St Johns Hospital

Profile & contact details

Premises details
Premises nameSt Johns Hospital
Address 54 Pah Road Epsom Auckland 1023
Total beds99
Service typesRest home care, Geriatric, Medical, Dementia care, Physical
Certification/licence details
Certification/licence nameCHT Healthcare Trust - St Johns
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence30 November 2019
Certification period48 months
Provider details
Provider nameCHT Healthcare Trust
Street address 97 Great South Rd Market Road Auckland 1543
Post addressPO Box 74341 Market Road Auckland 1543

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: 03 December 2015

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
An appropriate 'call system' is available to summon assistance when required.The new building does not yet have operational call bells. Ensure that there are operational call bells in all resident rooms and bathrooms and communal areas. PA LowReporting Complete03/02/2016
All buildings, plant, and equipment comply with legislation.The certificate of public use for the new wing has not yet been issued. Hot water temperatures require monitoring to ensure they are within the safe range. Ensure the building has a certificate of public use. Ensure hot water temperatures are within the safe range. PA LowReporting Complete23/03/2016
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.The new building is not yet completed and not all floor and window coverings and fixtures are installed. The dementia area is not secured, with some external bedroom doors requiring securing, the existing entrance requiring securing and the partially built secure door dividing the unit from the rest of the facility requiring securing. There are hazards in the new dementia unit including a fuse box, fire hoses and hot water that require addressing. Ensure that the building is completed and all floor and window coverings and fixtures are installed. Ensure that the dementia unit is secure. Ensure the dementia unit is free from fittings that may present hazards to residents with dementia. PA LowReporting Complete06/04/2016
Where required by legislation there is an approved evacuation plan.The fire evacuation plan approved by the New Zealand Fire Service has not yet been extended to include the new building. Ensure the new wing is included in the New Zealand Fire Service approved fire evacuation plan. PA LowReporting Complete30/05/2016
Consumers are provided with safe and accessible external areas that meet their needs.The external areas around the new hospital building have not yet been developed. The external areas of the new dementia unit require securing, some fences and removal of steps to create a safe environment. Ensure that safe external areas are provided around the new hospital building to meet residents’ needs. Ensure that safe and secure external areas are provided for the dementia unit to meet the needs of residents with dementia. PA LowReporting Complete28/06/2016

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: 03 December 2015

Audit type:Partial Provisional Audit

Audit date: 14 September 2015

Audit type:Certification Audit

Audit date: 12 June 2014

Audit type:Surveillance Audit

Audit date: 09 October 2012

Audit type:Certification Audit

Audit date: 06 July 2011

Audit type:Surveillance Audit

Audit date: 15 September 2009

Audit type:Certification Audit

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