Roseanne Retirement Home

Profile & contact details

Premises details
Premises nameRoseanne Retirement Home
Address 25 Taradale Rd Marewa Napier 4110
Total beds16
Service typesRest home care
Certification/licence details
Certification/licence nameRoseanne Retirement Limited
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence12 August 2018
Certification period36 months
Provider details
Provider nameRoseanne Retirement Limited
Street address 25 Taradale Road Marewa Napier 4110
Post address

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 May 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.Four of five files sampled did not document interventions in address all assessed needs. (i) One resident on respite had no documented interventions to guide care. iii) One resident with diabetes had no documented interventions to manage hypo/hyperglycaemia; however the caregivers interviewed could describe appropriate actions. iv) One resident with pain identified as a problem had no documented interventions to manage pain and there was no documentation to identify pain was being managed. … (this text has been trimmed due to space limits).(i) Ensure respite resident file has documented interventions to guide care (iii) Ensure resident with diabetes has documented interventions to manage hypo/hyperglycaemia (iv) Ensure sufficient interventions are documented to manage residents’ pain PA LowIn Progress
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Abuse and neglect, sexuality/intimacy, and care planning mandatory training identified by the service has not been provided in the last two years. Ensure all staff attend compulsory mandatory training requirements at least every two years. PA LowIn Progress
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.A review of the audit calendar schedule and audits evidences that audits are not always undertaken. Ten audits scheduled for April and May 2017 have not been completed as per the calendar. Ensure that all audits are completed as per the calendar schedule. PA LowIn Progress
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.(i) Three of ten medication administration records sampled did not have all prescribed medications signed as administered. (ii) One respite resident did not have a prescribed medication chart in place at time of audit. (iii) There were no documented six-monthly pharmacy checks completed. (i) Ensure that for all prescribed medications administered are signed for once administered. (ii) Ensure that all residents have a prescribed medication chart for all medications. (iii) Ensure pharmacy checks are completed six monthly as required. PA ModerateIn Progress
The organisation has a clearly defined and documented infection control programme that is reviewed at least annually.There has been no review of the infection control programme Ensure the infection control programme has been reviewed PA LowIn Progress

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.

Audit reports

Audit date: 31 May 2017

Audit type:Surveillance Audit

Audit date: 10 June 2015

Audit type:Certification Audit

Audit date: 28 August 2014

Audit type:Surveillance Audit

Audit date: 06 June 2013

Audit type:Certification Audit

Audit date: 13 June 2012

Audit type:Surveillance Audit

Audit date: 09 June 2011

Audit type:Certification Audit

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