Profile & contact details
|Premises name||Nazareth House|
|Address||220 Brougham Street Sydenham Christchurch 8023|
|Service types||Rest home care, Geriatric, Medical|
|Certification/licence name||Nazareth Care Charitable Trust Board - Nazareth House|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||01 November 2023|
|Certification period||36 months|
|Provider name||Nazareth Care Charitable Trust Board|
|Street address||220 Brougham Street Sydenham Christchurch 8023|
|Post address||PO Box 7024 Sydenham Christchurch 8023|
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: 08 September 2020
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed.||Finding: There is an absence of a formalised clinical governance framework to provide the oversight and direction necessary for best practice service delivery and the partnership model in the NZ jurisdiction. Documentation has been developed which covers the needs of the organisation as a whole but does not always reflect the NZ requirements and standards in the Aged Care environment.||Develop structures, processes and documentation which ensures Nazareth Community of Care Australasia has appropriate systems to support its services in the two jurisdictions.||PA Moderate||Reporting Complete||10/12/2020|
|New service providers receive an orientation/induction programme that covers the essential components of the service provided.||There is inconsistencies in the sign off of the orientation workbook at the end of the clinical staff orientation period.||Establish processes which ensure that orientation workbooks content is fully completed prior to sign off of the programme.||PA Low||Reporting Complete||25/03/2021|
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.
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: 08 September 2020
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Partial Provisional Audit