Premise details
- Address
- 25 Mansfield Avenue St Albans Christchurch 8014
- Website
- http://www.nursemaude.org.nz/
- Total beds
- 75
- Service types
- Geriatric, Medical, Rest home care
Certification/licence details
- Certification/licence name
- Nurse Maude Association - Nurse Maude Hospital
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 48 months
Provider details
- Provider name
- Nurse Maude Association
- Street address
- 24 McDougall Avenue Saint Albans Christchurch 8014
- Postal address
- PO Box 36126 Merivale Christchurch 8146
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 have the opportunity to discuss and review performance at defined intervals. | At the time of audit, around 50% of the health assistant (HA) workforce did not have a current performance review. | All staff complete a performance review three months following their appointment and thereafter yearly. | PA Low | 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 | In the files sampled, the assessments do not consistently lead to a plan for resident care in a timely manner. b) Of six resident files reviewed, two had identified nutritional deficits. While these were identified in the initial assessment, there was a delay in developing a plan of care. At the time of audit, this was more than a month after admission for one resident with very low body weight. b) Two residents were self-medicating, and both manage their own inhalers. There was no evidence o | Implement timely completion of a plan of care (initial or long term) when a resident’s care needs change, or a deficit is identified. | PA Low | Reporting Complete | |
| A process shall be implemented to identify, record, and communicate people’s medicinerelated allergies or sensitivities and respond appropriately to adverse events. | Of 12 medication charts reviewed in the electronic system, four did not have allergy or sensitivity status recorded for the resident. | Implement suitable checks which ensure completion of all allergy and sensitivity fields in the electronic system prior to administering any prescribed medicines. | PA Moderate | Reporting Complete | |
| Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data. | While the organisation collects data about infections within the event reporting system, as confirmed by laboratory testing, this does not include all residents who are symptomatic of an infection. There are no established surveillance definitions/guidelines for the care home. | Identify and implement appropriate standardised definitions for collecting and reporting surveillance data for the care home. | 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: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
