Hibiscus Coast Highway Orewa 0931
Total beds17
Service typesRest home care
Certification/licence details
Certification/licence nameJ A Crossley Holdings Limited
Current auditorHealth Audit (NZ) Limited
End date of current certificate/licence23 January 2019
Certification period36 months
Provider details
Provider nameJ A Crossley Holdings Limited
Street address 398 Hibiscus Coast Highway Orewa 0931
Post address398 Main Road Orewa 0931

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 June 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The service provider understands their statutory and/or regulatory obligations in relation to essential notification reporting and the correct authority is notified where required.The adverse event policy does not include essential notification reporting. Not all the required essential notifications had been made following an incident. Amend the adverse event policy to include essential notification reporting requirements. Maintain evidence that all essential notifications are made following an incident. PA ModerateReporting Complete21/03/2016
The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.The adverse events policy does not clearly define what constitutes an ‘incident’. The required assessments are not consistently undertaken following an adverse event (fall). Not all incidents had been entered into the adverse events system. Not all corrective actions (following an incident) had been documented. Amend the adverse events policy to include a clear definition of what constitutes an ‘incident’. Ensure that all adverse events are entered into the accidents / incidents register, that the required assessments are conducted and corrective actions documented. PA ModerateReporting Complete21/03/2016
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.The medicines management system does not fully comply with legislation and best practice guidelines. Ensure the medication management system meets legislative requirements and best practice guidelines. PA ModerateReporting Complete21/03/2016
Protective equipment and clothing appropriate to the risks involved when handling waste or hazardous substances is provided and used by service providers.Not all the required personal protective equipment is available to staff. Ensure adequate personal protective equipment is provided. PA LowReporting Complete21/03/2016
The service provider understands their statutory and/or regulatory obligations in relation to essential notification reporting and the correct authority is notified where required.The adverse event policy does not include essential notification reporting. Not all the required essential notifications had been made following an incident. Amend the adverse event policy to include essential notification reporting requirements. Maintain evidence that all essential notifications are made following an incident. PA ModerateReporting Complete21/03/2016
The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.The adverse events policy does not clearly define what constitutes an ‘incident’. The required assessments are not consistently undertaken following an adverse event (fall). Not all incidents had been entered into the adverse events system. Not all corrective actions (following an incident) had been documented. Amend the adverse events policy to include a clear definition of what constitutes an ‘incident’. Ensure that all adverse events are entered into the accidents / incidents register, that the required assessments are conducted and corrective actions documented. PA ModerateReporting Complete21/03/2016
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.The medicines management system does not fully comply with legislation and best practice guidelines. Ensure the medication management system meets legislative requirements and best practice guidelines. PA ModerateReporting Complete21/03/2016
Protective equipment and clothing appropriate to the risks involved when handling waste or hazardous substances is provided and used by service providers.Not all the required personal protective equipment is available to staff. Ensure adequate personal protective equipment is provided. PA LowReporting Complete21/03/2016

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.

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