ParkHaven Hospital

Profile & contact details

Premises details
Premises nameParkHaven Hospital
Address 131 Buckland Road Mangere East Auckland 2024
Total beds84
Service typesMental health, Medical, Sensory, Physical, Intellectual, Psychogeriatric
Certification/licence details
Certification/licence nameBupa Care Services NZ Limited - ParkHaven Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence20 July 2019
Certification period36 months
Provider details
Provider nameBupa Care Services NZ Limited
Street addressLevel 2 109 Carlton Grove Road Newmarket Auckland 1023
Post addressPO Box 113054 Newmarket Auckland 1149
Websitewww.bupa.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: 10 May 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.The staffing rationale for the hospital has an enrolled nurse working on weekends and during the night shift with no other registered nursing support in the hospital. Ensure the hospital wings are staffed with a registered nurse 24 hours a day, seven days a week. PA LowIn Progress
Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines.Five of eight medication charts sampled in the psychogeriatric and mental health units did not have ‘indications for use’ documented for ‘as required’ medications. Ensure indications for use are documented for all ‘as required’ medications. PA LowReporting Complete29/08/2016
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.(i) Two out of 10 staff files reviewed reflected overdue annual performance appraisals. (ii) Three of sixteen staff who have been employed for over one year and work in the garden wing (psychogeriatric and mental health) have not completed the required dementia standards. i) Ensure that all staff undergoes annual performance appraisals. ii) Ensure that all staff who have been employed for over one year complete the required dementia standards before they are rostered to work in the psychogeriatric unit. PA LowReporting Complete19/10/2016
The service delivery plan identifies early warning signs and relapse prevention. The plan is developed in partnership with the consumer, the service provider, and family/ whānau if appropriate.One of two files sampled in the mental health unit did not have early warning signs or relapse-prevention plans documented. Ensure that all residents in the mental health unit have early warning signs and relapse-prevention plans documented. PA LowReporting Complete19/10/2016
Each episode of restraint is documented in sufficient detail to provide an accurate account of the indication for use, intervention, duration, its outcome, and shall include but is not limited to: (a) Details of the reasons for initiating the restraint, including the desired outcome; (b) Details of alternative interventions (including de-escalation techniques where applicable) that were attempted or considered prior to the use of restraint; (c) Details of any advocacy/support offered, provided o… (this text has been trimmed due to space limits).When lap belts are in situ, residents are in a communal area and staff monitor the residents visually but this is not being documented on a restraint monitoring form. Monitoring forms were completed for the residents’ two-hourly checks in their rooms when bedrails were in place. Ensure lap belts, when used as a restraint, are monitored with evidence of monitoring documented on the appropriate form. PA LowReporting Complete19/10/2016
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.UTIs in the hospital have not been included in the infection-control surveillance data for the past 18 months. (However, management of individual UTIs have occurred and therefore this criterion has been rated as low risk). Ensure all infections are included in infection-control surveillance data. PA LowReporting Complete19/10/2016

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: 10 May 2016

Audit type:Certification Audit

Audit date: 22 September 2014

Audit type:Surveillance Audit

Audit date: 22 May 2012

Audit type:Certification Audit

Audit date: 18 March 2011

Audit type:Surveillance Audit

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