Norfolk Court Rest Home
Profile & contact details
|Premises name||Norfolk Court Rest Home|
|Address||68 Normanby Street Dargaville 0310|
|Service types||Dementia care, Rest home care, Geriatric|
|Certification/licence name||Norfolk Court Home & Hospital - Norfolk Court Rest Home|
|Current auditor||Health Audit (NZ) Limited|
|End date of current certificate/licence||12 April 2021|
|Certification period||36 months|
|Provider name||Norfolk Court Home & Hospital Limited|
|Street address||68-72 Normanby Street Dargaville 0310|
|Post address||68-72 Normanby Street Dargaville 0310|
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: 28 August 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||In service education includes the mandatory training topics as required. Records of in-service training confirmed low attendance.||Staff are not consistently attending mandatory training.||PA Low||Reporting Complete||17/12/2018|
|Information is entered into the consumer information management system in an accurate and timely manner, appropriate to the service type and setting.||Progress notes sampled did not consistently include the time of entry.||Staff are required to record the time when writing a progress note.||PA Low||Reporting Complete||17/12/2018|
|Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines.||Routine stock take of control drugs has not been occurring.||Complete the required routine stoke take of controlled drugs.||PA Low||Reporting Complete||17/12/2018|
|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.||Not all expected timeframes for service provision have been met.||Completion each stage of service provision within the timeframes required.||PA Moderate||Reporting Complete||09/09/2019|
|Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is undertaken by suitably qualified and/or experienced service providers who are competent to perform the function.||The majority of interRAI assessments were overdue for six monthly review and one new admission did not have interRAI assessment completed within three weeks of admission.||Ensure that interRAI assessments and care plan evaluations are completed within the timeframes required.||PA Moderate||In Progress|
|Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines.||Weekly and six-monthly stock checks were not completed consistently in the controlled drugs register.||Ensure that weekly and six-monthly controlled drugs stock checks are completed consistently||PA Moderate||Reporting Complete||18/12/2019|
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: 28 August 2019
Audit type:Surveillance Audit
- Norfolk Court Rest Home - Aug 2019 (docx, 33.17 KB)
- Norfolk Court Rest Home - Aug 2019 (pdf, 131.92 KB)
Audit type:Certification Audit
- Norfolk Court Rest Home - Jan 2018 (docx, 49.44 KB)
- Norfolk Court Rest Home - Jan 2018 (pdf, 172.13 KB)
Audit type:Provisional Audit