Anne Maree Court

Profile & contact details

Premises details
Premises nameAnne Maree Court
Address 17 Fraser Avenue Northcote Auckland 0627
Total beds79
Service typesMedical, Rest home care, Geriatric
Certification/licence details
Certification/licence nameLogan Samuel Limited - Anne Maree Court
Current auditorThe DAA Group Limited
End date of current certificate/licence12 June 2021
Certification period36 months
Provider details
Provider nameLogan Samuel Limited
Street address 24 Coronet Place Avondale Auckland 1026
Post addressPO Box 19095 Avondale Auckland 1746

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: 03 October 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The facilitation of safe self-administration of medicines by consumers where appropriate.The safe facilitation of two residents’ who are self-administering medication was not evident. To provide evidence that residents self-medicating comply with legislation and medication guidelines. PA ModerateReporting Complete07/08/2018
The service provider understands their statutory and/or regulatory obligations in relation to essential notification reporting and the correct authority is notified where required.The provider has not meet the requirements regarding essential notifications under Section 31 of the Health and Disability Services (Safety) Act 2001 which requires all certified providers to notify the Director General of Health. Ensure that events that require reporting under section 31 are notified. PA LowReporting Complete05/12/2018
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.The number of staff allocated does not appear to take into account: - the layout of the facility. This is a large square with no observation points in corridors (although CCTV has been recently installed). Care staff were seldom seen in these areas although a large number of rest home residents were either in their rooms or wandering the corridors. - the high dependency needs of the majority of residents and the changing and challenging behaviour of others. The system for back filling unexp… (this text has been trimmed due to space limits).Review the number of care staff and RNs on each shift considering the acuity, high dependency needs and challenging behaviour of residents, and the layout of the facility. Strengthen the system for back filling staff absences. PA ModerateReporting Complete05/12/2018
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.Medication administration processes were not undertaken in accordance with the organisational policy and good medication practice in relation to, the written acknowledgment of dates when medication (eye drops/ointments) are opened, documentation and follow-thru and/or outcomes of medication being either withheld or not administered by staff, and the administration of medication to individual residents. Provide evidence that a safe medicines management system is implemented to comply with legislation and medication guidelines. PA ModerateReporting Complete04/02/2019
In assessing whether restraint will be used, appropriate factors are taken into consideration by a suitably skilled service provider. This shall include but is not limited to: (a) Any risks related to the use of restraint; (b) Any underlying causes for the relevant behaviour or condition if known; (c) Existing advance directives the consumer may have made; (d) Whether the consumer has been restrained in the past and, if so, an evaluation of these episodes; (e) Any history of trauma or abuse, whi… (this text has been trimmed due to space limits).There is no documented evidence that a resident with bedrails in use, had been assessed prior to initiating the restraint. Ensure that all procedures related to the restraint process are adhered to. PA LowReporting Complete01/07/2019
Where an episode of restraint is ongoing the time intervals between evaluation processes should be determined by the nature and risk of the restraint being used and the needs of the consumers and/or family/whānau.There has not been a review of the restraint intervention since it was initiated in September 2017. Ensure all restraint interventions are reviewed and evaluated at times intervals relevant to the degree of risk and type of restraint in place. PA LowReporting Complete01/07/2019
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.The care plan developed by an external nurse specialist to support the resident while rehabilitating after an injury before returning home has not been followed to ensure that the individual needs of the resident were being met and the requests/instructions of the allied supporting staff were followed. A distressed and escalating (with anger) resident was unattended to for a period of time on day two of the audit. The interventions in the care plan were not being carried out. To provide evidence that all interventions and evaluations are carried out in practice. PA LowReporting Complete21/10/2019

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: 03 October 2019

Audit type:Surveillance Audit

Audit date: 19 April 2018

Audit type:Certification Audit

Audit date: 18 November 2016

Audit type:Surveillance Audit

Audit date: 01 April 2015

Audit type:Certification Audit

Audit date: 24 October 2013

Audit type:Surveillance Audit

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