Premise details
- Address
- 411 Frederick Street Mahora Hastings 4120
- Total beds
- 15
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Sunflower Field NZ Limited - Summerville Rest Home
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Sunflower Field NZ Limited
- Street address
- 411 Frederick Street Mahora Hastings 4120
- Postal address
- 19A Knightsbridge Drive Forrest Hill Auckland 0620
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 develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | (i) Policies and procedures have not been reviewed as scheduled and do not cover all aspects of the Ngā Paerewa NZS 8134:2021. (ii) Meeting minutes did not address key components of the service delivery. | (i) Ensure policies and procedures are reviewed to meet current policy and legislative requirements. (ii) Ensure meetings minutes addresses key components of the service delivery. | PA Moderate | In Progress | |
| Meaningful activities shall be planned and facilitated to develop and enhance people’s strengths, skills, resources, and interests, and shall be responsive to their identity. | The provider is yet to recruit a diversional therapist or an activities coordinator to plan, facilitate and implement a formal activities programme that enhances residents’ strengths, skills and interests. | Ensure a formal activities programme is implemented that enhances the residents' strengths, skills, and interests. | PA Moderate | In Progress | |
| Service providers shall develop and implement policies and procedures in accordance with good employment practice and meet the requirements of legislation. | All staff files reviewed did not evidence that police vetting was undertaken. | Ensure there is documented evidence of police vetting undertaken as part of the pre-employment process. | PA Moderate | In Progress | |
| Service providers shall ensure the skills and knowledge required of each position are identified and the outcomes, accountability, responsibilities, authority, and functions to be achieved in each position are documented. | Four out of five staff files reviewed had no position descriptions in place. | Provide evidence of signed position descriptions for all staff. | PA Moderate | In Progress | |
| Service providers demonstrate routine analysis to show entry and decline rates. This must include specific data for entry and decline rates for Māori. | There is no evidence of a process in place to collate and analyse ethnicity data in relation to entry and decline rates. | Ensure there is a process implemented to collate and analyse ethnicity in relation to entry and decline rate. | PA Low | In Progress | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | All five staff files reviewed had appraisals that were not signed to confirm staff involvement. | Ensure all completed performance appraisals are signed to confirm staff have been involved in the process. | PA Moderate | In Progress | |
| My complaint shall be addressed and resolved in accordance with the Code of Health and Disability Services Consumers’ Rights. | All complaint forms reviewed did not evidence the investigation, communication of outcomes, or documentation of satisfaction in response to the complaint by the complainant | Ensure that any complaint is investigated, and the complainant informed of the outcome as per policy. | PA Low | In Progress | |
| Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data. | Monthly surveillance of infections does not include ethnicity data. | Ensure monthly surveillance of infections includes ethnicity data. | PA Low | In Progress | |
| Alternative essential energy and utility sources shall be available, in the event of the main supplies failing. | The provider is yet to formalise a written plan that ensures the facility will be provided a generator in the event of the power supply failing. | Ensure the plan in place for accessing a generator when required is formalised and shared with all staff. | 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. | Progress towards the achievement of documented business goals is not evidenced in the business plan reviewed. | Ensure that review of goals documented in the business plan occurs at regular intervals. | PA Moderate | In Progress | |
| During the initial engagement prior to service entry, service providers shall ensure: (a) There is accurate information about the service available in a variety of accessible formats; (b) There are documented entry criteria that are clearly communicated to people, whānau, and, where appropriate, local communities and referral agencies. | The provider is yet to implement processes that ensures the resident entry criteria is clearly communicated to people, their family/whānau, local communities and referral agencies. | Ensure a process is implemented so that all information pertaining to resident entry criteria is clearly communicated to people, their family/whānau, local communities and referral agencies at all times. | 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: Certification Audit
