Rosaria Rest Home

Profile & contact details

Premises details
Premises nameRosaria Rest Home
Address 23 Roberton Road Avondale Auckland 1026
Total beds26
Service typesRest home care
Certification/licence details
Certification/licence nameRosaria Rest Home 2006 Limited - Rosaria Rest Home
Current auditorThe DAA Group Limited
End date of current certificate/licence08 November 2019
Certification period24 months
Provider details
Provider nameRosaria Rest Home 2006 Limited
Street address 23 Roberton Road Avondale Auckland 1026
Post address2/7 Henry Street Avondale Auckland 1026

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: 29 August 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The facilitation of safe self-administration of medicines by consumers where appropriate.Four residents are self-administering medication. Policy states resident’s competency to continue self-medication should be documented three-monthly, but this is completed yearly. Staff checks were undertaken weekly and policy states this should occur daily. Residents’ medications were not stored in a locked and secure location in their bedrooms on day one of the audit. Residents were self-administering vitamins and other non-prescribed items. Provide evidence that all residents whom are self-administering are meeting the facility policy requirements. PA ModerateIn Progress
An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.One complaint identified in staff meeting minutes is not recorded in the complaints register. Provide evidence that all complaints are recorded in the complaints register. PA ModerateIn Progress
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.Not all residents who had pro re nata (PRN) medicines charted by the GP had written indications for use shown. Provide evidence that all medication charting complies with legislation and guidelines. PA ModerateIn Progress
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.There is no documented evidence that the cleaning schedule in the kitchen is being implemented. Temperatures and contents of seven resident fridges are not being monitored. Provide evidence that all a cleaning schedule is maintained in the kitchen. Provide evidence that resident’s fridges are monitored to comply with safe food hygiene and correct temperatures are maintained. PA ModerateIn Progress
In assessing whether restraint will be used, appropriate factors are taken into consideration by a suitably skilled service provider. This shall include but is not limited to: (a) Any risks related to the use of restraint; (b) Any underlying causes for the relevant behaviour or condition if known; (c) Existing advance directives the consumer may have made; (d) Whether the consumer has been restrained in the past and, if so, an evaluation of these episodes; (e) Any history of trauma or abuse, whi… (this text has been trimmed due to space limits).The resident with a beside rail in place as restraint did not have an assessment completed prior to audit. Provide evidence that the correct restraint assessment procedure is followed to meet policy requirements and that this process is embedded into practice for any restraint use. PA LowIn Progress
Services conduct comprehensive reviews regularly, of all restraint practice in order to determine: (a) The extent of restraint use and any trends; (b) The organisation's progress in reducing restraint; (c) Adverse outcomes; (d) Service provider compliance with policies and procedures; (e) Whether the approved restraint is necessary, safe, of an appropriate duration, and appropriate in light of consumer and service provider feedback, and current accepted practice; (f) If individual plans of care/… (this text has been trimmed due to space limits).The six-monthly review process does not cover all required aspect of review as shown in policy. It is clear that policy and procedures have not been reviewed for compliance. Provide evidence that the six-monthly quality reviews of restraint include policy and procedure review to ensure all aspects of policy are being followed. PA LowIn Progress
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).No documented monitoring of restraint had occurred for the one resident using a restraint. Provide evidence that monitoring of restraint use is undertaken according to the assessed level of risk and that this is embedded into practice in the future. PA LowIn Progress
All buildings, plant, and equipment comply with legislation.Biomedical equipment testing was due in 2015 and this includes two blood pressure cuffs and sphygmomanometers and two stethoscopes. Provide evidence that biomedical equipment testing has been undertaken as required. PA LowIn Progress
There is a document control system to manage the policies and procedures. This system shall ensure documents are approved, up to date, available to service providers and managed to preclude the use of obsolete documents.The hardcopy of policies and procedures used by staff is not well maintained to show the up to date version of policies and procedures. Provide evidence that all hardcopy polices and procedure are up to date. PA ModerateIn 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. 

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: 29 August 2017

Audit type:Certification Audit

Audit date: 19 April 2016

Audit type:Surveillance Audit

Audit date: 12 August 2014

Audit type:Certification Audit

Audit date: 08 August 2013

Audit type:Surveillance Audit

Audit date: 25 September 2012

Audit type:Certification Audit

Audit date: 09 November 2011

Audit type:Surveillance Audit

Audit date: 13 September 2010

Audit type:Certification Audit

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