Glenbrook Rest Home
Profile & contact details
|Premises name||Glenbrook Rest Home|
|Address||131 Wymer Road Glenbrook 2681|
|Service types||Rest home care|
|Certification/licence name||Chetty's Investment Limited - Glenbrook Rest Home|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||09 March 2022|
|Certification period||36 months|
|Provider name||Chetty's Investment Limited|
|Street address||6 Windy Ridge Road Glenfield Auckland 0629|
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: 05 November 2020
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|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 out of fifteen incident reports reviewed from September 2018 onwards failed to reflect evidence of an investigation by the nurse manager.||Ensure all adverse events reflect an investigation by an RN and any follow-up actions taken.||PA Low||Reporting Complete||17/06/2019|
|Entry criteria, assessment, and entry screening processes are documented and clearly communicated to consumers, their family/whānau of choice where appropriate, local communities, and referral agencies.||Of the five files reviewed, two were new residents (admitted 2018). The current updated version of the admission agreement had not been used for the two new residents.||Ensure residents have the updated admission agreements on file.||PA Low||Reporting Complete||17/06/2019|
|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.||Staff do not administer liquid medication from a bottle prescribed to them but use one opened bottle on the medication trolley.||Administer medication only from a bottle prescribed to that resident.||PA Moderate||Reporting Complete||17/06/2019|
|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.||(i). Staff do not administer liquid medication from a bottle prescribed to them but use one opened bottle on the medication trolley. The corrective action remains. (ii). Two of three resident medication files (respite) did not include a copy of the prescription. (iii). One respite resident file did not include allergies documented on the medication chart or in the file, and these were not documented in the medication signing sheets or prescription for the other two respite residents. … (this text has been trimmed due to space limits).||(i). Administer medication only from a bottle prescribed to that resident. (ii). Ensure that a copy of the prescription is provided for respite residents. (iii). Ensure that allergies are documented in the resident file and the medication folder for respite residents.||PA Moderate||Reporting Complete||30/03/2021|
|Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.||Temperatures of food when delivered has not been taken since September 2019.||Ensure that the temperature of food when delivered is taken and maintains temperatures with normal range as per policy.||PA Low||Reporting Complete||30/03/2021|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i). Wound assessments and care plans are not well documented. (ii). The care plan did not include individualised interventions for specific issues identified. (iii). The care plan was not always updated with interventions as these changed.||(i). Document wound assessments and care plans and refer to these in the long-term care plan. (ii). Document individualised interventions for specific issues identified. (ii). Update the care plan with interventions as these change.||PA Moderate||Reporting Complete||30/03/2021|
|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.||Four of four incidents that involved a head injury or that was not witnessed did not have neurological observations taken as per policy. The shortfall identified at the previous audit remains.||Ensure that neurological observations are taken as per policy for a resident who has an unwitnessed fall or who has sustained an injury to their head as a result of a fall.||PA Moderate||Reporting Complete||28/04/2021|
|A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.||There is no evidence of resolution of issues when corrective action are identified i.e. through audits.||Ensure that there is documentation of resolution of issues as these arise.||PA Low||Reporting Complete||21/07/2021|
|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). Three of four resident files did not evidence completion of the initial interRAI in a timely manner. (ii). Three of four resident files did not evidence completion of the initial long-term care plan. (iii). One care plan had been reviewed prior to the interRAI being completed. (iv). One care plan had not been reviewed six monthly as required.||(i)-(iv). Ensure that timeframes for completion of initial interRAI and care plans and ongoing documentation of interRAIs and review of care plans is completed in a timely manner as per policy.||PA Low||Reporting Complete||21/07/2021|
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: 05 November 2020
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Provisional Audit