Cromwell House and Hospital
Profile & contact details
|Premises name||Cromwell House and Hospital|
|Address||3 Warborough Avenue Epsom Auckland 1051|
|Service types||Medical, Dementia care, Rest home care, Geriatric|
|Certification/licence name||Cromwell Business Limited - Cromwell House and Hospital|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||08 October 2023|
|Certification period||36 months|
|Provider name||Cromwell Business Limited|
|Street address||3 Warborough Avenue Epsom Auckland 1051|
|Post address||3 Wilding Avenue Epsom Auckland 1023|
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: 13 January 2022
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||Review staffing roles and arrangements for residents in the rest home area to ensure that their needs are provided for and to ensure safety of residents in the dementia unit.||Provide adequate staffing for residents in the rest home area.||PA Moderate||Reporting Complete||02/11/2020|
|Adequate access is provided where appropriate to lounge, playroom, visitor, and dining facilities to meet the needs of consumers.||Residents in the rest home do not have access to their own dining room or lounge area that would meet their needs.||Ensure rest home residents are provided with access to a dining room and lounge which meets their needs for meals, relaxation, and activities.||PA Low||Reporting Complete||29/03/2021|
|A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.||The staff and registered nurse meeting minutes do not always show evidence of resolution of issues when corrective actions are documented.||Ensure that any corrective actions documented in staff and registered nurse meeting minutes evidence resolution of issues.||PA Low||Reporting Complete||12/04/2021|
|Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.||(i) Two rest home residents, three hospital residents and one family member complained that the food was cold most of the time. (ii) Four out of six residents interviewed complained that the food was tasteless.||(i)-(ii) Ensure resident concerns regarding the meals provided are addressed.||PA Low||Reporting Complete||28/06/2021|
|The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.||Six of eleven incident forms did not show that neurological observations were completed as per policy for residents who have an unwitnessed fall.||Ensure that neurological observations are documented for residents who have an unwitnessed fall as per policy.||PA Low||Reporting Complete||19/07/2022|
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.
From 1 June 2009 to 28 February 2022 rest homes were audited against the Health and Disability Services Standards NZS 8134:2008. These standards have been updated, and from 28 February 2022 rest homes are audited against Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.
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 Ngā Paerewa Health and Disability Services Standard.
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: 13 January 2022
Audit type:Surveillance Audit
- Cromwell House and Hospital - Jan 2022 (docx, 34.44 KB)
- Cromwell House and Hospital - Jan 2022 (pdf, 137 KB)
Audit type:Certification Audit
- Cromwell House and Hospital - Aug 2020 (docx, 45.92 KB)
- Cromwell House and Hospital - Aug 2020 (pdf, 180.17 KB)
Audit type:Provisional Audit