Roselea
Profile & contact details
| Premises name | Roselea |
|---|---|
| Address | 14 Stanley Street Claudelands Hamilton 3214 |
| Total beds | 30 |
| Service types | Dementia care |
| Certification/licence name | YHKT LIMITED - Roselea |
|---|---|
| Current auditor | Health and Disability Auditing New Zealand Limited |
| End date of current certificate/licence | 20 August 2024 |
| Certification period | 36 months |
| Provider name | YHKT LIMITED |
|---|---|
| Street address | 5 Strathmore Drive Rototuna Hamilton 3210 |
| Post address | 5 Strathmore Drive Rototuna Hamilton 3210 |
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: 25 May 2021
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| A process to measure achievement against the quality and risk management plan is implemented. | Not all internal audit forms are being fully completed and the audit schedule is not being adhered to. | Internal audit forms are fully completed and show the level of achievement so that the necessity for corrective action can be addressed. Ensure that restraint audits are completed as scheduled. | PA Low | Reporting Complete | 13/07/2021 |
| 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. | Of the PRN medications held in stock, 10 rolls did not display an expiry date on each individual sachet or identified as being packed over 30 days ago and 5 rolls were expired. | Ensure the all PRN medication have visible expiry dates on them, and that expired medication is removed from circulation and returned to the pharmacy for disposal. | PA Moderate | Reporting Complete | 13/07/2021 |
| The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group. | Hot water temperatures and corrections to deviations from acceptable limits have not been documented and there is no evidence that deviations have been addressed. | Hot water temperature testing are documented and deviations from acceptable limits addressed and documented. | PA Low | Reporting Complete | 13/07/2021 |
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | Corrective action to manage deficits identified during the internal audit process are not being documented and managed by the service. | Document and manage deficits identified during the internal audit process. | PA Low | Reporting Complete | 28/07/2023 |
| Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | Not all staff working in the service have completed an NZQA approved dementia qualification within the required timeframe. | All staff working in the service are to complete an NZQA approved dementia qualification within 12 months of commencing employment. | PA Low | Reporting Complete | 28/07/2023 |
| Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits). | The planned review of a three of eight residents care plans reviewed is not undertaken at regular intervals, with the resident and their family/whānau. Changes to the resident’s care plans are not identified and recorded in the care plan. Where progress is different than expected the service has not consistently responded by initiating changes in the care plan (see tracer). | Provide evidence the planned review of a resident’s care plan is undertaken at regular intervals, with the resident and their family/whānau. Changes to the resident’s care plans are identified and recorded in the care plan. Where progress is different than expected the service responds by initiating changes to the care plan. | PA Moderate | Reporting Complete | 28/07/2023 |
| Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | There is no planned process in place to make sure staff complete the required training to meet the requirements of Nga Paerewa and the service’s contract with Te Whatu Ora Waikato. | A process to make sure that staff complete training to meet the needs of Nga Paerewa and the contract with Te Whatu Ora Waikato is to be put into place by the service and be monitored for effectiveness. | PA Moderate | Reporting Complete | 28/07/2023 |
| Buildings, plant, and equipment shall be fit for purpose, and comply with legislation relevant to the health and disability service being provided. The environment is inclusive of peoples’ cultures and supports cultural practices. | There was no evidence that hot water temperature deviations had been corrected. | Deviations from hot water temperature below 40 degrees Celsius and above 45 degrees Celsius are to be addressed and documented. | PA Moderate | Reporting Complete | 28/07/2023 |
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: 25 May 2021Audit type:Certification Audit
Audit date: 06 May 2019Audit type:Provisional Audit