Norfolk Court Rest Home

Profile & contact details

Premises details
Premises nameNorfolk Court Rest Home
Address 68 Normanby Street Dargaville 0310
Total beds66
Service typesDementia care, Rest home care, Geriatric
Certification/licence details
Certification/licence nameNorfolk Court Home & Hospital - Norfolk Court Rest Home
Current auditorHealth Audit (NZ) Limited
End date of current certificate/licence12 April 2018
Certification period12 months
Provider details
Provider nameNorfolk Court Home & Hospital Limited
Street address29 Queensway Three Kings Auckland 1024
Post address29 Queensway Three Kings Auckland 1024

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: 14 March 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The appointment of appropriate service providers to safely meet the needs of consumers.First aid certificates have expired. Obtain current first aid certificates for those who are required to have them PA ModerateIn Progress
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Annual performance appraisals have not been conducted as required. Staff are not consistently attending mandatory training. Complete performance appraisals as required. Ensure mandatory training is completed for all staff. PA ModerateIn Progress
The service develops and implements policies and procedures that are aligned with current good practice and service delivery, meet the requirements of legislation, and are reviewed at regular intervals as defined by policy.Not all policies and procedures have been reviewed, or updated, as required. Review policies and procedures as required. PA ModerateIn Progress
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.Not all expected timeframes for service provision have been met. Complete each stage of service provision within the required timeframes. PA ModerateIn Progress
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.There is insufficient evidence that improvements to the facility have been maintained as required. Complete the required improvements to the facility to ensure safety and infection control requirements. PA ModerateReporting Complete25/07/2017
Consumers are provided with safe and accessible external areas that meet their needs.Not all external areas have been maintained in a manner to ensure resident safety. Fix the deck and path outside the East Wing. PA ModerateReporting Complete25/07/2017

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: 14 March 2017

Audit type:Provisional Audit

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