New Windsor Aged Care
Profile & contact details
|Premises name||New Windsor Aged Care|
|Address||103 Tiverton Road New Windsor Auckland 0600|
|Service types||Rest home care|
|Certification/licence name||New Windsor 2017 Limited - New Windsor Aged Care|
|Current auditor||HealthShare Limited|
|End date of current certificate/licence||16 April 2022|
|Certification period||36 months|
|Provider name||New Windsor 2017 Limited|
|Street address||103 Tiverton Road New Windsor Auckland 0600|
|Post address||103 Tiverton Road New Windsor Auckland 0600|
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 February 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The service provider understands their statutory and/or regulatory obligations in relation to essential notification reporting and the correct authority is notified where required.||There is no formal documentation to confirm that the MoH and the District Health Board have been informed of the change in manager.||Notify the MoH and the District Health Board formally of the change in management.||PA Low||Reporting Complete||29/04/2019|
|Consumers have a right to full and frank information and open disclosure from service providers.||Four of the ten incident forms reviewed did not include documentation that confirmed that the family had been informed of the incident.||Ensure that family are informed of any incident and that this is documented.||PA Low||Reporting Complete||24/06/2019|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||Not all activities care plans were individualised and linked to interRAI assessments.||Provide evidence that activities plans are individualised and linked to the interRAI assessments.||PA Low||Reporting Complete||24/06/2019|
|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.||A process for checking and returning as when needed (PRN) medicines to the pharmacy is not implemented. Six-monthly checks of controlled drugs are not completed||i) Implement a process for checking and returning as when needed (PRN) medicines to the pharmacy. ii) Ensure that six-monthly checks of controlled drugs are completed||PA Moderate||Reporting Complete||24/06/2019|
|The service has an easily accessed, responsive, and fair complaints process, which is documented and complies with Right 10 of the Code.||There is a lack of sign off of complaints and documentation of oversight of the complaint by the manager and/or registered nurse.||Ensure that the manager and/or registered nurse reviews each complaint and responds to the complaints appropriately as per policy.||PA Moderate||Reporting Complete||24/06/2019|
|An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.||A complaints register has not been maintained since the last audit.||Document a complaints register that includes all complaints, dates and actions taken.||PA Low||Reporting Complete||24/06/2019|
|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.||i) Neurological observations are not completed as per policy. ii) Strategies to confirm that further action is taken to prevent the incident/s happening again are not well documented.||i) Ensure that neurological observations are completed as per policy. ii) Document strategies to confirm that further action is taken to prevent the incident/s happening again.||PA Moderate||Reporting Complete||24/06/2019|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||There are not enough staff on the morning shift to support the needs of residents.||Continue to implement further staffing on the morning shift as planned and review staffing to ensure that tasks and numbers of staff meet the needs of residents.||PA Moderate||Reporting Complete||26/06/2019|
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: 18 February 2019
Audit type:Certification Audit
Audit type:Provisional Audit