Waimarie Private Hospital

Profile & contact details

Premises details
Premises nameWaimarie Private Hospital
AddressWaimarie 9 Waiatarua Road Remuera Auckland 1050
Total beds52
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameCare Alliance 2016 Limited - Waimarie Private Hospital
Current auditorThe DAA Group Limited
End date of current certificate/licence01 March 2024
Certification period36 months
Provider details
Provider nameCare Alliance 2016 Limited
Street addressWaimarie Hospital 9 Waiatarua Road Remuera Auckland 1050
Post addressPO Box 21633 Henderson Auckland 0612

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 January 2021

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.A complaints register is not being maintained detailing complaints received, dates and actions taken. Maintain a complaint’s register that details all complaints received, dates and actions taken. PA LowReporting Complete27/04/2021
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.A staff member with a current first aid certificate is not rostered in duty at all times. Ensure a staff member with a current first aid certificate is on duty / on site at all times. PA LowReporting Complete02/06/2021
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.The corrective actions undertaken when areas for improvement are identified in response to incidents, complaints, and internal audits, are not consistently documented or monitored for effectiveness. Ensure when areas for improvement are required, that the actions required are consistently documented, implemented and monitored for effectiveness. PA ModerateReporting Complete30/06/2021
New service providers receive an orientation/induction programme that covers the essential components of the service provided.While staff advise they are provided with a comprehensive orientation programme relevant to their role, records are not consistently retained to demonstrate completion. Records are not retained demonstrating the orientation programme for bureau staff. Ensure records are retained to verify staff have completed the orientation programme requirements. PA LowReporting Complete30/06/2021
Entry criteria, assessment, and entry screening processes are documented and clearly communicated to consumers, their family/whānau of choice where appropriate, local communities, and referral agencies.Residents were being charged for transportation for arranged activities that were included in the planned activity programme in variance to the organisation’s admission agreement. Provide evidence that transportation for organised outings as part of the activities programme are funded for by the service as per organisation’s admission agreement. PA LowReporting Complete30/06/2021
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.Some areas in the environment require repairs/ maintenance Ensure areas requiring maintenance /renovation are consistently reported and managed. PA LowReporting Complete30/06/2021
Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.Records were not available to demonstrate that the menu in use has been reviewed by the dietitian within the past two years. Provide evidence of current menu review by the dietitian. PA LowReporting Complete30/06/2021
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.i)At times there was an interval of five to six weeks between the interRAI assessments and care plan review. ii) The care plans do not consistently include sufficient information to guide staff for example, absconding risk, use of a lap belt, and diabetes management. Provide evidence that care plans describe the required support and/interventions to achieve the desired outcomes identified by the ongoing assessment process. PA ModerateReporting Complete06/09/2021
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.The organisations quality and risk programme includes a range of key performance indicators (KPI’s). Some of these KPIs are not being monitored. Individual meetings with residents are occurring in lieu of having a resident meeting or undertaking a satisfaction survey. There is no formal process of communicating the outcomes to the management team. Implement a process to monitor key performance indicators as a component of the quality and risk programme. Ensure the results of individualised resident meetings are communicated to the management team and linked to the quality and risk programme as appropriate. PA LowReporting Complete20/09/2021
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.There is inconsistency in the neurological monitoring for residents post unwitnessed fall. A resident has not been weighed since admission although monthly weights have been requested by the dietitian at least two years ago. Provide evidence that neurological monitoring is completed consistently post unwitnessed falls. Provide evidence that weight monitoring is completed consistently for all residents. PA ModerateReporting Complete20/09/2021
The service develops and implements policies and procedures that are aligned with current good practice and service delivery, meet the requirements of legislation, and are reviewed at regular intervals as defined by policy.The references for clinical policies and procedures are not current (frequently 10 years or more), although the policy/procedure documents are noted to have been reviewed within the last two years. The falls policy does not provide sufficient guidance for staff in relation to the management of residents that fall. Review clinical policies and procedures, update references, and ensure content is current and sufficiently detailed to guide staff practice. PA LowReporting Complete27/10/2021
The organisation has a clearly defined and documented infection control programme that is reviewed at least annually.The infection control programme has not been reviewed in the past 12 months as required. Provide evidence that the infection control programme is reviewed annually as required. PA LowReporting Complete27/10/2021

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. 

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.

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