Sarah Selwyn
Profile & contact details
| Premises name | Sarah Selwyn |
|---|---|
| Address | 43 Target Street Point Chevalier Auckland 1022 |
| Total beds | 82 |
| Service types | Rest home care, Geriatric, Medical |
| Certification/licence name | Selwyn Care Limited - Sarah Selwyn |
|---|---|
| Current auditor | Health and Disability Auditing New Zealand Limited |
| End date of current certificate/licence | 11 June 2024 |
| Certification period | 36 months |
| Provider name | Selwyn Care Limited |
|---|---|
| Street address | Level 4 1 Nugent Street Grafton Auckland 1023 |
| Post address | PO Box 44106 Point Chevalier Auckland 1246 |
| Website | https://www.selwynfoundation.org.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: 27 October 2022
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Each episode of restraint is evaluated in collaboration with the consumer and shall consider: (a) Future options to avoid the use of restraint; (b) Whether the consumer's service delivery plan (or crisis plan) was followed; (c) Any review or modification required to the consumer's service delivery plan (or crisis plan); (d) Whether the desired outcome was achieved; (e) Whether the restraint was the least restrictive option to achieve the desired outcome; (f) The duration of the restraint episode… (this text has been trimmed due to space limits). | An evaluation process is in place for resident’s using restraint. This is completed electronically. The restraint coordinator was unaware of how to correctly use this electronic system (Leecare) to document evaluations, and therefore evaluations did not reflect regular reviews. | Ensure the electronic system for documenting restraint evaluations are done correctly to indicate that they are reviewed as per policy (six monthly at a minimum). | PA Low | Reporting Complete | 22/09/2021 |
| The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes. | (i). Neurological observations were not consistently documented for three unwitnessed falls. (ii). Restraint monitoring was not documented according to time frames for two of three files reviewed for residents with restraint. (iii). One resident’s care plan prescribed an agreed routine during the day to assist with management of behaviours that challenge; this included sitting in a specific chair in the morning, a rest in bed after lunch and regular monitoring/repositioning. This routine was n… (this text has been trimmed due to space limits). | (i)-(ii). Ensure that all monitoring is documented as per timeframes. (iii). Ensure all carer and support is provided as per the care plan. | PA Moderate | Reporting Complete | 22/09/2021 |
| Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process. | Interventions for a rest home level resident who was blind were not well documented to assist her safe mobilisation and communication. (i). One hospital level resident with behaviours that challenge had interventions describing the behaviour and environmental ways to assist calmness, but not interventions for when the resident became agitated. (ii). One resident had an incorrect restraint recorded in the care plan and did not include the risks associated with the (incorrect) restraint. … (this text has been trimmed due to space limits). | (i). Ensure that nursing interventions are documented in the resident care plan. (ii). Ensure that the correct restraint information is documented in the care plan and the risks associated with its use. | PA Low | Reporting Complete | 22/09/2021 |
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | i). Corrective actions identified and viewed for 2022 were not documented in three audits viewed and corrective actions documented in three audits were not completed. ii). There have been no resident/family meetings documented since the last audit. iii). Residents’ satisfaction survey results for July 2022 were not documented as discussed with staff in staff meetings. iv). Selwyn policies determine that staff meetings are held monthly. For 2022, there was a gap of three months where no RN mee… (this text has been trimmed due to space limits). | i). Ensure internal audit corrective actions identified are documented and are closed when completed. ii). Ensure resident meetings are held as per Selwyn policy timeframes and document meeting minutes. iii). Ensure resident satisfaction survey results are discussed and documented as discussed in staff meeting minutes. iv). Ensure staff meetings are held as per Selwyn policy timeframes and document meeting minutes. | PA Low | Reporting Complete | 13/06/2023 |
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.
From 1 June 2009 to 28 February 2022 rest homes were audited against the Health and Disability Services Standards NZS 8134:2008. These standards have been updated, and from 28 February 2022 rest homes are audited against Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.
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 Ngā Paerewa Health and Disability Services Standard.
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: 27 October 2022Audit type:Surveillance Audit
Audit date: 25 March 2021Audit type:Certification Audit
Audit date: 31 July 2018Audit type:Surveillance Audit