Premise details
- Address
- 93 Fourth Avenue Woodhill Whangarei 0110
- Total beds
- 35
- Service types
- Rest home care, Medical, Physical, Geriatric
Certification/licence details
- Certification/licence name
- North Health Limited - Hummingbird Hospital
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- North Health Limited
- Street address
- 68 Morningside Road Morningside Whangarei 0110
- Postal address
- 68 Morningside Road Morningside Whangarei 0110
- Website
- https://www.rosegardenresthome.co.nz
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 identify external and internal risks and opportunities, including potential inequities, and develop a plan to respond to them. | A risk management plan and review schedule is in place. However: - The risk management schedule is not being regularly reviewed. - The risk rating levels have not been checked to ensure they reflect the current needs of Hummingbird Hospital. - Reviews of the efficacy of implementation of the identified risk management strategies are not occurring. | Internal and external risks are regularly reviewed to ensure those identified are applicable, risk ratings are applicable and risk management strategies in place are mitigating them. | PA Low | Reporting Complete | |
| The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. | Temporary wooden planks placed on broken/rotten boards of the floors in the kitchen and in part of one residential wing are uneven and have the potential to compromise the mobility and safety of residents. Hot water temperatures are reportedly being checked in random areas as part of the monthly environment checks and actions taken when they deviated from those expected. These are not currently being documented. | Wooden floors that have deteriorated/rotted are replaced where necessary and the temporary planking removed. Records of hot water temperature checks are maintained, as are records of any actions taken when requirements are not met. | 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. | There are insufficient numbers of staff with a current first aid certificate to ensure every shift has a staff person with first aid expertise and that residents have adequate access to emergency treatment when out on an activity. | There are sufficient health care and support workers who are able to provide a level of first aid and emergency treatment appropriate to the degree of risk at any particular time. | PA Low | Reporting Complete | |
| There is an IP role, or IP personnel, as is appropriate for the size and the setting of the service provider, who shall: (a) Be responsible for overseeing and coordinating implementation of the IP programme; (b) Have clearly defined responsibility for IP decision making; (c) Have documented reporting lines to the governance body or senior management; (d) Follow a documented mechanism for accessing appropriate multidisciplinary IP expertise and advice when needed; (e) Receive continuing education | The infection control coordinator has not completed IPC and antimicrobial stewardship education as per policy requirements. | Ensure IPC and antimicrobial stewardship education is completed as per policy requirements. | PA Low | Reporting Complete | |
| Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data. | Ethnicity data is not included in the monthly surveillance of infections. | Ensure ethnicity data is included in the monthly surveillance of infections. | PA Low | Reporting 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. | The allocation of one registered nurse and one care giver for night shifts for up to thirty-five hospital level care residents, many of whom require complex cares, requires review. | Staffing levels on the night shift are reviewed to ensure adequate residents’ care is provided in a clinically safe manner. | 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: Certification Audit
Audit date:
Audit type: Provisional Audit
