Rosebank Home and Hospital

Profile & contact details

Premises details
Premises name	Rosebank Home and Hospital
Address	77 Walnut Avenue Allenton Ashburton 7700
Total beds	110
Service types	Rest home care, Geriatric, Medical

Certification/licence details
Certification/licence name	Rosebank Residential Limited - Rosebank Home and Hospital
Current auditor	Health and Disability Auditing New Zealand Limited
End date of current certificate/licence	06 July 2024
Certification period	36 months

Provider details
Provider name	Rosebank Residential Limited
Street address	77 Walnut Avenue Allenton Ashburton 7700
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: 28 November 2022

Outcome required	Found at audit	Action required	Risk rating	Action status	Date action reported complete
Information is entered into the consumer information management system in an accurate and timely manner, appropriate to the service type and setting.	Three resident files (respite, EOL and ACC) reviewed did not contain a fully completed resident profile document. Medical conditions including past and present health information was not completed.	Ensure all individual information including relevant medical conditions and health information is maintained and available.	PA Moderate	Reporting Complete	15/09/2021
All records are legible and the name and designation of the service provider is identifiable.	The following shortfalls have been identified: i) Designations of caregivers are not always clearly documented to identify the relevant level of input into the care of the resident. ii) Progress notes in two files and one daily task allocation document evidenced use of white out to erase mistakes.	Ensure staff sign progress notes using a clear designation and correct documentation errors in a way that preserves the original entry.	PA Moderate	Reporting Complete	15/09/2021
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.	Care plans do not consistently describe the support/interventions required to guide care delivery and meet individual outcomes. The following files identified shortfalls within the long-term care plan: (i) One rest home resident with challenging behaviour and frequent falls (tracer) were assessed frequently, but interventions were insufficient to guide staff in the management of this; (ii) One rest home resident was assessed and monitored for using an enabler, however the type of enabler and fr… (this text has been trimmed due to space limits).	Ensure management of assessed issues/symptoms/conditions are consistent with the resident desired outcomes.	PA Moderate	Reporting Complete	15/09/2021
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.	Quality data is collected, however there is no documented evidence of analysis/trends or benchmarking of the quality data to identify opportunities for improvement	Ensure analysis/trends of quality data collected is documented to identify opportunities for improvement.	PA Low	Reporting Complete	23/11/2021
Service providers shall understand and comply with statutory and regulatory obligations in relation to essential notification reporting.	There were two hospital level residents in the serviced apartments. There have been no notifications made through the Ministry of Health in regard to the hospital level residents in the serviced apartments.	Ensure notification is made to HealthCERT regarding one hospital level resident in the serviced apartments as per current requirements. Ensure the second hospital level resident in the serviced apartments is reviewed and managed through Te Whatu Ora.	PA Moderate	Reporting Complete	18/10/2023
Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services.	The service does not have sufficient numbers of RNs to have an RN on duty at all times as per the ARC contract D17.4 a. i.	Ensure a RN is on duty at all times to meet the requirements of the ARC contract D17.4 a. i.	PA Moderate	Reporting Complete	18/10/2023
Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this.	i). Two long-term residents’ files (two rest home) had not been evaluated within required timeframes, with a gap of up to a year. ii). InterRAI reassessments had not been completed within six months for one rest home resident. iii) One resident funded by ACC did not have a care plan developed within 21 days of admission.	i). Ensure care plans are reviewed within six-month timeframes. ii). Ensure interRAI assessments are completed six-monthly or when there is a significant change in the resident’s condition. iii). Ensure all care plans are developed within 21 days of admission.	PA Moderate	Reporting Complete	18/10/2023
Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits).	Short-term care plans for three (two rest home one hospital) residents whose acute issues had resolved, had not been evidenced as reviewed or resolved.	Ensure that short-term care and long-term care plans are evaluated as per required timeframes.	PA Moderate	Reporting Complete	18/10/2023
Service providers shall facilitate safe self-administration of medication where appropriate.	Two of two residents who self-administer medications did not have current self-medication competencies in place.	Ensure all residents who self-administer medications complete three-monthly reviews as per policy.	PA Moderate	Reporting Complete	18/10/2023

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: 28 November 2022

Audit type:Surveillance Audit

Audit date: 27 April 2021

Audit type:Certification Audit

Audit date: 17 December 2018

Audit type:Surveillance Audit

Audit date: 29 May 2018

Audit type:Partial Provisional Audit

Audit date: 01 May 2017

Audit type:Certification Audit

Print Email Feedback