Premise details
- Address
- 42 Matai Road Greenlane Auckland 1051
- Total beds
- 15
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Discover Oasis Limited - Concord House Rest Home
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 48 months
Provider details
- Provider name
- Discover Oasis Limited
- Street address
- 42 Matai Road Greenlane Auckland 1051
- Postal address
- 42 Matai Road Greenlane Auckland 1051
- Website
- http://www.concordresthome.com
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 evaluate progress against quality outcomes. | i). Not all issues identified in meeting minutes were evidenced as being closed off, or improvements made to service delivery. ii). Meeting minutes were not always fully documented and made available for all staff. iii). Not all internal audits have been held according to schedule. iv). Not all corrective actions identified at internal audits were evidenced as being closed off. | i). Ensure matters from previous meetings are closed off or documented as ongoing, and evidence improvements made to service delivery. ii). Ensure meeting minutes are fully documented and reflective of discussions held. iii). Ensure internal audits are held according to schedule. iv). Ensure all corrective actions identified are closed off when resolved. | PA Low | In Progress | |
| Service providers shall identify external and internal risks and opportunities, including potential inequities, and develop a plan to respond to them. | i). The organisational risk management plan, an electronic hazard register and a maintenance schedule have not been evidenced as updated or reviewed since 2023. ii). There was no evidence registers are updated in response to new, emerging or changes in risk. | i). & ii). Ensure the organisational risk management plan, the electronic hazard register and maintenance schedule are evidenced as being reviewed at regular intervals and ongoing as new risks are identified. | PA Moderate | In Progress | |
| A medication management system shall be implemented appropriate to the scope of the service. | i). Not all medicines are held in a secure place. ii). Stock drugs are kept on site for a service that provides rest home level of care. iii). Stocktakes of the controlled drugs are not completed weekly as scheduled and as per policy. iv). Medicines are not kept safely in the fridge as per policy. | i). Ensure that all medicines are held in a secure place. ii). Ensure that stock drugs are not kept on site for a service that provides rest home level of care. iii). Complete stock takes of the controlled drugs weekly as schedule. iv). Ensure medicines safely and securely stored in the fridge as per policy. | PA Moderate | In Progress | |
| Service providers shall follow the National Adverse Event Reporting Policy for internal and external reporting (where required) to reduce preventable harm by supporting systems learnings. | i). There was no consistent evidence of review of adverse events by the RN or manager. ii). There were no opportunities to minimise future risks identified. | i). Ensure there is timely review of incident reports. ii). Ensure opportunities to minimise future risks are identified and implemented. | PA Moderate | In Progress | |
| 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). A training plan for 2024 was not evidenced as documented and a training plan for 2025 is not yet documented. ii). There was no evidence that two caregivers have completed training relevant to their role (and the Nga Paerewa Standards) in the past two years to meet the ARRC contract clause D17.7. iii). There is no confirmation that there is a staff member on site with a current first aid certificate on all shifts. iv). There was no evidence of any training sessions the RN has completed. | i). & ii). Ensure an education plan is developed and implemented to align with the ARRC contract clause D17.7 iii). Ensure that there is always a staff member on duty with a current first aid certificate. iv). Ensure a copy of training sessions the RN has attended are kept on file. | PA Moderate | In Progress | |
| Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy. | Medication competencies have not been completed annually for all staff who administer medications. | Ensure that all managers and staff involved in medication administration and management have completed annual medication competencies. | 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
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
