Premise details
- Address
- 36 Osborne Road Amberley 7410
- Total beds
- 42
- Service types
- Dementia care
Certification/licence details
- Certification/licence name
- Adriel Rest Home Limited - Adriel Resthome
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Adriel Rest Home Limited
- Street address
- 36 Osborne Road Amberley 7410
- Postal address
Progress on issues from the last audit
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.
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| My service provider shall actively recruit, train, and retain a holistic Pacific health and wellbeing workforce that is responsive to the Pacific population’s health and disability needs. This will include Pacific peoples in leadership and training roles. | Adriel was unable to evidence that steps have been taken to actively recruit and retain a Pacific health and wellbeing workforce, including in leadership and training roles. | Ensure steps are taken to actively recruit and retain a Pacific health and wellbeing workforce, including in leadership and training roles. | PA Low | Reporting Complete | |
| Buildings, plant, and equipment shall be fit for purpose, and comply with legislation relevant to the health and disability service being provided. The environment is inclusive of peoples’ cultures and supports cultural practices. | Not all electrical equipment recorded as being onsite had been tested, and the manager was unsure which items remained in use. One hoist in use had no record of being tested or checked. | Ensure all electrical items and clinical equipment in use in the facility are tested and tagged. | PA Low | In Progress | |
| My service provider shall focus on achieving equity and efficient provision of health and disability services for Pacific peoples. | Adriel staff were unable to describe or evidence that there is a focus on achieving equity and efficient provision of health and disability services for Pacific peoples. | Ensure there is a focus on achieving equity and efficient provision of health and disability services for Pacific peoples. | PA Low | Reporting Complete | |
| Te reo Māori and tikanga Māori shall be actively promoted throughout organisations and incorporated through all their activities. | Te reo Māori and tikanga Māori are not actively promoted throughout the organisation or incorporated throughout all the facility activities. | Ensure te reo Māori and tikanga are actively promoted throughout the organisation. | PA Low | Reporting Complete | |
| There shall be a clinical governance structure in place that is appropriate to the size and complexity of the service provision. | There was no clinical governance structure in place. | Ensure there is a clinical governance structure in place. | PA Moderate | Reporting Complete | |
| Governance bodies shall ensure service providers deliver services that improve outcomes and achieve equity for Māori. | Governance at Adriel Rest Home confirmed they do not have processes in place to monitor outcomes and equity for Māori. | Ensure there are processes in place to monitor service delivery and to determine whether services were improving outcomes and achieving equity for Māori. | PA Low | Reporting Complete | |
| Service providers shall ensure there are safe and effective laundry services appropriate to the size and scope of the health and disability service that include: (a) Methods, frequency, and materials used for laundry processes; (b) Laundry processes being monitored for effectiveness; (c) A clear separation between handling and storage of clean and dirty laundry; (d) Access to designated areas for the safe and hygienic storage of laundry equipment and chemicals. This shall be reflected in a writt | Laundry services at Adriel do not fully meet best practice due to the absence of colour-coded bags, the use of cold wash cycles, and gaps in staff awareness regarding linen segregation and appropriate wash temperatures for soiled or infectious items. | Ensure laundry processes meet the required standard for laundering clinical linens. | PA Moderate | Reporting Complete | |
| My service provider shall actively recruit and retain a Māori health workforce across all organisational roles. | Adriel Rest Home has not implemented strategies to recruit and retain Māori staff. | Ensure steps are taken to recruit and retain Māori staff. | PA Low | Reporting Complete | |
| My service provider shall work in partnership with iwi and Māori organisations within and beyond the health sector to allow for better service integration, planning, and support for Māori. | Adriel Rest Home was unable to evidence how it works in partnership with local iwi and Māori organisations to allow for better service integration, planning, and support for Māori. | Ensure that connections are made to allow staff at Adriel to work in partnership with local iwi and Māori organisations to allow for better service integration, planning, and support for Māori. | PA Low | Reporting Complete | |
| Governance bodies shall have meaningful Māori representation on relevant organisational boards, and these representatives shall have substantive input into organisational operational policies. | Adriel does not have access to Māori expertise and there is no meaningful representation from Māori at a governance level. | Ensure that governance has meaningful access to Māori expertise and resources. | PA Low | Reporting Complete | |
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | Not all elements of the quality and risk framework have been implemented. Meetings to discuss incidents and quality outcomes have not occurred in four out of the last five instances scheduled. Data from satisfaction surveys has not been collated and analysed and no areas for improvement have been identified from quality data available. | Ensure that all elements of the quality framework used to monitor service delivery are implemented, including holding regular quality meetings to review incident trends and the analysis of satisfaction surveys. | PA Low | Reporting Complete | |
| Service providers shall improve health equity through critical analysis of organisational practices. | There had been no critical analysis of organisation practices with the aim to improve health equity. | Ensure that critical analysis of organisation practices occurs with the aim to improve health equity. | PA Low | Reporting Complete | |
| Prior to a Māori individual and whānau entry, service providers shall: (a) Develop meaningful partnerships with Māori communities and organisations to benefit Māori individuals and whānau; (b) Work with Māori health practitioners, traditional Māori healers, and organisations to benefit Māori individuals and whānau. | Adriel has not yet developed formal partnerships with Māori communities, organisations, or Māori health practitioners to support culturally safe entry for Māori residents and their whānau. This is an area requiring further development. | Establish meaningful partnerships with local Māori communities, organisations, and Māori health practitioners to support culturally safe entry and care for Māori residents and their whānau. | PA Low | Reporting Complete | |
| Service providers shall have a clearly defined and documented IP programme that shall be: (a) Developed by those with IP expertise; (b) Approved by the governance body; (c) Linked to the quality improvement programme; and (d) Reviewed and reported on annually. | The infection prevention programme had not been reviewed and reported on annually. | Ensure the infection prevention programme is reviewed and reported on annually. | PA Low | Reporting Complete | |
| Service providers shall ensure safe and appropriate storage and disposal of waste and infectious or hazardous substances that complies with current legislation and local authority requirements. This shall be reflected in a written policy. | There is currently no contracted provider in place for sharps disposal, and alternative arrangements are still being explored. | Adriel is to establish a formal contract with an approved provider for the safe disposal of sharps. | PA Low | Reporting Complete | |
| Service providers shall identify external and internal risks and opportunities, including potential inequities, and develop a plan to respond to them. | Risk management did not include the consideration of potential inequities. | Ensure risk management includes the identification of risks related to potential inequities and that these are documented, along with strategies to mitigate the risk. | PA Low | Reporting Complete |
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 corrective action manager.
- Date action reported complete
The date that the corrective action manager was told the issue was fixed.
Audit reports
About audit reports
Audit reports for this rest home’s latest audits can be downloaded below.
Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits. The guide gives an overview of the auditing process and explains what the audit reports mean.
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.
Before 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) appear on the rest home’s page. As the rest home completes the required actions, the status on the website updates.
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
