Premise details
- Address
- 50 Pompallier Estate Drive Maunu Whangarei 0110
- Total beds
- 61
- Service types
- Medical, Rest home care, Geriatric
Certification/licence details
- Certification/licence name
- Ashbury Heights Limited - Ashbury Heights Limited
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 12 months
Provider details
- Provider name
- Ashbury Heights Limited
- Street address
- Ashbury Heights Care Centre 51 Pompallier Estate Drive Maunu Whangarei 0110
- Postal address
- PO Box 13206 Christchurch 8140
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 |
|---|---|---|---|---|---|
| Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | A full complement of staff is not yet employed ready for the opening of the new build. | Continue to recruit staff as per rosters for the 61 care suites. | PA Low | In Progress | |
| Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided. | Staff records reviewed did not have evidence of a completed orientation programme to date. | Ensure orientation documentation is completed for all new staff, with sign off as required by the policy. | PA Low | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | i). The medication storage room is not yet secure. ii). Medications, equipment and systems to record administration of medications is not yet in place. | i). Ensure the medication room is secure. ii). Ensure that equipment, medications and systems to record administration of medications are put in place. | PA Low | Reporting Complete | |
| An approved food control plan shall be available as required. | An approved food control plan is not yet available. | Ensure that an approved food control plan is available. | 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. | i). The care centre does not yet have a current code of compliance in place. ii). Hot water temperatures have not yet been tested. iii). The kitchen build is not yet completed and not all kitchen equipment is in place. | i). Ensure that the care centre has a current code of compliance in place. ii). Ensure that hot water temperatures are at the correct temperature as per policy. iii). Complete the kitchen build and ensure the kitchen is fully functional. | PA Low | Reporting Complete | |
| Where required by legislation, there shall be a Fire and Emergency New Zealand- approved evacuation plan. | An approved/ fire evacuation scheme was not available at the time of audit. | Ensure an approved fire evacuation scheme is in place. | PA Low | Reporting Complete | |
| 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 and emergency drills have not yet been held for staff. | Ensure that fire and emergency drills have been completed. | PA Low | Reporting Complete | |
| Service providers shall ensure health care and support workers are able to provide a level of first aid and emergency treatment appropriate for the degree of risk associated with the provision of the service. | Staff have yet to be employed with confirmation that there are sufficient staff trained in first aid. | Ensure that sufficient numbers of staff are available 24 hours a day with a first aid certificate. | PA Low | Reporting Complete | |
| Alternative essential energy and utility sources shall be available, in the event of the main supplies failing. | Alternative essential energy and utility sources are not yet available, in the event of the main supplies failing. | Ensure that there are alternative essential energy and utility sources available, in the event of the main supplies failing. | PA Low | Reporting Complete | |
| Service providers shall ensure that there is a pandemic or infectious disease response plan in place, that it is tested at regular intervals, and that there are sufficient IP resources including personal protective equipment (PPE) available or readily accessible to support this plan if it is activated. | The facility does not yet have a stock of PPE available. | Ensure that there are adequate supplies of PPE available. | 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 district health board.
- Date action reported complete
The date that the district health board 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: Partial Provisional Audit
