Aria Park Retirement Village
Profile & contact details
|Premises name||Aria Park Retirement Village|
|Address||3 Claude Road Epsom Auckland 1023|
|Service types||Rest home care, Geriatric, Medical|
|Certification/licence name||Aria Park Senior Living Limited|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||14 July 2015|
|Certification period||24 months|
|Provider name||Aria Park Senior Living Limited|
|Street address||3 Claude Road Epsom Auckland 1023|
|Post address||PO Box 26514 Auckland 1344|
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 July 2014
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The service has an easily accessed, responsive, and fair complaints process, which is documented and complies with Right 10 of the Code.||One of the two complaints for 2014 does not show documented evidence of a resolution letter being sent to the complainant.||Ensure that all complaints are acknowledged, investigated and that the complainant is notified of the outcome and that this is documented.||PA Low||Reporting Complete||22/01/2015|
|The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.||In the four hospital level resident files reviewed; one has an incorrect nutritional needs form, and no pain assessment, one had an incomplete pain assessment, one had assessments that had not been reviewed six monthly. In the rest home one file has incomplete assessments, and one does not reflect the cultural status of the resident, and two files have incomplete assessments, and assessments not reviewed six monthly, weights are not documented as undertaken monthly in two resident files. Diet… (this text has been trimmed due to space limits).||Ensure that all assessments are documented fully in a timely manner and dietary needs are communicated to the kitchen.||PA Moderate||Reporting Complete||23/12/2014|
|Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.||Physio interventions and recommendations were not documented in one care plan. Progress notes care interventions ‘ tick templates’ are not always completed ( one hospital file and one rest home file)||Ensure physio interventions and recommendations are documented in the care plans. Ensure progress notes care interventions ‘tick templates’ are completed daily.||PA Low||Reporting Complete||23/12/2014|
|Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.||(I) Minutes have not been completed for the May, June and July 2014 quality meetings meaning it is difficult to follow issues through. (ii) Meeting minutes of staff meetings show other staff are not aware of the outcomes of quality data analysis. (iii) Restraint is not discussed at quality meetings for those meetings where minutes are available.||(i)Ensure quality meeting minutes are taken and made available and copies kept. (ii) Ensure all staff are informed of the outcomes of quality data analysis and trends. (iii) Ensure restraint is discussed in quality meetings or some other regular forum.||PA Moderate||Reporting Complete||23/12/2014|
|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.||In the rest home; there were four medication charts instances of regular medications not signed for, the use of ‘white out’ on a chart and one instance of transcribing. In the hospital there was one instance of medication not signed on administration. A resident who had BSLs prior to insulin has the BSL taken two hours prior to the insulin and results stored in a separate file. The medication fridge contained out of date Glucagon and Mylanta not dated on opening. During resident interviews… (this text has been trimmed due to space limits).||Ensure that medications are signed when given, Transcribing must cease. Ensure medications are checked to ensure they are all in date and dated on opening as needed. BSLs prior to insulin should be taken close to the time of administration and the results easily available to the administrator.||PA Moderate||Reporting Complete||23/12/2014|
|A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.||Where shortfalls are identified in the regular monthly audits there is no evidence of corrective action plans being developed. Some corrective action plans are developed when shortfalls are identified in other audits but there is no evidence of these having been implemented and signed off.||Ensure that corrective action plans are developed when service shortfalls are identified and that corrective action plans are implemented and signed off when completed.||PA Moderate||Reporting Complete||22/01/2015|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||There has been no training around restraint use and the management of challenging behaviour. Attendance at trainings is low with less than 15 staff attending abuse and neglect, falls prevention and skin/pressure area risk management.||Ensure training is provided around restraint and challenging behaviour management and that staff training attendance is such that all staff receive essential trainings.||PA Moderate||Reporting Complete||22/01/2015|
|The use of enablers shall be voluntary and the least restrictive option to meet the needs of the consumer with the intention of promoting or maintaining consumer independence and safety.||A review of three files for residents with enablers demonstrates that they are referred to in the care plan as restraints and that the resident is unable to consent to the bedrail, meaning they are not voluntary and therefore are restraints.||Ensure the use of enablers is voluntary.||PA Low||Reporting Complete||22/01/2015|
|All buildings, plant, and equipment comply with legislation.||Not all medical equipment has been calibrated.||Ensure all medical equipment is calibrated according to the manufacturer’s instructions.||PA Low||Reporting Complete||22/01/2015|
|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.||There were two skin tears noted in resident files where no incident form has been completed.||Ensure incident forms are completed for all incidents.||PA Moderate||Reporting Complete||22/01/2015|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Of the three rest home resident files reviewed; one did not have any cultural care included for a resident of a different culture. In the hospital, of the four resident files reviewed; one with no interventions for pain where pain is an identified problem one with diet and feeding interventions not documented and two with no weight management where weight management is an identified problem, and one with pressure area care not well documented.||Ensure that all identified resident problems have interventions documented in the residents’ LTCP||PA Moderate||Reporting Complete||22/01/2015|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||Two of three rest home level residents did not have a documented individualised activity plan for each resident. Two of four hospital level activity plans do not document six monthly reviews. A review of the activity plans for the service does not document community links and attendance sheets for activities do no document level of involvement.||Ensure all residents have an up to date individualised activity plan. Ensure that community links are maintained and attendance sheets record level of involvement with activities.||PA Low||Reporting Complete||22/01/2015|
|Consumers have a right to full and frank information and open disclosure from service providers.||Two of nine incident forms sampled do not document that family were informed. There is no recorded in the corresponding progress notes of family being informed. One of these incidents is for a significant sum of money being found around the room of a resident who is not competent to care for the money.||Ensure family are informed of all incidents and that this is documented.||PA Low||Reporting Complete||22/01/2015|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||There are ten wounds in the rest home (including one pressure area). Wound care plans are in place for all identified wounds; however one has three skin tears on one wound form and the pressure sore does not state the grade. Hospital upstairs has six identified wounds including one pressure sore. Wound care plans are documented well with the exception of the pressure which does not state the grade. Hospital downstairs has four identified wounds these four wound plans all have documentation … (this text has been trimmed due to space limits).||Ensure STCPs are in place for short term of acute events. Ensure wound care plans are in place for all wounds, and that wound care plans and assessments describe the wound and the care needed.||PA Moderate||Reporting Complete||27/01/2015|
|Results of surveillance, conclusions, and specific recommendations to assist in achieving infection reduction and prevention outcomes are acted upon, evaluated, and reported to relevant personnel and management in a timely manner.||A review of resident files showed one upper respiratory tract infection and one wound infection that were not included in the infection monitoring data.||Ensure all infections are included in the infection monitoring data.||PA Low||Reporting Complete||27/01/2015|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
Additional audit reports
Redacted full audit reports for audits that were processed and approved between 29 August 2013 and 16 December 2014 are also available. These additional reports will be included on this page shortly.
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 16 December 2014 and audit summaries are shown for audits prior to that date.
Both the full reports and the 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.
Before you read the audit summaries, please read our guide to rest home certification and audits.
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 reportsAudit date: 28 July 2014
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Verification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit