Albany House

Profile & contact details

Premises details
Premises nameAlbany House
Address 28 Albany Street Gore 9710
Total beds25
Service typesGeriatric, Medical, Rest home care
Certification/licence details
Certification/licence nameAlbany Rest Home 2004 Limited - Albany House
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence19 September 2020
Certification period36 months
Provider details
Provider nameAlbany Rest Home 2004 Limited
Street address 28 Albany Street Gore 9710
Post address

Progress on issues from the last audit

What’s on this page?

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.

Details of corrective actions

Date of last audit: 19 February 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.When shortfalls are identified by the service, quality improvement meetings do not consistently evidence who is responsible for the implementation/follow-up of corrective actions and the timeframe for completion. Ensure quality improvement/ staff meetings identify those responsible for the implementation of corrective actions and the timeframe for completion. PA LowReporting Complete10/04/2018
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.i) One long-term care plan for a hospital resident had not been updated to reflect interventions implemented for weight loss. ii) One long-term care plan for a rest home resident had not been updated to reflect interventions implemented to assist with resident mobility. Ensure care plans are updated to reflect current interventions being implemented. PA LowReporting Complete19/09/2018
Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.i) One rest home and one hospital file reviewed evidenced the interRAI assessment was not completed within 21 days of admission. ii) One hospital resident (recent admission) did not have the long-term care plan completed within 21 days of admission. i) Ensure that interRAI assessments are completed within the required timeframes, in accordance with contractual requirements. ii) Ensure all permanent residents have a long-term care plan developed within 21 days of admission. PA LowReporting Cancelled
A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.Two of four eye drops in current use did not evidence opening dates and two of four eye drops were in continued use past their expiry date. Ensure all eyedrops are dated on opening and not used past expiry dates. PA ModerateReporting Complete10/06/2019
Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines.The controlled medication register had not been stock checked weekly. Ensure that the controlled medication register has a documented weekly stock check. PA ModerateReporting Complete10/06/2019
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Not all required education has been provided as per contractual requirements. Staff have not received training in abuse and neglect, pain management, and chemical safety. Ensure education planning includes all required education as per contractual requirements and resident current needs. PA LowReporting Complete29/07/2019
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.i) Combined quality improvement and staff and resident meetings are scheduled quarterly, however both have occurred only twice in 2018. ii) Meeting minutes do not reflect evidence of discussion of quality trends and corrective actions. iii) Annual resident surveys completed in 2018 have not been correlated, analysed or discussed with staff, family or residents. i) Ensure quality improvement/staff and resident meetings are held as scheduled. ii) Ensure staff meeting minutes evidence discussion of quality indicators and improvement data. iii) Ensure resident surveys are corelated, analysed and the results are communicated to staff, residents and family. PA ModerateReporting Complete29/07/2019
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.i) One long-term care plan for a hospital resident did not include interventions for safe enabler use. ii) One long-term resident using ‘as required’ analgesia did not document efficacy. i) Ensure care plans include interventions for the safe use of enablers and or restraint. ii) Ensure effectiveness of ‘as required’ pain relief is documented. PA ModerateReporting Complete29/07/2019

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

Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits which gives an overview of the auditing process and explains what the audit reports mean.

What’s on this page?

Audit reports for this rest home’s latest audits can be downloaded below.

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. 

Prior to 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 Health and Disability Services Standards.

Note: From November 2013, as rest homes are audited, any issues from their latest audit (the corrective actions required by the auditor) will appear on the rest home’s page. As the rest home completes the required actions, the status on the web site will update.

Audit reports

Audit date: 19 February 2019

Audit type:Surveillance Audit

Audit date: 26 June 2017

Audit type:Certification Audit

Audit date: 11 January 2016

Audit type:Surveillance Audit

Audit date: 28 July 2014

Audit type:Certification Audit

Audit date: 03 April 2013

Audit type:Surveillance Audit

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