Waimarie Private Hospital

Profile & contact details

Premises details
Premises name	Waimarie Private Hospital
Address	Waimarie 9 Waiatarua Road Remuera Auckland 1050
Total beds	52
Service types	Rest home care, Geriatric, Medical

Certification/licence details
Certification/licence name	Care Alliance 2016 Limited - Waimarie Private Hospital
Current auditor	The DAA Group Limited
End date of current certificate/licence	01 March 2026
Certification period	24 months

Provider details
Provider name	Care Alliance 2016 Limited
Street address	Waimarie Hospital 9 Waiatarua Road Remuera Auckland 1050
Post address	PO Box 21633 Henderson Auckland 0612

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: 05 December 2023

Outcome required	Found at audit	Action required	Risk rating	Action status
Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services.	There were insufficient registered nurses employed to cover this service twenty-four hours a day, seven days a week (24/7). No additional coverage is available except through the contracted bureau to cover for planned and unplanned leave.	Ensure adequate registered nurses are employed to cover the roster every shift to meet the requirements of the Ngā Paerewa Standard and the service’s agreement with Te Whatu Ora Te Toka Tumai Auckland.	PA Moderate	In Progress
Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin… (this text has been trimmed due to space limits).	I. Three different versions of initial nursing assessment had been used. The registered nurse had not signed the initial nursing assessments. The initial nursing assessments had been developed after 24 hours of the resident being admitted in the facility. II. There was no evidence that cultural needs were identified during cultural assessment and there was no evidence of Māori a health care plan for Māori residents. III. Six of the six files reviewed had very generic goals and there was no evi… (this text has been trimmed due to space limits).	I. The service is to ensure initial nursing assessment is completed within 24 hours of resident admission and the document to be used for initial nursing assessment to be same for every resident. II. The service is to ensure Māori residents have a Māori health care plan in their file which includes interventions to meet their cultural needs. III. The service is to ensure each resident has goals which is specific to heir identified needs and are reviewed and interventions amended when the goals… (this text has been trimmed due to space limits).	PA Moderate	In Progress
There shall be clear processes for communicating the decisions for declining entry to a service.	There was no clear process in place to communicate the decisions for declining entry to services.	A clearly documented process is in place to communicate the decisions for declining the entry to services.	PA Low	In Progress
Health care and support workers shall receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.	Fire safety training is required to be undertaken six-monthly for aged residential care facilities as part of the agreement obligations with Te Whatu Ora Te Toka Tumai Auckland, and this is a legislative requirement. A new date was arranged at the time of the audit.	Ensure a fire safety training is arranged and completed as soon as possible, and thereafter six-monthly, with the contracted fire safety company, and a copy sent to Fire Emergency New Zealand as required.	PA Moderate	In Progress
Professional qualifications shall be validated prior to employment, including evidence of registration and scope of practice for health care and support workers.	Professional qualifications of health professionals contracted to provide services, had not all been reviewed annually to validate their registrations and scope of practice as required.	Ensure there is a system to review all annual practising certificates and scope of practice for all health professionals contracted to provide services.	PA Low	In Progress
Service providers demonstrate routine analysis to show entry and decline rates. This must include specific data for entry and decline rates for Māori.	The facility had no evidence of routine analysis of entry and decline rates including specific rates for Māori.	The service is to ensure there is documented evidence of routine analysis of entry and decline rates, including specific rates for Māori.	PA Low	In Progress
Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy.	I. Four of the twelve medication charts showed overdue three-monthly medication reviews. II. Eleven eye drops had no open date on them and were still being used. III. The treatment room temperature was not recorded.	I. Medication charts are reviewed every three months by the GP. II. Eye drops are dated when they are opened. III. The medication room temperature is monitored and recorded daily as per the facility policy.	PA Moderate	In Progress
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).	The care plan did not have the outcome measures from the interRAI assessment. The goals were not reviewed when the care plan had been reviewed. Where the progress was different from expected the care plan interventions had not been reviewed.	I. The service is to ensure the InterRAI outcome scores are communicated in the resident’s long term care plans. II. The service is to ensure that where the progress is different from expected, changes to the care plan is initiated.	PA Moderate	In Progress
A process shall be implemented to identify, record, and communicate people’s medicinerelated allergies or sensitivities and respond appropriately to adverse events.	Residents’ allergies and sensitivities were not recorded on eleven of the twelve medication charts reviewed.	The service is to ensure all medication charts have allergies and sensitivities recorded on them.	PA Moderate	In Progress
Service providers shall understand Māori constructs of oranga and implement a process to support Māori and whānau to identify their own pae ora outcomes in their care or support plan. The support required to achieve these shall be clearly documented, communicated, and understood.	Residents preferred cultural customs, values and beliefs were not included in the care plan and there was no evidence of implemented process to support Māori and whānau to identify their own pae ora.	The service is to ensure there is an implemented process to support Māori and whānau to identify their own pae ora.	PA Moderate	In 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.

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: 05 December 2023

Audit type:Certification Audit

Audit date: 27 October 2022

Audit type:Surveillance Audit

Audit date: 28 January 2021

Audit type:Certification Audit

Audit date: 23 September 2019

Audit type:Surveillance Audit

Audit date: 08 January 2018

Audit type:Certification Audit

Audit date: 05 January 2017

Audit type:Provisional Audit

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