Deverton House Rest Home

Profile & contact details

Premises details
Premises nameDeverton House Rest Home
Address 634 East Coast Road Pinehill Auckland 0630
Total beds21
Service typesRest home care
Certification/licence details
Certification/licence nameY&P NZ Limited - Deverton House Rest Home
Current auditorThe DAA Group Limited
End date of current certificate/licence20 November 2019
Certification period36 months
Provider details
Provider nameY&P NZ Limited
Street address 167 Landscape Road, Mt Eden Auckland 1024
Post address167 Landscape Road Mount Eden Auckland 1024

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: 20 September 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
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.Education on safe and effective alternatives to restraint and the use of enablers is not included in the orientation programme or ongoing education programme for staff (in 2015 and 2016 year to date). Ensure staff are provided with training on restraint minimisation and the use of enablers. PA LowReporting Complete31/05/2017
Service providers responsible for medicine management are competent to perform the function for each stage they manage.The registered nurse`s medicine competency was not completed by a registered health professional. Ensure the registered nurse is deemed competent for medicine management by another registered nurse or by the DHB gerontology nurse specialist who visits the facility on a regular basis. PA LowReporting Complete31/05/2017
Actual and potential risks are identified, documented and where appropriate communicated to consumers, their family/whānau of choice, visitors, and those commonly associated with providing services. This shall include: (a) Identified risks are monitored, analysed, evaluated, and reviewed at a frequency determined by the severity of the risk and the probability of change in the status of that risk; (b) A process that addresses/treats the risks associated with service provision is developed and im… (this text has been trimmed due to space limits).While there is a process for identifying new hazards, the existing hazards and mitigation strategies as detailed in the hazard register have not been reviewed since January 2015. Implement a process to regularly review the organisation’s hazard register and the management of hazards. PA LowReporting Complete31/05/2017
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.Education on safe and effective alternatives to restraint and the use of enablers is not included in the orientation programme or ongoing education programme for staff (in 2015 and 2016 year to date). Ensure staff are provided with training on restraint minimisation and the use of enablers. PA LowReporting Complete31/05/2017
Service providers responsible for medicine management are competent to perform the function for each stage they manage.The registered nurse`s medicine competency was not completed by a registered health professional. Ensure the registered nurse is deemed competent for medicine management by another registered nurse or by the DHB gerontology nurse specialist who visits the facility on a regular basis. PA LowReporting Complete31/05/2017
Actual and potential risks are identified, documented and where appropriate communicated to consumers, their family/whānau of choice, visitors, and those commonly associated with providing services. This shall include: (a) Identified risks are monitored, analysed, evaluated, and reviewed at a frequency determined by the severity of the risk and the probability of change in the status of that risk; (b) A process that addresses/treats the risks associated with service provision is developed and im… (this text has been trimmed due to space limits).While there is a process for identifying new hazards, the existing hazards and mitigation strategies as detailed in the hazard register have not been reviewed since January 2015. Implement a process to regularly review the organisation’s hazard register and the management of hazards. PA LowReporting Complete31/05/2017

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.

Audit reports

Audit date: 20 September 2016

Audit type:Certification Audit

Audit date: 30 July 2015

Audit type:Surveillance Audit

Audit date: 12 August 2013

Audit type:Certification Audit

Audit date: 30 April 2013

Audit type:Surveillance Audit

Audit date: 26 September 2012

Audit type:Provisional Audit

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