Sylvia Park Rest Home & Hospital

Profile & contact details

Premises details
Premises nameSylvia Park Rest Home & Hospital
Address 26 Longford St Mount Wellington Auckland 1060
Total beds79
Service typesMedical, Rest home care, Geriatric
Certification/licence details
Certification/licence nameSylvia Park Rest Home Limited
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence10 August 2018
Certification period36 months
Provider details
Provider nameSylvia Park Rest Home Limited
Street address 26 Longford Street Mount Wellington Auckland 1060
Post addressPO Box 26311 Epsom Auckland 1344

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: 12 December 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.Six out of nine long-term care plans (five hospital, one rest home) have been evaluated, but evaluations do not identify if the residents goals are being met or unmet. Ensure evaluations are documented six monthly or as required and identify progress to meeting goals PA LowReporting Complete14/10/2015
The facilitation of safe self-administration of medicines by consumers where appropriate.Self-administered topical medications are not stored in a locked area in the resident’s room. Ensure all self-administered topical medications are stored in a locked area in the resident’s room PA LowReporting Complete14/10/2015
A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.The standing orders do not document the contraindications for each medication listed as per the MOH Standing Order guidelines. Ensure standing orders meet Ministry of Health guidelines. PA LowReporting Complete14/10/2015
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.(i) Staff have not attended Treaty of Waitangi cultural training in the last two years. (ii) Staff attendance at compulsory education is low. There is a total of 81 which includes 56 clinical staff. Examples of low attendance are sexuality and intimacy (15), privacy and dignity (20), emergency management (11), falls prevention (16) and hazard management (15). (i) Ensure all staff attend Treaty of Waitangi cultural training. (ii) Ensure the service reviews how to increase staff attendance at education sessions. PA LowReporting Complete14/10/2015
The service provider understands their statutory and/or regulatory obligations in relation to essential notification reporting and the correct authority is notified where required.The service had not notified (Section 31) the relevant authority following an incident requiring police investigation. Ensure essential notifications are made as per the conditions of certification. PA LowReporting Complete14/10/2015
The appointment of appropriate service providers to safely meet the needs of consumers. Four out of nine job descriptions had not been signed by the employee. Ensure all job descriptions are signed by the employee PA LowReporting Complete23/02/2016
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.In five of six files reviewed (three rest home - including one resident admitted under a YPD contract (tracer) and two hospital) interventions were not documented in sufficient detail to guide care staff in the management of (a) challenging behaviours, (b) pain, (c) exacerbation of COPD, (d) seizures, and (e) low grade fever. In two of seven files (one hospital, one rest home) the required monitoring was not consistently documented for two hourly turns, pain, and symptoms of depression. … (this text has been trimmed due to space limits).i) Ensure that interventions are documented for all assessed care need and in sufficient detail to guide care staff. ii) Ensure that all required monitoring is consistently documented. PA ModerateReporting Complete18/07/2017
A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.The medication room on the ground floor did not have all medications stored in locked cupboards or drawers. The medication room was locked; however the room had an external window at ground level that was left open to allow air flow that allowed external access to the medications. Since the audit the provider has provided evidence that these have been addressed. Ensure that all medication is securely stored. PA ModerateReporting Complete18/07/2017
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.Four of 21 incident forms reviewed for November 2016 did not document the name of the resident or person the incident form related to. Ensure all incident forms are fully completed and document the name of the resident or staff member the incident form relates to. PA LowReporting Complete18/07/2017
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.(i) One of seven files reviewed (hospital), did not have the InterRAI assessment completed within 21 days of admission. (ii) One of seven files reviewed (hospital), did not have the InterRAI assessment reviewed six monthly. Ensure that all InterRAI assessments are completed in the required timeframes. PA LowReporting Complete14/08/2017

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: 12 December 2016

Audit type:Surveillance Audit

Audit date: 11 June 2015

Audit type:Certification Audit

Audit date: 10 July 2014

Audit type:Surveillance Audit

Audit date: 10 June 2013

Audit type:Certification Audit

Audit date: 05 July 2012

Audit type:HealthCERT Inspection

Audit date: 14 November 2012

Audit type:Certification Audit

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