Profile & contact details
|Premises name||Glenhaven Resthome|
|Address||428 Glenfield Road Glenfield Auckland 0629|
|Service types||Rest home care|
|Certification/licence name||New Aged Care Limited|
|Current auditor||HealthShare Limited|
|End date of current certificate/licence||26 July 2018|
|Certification period||36 months|
|Provider name||New Aged Care Limited|
|Street address||19 Helen Ryburn Place Torbay Auckland 0630|
|Post address||PO Box 40258 Glenfield Auckland 0747|
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 November 2016
|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.||There is no reconciliation process for receiving medications into the facility. As required medications do not consistently include indications for use.||Develop a reconciliation process for receiving medications into the facility. Ensure all ‘as required’ medications include indications for use.||PA Low||Reporting Cancelled|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||Four of five staff files do not have a current performance appraisal on file.||Ensure that all staff have a current performance appraisal on file.||PA Low||Reporting Complete||19/06/2017|
|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.||Residents photos do not consistently record the date the photo was taken and confirmation of the true likeness of the resident.||Evidence that residents’ photos on the medication charts are dated and confirm true likeness of the resident.||PA Low||Reporting Complete||19/06/2017|
|Service providers responsible for medicine management are competent to perform the function for each stage they manage.||Two staff who administer medications do not have a current medication competency on file including the registered nurse who administers medications.||Ensure that staff have an annual medication competency on file.||PA Moderate||Reporting Complete||19/06/2017|
|Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines.||Stocktakes of controlled medication do not occur weekly. Only one staff signs in the administration record.||in) Ensure that stocktakes of controlled medication occur weekly. ii) Ensure that two staff sign in the administration record when controlled drugs are administered.||PA Moderate||Reporting Complete||19/06/2017|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||Activity plans are not reviewed six monthly in line with review of care plans.||Review each activity plan in line with review of care plans and update as changes occur.||PA Low||Reporting Complete||19/06/2017|
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: 07 November 2016
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Provisional Audit