Premise details
- Address
- 3 Fairview Road Papatoetoe Auckland 2025
- Total beds
- 30
- Service types
- Rest home care, Geriatric
Certification/licence details
- Certification/licence name
- Papatoetoe Healthcare Limited - Papatoetoe Residential Care
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Papatoetoe Healthcare Limited
- Street address
- 3 Fairview Road Papatoetoe Auckland 2025
- Postal address
- PO Box 26718 Epsom Auckland 1344
- Website
- https://www.papatoetoeresidentialcare.co.nz/
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 |
|---|---|---|---|---|---|
| Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data. | Infection surveillance did not include ethnicity data. | Ensure infection surveillance includes ethnicity data to meet the criterion. | PA Low | Reporting Complete | |
| Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | There are insufficient registered nurses employed at this facility to cover the requirements of the roster 24/7 and to meet the obligations of the contract for providing hospital level care to residents. | To ensure an adequate number of registered nurses are employed to cover this service seven days a week, twenty-four hours a day to meet the needs of the residents, and to meet the requirements. | PA Moderate | In Progress | |
| Governance bodies shall demonstrate commitment toward eliminating restraint. | The restraint management policy has not been reviewed since 2020 and therefore does not include the governance commitment to eliminating restraint use and/or the requirements to meet the Ngā Paerewa Standard 8134:2021. | To ensure the restraint management policy is reviewed and updated to meet the requirements of the Nga Paerewa Standard 8134:2021. | PA Moderate | In Progress | |
| A medication management system shall be implemented appropriate to the scope of the service. | Administered PRN medicine was not consistently evaluated for effectiveness. Weekly and six-monthly controlled drugs stock checks were not consistently completed in a timely manner. | Ensure the administered PRN medicine is consistently evaluated for effectiveness. Ensure the required controlled drugs stock checks are completed consistently. | PA Moderate | In Progress | |
| Service providers shall understand and comply with statutory and regulatory obligations in relation to essential notification reporting. | The rosters reviewed evidenced there was an inadequate number of registered nurses to safely cover this facility 24/7 and this had not been reported to HealthCERT as per the requirements of the agreement and obligations in relation to essential notification reporting. | To ensure the statutory and regulatory obligations in relation to essential notification reporting are adhered to. | PA Low | In Progress | |
| Service providers shall follow the National Adverse Event Reporting Policy for internal and external reporting (where required) to reduce preventable harm by supporting systems learnings. | The sample of incident forms reviewed did not consistently have the section completed to verify whether family/enduring power of attorney (EPOA) or contact person was notified after an incident or accident had occurred. | Ensure when and incident/accident occurs that the family, EPOA or contact person are notified and that this is recorded accurately, on the incident form provided. | PA Low | In Progress | |
| Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review | Six-monthly care plan evaluation was not consistently completed in a timely manner. Care plan evaluation did not consistently state the progress towards the residents’ goals. | Ensure six-monthly care plan evaluation is consistently completed in a timely manner and indicates progress towards residents’ goals. | PA Moderate | In Progress | |
| My complaint shall be addressed and resolved in accordance with the Code of Health and Disability Services Consumers’ Rights. | The complaints register had not been updated for the last two years. | To ensure the complaints register is updated and the required processes are followed to meet the Code of Health and Disability Services Consumers’ Rights. | 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
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
Audit date:
Audit type: Provisional Audit
