Glenbrook Rest Home
Profile & contact details
| Premises name | Glenbrook Rest Home |
|---|---|
| Address | 131 Wymer Road Glenbrook 2681 |
| Total beds | 23 |
| Service types | Rest home care |
| Certification/licence name | Chetty's Investment Limited - Glenbrook Rest Home |
|---|---|
| Current auditor | The DAA Group Limited |
| End date of current certificate/licence | 09 September 2025 |
| Certification period | 36 months |
| Provider name | Chetty's Investment Limited |
|---|---|
| Street address | 6 Windy Ridge Road Glenfield Auckland 0629 |
| Post address |
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: 08 January 2024
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | Education does not cover all the requirements of the Ngā Paerewa standard and the contract with the CMDHB. While education is planned on an annual basis, not all education requirements were covered by the programme. No education has been completed in 2022 and training in 2021 was not completed by some staff. | The education programme will need to be revised to make sure all the requirements of Ngā Paerewa standard and the contract with the CMDHB are met. A schedule to make sure all staff complete annual eight hours of continuing education will need to be implemented. | PA Moderate | Reporting Complete | 07/12/2022 |
| 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. | Ten (10) out of 12 sampled medication charts did not have evidence of evaluation of the effectiveness of the administered PRN medicines. These medicines included pain relief, behaviour management, and respiratory management medicines. | Provide evidence that administered PRN medicines are evaluated for effectiveness. | PA Moderate | Reporting Complete | 07/12/2022 |
| I shall be asked, and shall have opportunities to share, what is important to me. | There have been only two resident meetings over the last nine months. The meetings are run by the RN in its entirety giving residents no opportunity to discuss issues as they may have independently. Meeting minutes are perfunctory and do not describe discussions they had, as reported by the RN. | Ensure residents are provided with adequate opportunities to discuss issues independently and freely and that meeting minutes accurately describe discussions and actions taken to address issues raised. | PA Low | Reporting Complete | 13/03/2023 |
| Service providers shall ensure the quality and risk management system has executive commitment and demonstrates participation by the workforce and people using the service. | Staff and resident meetings have been held but not to the organisations schedule. Where meetings are not held, there is no vehicle in place to share information with staff on adverse events or other events (e.g., complaints and infections). | Where meetings cannot be held, there should be a process in place to give information with respect to adverse and other events and to receive feedback from staff in respect of these. | PA Low | Reporting Complete | 13/03/2023 |
| Service providers shall evaluate progress against quality outcomes. | The service is not analysing trends for internal adverse and other events (e.g., complaints and infections) to support improvement of service delivery. | A mechanism to analyse trends for internal adverse and other events (e.g., complaints and infections) to support improvement of service delivery should be implemented. | PA Low | Reporting Complete | 13/03/2023 |
| 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. | Testing and tagging of electrical equipment is overdue. | Ensure all electrical equipment is tested and tagged at least every two years. | PA Low | In Progress | |
| A medication management system shall be implemented appropriate to the scope of the service. | PRN medicines found in the medicine cupboards were outside of use-by dates. Eyedrops in use found in the medication trolley did not have the opening date recorded. | Ensure the appropriate medication monitoring system is adhered to, in order to meet the requirements of this criterion. | PA Moderate | In Progress | |
| Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data. | Surveillance did not include ethnicity data. | Ensure surveillance includes ethnicity data to meet the criterion requirement. | PA Low | In 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.
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: 08 January 2024Audit type:Surveillance Audit
Audit date: 22 June 2022Audit type:Certification Audit
Audit date: 05 November 2020Audit type:Surveillance Audit
Audit date: 17 December 2018Audit type:Certification Audit
Audit date: 18 December 2017Audit type:Provisional Audit