Profile & contact details
|Premises name||CHT Glynavon|
|Address||50 Boucher Avenue Te Puke 3119|
|Service types||Rest home care, Geriatric, Medical|
|Certification/licence name||CHT Healthcare Trust - CHT Glynavon|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||23 March 2019|
|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: 14 September 2017
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Service providers responsible for medicine management are competent to perform the function for each stage they manage.||i) Three of seven RNs that administer medication could not evidence an annual medication competency. ii) The unit coordinator that completes staff medication competencies last completed a medication competency assessment in 2015.||i-ii) Ensure that all staff that administer medication or who assess medication competency, complete the required annual competency assessments.||PA Low||In Progress|
|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 resident admitted for respite care 18 days prior to the audit had not had all required risk assessments completed until the day of audit and the initial care plan was not documented until three days after the resident was admitted. ii) One of four long-term care residents (hospital) had not had the interRAI assessment or care plan documented within 21 days.||i-ii) Ensure all assessments and care plans are completed and documented within the required timeframes.||PA Low||In Progress|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||i) Four of five care plans sampled did not have interventions documented for a) one hospital (tracer) resident for the management of mental health issues, and the medium falls risk b) one rest home resident (tracer) for the management of symptomatic atrial fibrillation, chronic kidney disease, and CHF, c) one hospital resident with type II diabetes and unstable blood sugars, mental health issues, and renal failure, d) one hospital resident for the management of angina, medium fall risk, wanderi… (this text has been trimmed due to space limits).||i) Ensure that care plans are documented for all assessed care needs and that that interventions are documented in sufficient detail to guide the care staff. Ii) Ensure that interventions that are documented in discharge summaries are added to the care plan and are implemented. iii) Ensure that the risks associated with the use of an enabler or restraint are documented and interventions to manage the identified risks are noted in the care plan. iv) Ensure that all separate wounds have a c… (this text has been trimmed due to space limits).||PA Moderate||In Progress|
|Consumers have a right to full and frank information and open disclosure from service providers.||Five of eight incident forms reviewed (three hospital and two rest home) did not evidence that family had been notified following an adverse event.||Ensure that family are advised of all adverse events.||PA Low||In Progress|
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: 14 September 2017
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Provisional Audit