Avon Rest Home

Profile & contact details

Premises details
Premises nameAvon Rest Home
Address PO Box 26348 Epsom Auckland 1344
Total beds18
Service typesRest home care
Certification/licence details
Certification/licence nameM F & B K Coombes - Avon Rest Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence07 July 2019
Certification period36 months
Provider details
Provider nameM F & B K Coombes
Street address 2095 Great North Road Avondale Auckland 0600
Post addressPO Box 26348 Epsom Auckland 1344

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: 02 June 2016

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.(i) Staff meeting minutes did not reflect discussion around infection control. (ii) There was no resident meeting between February 2014 and March 2016. (i) Ensure infection control issues are discussed in staff meetings and that this is documented. (ii) Ensure that regular resident meetings are conducted. PA LowReporting Complete02/11/2016
The appointment of appropriate service providers to safely meet the needs of consumers.Two of five staff files sampled did not contain a documented referenced check. Ensure all new staff have a reference check completed and documented. PA LowReporting Complete02/11/2016
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Insufficient staff have completed core trainings provided in 2014 and 2015 meaning most staff have not completed sufficient training. Ensure all staff receive training in required areas. PA LowReporting Complete02/11/2016

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: 02 June 2016

Audit type:Certification Audit

Audit date: 27 November 2014

Audit type:Surveillance Audit

Audit date: 27 May 2013

Audit type:Certification Audit

Audit date: 01 August 2011

Audit type:Certification Audit

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