St Johns Wood Rest Home and Village

Profile & contact details

Premises details
Premises nameSt Johns Wood Rest Home and Village
Address 133 Tamamutu Street Taupo 3330
Total beds60
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameOceania Care Company Limited - St Johns Wood Rest Home & Village
Current auditorHealth Audit (NZ) Limited
End date of current certificate/licence07 December 2017
Certification period36 months
Provider details
Provider nameOceania Care Company Limited
Street address 2 Hargreaves Street Saint Marys Bay Auckland 1011
Post addressPO Box 9507 Newmarket Auckland 1149

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: 18 May 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.Internal audits, meeting minutes and completed satisfaction surveys are reviewed with areas identified as requiring improvement but no corrective action plan has been developed, implemented and monitored to address these shortfalls. The person/s responsible for developing and/or implementing the corrective action plan/s, and timeframes, are not consistently documented. Provide documented evidence that where shortfalls are identified following internal audits, in meetings and satisfaction surveys, that a corrective action plan is developed, implemented and monitored, and that the person/s responsible and the timeframes are clearly documented. PA ModerateReporting Complete31/03/2015
The organisation has a quality and risk management system which is understood and implemented by service providers.Resident meetings have not been held on a regular basis. Provide confirmation that resident meetings are being held on a regular basis. PA LowReporting Complete31/03/2015
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.Timeframes for completion of risk assessments and long term care plans are not consistently adhered to. Provide evidence service provision timeframes adhere to the standards, DHB contract requirements and Oceania policies. PA ModerateReporting Complete31/03/2015
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.(i)Resident files reviewed indicate that three residents had unwitnessed falls in August 2014 (one) and September 2014 (two) and neurological observations were not recorded for these residents; (ii) an accident/incident form for one of the residents has not been signed off as completed and there is no evidence of communication with family following this event; and (iii) a resident had an unwitnessed fall and told their family who told a staff member. There is no accident/incident form for this … (this text has been trimmed due to space limits).Provide evidence that (i) neurological observations are recorded for all residents who experience unwitnessed falls and/or have an injury that could result in a head injury; (ii) all accident/incident forms are fully completed and that evidence of communication with family members is recorded; and (iii) accident and incident forms are completed for all adverse events PA ModerateReporting Complete31/03/2015
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.Quality improvement data is not being evaluated and analysed to identify any trends. Provide evidence that quality improvement data is being evaluated and analysed to identify trends. PA LowReporting Complete31/03/2015

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: 18 May 2016

Audit type:Partial Provisional Audit; Surveillance Audit

Audit date: 07 October 2014

Audit type:Certification Audit

Audit date: 25 June 2013

Audit type:Surveillance Audit

Audit date: 12 October 2011

Audit type:Certification Audit

Audit date: 23 November 2010

Audit type:Surveillance Audit

Audit date: 09 October 2009

Audit type:Certification Audit

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