Amberlea Hospital and Rest Home
Profile & contact details
|Premises name||Amberlea Hospital and Rest Home|
|Address||665 Mahurangi East Road Algies Bay Warkworth 0920|
|Service types||Dementia care, Rest home care, Geriatric, Medical|
|Certification/licence name||CHT Healthcare Trust - Amberlea Hospital and Rest Home|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||29 June 2022|
|Certification period||36 months|
|Provider name||CHT Healthcare Trust|
|Street address||97 Great South Rd Market Road Auckland 1543|
|Post address||PO Box 74341 Market Road Auckland 1543|
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: 11 November 2020
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|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.||i) The downstairs medication room was unlocked and the door ajar with no staff in attendance. ii) Unlabelled and opened foil wrapped antibiotics were located on stock shelves. iii) Three expired medications were on the stock shelves.||i) Ensure the medication rooms is secure at all times. ii) Ensure that medications are clearly labelled. iii) Ensure expired medications are disposed of.||PA Moderate||Reporting Complete||14/08/2019|
|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 one only paper-based pharmacy generated medication chart did not evidence the signature of a medical officer.||Ensure all medications are charted and signed by a medical officer||PA Moderate||Reporting Complete||14/08/2019|
|Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.||Three of eight files samples included short-term care plans in place for between two and five weeks with no evidence of evaluation.||Ensure all short-term care plans are evaluated regularly and either resolved or transferred to the long-term care plan.||PA Low||Reporting Complete||14/08/2019|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||An activities programme for the dementia unit is yet to be documented.||Document an activities programme for the dementia unit.||PA Low||Reporting Complete||09/12/2020|
|All buildings, plant, and equipment comply with legislation.||(i). The rooms have yet to be furnished and fittings/chattels installed. (ii). The floor to ceiling clear glass window in the lounge/dining room poses a potential risk for residents with dementia who have may have visuospatial concerns. Other considerations include residents who wander or fall into the window, increase environmental stimulation, or the impact of resident dignity who may be visible to those outside the window.||(i). Ensure rooms are fully furnished and ensure that appropriate equipment is in place. (ii). Ensure that the lounge/dining area is safe, allows for privacy of residents, and allows for management of environmental stimulation and potential risks||PA Low||Reporting Complete||09/12/2020|
|Consumers are provided with safe and accessible external areas that meet their needs.||(i). The deck area does not have outdoor furnishings including shade. (ii). The courtyard is open to the car park at one end and is not yet secure.||(i). Ensure that the courtyard/deck is secure. (ii). Provide an outdoor area with shade, seating and an environment that is suitable for residents in the dementia unit.||PA Low||Reporting Complete||09/12/2020|
|Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.||The orientation for staff specific to the dementia unit has not yet been completed.||Complete the orientation to the dementia unit to include emergency equipment and fire safety as planned.||PA Low||Reporting Complete||09/12/2020|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
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 reportsAudit date: 11 November 2020
Audit type:Partial Provisional Audit
- Amberlea Hospital and Rest Home - Nov 2020 (docx, 53.61 KB)
- Amberlea Hospital and Rest Home - Nov 2020 (pdf, 140.63 KB)
Audit type:Certification Audit
- Amberlea Hospital and Rest Home - Apr 2019 (docx, 46.67 KB)
- Amberlea Hospital and Rest Home - Apr 2019 (pdf, 183.85 KB)
Audit type:Surveillance Audit
- Amberlea Hospital and Rest Home - Oct 2017 (docx, 33.2 KB)
- Amberlea Hospital and Rest Home - Oct 2017 (pdf, 131.19 KB)
Audit type:Certification Audit
- Amberlea Hospital and Rest Home - Apr 2016 (docx, 44.2 KB)
- Amberlea Hospital and Rest Home - Apr 2016 (pdf, 170.26 KB)
Audit type:Surveillance Audit