Rosaria Rest Home

Profile & contact details

Premises details
Premises nameRosaria Rest Home
Address 23 Roberton Road Avondale Auckland 1026
Total beds26
Service typesRest home care
Certification/licence details
Certification/licence nameRosaria Rest Home 2006 Limited - Rosaria Rest Home
Current auditorThe DAA Group Limited
End date of current certificate/licence08 November 2022
Certification period36 months
Provider details
Provider nameRosaria Rest Home 2006 Limited
Street address 23 Roberton Road Avondale Auckland 1026
Post address2/7 Henry Street Avondale Auckland 1026

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: 16 March 2021

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.A monthly register summarising the reported incidents and accidents was documented up to and including September 2020, however, has not occurred since. While there is discussion on the number and types of incident/accidents reported, there is inconsistent analysis of this information. Minutes of monthly staff meetings where quality and risk issues are discussed are not consistently documented or available for staff. Record all reported accidents and incidents on the summary register monthly. Analyse the incident and accident data monthly and communicate the results. Ensure minutes of the monthly staff meeting are consistently documented and available for staff. PA LowReporting Complete13/10/2021
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.The roster does not accurately reflect the hours staff work including the facility manager, assistant manager, registered nurses, the cook, and for activities. The staff member working one night a week does not have a current first aid certificate. Ensure the roster accurately reflects the hours staff and managers are working. Ensure there is at least one staff member on duty with a current first aid certificate. PA ModerateReporting Complete14/06/2021
Service providers responsible for medicine management are competent to perform the function for each stage they manage.The medicine competency assessments for care givers are overdue for annual review (dated as due in March and April 2020). Records are not available to demonstrate that a medication competency assessment has been undertaken for a new care giver and registered nurse (although the registered nurse reports she has completed medicine competency requirements elsewhere). Ensure all staff administering medicines have current medicine competency and records retained. PA HighReporting Complete14/06/2021
Professional qualifications are validated, including evidence of registration and scope of practice for service providers.Annual practising certificates records are out of date for employed and contracted registered health professionals. Ensure records are available to demonstrate that all registered and contracted registered health professionals have a current annual practising certificate. PA LowReporting Complete15/06/2021
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.Nine pro re nata (PRN) medicines present in the medicines trolley have expired. Weekly checks of the controlled drugs register balance is not occurring. The temperature of the medication refrigerator has not been documented since December 2020. Ensure all medicines are within current expiry dates. Undertake weekly checks of the controlled drugs onsite. Undertake regular checking of the medicine refrigerator to ensure the temperature is within the required range. PA LowReporting Complete30/06/2021
The organisation is managed by a suitably qualified and/or experienced person with authority, accountability, and responsibility for the provision of services.The roles and responsibilities of the three members of the management team are not clearly defined, or the person responsible is unaware of the requirements. There are some aspects of service management and coordination that are not occurring in a timely manner. Review and clearly detail the responsibilities allocated to the assistant manager, owner/manager and the registered nurse to ensure all ARRC contract requirements are included, the management of services is appropriately delegated, coordinated, and understood by those responsible. PA ModerateReporting Complete30/06/2021
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.The temperature of the refrigerator and freezer in the kitchen has not been checked and documented since December 2020. Ensure the temperature of the refrigerator and freezer in the kitchen is checked and documented at least daily and ensure it is within the required temperature range. PA LowReporting Complete11/08/2021
New service providers receive an orientation/induction programme that covers the essential components of the service provided.While staff including a caregiver and RN confirm they have been provided with an orientation programme relevant to their role, records have not been consistently maintained to demonstrate this. Ensure new staff are provided with an orientation relevant to their role and records retained to demonstrate this. PA LowReporting Complete13/10/2021
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Annual performance appraisals have not been undertaken for three out of six applicable staff. Ensure annual performance appraisals are undertaken with all staff and records are retained. PA LowReporting Complete13/10/2021
Actual and potential risks are identified, documented and where appropriate communicated to consumers, their family/whānau of choice, visitors, and those commonly associated with providing services. This shall include: (a) Identified risks are monitored, analysed, evaluated, and reviewed at a frequency determined by the severity of the risk and the probability of change in the status of that risk; (b) A process that addresses/treats the risks associated with service provision is developed and im… (this text has been trimmed due to space limits).The hazard register is dated as last reviewed in August 2019. Ensure a regular process is in place to review potential and actual hazards. PA LowReporting Complete13/10/2021
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.InterRAI assessments and activity assessments have not been completed for two new residents. Eight residents are overdue for their interRAI reassessment. The outcomes of completed interRAI assessments are not printed/available in resident files sampled to enable verification that all the residents assessed needs have been included in the long-term care plan. One resident whose record was reviewed and who is at risk of absconding did not have a care plan developed, although the residents’ needs i… (this text has been trimmed due to space limits).Undertake interRAI assessments and reassessments, and ensure that sufficiently detailed long term care plans are developed and reviewed in the timeframes required by the aged related residential care contract. Ensure the outcomes of interRAI assessment are available in residents’ files to ensure all relevant components are included in the long-term care plan. PA ModerateReporting Complete21/03/2022

Guide to table

Outcome required

The outcome required by the Health and Disability Services Standards.

Found at audit

The issue that was found when the rest home was audited.

Action required

The action necessary to fix the issue, as decided by the auditor.

Risk level

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.

Action status

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.

Audit reports

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 reports

Audit date: 16 March 2021

Audit type:Surveillance Audit

Audit date: 19 August 2019

Audit type:Certification Audit

Audit date: 19 September 2018

Audit type:Surveillance Audit

Audit date: 29 August 2017

Audit type:Certification Audit

Audit date: 19 April 2016

Audit type:Surveillance Audit

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