Summerset by the Park
Profile & contact details
Premises name | Summerset by the Park |
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Address | 7 Flat Bush School Road Flat Bush Auckland 2016 |
Total beds | 111 |
Service types | Rest home care, Geriatric, Medical |
Certification/licence name | Summerset Care Limited - Summerset by the Park |
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Current auditor | Health and Disability Auditing New Zealand Limited |
End date of current certificate/licence | 21 April 2025 |
Certification period | 36 months |
Provider name | Summerset Care Limited |
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Street address | Majestic Centre Floor 27, 100 Willis Street Wellington Central Wellington 6011 |
Post address | PO Box 5187 Wellington 6140 |
Website | www.summerset.co.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: 24 August 2023
Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
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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. | Neurological observations for a resident who has an unwitnessed fall and/or hits their head were not completed according to the frequency stated in the policy. | Ensure that neurological observations for a resident who has an unwitnessed fall and/or hits their head are completed according to the frequency stated in the policy. | PA Moderate | Reporting Complete | 18/07/2022 |
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers. | While data is tabled at meetings, there is no evidence that the data is discussed and used for improvements to the service. | Document evidence of discussion of data and improvements made as a result of these discussions. | PA Low | Reporting Complete | 18/07/2022 |
The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed. | The business plan for 2021 has not been reviewed quarterly or annually. | Ensure business goals are reviewed quarterly and annually as per policy. | PA Low | Reporting Complete | 18/07/2022 |
Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this. | (i). Two interRAI assessments (one hospital, one rest home) were overdue for the six-month interRAI re-assessment. (ii). One rest home resident did not have interRAI assessment completed within 21 days of admission. | (i). & (ii). Ensure residents have interRAI assessments completed within 21 days of admission and re-assessments six-monthly, or as needs change. | PA Low | Reporting Complete | 09/02/2024 |
Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin… (this text has been trimmed due to space limits). | There were no detailed interventions to provide guidance for staff for: (i). One hospital level care resident related to management of diabetes, including (but not limited to) monitoring regime (Blood Glucose Levels and HBA1c), signs and symptoms, and management of hypoglycaemia and hyperglycaemia. (ii). One rest home level care resident related to falls minimisation strategies. (iii). One hospital level care resident with complex medical needs related to strategies to minimise risk of aspirat… (this text has been trimmed due to space limits). | (i-iii) Ensure care plans have detailed interventions to provide guidance to staff on care management and are updated to reflect changes to resident needs and management plan. | PA Low | Reporting Complete | 09/02/2024 |
A medication management system shall be implemented appropriate to the scope of the service. | (i). One rest home level care resident on regular controlled medication does not have own stock of controlled medications for administration. | Ensure that controlled drugs for the rest home level care resident are ordered, dispensed, and administered specifically for them in line with expected regulations and not as bulk stock process. | PA Moderate | Reporting Complete | 09/02/2024 |
Service providers shall implement policies and procedures underpinned by best practice that shall include: (a) The process of holistic assessment of the person’s care or support plan. The policy or procedure shall inform the delivery of services to avoid the use of restraint; (b) The process of approval and review of de-escalation methods, the types of restraint used, and the duration of restraint used by the service provider; (c) Restraint elimination and use of alternative interventions shall … (this text has been trimmed due to space limits). | Eight of eight residents using bedrails (seven residents) and lap belt (one resident) are classed as enablers with documentation in the clinical records, monthly reports and staff feedback confirming to have eight residents using enablers. | Ensure demonstration of compliance with Ngā Paerewa Health and Disability Services Standards NZS 8134:2021 Section 6 Restraint and Seclusion and Summerset restraint policy and procedure. | PA Low | Reporting Complete | 09/02/2024 |
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: 24 August 2023Audit type:Surveillance Audit
Audit date: 03 February 2022Audit type:Certification Audit
Audit date: 11 December 2020Audit type:Surveillance Audit
Audit date: 12 February 2019Audit type:Certification Audit
Audit date: 21 March 2017Audit type:Surveillance Audit
Audit date: 26 January 2017Audit type:Certification Audit