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Rest home certification and audits
If you or a family member is planning to move to a rest home – or is currently living in one – you’ll want to be sure it provides the best quality care possible.
All rest homes and aged residential care facilities are certified and audited to ensure they:
- provide safe, appropriate care for their residents
- meet the standards set out in the Health and Disability Services (Safety) Act 2001.
The Ministry publishes audit summaries for all rest homes. Find these in our database of certified rest home providers.
For rest homes audited after 26 November 2013, we also publish updates on the progress that they have made on issues from their last audit.
Check our database of certified rest home providers to find out more.
Full audit reports
Full audit reports are also available for some rest homes (if the reports were processed and approved after 29 August 2013). Visit Full audit reports to find out more.
Types of audit and when they happen
Certification and surveillance audits
Certification audits happen every 1–4 years. After the audit, rest homes are certified for a set period of time (the exact length depends on how well the rest home performed at the certification audit). Once this time is up, the rest home must be re-audited and its certification renewed.
An unannounced spot audit (also called a surveillance audit) happens around the middle of a rest home’s certification period. The spot audit ensures progress has been made on outstanding areas identified in the earlier certification audit and that standards haven’t slipped.
In addition to audits, rest homes have to report to their DHB on how they are addressing issues found at audit. These improvements are then verified at the next audit event.
Other types of audit
Provisional audits happen when a provider purchases a certified rest home from another provider.
Partial provisional audits happen when a provider wants to add services to their certificate (eg, a rest home adding hospital-level care) or when a new rest home is built.
Verification audits happen when a provider adds capacity or reconfigures their services (eg, builds a new wing, upgrades rooms).
Rest homes may have unannounced inspections by the Ministry under the Health and Disability Services (Safety) Act 2001 in the event of a serious complaint.
DHB issues-based audits
DHBs can conduct issues-based audits under the Aged Related Residential Care Contract. For information on these audits please contact the relevant DHB.
How are the audits conducted?
Designated auditing agencies audit rest homes. Each audit team includes at least one registered nurse.
The audit team looks at:
- the way residents are cared for
- how the staff interact with residents
- the general environment
- clinical records, policies and procedures.
They also interview staff, residents and family members.
Find out more from the Ministry
Visit Certification of health care services to find out more about how providers are certified and the standards they have to meet.