Premise details
- Address
- 454 Panama Road Mount Wellington Auckland 1062
- Total beds
- 24
- Service types
- Dementia care
Certification/licence details
- Certification/licence name
- MA HealthCare Group Limited - Awanui Rest Home
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- MA HealthCare Group Limited
- Street address
- 446A Panama Road Mount Wellington Auckland 1062
- Postal address
- PO Box 68744 Wellesley Street Auckland 1141
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 |
|---|---|---|---|---|---|
| Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided. | Three of four HCA staff orientation programmes were not fully completed. Missing was evidence that they had completed a buddying programme, specific to their job role and responsibilities. An orientation programme checklist has been developed and advised will be implemented with any new employees. As such, the risk has been identified as low. | Ensure HCA staff complete their full orientation programme. | PA Low | Reporting Complete | |
| My service provider shall make communication and information easy for all people to access; understand; and use, enact, or follow. | Eight of twenty incident/accident forms reviewed failed to indicate family were informed. This has been identified as low risk because families confirmed they are kept well informed | Ensure that there is documented evidence on all accident incident forms to indicate families are kept informed. | PA Low | Reporting Complete | |
| Service providers shall evaluate progress against quality outcomes. | The family satisfaction survey was last completed in 2020. | Ensure a formal process is regularly undertaken to monitor satisfaction with the services. | PA Low | Reporting Complete | |
| Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | i) The education and training plan is not fully implemented. Training scheduled (but missed) in 2022 includes informed consent and advance directives, open disclosure, abuse/neglect, falls prevention and management, and cultural awareness. External speakers that have been scheduled have not been allowed on site due to the pandemic further limiting the number of in-services provided. ii) Six of fourteen HCAs who have been employed for over 18 months have not completed their NZQA dementia quali | i) Ensure the education and training schedule is completed as planned. ii) Ensure HCAs complete their NZQA dementia qualification within 18 months of employment. | PA Moderate | Reporting Complete | |
| 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 | Three residents whose records were reviewed, who required safety plans documented for challenging behaviours did not have these completed. | Ensure care plans include interventions to manage behavioural issues. | PA Moderate | Reporting Complete | |
| Service providers shall evaluate progress against quality outcomes. | There was insufficient evidence in staff meeting minutes of data being tabled, of discussion around data, use of trend analysis, or of learnings from discussion used to improve services. | Ensure meeting minutes evidence discussions held around quality data and evidence that improvements are made to services as a result of discussion and use of corrective action planning. | PA Moderate | Reporting Complete | |
| I shall be informed about and have easy access to a fair and responsive complaints process that is sensitive to, and respects, my values and beliefs. | A complaints register has not been maintained over the past year. | Ensure the complaints register is updated and maintained. | PA Low | Reporting Complete | |
| 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 | i). Assessments and care plans have not been reviewed at defined intervals. ii). HCAs have not always completed progress notes at the end of each shift as per expectation (sighted in two of five records reviewed). ii). The standard and frequency of documentation of notes by the registered nurse (registered nurse) is not as per best practice. | i). Ensure assessments and care plans are reviewed within expected timeframes. ii). Ensure that HCAs complete progress notes at the end of each shift as per policy. iii). Ensure that the registered nurse document notes in each resident at least weekly and when there are changes in presentation of the resident. | PA Moderate | 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: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Provisional Audit
