Edmonton Meadows Care Home
Profile & contact details
|Premises name||Edmonton Meadows Care Home|
|Address||Edmonton Meadows Rest Home 46 Edmonton Road Henderson Auckland 0612|
|Service types||Geriatric, Medical, Dementia care, Rest home care|
|Certification/licence name||Henderson Healthcare Limited - Edmonton Meadows Care Home|
|Current auditor||Health Audit (NZ) Limited|
|End date of current certificate/licence||16 May 2024|
|Certification period||36 months|
|Provider name||Henderson Healthcare Limited|
|Street address||46 Edmonton Road Henderson Auckland 0612|
|Post address||46 Edmonton Road Henderson Auckland 0612|
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: 19 April 2021
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The service develops and implements policies and procedures that are aligned with current good practice and service delivery, meet the requirements of legislation, and are reviewed at regular intervals as defined by policy.||2 out of 5 staff interviewed did not know about the polices and how to access them or where to find them.||Ensure policies and procedures are readily accessible and available to staff when required.||PA Moderate||Reporting Complete||15/06/2021|
|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.||Left over medicines of injectables CDs (oxynorm) were not being disposed of immediately but kept for reuse.||Ensure appropriate disposal of left-over CDs to comply with current legislation, protocols and guidelines.||PA Moderate||Reporting Complete||15/06/2021|
|The methods, frequency, and materials used for cleaning and laundry processes are monitored for effectiveness.||Inadequate linen particularly sheets and pillowcases to meet residents’ needs.||Ensure adequate linen is supplied to meet residents’ needs.||PA Low||Reporting Complete||15/06/2021|
|Actual and potential risks are identified, documented and where appropriate communicated to consumers, their family/whānau of choice, visitors, and those commonly associated with providing services. This shall include: (a) Identified risks are monitored, analysed, evaluated, and reviewed at a frequency determined by the severity of the risk and the probability of change in the status of that risk; (b) A process that addresses/treats the risks associated with service provision is developed and im… (this text has been trimmed due to space limits).||(i)Health and safety staff representative are not elected or trained. (ii)Health and safety policy refers to the 1994 and 2002 legislation.||(i)Hold health and safety representative elections and provide training to staff representative as per the legislation. (ii) Provide evidence of an updated policy that refers to current legislation Health and Safety at Work Act (2015).||PA Moderate||Reporting Complete||23/06/2021|
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: 19 April 2021
Audit type:Certification Audit
- Edmonton Meadows Care Home - Apr 2021 (docx, 46.7 KB)
- Edmonton Meadows Care Home - Apr 2021 (pdf, 179.88 KB)
Audit type:Surveillance Audit
- Edmonton Meadows Care Home - Oct 2019 (docx, 34.24 KB)
- Edmonton Meadows Care Home - Oct 2019 (pdf, 135.78 KB)
Audit type:Certification Audit
- Edmonton Meadows Care Home - Feb 2018 (docx, 44.35 KB)
- Edmonton Meadows Care Home - Feb 2018 (pdf, 175.54 KB)
Audit type:Partial Provisional Audit
- Edmonton Meadows Care Home - Oct 2017 (docx, 37.06 KB)
- Edmonton Meadows Care Home - Oct 2017 (pdf, 123.51 KB)
Audit type:Provisional Audit