Edmonton Meadows Rest Home
Profile & contact details
|Premises name||Edmonton Meadows Rest Home|
|Address||Edmonton Meadows Rest Home 46 Edmonton Road Henderson Auckland 0612|
|Service types||Geriatric, Dementia care, Rest home care, Medical|
|Certification/licence name||Henderson Healthcare Limited - Edmonton Meadows Rest Home|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||16 May 2018|
|Certification period||12 months|
|Provider name||Henderson Healthcare Limited|
|Street address||46 Edmonton Road Henderson Auckland 0612|
|Post address||46 Edmonton Road Henderson Auckland 0612|
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: 02 October 2017
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|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.||Five of six eye drops checked had not been dated when opened.||Ensure all eye drops are dated when opened.||PA Low||Reporting Complete||24/07/2017|
|All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.||Hats are not worn in the kitchen for food preparation.||Ensure hats are always worn in the kitchen for food preparation.||PA Low||Reporting Complete||24/07/2017|
|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.||InterRAI assessments have not been completed within the required timeframes. Eleven files reviewed identified no interRAI assessments completed.||Ensure interRAI assessments are completed within the first three weeks of admission, reviewed at least every six months and/or updated following a significant change in a health condition.||PA Moderate||Reporting Complete||24/07/2017|
|The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.||While assessments are completed, the service is not meeting ARC D15A and ARC E4.2b||Ensure the ARC contract is being met in regards to completing interRAI assessments.||PA Low||Reporting Complete||24/07/2017|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Interventions were not documented or documented in sufficient detail for three residents following episodes of absconding and aggression.||Ensure interventions are documented to include de-escalation techniques to manage episodes of absconding and aggression.||PA Moderate||Reporting Complete||24/07/2017|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||There is no planned group activities programme in the dementia unit to meet the needs of dementia residents.||Commence a planned group activities programme in the dementia unit to meet the needs of dementia residents.||PA Low||Reporting Complete||24/07/2017|
|All buildings, plant, and equipment comply with legislation.||Two showers requiring maintenance; one has split vinyl and one has chipped paint on skirting boards exposing raw timber. The vinyl in the dementia toilet is split and coming away from the wall.||Ensure remedial work in the showers and toilet is completed.||PA Low||Reporting Complete||24/07/2017|
|Service providers follow a documented process for the safe and appropriate storage and disposal of waste, infectious or hazardous substances that complies with current legislation and territorial authority requirements.||The rest home area (which is to become dual-purpose) does not have an area/system to safely dispose of human waste, as required for hospital level residents.||Develop and implement a system to safely manage waste from hospital level residents.||PA Low||In Progress|
|The appointment of appropriate service providers to safely meet the needs of consumers.||The service has not yet employed all additional staff required to provide hospital level care including providing RN cover across 24/7.||Ensure all staff required to safely meet the needs of hospital level residents are employed.||PA Low||In Progress|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Four of six resident files sampled (all rest home) did not have interventions documented in the care plan to address all identified needs. Resident A: Interventions related to a hearing impairment did not reflect the needs identified in the interRAI assessment and the need for a fluid balance chart was not in the care plan; Resident B: Challenging behaviour including aggression and resisting cares were not documented in the care plan; Resident C: The care plan did not include the requirement … (this text has been trimmed due to space limits).||Ensure all care plans contain documented interventions to address all identified needs.||PA Moderate||In Progress|
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.
Audit reportsAudit date: 02 October 2017
Audit type:Partial Provisional Audit
- Edmonton Meadows Rest Home - Oct 2017 (docx, 37.06 KB)
- Edmonton Meadows Rest Home - Oct 2017 (pdf, 123.51 KB)
Audit type:Provisional Audit