Carnarvon Private Hospital

Profile & contact details

Premises details
Premises nameCarnarvon Private Hospital
Address 20 Lincoln Road Henderson Auckland 0610
Total beds40
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameCHT Healthcare Trust - Carnarvon Private Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence01 November 2020
Certification period36 months
Provider details
Provider nameCHT Healthcare Trust
Street address 97 Great South Rd Market Road Auckland 1543
Post addressPO Box 74341 Market Road Auckland 1543
Websitewww.cht.co.nz/index.php

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: 25 February 2020

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate 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.The treatment/medication room in the new build has not yet been completed or secured and stock and equipment is yet to be moved in. Complete fitting out of the treatment/medication room with security in place with all equipment, furniture and medicines transferred over. PA LowReporting Complete23/03/2020
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.The building is not yet ready for occupancy. Equipment is yet to be installed. Ensure that the building is ready for occupancy. PA LowReporting Complete23/03/2020
There are adequate numbers of accessible toilets/showers/bathing facilities conveniently located and in close proximity to each service area to meet the needs of consumers. This excludes any toilets/showers/bathing facilities designated for service providers or visitor use.Ensuite and communal toilet and bathroom facilities are to be operationalised. Ensure that power, lighting and water supplies are turned on. PA LowReporting Complete23/03/2020
All buildings, plant, and equipment comply with legislation.An IF2 – Commercial final checklist (previously the certificate for public use) has yet to be issued for stage 2 of the new build. Ensure that an IF2 – Commercial final checklist (previously the certificate for public use) is issued for stage 2 of the new build. PA LowReporting Complete23/03/2020
Service providers follow a documented process for the safe and appropriate storage and disposal of waste, infectious or hazardous substances that complies with current legislation and territorial authority requirements.The new sluice room is not yet completed with equipment installed. Provide an operational sluice room. PA LowReporting Complete23/03/2020
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.The kitchen in the new build is yet to be completed. Provide an operational kitchen with food stuffs and relevant equipment in place. PA LowReporting Complete23/03/2020
An appropriate 'call system' is available to summon assistance when required.The call bell system is in place in the new building but not yet operationalised. Operationalise the call bell system in the new building. PA LowReporting Complete23/03/2020
Where required by legislation there is an approved evacuation plan.The fire evacuation plan has been submitted to Fire Service New Zealand for the new building but not yet approved. Ensure that the fire evacuation plan submitted to Fire Service New Zealand for the new building is approved. PA LowReporting Complete23/03/2020
Service providers have access to designated areas for the safe and hygienic storage of cleaning/laundry equipment and chemicals.Cleaning cupboards and storage for laundry equipment in the new build is yet to be completed. Complete storage for cleaning and laundry equipment in the new build. PA LowReporting Complete23/03/2020
Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.Staff have yet to be trained in emergency management relative to the new building. Provide staff with training in emergency management relative to the new building. PA LowReporting Complete23/03/2020
Consumers are provided with safe and accessible external areas that meet their needs.Pathways and outdoor areas are yet to be completed to a point where they can be accessed by residents. Complete pathways and outdoor areas to a point where they can be accessed by residents. PA LowReporting Complete23/03/2020

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.

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