Shalom Court Rest Home

Profile & contact details

Premises details
Premises nameShalom Court Rest Home
Address 169A St Johns Road Saint Johns Auckland 1072
Total beds26
Service typesRest home care, Geriatric
Certification/licence details
Certification/licence nameShalom Court Auckland Incorporated - Shalom Court Rest Home
Current auditorThe DAA Group Limited
End date of current certificate/licence02 July 2024
Certification period36 months
Provider details
Provider nameShalom Court Auckland Incorporated
Street address 171 St Johns Rd Saintt Johns Auckland 1072
Post address171 St Johns Road Saint Johns Auckland 1072

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: 17 March 2023

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.Six of seven unwitnessed falls (hospital level) did not have neurological observations completed following unwitnessed falls. Ensure neurological observations are completed for all unwitnessed falls as per policy. PA LowReporting Complete13/10/2021
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Two of five care plans did not have interventions documented to support all assessed needs; (i) One hospital resident with behaviours that challenge did not include de-escalation techniques to support staff in managing the behaviours; and (ii) one hospital resident did not have interventions to support the resident’s interests/social activities Ensure care plans include interventions to support all assessed needs and resident interests/social activities PA LowReporting Complete13/10/2021
Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services.The staff rosters were reviewed. Whilst bureau staff are utilised on a regular basis, there is a significant shortage of registered nurses to adequately cover the roster. A registered nurse is required every shift to provide hospital level care and for meeting the service contract with Te Whatu Ora. Ensure further registered nurses are employed to cover the service and to meet the needs of residents and to meet the Te Whatu Ora contract obligations. PA LowIn Progress
Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits).Four out of five care plan evaluations sampled did not include the residents’ degree of progress towards their agreed goals and aspirations as well as family/whānau goals and aspirations. Ensure evaluation of care plans evidence the degree of progress towards the achievement of each resident’s agreed goals and aspiration as well as family/whānau goals and aspirations to meet the criterion requirements. PA LowReporting Complete28/09/2023
Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data.Infection surveillance did not include ethnicity data. Ensure ethnicity data is included in infection surveillance to meet the criterion requirements. PA LowReporting Complete02/10/2023

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.

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