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 2019|
|Certification period||12 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: 18 December 2017
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|All buildings, plant, and equipment comply with legislation.||(i)Two toilets have peeling wall paper and; (ii)The kitchen bench top is chipped and damaged.||Ensure that surfaces are intact to prevent infection risk.||PA Low||In Progress|
|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 2017). The admission agreements for the two new residents had not been updated to comply with ARRC changes. They do not include the timeframes for refund to residents.||Review and update the admission agreements to align with the ARRC contract.||PA Low||In Progress|
|The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed.||A plan describing the transition from the current owners to the new owners has not been documented for the service.||Ensure a transition plan is documented relevant to the new ownership to provide direction.||PA Moderate||In Progress|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||(i) One resident did not have the fluid restriction prescribed by the GP documented in the care plan. Staff advise that this restriction is no longer needed, but this has not been documented by the GP; (ii) One resident had no interventions for a urinary tract infection; (iii) One resident with high risk mental health needs did not have the need for monitoring in the care plan and; (iv) One resident with very frail skin and wounds did not have this documented in the care plan.||Ensure that all resident needs are documented in the care plan.||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)For one resident, weekly monitoring of weight was not documented as per care plan and; (ii) Two resident’s wound care plans had more than one wound assessment and plan documented on one form.||(i)Ensure that all monitoring is documents as per plan and; (ii) Ensure that there is one wound per assessment, wound plan and evaluation.||PA Low||In Progress|
|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.||The service had stock medication of inhalers and antiemetic for injection.||As the service is rest home only, ensure that only medication prescribed for individual residents is stored.||PA Low||In Progress|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||An RN has not been employed to cover this rural location, which is approximately one hour from Auckland.||Ensure that an RN experienced in aged care is employed to cover set hours and available on-call.||PA Moderate||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.