St Joseph's Home & Hospital

Profile & contact details

Premises details
Premises name	St Joseph's Home & Hospital
Address	9 Tweed Street Herne Bay Auckland 1011
Total beds	31
Service types	Rest home care, Geriatric, Medical

Certification/licence details
Certification/licence name	Little Sisters of The Poor Aged Care New Zealand Limited - St Joseph's
Current auditor	Health and Disability Auditing New Zealand Limited
End date of current certificate/licence	13 July 2025
Certification period	36 months

Provider details
Provider name	Little Sisters of The Poor Aged Care New Zealand Limited
Street address	295 Brockville Road Brockville Dunedin 9011
Post address	PO Box 47276 Ponsonby Auckland 1144

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: 14 December 2020

Outcome required	Found at audit	Action required	Risk rating	Action status
Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care.	(i). Less than 50% of scheduled internal audits were completed in 2021 and nine of seventeen audits (year-to-date) have been completed in 2022. (ii). Resident/family satisfaction surveys were last conducted in 2020. (iii). Staff meetings including quality, clinical and HCA meetings have not consistently occurred as scheduled.	(i). Ensure internal audits are completed as per the internal audit schedule. (ii). Ensure resident/family satisfaction surveys are completed a minimum of annually. (iii). Ensure staff meetings occur as scheduled	PA Moderate	In Progress
Service providers shall implement systems to determine and develop the competencies of health care and support workers to meet the needs of people equitably.	Ensure manual handling, hoist and hand washing competencies are completely annually	Ensure manual handling, hoist and hand washing competencies are completely annually	PA Low	In Progress
Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services.	(i) The 2021 in-service education planner did not evidence planned dates and did include all required education. (ii) The content of training sessions was not consistently documented. (iii) There was no evidence of training completed around falls prevention, restraint, skin care, nutrition and hydration, challenging behaviour, sexuality and intimacy, and food safety over the last two years.	(i) Ensure there is a formal schedule/planner for in-service training which includes all mandatory training. (ii) Ensure a brief content/description of training/education sessions delivered to/undertaken by staff will be documented. (iii) Ensure all mandatory training and training specific to the specific needs of the residents at St Joseph’s Home and Hospital is planned and implemented.	PA Moderate	In Progress
Health care and support workers shall have the opportunity to discuss and review performance at defined intervals.	Four of seven staff files reviewed did not evidence annual performance appraisals had occurred as scheduled	Ensure performance appraisals are completed as scheduled	PA Low	In Progress
Governance bodies shall ensure service providers’ structure, purpose, values, scope, direction, performance, and goals are clearly identified, monitored, reviewed, and evaluated at defined intervals.	There is a lack of documented evidence to indicate that business goals are regularly monitored, reviewed, and evaluated at defined intervals.	Ensure that the goals of the facility are monitored, reviewed, and evaluated at defined intervals.	PA Low	In Progress

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: 14 December 2020

Audit type:Surveillance Audit

Audit date: 13 May 2019

Audit type:Certification Audit

Audit date: 11 December 2017

Audit type:Surveillance Audit

Audit date: 16 May 2016

Audit type:Certification Audit

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