Premise details
- Address
- 120 Rathgar Road Henderson Auckland 0610
- Total beds
- 18
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Roseridge Healthcare Limited - Roseridge Rest Home Henderson
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Roseridge Healthcare Limited
- Street address
- 120 Ragthar Road Henderson Auckland 0610
- Postal address
- 120 Ragthar Road Henderson Auckland 0610
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. | The internal risk monitoring framework includes the use of internal audits to help evaluate risk effectiveness of mitigation strategies. While audits are occurring, there is no linkage between the audit results and the risk monitoring framework. The risk register does not include all applicable/current risks. The risk register has not been reviewed since the last audit. | Ensure the risk register is reviewed and updated on a scheduled basis and whenever there are changes in organisational risk, including risks related to information technology platforms and external exit security and monitoring. Ensure the effectiveness of risk mitigation strategies is monitored and linked as appropriate with the internal audit and quality programme. | PA Moderate | In Progress | |
| Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | There was a staff member rostered working alone on site who did not have evidence of having a current first aid certificate and medication competency. | Ensure a staff member is always rostered on duty with a current first aid certificate and medication competency. | PA Low | In Progress | |
| There shall be a clinical governance structure in place that is appropriate to the size and complexity of the service provision. | A clinical governance structure appropriate to the size and complexity of the services being provided is not being currently implemented. | Implement a clinical governance structure that is appropriate to the size and complexity of the services being provided. | PA Moderate | In Progress | |
| Service providers shall evaluate progress against quality outcomes. | There is insufficient evaluation of progress towards achieving quality outcomes. Gaps include appropriate analysis of restraint, reported events/incidents and infections, and communication with staff on the results of internal audits undertaken. Ethnicity data is not being included and analysed where applicable. | Ensure a consistent process is in place to evaluate progress against quality outcomes, including restraint, incidents/reportable events, infections, and internal audit outcomes. Include ethnicity data in analysis where required to meet these standards. | PA Moderate | In Progress | |
| 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 | Not all files evidenced completed long-term care plan evaluations, environmental restraint documentation within long-term care plans, and neurological monitoring following an unwitnessed fall in accordance with organisational policy requirements. | Ensure long-term care plan evaluations are completed and environmental restraint documentation within long-term care plans includes reason for use, potential impact, interventions, and review. Ensure neurological monitoring following unwitnessed falls is completed in accordance with organisational policy requirements. | PA Moderate | In Progress | |
| 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 | Not all files evidenced completion of registered nurse progress notes weekly, or following changes in condition or GP reviews, in accordance with organisational policy requirements. | Ensure registered nurse progress notes are completed weekly and following changes in condition or GP reviews, in accordance with organisational policy requirements. | PA Moderate | In Progress | |
| Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data. | Records were not available to demonstrate that infection surveillance monitoring had been completed for the last four months in accordance with organisational policy requirements. Ethnicity data was not included in records sighted. | Ensure infection surveillance monitoring is completed consistently, that analysis and responsibilities for follow-up are clear, that ethnicity data is evaluated in accordance with organisational policy and funder contract requirements, and that records are accessible. | PA Low | In Progress | |
| Service providers shall facilitate safe self-administration of medication where appropriate. | Two residents self-administering medications did not have completed self-administration medication assessments and associated GP and registered nurse reviews in accordance with organisational policy requirements. | Ensure residents self-administering medications have completed self-administration medication assessments and associated GP and registered nurse reviews in accordance with organisational policy requirements. | PA Moderate | In Progress | |
| Results of surveillance and recommendations to improve performance where necessary shall be identified, documented, and reported back to the governance body and shared with relevant people in a timely manner. | There is inconsistent analysis of surveillance data, and no recommendations/suggestions for improvement have been made in relation to the infection prevention programme based on surveillance data since January 2025. | Ensure there is consistent analysis of the infection data and recommendations/improvements identified, implemented and reported in accordance with organisational policy requirements and funder contract requirements. | PA Moderate | In Progress | |
| Health care and support workers shall be trained in least restrictive practice, safe practice, the use of restraint, alternative cultural-specific interventions, and de-escalation techniques within a culture of continuous learning. | Staff complete an annual restraint competency. However, the information recorded by staff in relation to approved restraint does not align with the organisation’s policy. | Ensure that staff understand the organisation’s restraint policy, and that the associated competency forms are reviewed and followed up in the event staff do not answer the questions appropriately. | PA Low | 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 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
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Provisional Audit
