Premise details
- Address
- 10 MacMurray Road Remuera Auckland 1050
- Total beds
- 35
- Service types
- Geriatric, Physical, Medical, Rest home care
Certification/licence details
- Certification/licence name
- CSR Healthcare Limited - Remuera Rest Home and Hospital
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- CSR Healthcare Limited
- Street address
- 3A/109 Queen Street Auckland Central Auckland 1010
- Postal address
- PO Box 26718 Epsom Auckland 1344
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 |
|---|---|---|---|---|---|
| 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. | There was inadequate recording of hot water temperatures, a total of six entries from only one source taken over a six-month period. | Water temperatures should be recorded on a regular basis from varies sources and outlets, temperatures should not exceed 45 degrees Celsius to comply with Health and Disability service being provided. | PA Low | Reporting Complete | |
| Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this. | First interRAI assessments and re assessments had not been completed for two rest home and one hospital residents within 21 days from admission. One rest home and one hospital resident interRAI re-assessment had not been completed 6 monthly. This had been identified in the previous audit. These residents did have a comprehensive suite of other assessments on file as described. InterRAI assessment’s, MDS comments and the re-assessments summary were not kept in the residents file | All rest home and hospital residents to have initial interRAI assessments within 21 days of admission. InterRAI routine re-assessments to be completed 6 monthly for rest home and hospital residents. Ensure that the residents interRAI assessments are accessible by the RN. | PA Moderate | Reporting Complete | |
| Menu development that considers food preferences, dietary needs, intolerances, allergies, and cultural preferences shall be undertaken in consultation with people receiving services. | It was observed on the day of audit that the cook was not delivering to the days menu and the facility manager confirmed that this had been an ongoing issue and they had been monitoring and managing. | The cook is to deliver food to residents scheduled on the menu, as reviewed by the dietitian. | PA Low | Reporting Complete | |
| Service providers shall ensure people’s dining experience and environment is safe and pleasurable, maintains dignity and is appropriate to meet their needs and cultural preferences. | Chiller and freezer temperatures had not been recorded no records provided. | Chiller and freezer temperatures to be taken and recorded daily. | PA Moderate | Reporting Complete | |
| Care or support plans shall be developed within service providers’ model of care. | Care plans reviewed did not describe all care needs required to manage residents care e.g. i) One diabetic resident (RH) with no specific instructions to manage hyperglycaemia or hypoglycaemia (ii) One resident (Hosp YPD) with challenging behaviours, no strategies to de-escalation or reduce outbursts included in the nursing care plan. | Ensure care plans are documented and updated to reflect resident current needs. | PA Moderate | Reporting Complete | |
| Service providers demonstrate routine analysis to show entry and decline rates. This must include specific data for entry and decline rates for Māori. | The service does not collect ethnicity data on entry. There is no record for the decline rates of residents to the service, or analysed information from enquiring individual residents. Declined and entry information including ethnicity is not reported or discussed with the owner. | Provider to demonstrate routine analysis to show entry and decline rates. This must provide specific data for entry and decline rates for Māori and discussed at owner level. | 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 | One resident (Hosp/YPD) level and two (RH) residents did not have a nursing care plan completed within 21 days of admission. | Ensure that care plans are developed within the required 21 days of admission, and these are completed and documented in consultation with the resident and /or their family/whānau. | PA Moderate | 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 service does not have enough registered nurses to have an RN on duty at all times as per the ARC contract D17.4 a. i. | Ensure a registered nurse is always on duty to meet the requirements of the ARC contract D17.4 a. i. | PA Moderate | Reporting Complete | |
| An approved food control plan shall be available as required. | There was no current food plan in place, the previous one expired. | An approved current food control plan shall be available as required. | 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: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
