Halldene Rest Home

Profile & contact details

Premises details
Premises nameHalldene Rest Home
Address6 Halldene Terrace Red Beach 0932
Total beds37
Service typesMedical, Rest home care, Geriatric
Certification/licence details
Certification/licence nameCHT Healthcare Trust - Halldene Rest Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence17 October 2018
Certification period36 months
Provider details
Provider nameCHT Healthcare Trust
Street address 97 Great South Rd Market Road Auckland 1543
Post addressPO Box 74341 Market Road Auckland 1543
Websitewww.cht.co.nz/index.php

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: 16 March 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate 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.i) Two of 12 medication files sampled had medication being administered that had not been prescribed by the GP (lactulose). ii) Four of 12 medication files sampled files do not have indications for use for ‘as required’ medications. iii) Ten of 12 medication administration charts sampled do not document that all prescribed medications have been administered. Ensure that i) only medication that is prescribed by the GP is administered to residents, ii) all ‘as required’ medications have documented indications for use and iii) all medication is given and documented as prescribed. PA ModerateReporting Complete14/12/2015
Each episode of restraint is documented in sufficient detail to provide an accurate account of the indication for use, intervention, duration, its outcome, and shall include but is not limited to: (a) Details of the reasons for initiating the restraint, including the desired outcome; (b) Details of alternative interventions (including de-escalation techniques where applicable) that were attempted or considered prior to the use of restraint; (c) Details of any advocacy/support offered, provided o… (this text has been trimmed due to space limits).The three restraint monitoring forms sampled did not reflect regular monitoring of restraint use. Ensure restraint monitoring occurs and is documented. PA ModerateReporting Complete14/12/2015
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.Two of six files sampled (both hospital) did not have an initial assessment completed on admission. Ensure that all residents have initial assessments completed on admission. PA LowReporting Complete14/12/2015
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.Interventions had not been documented to manage the following medical conditions as follows: i) a hospital resident with a pacemaker did not have any precautions or pacemaker clinic involvement identified on the care plan, ii) one younger person (hospital) did not have the presence of ESBL (as per hospital discharge) or precautions documented on the care plan and iii) there were no signs and symptoms for the management of hypo/hyperglycaemia for two rest home residents with diabetes (insulin … (this text has been trimmed due to space limits).Ensure interventions/supports for medical conditions are documented PA LowReporting Complete22/08/2017

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.

Audit reports

Audit date: 16 March 2017

Audit type:Surveillance Audit

Audit date: 11 August 2015

Audit type:Certification Audit

Audit date: 19 August 2014

Audit type:Provisional Audit

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