Sandringham House Rest Home
Profile & contact details
|Premises name||Sandringham House Rest Home|
|Address||12 Sandringham Street Oamaru North Oamaru 9400|
|Service types||Rest home care|
|Certification/licence name||Sandringham House Limited|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||01 July 2017|
|Certification period||36 months|
|Provider name||Sandringham House Limited|
|Street address||12 Sandringham Street Oamaru North Oamaru 9400|
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: 16 November 2015
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|All buildings, plant, and equipment comply with legislation.||Medical/nursing equipment including chair scales and thermometer has not been checked or calibrated since November 2012.||Ensure all medical equipment is checked and calibrated by an authorised technician annually.||PA Low||Reporting Complete||16/09/2015|
|Where progress is different from expected, the service responds by initiating changes to the service delivery plan.||On review of five files, (i) two residents did not have a short term care plan in place for weight loss, (ii) one resident did not have a short term care plan in place for isolation for a suspected contagious infection.||Ensure that all identified short term care issues are addressed either as changes to the long term care plan or by the development of a short term care plan.||PA Low||Reporting Complete||16/09/2015|
|Service providers responsible for medicine management are competent to perform the function for each stage they manage.||Senior care staff with medication administration responsibilities, including the registered nurses, do not have current medication competencies completed. Competencies were last completed in November 2012.||Ensure that all staff with responsibilities around medication administration have annual competencies completed.||PA Low||Reporting Complete||16/09/2015|
|The facilitation of safe self-administration of medicines by consumers where appropriate.||The resident file was reviewed and evidenced that reviews have been conducted at varying intervals. Regular three monthly reviews have not been conducted.||Ensure that residents who self-administer medications are reviewed three monthly as per guidelines.||PA Low||Reporting Complete||23/05/2016|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||One resident had not been assessed with the InterRAI assessment tool and a long-term care plan has not been developed. The resident was admitted in mid-October 2015.||Ensure that all new residents are assessed using the InterRAI assessment tool and that a long-term care plan is developed to guide staff in the care of the resident.||PA Low||Reporting Complete||23/08/2016|
|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.||i) An initial assessment was not completed within 24 hours of admission for one resident; ii) two long term care plans have not been reviewed at six monthly intervals – one had been reviewed at eight months and one at ten months||Ensure that all aspects of care planning including assessments and development of long-term care plans are completed within the required timeframes.||PA Low||Reporting Complete||23/08/2016|
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.
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 reportsAudit date: 16 November 2015
Audit type:Surveillance Audit
- Sandringham House Rest Home - Nov 2015 (docx, 35.75 KB)
- Sandringham House Rest Home - Nov 2015 (pdf, 120.29 KB)
Audit type:Certification Audit
- Sandringham House Rest Home - Apr 2014 (docx, 121.3 KB)
- Sandringham House Rest Home - Apr 2014 (pdf, 747.17 KB)
Audit type:Surveillance Audit
- Sandringham House Rest Home - Jan 2014 (docx, 70.23 KB)
- Sandringham House Rest Home - Jan 2014 (pdf, 220.01 KB)
Audit type:Provisional Audit