Premise details
- Address
- 54 Maata Road Eltham 4398
- Total beds
- 41
- Service types
- Dementia care, Rest home care
Certification/licence details
- Certification/licence name
- Sound Care Limited - Eltham Care Rest Home
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Sound Care Limited
- Street address
- The Theatre Royal 486 New North Road Kingsland Auckland 1021
- Postal address
- 54 Maata Road Eltham 4398
Progress on issues from the last audit
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.
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Service providers shall implement systems to determine and develop the competencies of health care and support workers to meet the needs of people equitably. | Not all competencies are being completed annually as per the competency schedule. | Provide evidence that competencies are being completed annually as per the competency schedule. | PA Moderate | 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. | Education is not being facilitated as per the education schedule, resulting in some of the required education not being delivered or, when delivered, it is not being attended in sufficient numbers. | Provide evidence that the education schedule is being delivered as per the programme and that sufficient numbers of staff have attended education sessions. | PA Moderate | In Progress | |
| Service providers shall understand and comply with statutory and regulatory obligations in relation to essential notification reporting. | Compliance with statutory and regulatory obligations in relation to essential notification reporting were not well understood at facility level; notifications meant to be sent to Manatū Hauora were sent to Te Tātū Hauora. | Provide evidence to show that the manager at the facility understands and complies with essential notification reporting. | PA Low | In Progress | |
| Alternative essential energy and utility sources shall be available, in the event of the main supplies failing. | The service does not have alternative essential energy and utility sources available, in the event of the main supplies failing. | Provide evidence that alternative essential energy and utility sources are available, in the event of the main supplies failing. | PA Moderate | In Progress | |
| Health care and support workers shall be trained in least restrictive practice, safe practice, the use of restraint, alternative cultural-specific interventions, and de-escalation techniques within a culture of continuous learning. | There has been no education on least restrictive practice, safe practice, the use of restraint, alternative cultural-specific interventions, and de-escalation techniques for relevant staff. The RC has not completed education relevant to the legalities and processes relevant to restraint use. | Provide evidence that education on least restrictive practice, safe practice, the use of restraint, alternative cultural-specific interventions, and de-escalation techniques has been delivered to relevant staff, and that the RC has completed education relevant to the legalities and processes relevant to restraint use. | PA Moderate | In Progress | |
| Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy. | Medication administered was administered from an inappropriate blister pack and may not have contained the prescribed medication. Staff were unaware that this was not good medication practice despite having completed medication competency. | Ensure medication is administered from the correct medication blister pack for the day and time of administration. Provide evidence that the staff who administered the medication have completed a follow-up medication competency and are clear about their responsibilities when administering medication. | PA Moderate | Reporting Complete |
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
About audit reports
Audit reports for this rest home’s latest audits can be downloaded below.
Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits. The guide gives an overview of the auditing process and explains what the audit reports mean.
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.
Before 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) appear on the rest home’s page. As the rest home completes the required actions, the status on the website updates.
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
