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 - Nazareth House|
|Current auditor||The DAA Group Limited|
|End date of current certificate/licence||01 November 2020|
|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: 15 August 2017
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|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.||Nazareth House residential agreement does not completely align with ARRC agreement D14.1 regarding exclusions from service. The admission agreement includes in Clause 3 exclusions services that are available and funded, for example, dietetics (dietitian) and advocacy. The statement regarding exclusions of ‘personal equipment aids’ needs to be further clarified to meet the intent of the ARRC agreement.||Nazareth House admission agreement meets the requirements of the CDHB ARRC agreement in relation to exclusions from service D14.1.||PA Low||Reporting Complete||29/05/2018|
|The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.||There are generic goals set for residents with complex needs identified rather than specific goals related to the issue/assessed needs. The well-being and lifestyle plan developed for activities does not include the resident’s goals.||The specific goals of residents are identified and documented to serve as a basis for care planning.||PA Low||Reporting Complete||29/05/2018|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||The current training system does not ensure that new staff complete the specific training, as required in clause D17.6c (i to vii) of the Aged Related Residential Care Service Agreement, within six months of appointment.||All staff who will be in direct contact with the residents shall within six months of employment, complete education (or have completed education) that is related to older people, as detailed in clause D17.6c (i to vii) of the Aged Related Residential Care Service Agreement.||PA Low||Reporting Complete||27/06/2018|
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: 15 August 2017
Audit type:Certification Audit
Audit type:Partial Provisional Audit