Rose Lodge Rest Home

Profile & contact details

Premises details
Premises nameRose Lodge Rest Home
Address2 Liverpool Street Epsom Auckland 1023
Total beds14
Service typesRest home care
Certification/licence details
Certification/licence nameGraceful Home Limited - Rose Lodge Rest Home
Current auditorThe DAA Group Limited
End date of current certificate/licence14 August 2022
Certification periodOther months
Provider details
Provider nameGraceful Home Limited
Street address2 Liverpool Street Epsom Auckland 1023

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: 31 August 2020

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Information of a private or personal nature is maintained in a secure manner that is not publicly accessible or observable.Archived records in the garage were not secure and accessible. Ensure all residents’ records are stored securely and accessible when needed. PA LowReporting Complete11/03/2019
Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.1) The menus have still not been reviewed by an authorised authority or person. This has been an ongoing finding since 2016. The risk rating remains at moderate risk but action is now required within one month. 2) The food control plan has not been registered as required by the Food Act (2014) regulations Provide evidence that the menu/food provided meets the needs of all residents. Provide evidence that the food control plan has been registered PA ModerateReporting Complete11/03/2019
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.The floors and lower walls and skirting board of the single toilet in the ladies (north end) of the house requires repair and /or resurfacing. There are degraded surfaces in the lower part of the vanity unit in the bathroom. These provide a barrier to cleaning and compromise provision of a safe and hygienic environment. Ensure all surfaces are intact, so they are easy to clean and can be maintained as hygienic to prevent the spread of disease or infection. PA LowReporting Complete11/03/2019
Consumers are provided with safe and accessible external areas that meet their needs.The surface of the small wooden deck in the very front of the home is covered with mould and poses a slip hazard. Ensure all outside walking surfaces are slip resistant. PA LowReporting Complete19/08/2019
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.Following an unwitnessed fall, ongoing neurological observations had not been completed as required per policy. Ensure ongoing neurological observations are taken as required following an unwitnessed fall. PA ModerateReporting Complete25/01/2021
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.The training schedule has not been implemented as planned. Implement the training schedule as planned. PA LowReporting Complete25/01/2021
Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.There was no activities coordinator to manage the activities programme since April 2020 since the one who was previously appointed has resigned. Those residents who could not participate in individual activities were not receiving support and guidance to participate in activities of choice. Ensure that planned activities for residents are provided/ facilitated to develop and maintain strengths and residents’ interests. PA ModerateReporting Complete29/03/2021
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.Because of the irregularity of meetings, the quality improvement data has not been discussed with staff at regular intervals. The audit schedule has not been implemented since May 2020. Discuss quality improvement data at monthly meetings as per agenda. Continue to audit as per schedule to improve service delivery. PA LowReporting Complete29/03/2021

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. 

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.

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