Bert Sutcliffe Retirement Village

Profile & contact details

Premises details
Premises nameBert Sutcliffe Retirement Village
Address 2 Rangatira Road Birkenhead Auckland 0626
Total beds150
Service typesDementia care, Rest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameBert Sutcliffe Retirement Village Limited - Bert Sutcliffe Retirement Village
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence31 October 2017
Certification period12 months
Provider details
Provider nameBert Sutcliffe Retirement Village Limited
Street address2 Rangatira Road Birkenhead Auckland 0626
Post address2 Rangatira Road Birkenhead Auckland 0626
Websitewww.rymanhealthcare.co.nz

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: 15 February 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
An appropriate 'call system' is available to summon assistance when required.The call bell system on level two is not yet operational. Ensure the call bell system is operational. PA LowReporting Complete13/03/2017
All buildings, plant, and equipment comply with legislation.Dementia units: The units are still in process of being completed and therefore the CPU has not yet been signed out for that floor. Ensure the CPU is completed prior to occupancy and forward a copy to DHB and HealthCERT. PA LowReporting Complete13/03/2017
The appointment of appropriate service providers to safely meet the needs of consumers.A designated person skilled in assessment, implementation and evaluation of diversional and motivational recreation, such as a diversional therapist has not yet been employed for the dementia unit. Ensure a designated person skilled in assessment, implementation and evaluation of diversional and motivational recreation, such as a diversional therapist is employed for the dementia unit. PA LowReporting Complete13/03/2017
Consumers are provided with safe and accessible external areas that meet their needs.(i) One outside area has been identified as a risk due to the lawn ending with a fall away. While landscapers were working in the area, this was not fenced off. (ii) The external courtyards off the two dementia units is in the process of being completed and secured. (i) Ensure outdoor areas identified as unsafe are fenced off to residents. (ii) Ensure external courtyards off the dementia units are completed and secure. PA LowReporting Complete07/06/2017

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.

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