Fraser Manor Rest Home

Profile & contact details

Premises details
Premises nameFraser Manor Rest Home
Address 122 Fraser Street Tauranga South Tauranga 3112
Total beds41
Service typesRest home care
Certification/licence details
Certification/licence nameSenior Care Investment Limited - Fraser Manor Rest Home
Current auditorThe DAA Group Limited
End date of current certificate/licence05 July 2022
Certification period36 months
Provider details
Provider nameSenior Care Investments Limited
Street address122 Fraser Street Tauranga South Tauranga 3112
Post address122 Fraser Street Tauranga South Tauranga 3112

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: 01 October 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.One complaint/concern described by a relative is not documented in the complaints register. Ensure the complaints register accurately records all complaints and the actions taken to address the complaint or concern. PA LowReporting Complete14/06/2019
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.Not all controlled drugs administration processes were undertaken in accordance with the facility’s’ medication policy and good practice in relation to administration, storing, documentation and checking of controlled drugs. Provide evidence of safe medication management. PA ModerateReporting Complete14/06/2019
Areas used by consumers and service providers are ventilated and heated appropriately.Wall mounted heaters have been ordered for the two bedrooms in Bellbird Suite ‘A’; however, have yet to be installed. Install heating in the ‘Bellbird A’ bedrooms. PA LowIn Progress
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.The walkway between Bellbird Suites and the main rest home facility is uncovered. Provide a covered walkway between Bellbird Suites and the main rest home building. PA LowIn Progress
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.Due to recent changes in rostering, the service is unable to demonstrate that a staff member with a current first aid certificate is always rostered on duty. A staff member that is trained to provide resident care is not rostered on duty in Bellbird 24/7. Ensure a staff member with a current first aid certificate is always rostered on duty. Ensure suitably trained care staff are rostered on duty in Bellbird Suites at all times. PA ModerateIn Progress

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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