Premise details
- Address
- 23 Roberton Road Avondale Auckland 1026
- Total beds
- 26
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Rosaria Rest Home 2006 Limited - Rosaria Rest Home
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Rosaria Rest Home 2006 Limited
- Street address
- 23 Roberton Road Avondale Auckland 1026
- Postal address
- 2/7 Henry Street Avondale Auckland 1026
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 |
|---|---|---|---|---|---|
| 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 | In three out of five files sampled, six-monthly interRAI reassessments were overdue for review. In four out of five files, care plan evaluations were overdue for review. | Ensure that all planned care reviews are completed in a timely manner to meet the criteria requirements | PA Moderate | Reporting Complete | |
| Service providers shall ensure there are implemented fire safety and emergency management policies and procedures identifying and minimising related risk. | A fire evacuation drill has not been conducted since 29 April 2021. | Undertake six monthly fire evacuation drills as required and maintain records to verify these have occurred and the staff that attended. | PA Moderate | Reporting Complete | |
| Service providers shall understand and comply with statutory and regulatory obligations in relation to essential notification reporting. | Not all applicable events requiring essential notification have been reported to the Ministry of Health. | Ensure all applicable events are reported to the appropriate authority in a timely manner. | PA Moderate | Reporting Complete | |
| Service providers shall develop and implement policies and procedures in accordance with good employment practice and meet the requirements of legislation. | The recruitment process for the three sampled staff employed since March 2021 does do not include completing an application form or undergoing police vetting. | Ensure all aspects of the recruitment process are improvement including police vetting and appropriate records are retained. | PA Moderate | Reporting Complete | |
| In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov | Two out of five files reviewed did not have enough specific intervention to address specific care needs of the residents with specific medical and sensory needs. | Ensure support plans interventions are resident focused with specific steps to deal with the identified medical conditions. | PA Low | Reporting Complete | |
| Governance bodies shall appoint a suitably qualified or experienced person to manage the service provider with authority, accountability, and responsibility for service provision. | There is some uncertainty between the owner/director and the manager as to who is responsible for some aspects of management and what is to be included. This has led to gaps in process for example related to recruitment and essential notification. Records are not available to demonstrate that either the manager has completed eight hours of education in the last 12 months related to managing an aged related residential care facility. | Review the roles and responsibilities of the owner/director and manager are ensure the roles and associated responsibilities are comprehensive and clear. Ensure the manager undertakes at least eight hours of education per annum related to management of aged related are facilities. | PA Moderate | Reporting Complete | |
| The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. | There are pathways and deck areas that have moss on the deck / path and is a slip hazard. There are cardboard boxes stacked in the grounds including on the deck area outside a resident bedroom. Electrical test and tagging of electrical equipment is not occurring. | Ensure all external areas including decks and paths are safe for resident use. Remove cardboard stockpiles. Undertake test and tagging of electrical equipment as required. | PA Moderate | Reporting 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. | Ensuite toilets did not meet compliance requirements as per the building consultant report. | Ensure all alterations meet compliance requirements by the council. | PA Moderate | In Progress | |
| Service providers shall have a clearly defined and documented IP programme that shall be: (a) Developed by those with IP expertise; (b) Approved by the governance body; (c) Linked to the quality improvement programme; and (d) Reviewed and reported on annually. | The IP programme was not reviewed annually as per the organisation’s IP programme requirements. | Ensure the IP programme is reviewed annually to meet the requirements of this criterion. | PA Low | In Progress | |
| 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. | Two of five files reviewed did not have long-term care plans completed in a timely manner. | Ensure all care plans are completed in a timely manner to meet contractual and criterion requirements. | PA Moderate | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | Evaluation of the effectiveness of administered PRN medication is not consistently completed. | Ensure the appropriate medication monitoring system is adhered to, to meet the requirements of this criterion. | PA Moderate | Reporting Complete | |
| In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov | Two of five files reviewed did not have completed long-term care plans in place. Therefore, there was no evidence to verify that appropriate interventions were in place to address the identified needs. | Ensure long-term care plans are completed to guide care. | PA Moderate | Reporting Complete | |
| Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy. | Annual review of medication administration competencies for all staff who administer medication were overdue. | Ensure medication administration competencies for all staff are completed in a timely manner to meet the requirements of this criterion and safe medication management guidelines. | PA Moderate | Reporting Complete | |
| Service providers shall evaluate progress against quality outcomes. | No residents or family satisfaction surveys were completed in 2023 and 2024 year-to-date. | Ensure satisfaction surveys are completed as per policy requirements. | PA Low | Reporting Complete | |
| Service providers shall understand and comply with statutory and regulatory obligations in relation to essential notification reporting. | Not all applicable events requiring essential notification have been reported to the Ministry of Health. | Ensure all applicable events are reported to the appropriate authority in a timely 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: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
