In 2009, the Auditor-General published a report on the effectiveness of arrangements to check the standard of services provided by rest homes. A follow-up report was released in September 2012. This report indicates that the consistency and quality of rest home audits have improved. However, the Auditor-General notes that there is still scope for certification and auditing to provide better assurance about the quality of care provided in rest homes, and suggests that the Ministry of Health needs to do more to further strengthen auditor's competence, particularly so that audits better address the quality of care that patients actually receive. The report notes that the Ministry needs to "keep shifting the focus of rest home audits towards ensuring that documented policies and procedures result in safe quality care being delivered to residents". Further information is available here.