Fairview Care
Profile & contact details
| Premises name | Fairview Care |
|---|---|
| Address | 21 Fairview Avenue Fairview Heights Auckland 0632 |
| Total beds | 47 |
| Service types | Rest home care, Geriatric |
| Certification/licence name | Fairview Care Limited - Fairview Care |
|---|---|
| Current auditor | The DAA Group Limited |
| End date of current certificate/licence | 24 September 2024 |
| Certification period | 36 months |
| Provider name | Fairview Care Limited |
|---|---|
| Street address | 21 Fairview Avenue Fairview Heights Auckland 0632 |
| Post address | PO Box 300212 Albany Auckland 0752 |
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: 07 March 2023
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Service providers shall understand and comply with statutory and regulatory obligations in relation to essential notification reporting. | Section 31 notifications are not completed. | To ensure that section 31 notification are completed as required. | PA Low | Reporting Complete | 03/07/2023 |
| Buildings, plant, and equipment shall be fit for purpose, and comply with legislation relevant to the health and disability service being provided. The environment is inclusive of peoples’ cultures and supports cultural practices. | Test and tag of equipment is overdue and was last completed April 2021 | To provide evidence that there is up to date tag and testing of equipment. | PA Low | Reporting Complete | 03/07/2023 |
| A process shall be implemented to identify, record, and communicate people’s medicinerelated allergies or sensitivities and respond appropriately to adverse events. | Four of twelve medication charts had no allergies and sensitivities documented. | The service is to ensure allergies and sensitivities are recorded in all medication charts. | PA Moderate | Reporting Complete | 03/07/2023 |
| In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov… (this text has been trimmed due to space limits). | There is no evidence of ongoing risk assessment (frequent fall, pressure injury, skin tear) | The service is to ensure there is an ongoing risk assessment of residents who are identified as high risk. | PA Moderate | Reporting Complete | 03/07/2023 |
| Information held about health care and support workers shall be accurate, relevant, secure, and confidential. Ethnicity data shall be collected, recorded, and used in accordance with Health Information Standards Organisation (HISO) requirements. | Staff ethnicity data is not recorded. | To provide evidence of staff ethnicity data collection. | PA Low | Reporting Complete | 03/07/2023 |
| Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | A registered nurse is not rostered on duty at all times. | To ensure that there is a registered nurse rostered on duty at all times. | PA Moderate | Reporting Complete | 03/07/2023 |
| Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits). | I. Care plan evaluation for five of six care plans were not completed. II. The InterRAI outcome measures were not reflected in six of six care plans that were reviewed. | I. The service is to ensure all care plan evaluations are completed in a timely manner. II. The InterRAI outcome measures are to be reflected in the long-term care plan. | PA Moderate | Reporting Complete | 11/09/2023 |
| Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin… (this text has been trimmed due to space limits). | I. There are 18 overdue InterRAI as far back as September 2022. II. Six of six files do not have cultural assessments (around values and beliefs). III. Six files do have person centred goals (very generic- all files have similar goals). IV. Early warning signs identified, but there is no intervention to prevent further decline i.e., recurrent falls and recurrent pressure injury). | I. The service is to ensure lnterRAIs are completed within timeframe. II. All residents are to have cultural assessment on their file. III. All residents are to have individual goals, which are achievable. IV. Where early warning signs are identified, the service is to ensure interventions are put in place to prevent further decline. | PA Moderate | Reporting Complete | 11/09/2023 |
| The following aspects of the system shall be performed and communicated to people by registered health professionals operating within their role and scope of practice: prescribing, dispensing, reconciliation, and review. | I. Ten of twelve medication charts’ three-monthly reviews were not recorded by the GP. II. Twelve of twelve medication charts reviewed showed no evidence of medication reconciliation completed. | I. Service to ensure all medication charts are reviewed every three months by the GP. II. Medication reconciliation is to be done against the medication charts every time a medication is received from the pharmacy to ensure accuracy of the medication. | PA Moderate | Reporting Complete | 11/09/2023 |
| Governance bodies shall ensure service providers identify and work to address barriers to equitable service delivery. | Their service has not analysed potential barriers to providing an equitable service delivery. | To provide evidence that the service has identified and is working towards addressing potential barriers regarding providing an equitable service. | PA Low | Reporting Complete | 29/11/2023 |
| Service providers shall identify external and internal risks and opportunities, including potential inequities, and develop a plan to respond to them. | The service has not completed an analysis and a plan regarding reducing potential inequalities. | To identify external and internal risks regarding potential inequalities and develop a plan to respond to them. | PA Low | Reporting Complete | 29/11/2023 |
| Prior to a Māori individual and whānau entry, service providers shall: (a) Develop meaningful partnerships with Māori communities and organisations to benefit Māori individuals and whānau; (b) Work with Māori health practitioners, traditional Māori healers, and organisations to benefit Māori individuals and whānau. | The service does not have any relationship with the local Māori communities to assist and support Māori residents and whānau. | The service needs to ensure there is a relationship between the local Māori communities and the facility to assist and support Māori residents and whānau. | PA Low | Reporting Complete | 29/11/2023 |
| Service providers shall understand Māori constructs of oranga and implement a process to support Māori and whānau to identify their own pae ora outcomes in their care or support plan. The support required to achieve these shall be clearly documented, communicated, and understood. | There are no policy and procedures to implement and support pae ora for Māori residents. | The service is to ensure there are policies and guidelines to implement pae ora to support Māori residents. | PA Low | Reporting Complete | 29/11/2023 |
| Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data. | Ethnicity data is not included in surveillance records. | The service is to include ethnicity data in surveillance records. | PA Low | Reporting Complete | 29/11/2023 |
| There shall be an executive leader who is responsible for ensuring the commitment to restraint minimisation and elimination is implemented and maintained. | There is no executive leader responsible for restraint minimisation and elimination implementation. | To provide evidence of an executive leader who is responsible for ensuring the commitment to restraint minimisation and elimination is implemented and maintained in the care centre. | PA Low | Reporting Complete | 29/11/2023 |
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: 07 March 2023Audit type:Surveillance Audit
Audit date: 28 July 2021Audit type:Certification Audit
Audit date: 16 April 2019Audit type:Surveillance Audit
Audit date: 25 July 2017Audit type:Certification Audit