Premise details
- Address
- 26 Longford St Mount Wellington Auckland 1060
- Total beds
- 82
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Sylvia Park Rest Home Limited - Sylvia Park Rest Home & Hospital
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Sylvia Park Rest Home Limited
- Street address
- 26 Longford Street Mount Wellington Auckland 1060
- Postal address
- PO Box 26311 Epsom Auckland 1344
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 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. | Staff training has not been completed as scheduled for 2024-2025. The infection control coordinator has not completed training to keep themselves up to date with current best practice. | Ensure compliance that the training schedule is implemented. Ensure that the infection control coordinator has completed training to keep themselves up to date with current best practice. | PA Moderate | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | PRN medications including skin cream, analgesia inclusive of controlled medication, sedation and insulin were administered without nursing assessment with no follow-up on outcomes by RN. | Ensure that PRN medications are administered following consultation with the RN and that the use of PRN medication is reviewed for efficacy. | PA Moderate | Reporting Complete | |
| 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 | i). One hospital resident with aggressive behaviours has no interventions documented to manage associated risks. ii). One hospital resident requiring a continuous positive airway pressure (CPAP) machine overnight, did not have interventions documented for staff to manage or monitor the use of this machine. iii). One hospital resident had no specific instruction regarding administration, risks, and management of a PEG feeding tube. | i). – iii) Ensure all care plan interventions are current, individualised and reflect the assessed needs of residents. | PA Low | Reporting Complete | |
| Buildings, plant, and equipment shall be fit for purpose, and comply with legislation relevant to the health and disability service being provided. The environment is inclusive of peoples’ cultures and supports cultural practices. | The service does not have a current Building Warrant of Fitness. Testing and tagging is not up to date for a vacuum cleaner and two hoists. Two hoists have not been calibrated within the last year. One shared room for two unrelated residents (room 31) does not provide privacy as there is no curtain or other physical barrier between the beds. | Ensure the service has a current Building Warrant of Fitness. Ensure equipment is tested and tagged annually as per schedule. Ensure equipment is calibrated as per schedule. Ensure shared bedrooms can provide privacy for those residents occupying them. | PA Low | In Progress | |
| In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov | Seven of seven post falls incident forms do not document that neurological observations have been taken according to policy. Restraint monitoring for one resident has not been documented two hourly as per the plan. Daily site check, daily tube rotation, and monthly balloon checks for a PEG are not documented as taking place. | (i)-(iii) Ensure that monitoring of interventions is documented as per care plans. | PA Moderate | In Progress | |
| Service providers shall ensure safe and appropriate storage and disposal of waste and infectious or hazardous substances that complies with current legislation and local authority requirements. This shall be reflected in a written policy. | There were no material safety data (MSD) sheets in one of two cleaners’ rooms; and material safety data sheets did not match the name of the chemical provider or the chemical labels on the bottles in use by the cleaners (noting that two bottles in use were not labelled). There were chemicals stored under the sinks of the three kitchenettes where the cupboards did not have a locking system in place to maintain chemical safety and minimise the risk for residents. An upstairs designated disability | Ensure that MSD sheets match manufacturer labels and labels on chemical bottles in use. Ensure chemicals are securely stored. Ensure the sluice is not used as a resident toilet and is not a designated and labelled disabled toilet. | PA Moderate | In Progress | |
| Service providers shall ensure that there is a pandemic or infectious disease response plan in place, that it is tested at regular intervals, and that there are sufficient IP resources including personal protective equipment (PPE) available or readily accessible to support this plan if it is activated. | There is no documented process of checking outbreak supplies. The two outbreak bins sighted did not contain supplies as listed on the bin label. PPE stocks stored in the bins were past their use by dates. | Put a processes in place to check outbreak supplies. Ensure that outbreak bins are stocked as per checklist. Ensure that stock for use in the event of an outbreak has not expired. | PA Moderate | In Progress | |
| Service providers shall ensure that people, visitors and the workforce (both paid and unpaid) are protected from harm when handling waste or hazardous substances. | There is no supply of personal protective equipment in the cleaners’ rooms and sluice rooms as sighted on the day of the audit. | Ensure that there is supply of PPE for staff accessible at the point of need like cleaners’ and sluice rooms. | PA Moderate | In Progress | |
| Service providers shall ensure that the environment is clean and there are safe and effective cleaning processes appropriate to the size and scope of the health and disability service that shall include: (a) Methods, frequency, and materials used for cleaning processes; (b) Cleaning processes that are monitored for effectiveness and audit, and feedback on performance is provided to the cleaning team; (c) Access to designated areas for the safe and hygienic storage of cleaning equipment and chemi | Inspection of the environment demonstrates that the cleaning standards have not been maintained. This includes the cleaners’ room downstairs; nurses station and storage cupboards in the hallways. The cleaners’ room has leaking chemicals / fluids causing moisture and discolouration to the floor with algae settling in containers that are collecting the fluids. | (i)-(ii) Ensure that cleaning standards are maintained. | PA Moderate | In Progress | |
| An approved food control plan shall be available as required. | Three kitchenettes have undated and unlabelled food in the fridges. | Ensure that all stored food is labelled and dated. | PA Low | In Progress | |
| I shall give informed consent in accordance with the Code of Health and Disability Services Consumers’ Rights and operating policies. | Three out of four unrelated residents who occupy shared rooms do not have a signed consent on file for sharing the rooms. There was one sighted on file on the day of the audit. | Ensure that consent forms are completed and signed. | PA Low | Reporting Complete | |
| 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. | Two identified and documented resident events in the progress notes did not have corresponding incident forms completed (pressure injury and bruise). All the events reviewed for the month of October have not been evaluated and closed off as per policy. There is no demonstrable evidence of implementation of the National Adverse Events Reporting Policy as evidenced by: (a)All the incidents reviewed in the incident register and resident records do not link into the SAC categorisation as per polic | Ensure incident forms are completed for all adverse events. Ensure that incidents are evaluated and signed off within the required timeframe as per policy. Implement the National Adverse Events Reporting Policy. | PA Moderate | Reporting Complete | |
| 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 | One hospital level resident with high falls did not document that the resident should be in the lounge in lazy boy for supervision and falls minimisation strategies are not well documented. One hospital resident care plan does not document the GP suggestion for midazolam prior to care and does not link the challenging behaviour interventions to requiring two staff for care and that challenging behaviour is linked to care. | (i)-(ii) Ensure that care plans document care interventions needed. | PA Moderate | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | Room temperatures have not been monitored in both rooms where medication is stored. | Ensure that medication room checks are completed daily and are within appropriate range as per policy. | PA Moderate | Reporting Complete | |
| A process shall be implemented to identify, record, and communicate people’s medicinerelated allergies or sensitivities and respond appropriately to adverse events. | Three of twelve medication charts reviewed did not document allergy status. | Ensure that medication charts document allergy status | PA Moderate | Reporting Complete | |
| The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. | The upstairs fire escape was blocked by a chair on both days of the audit. The assistant manager informed that this was to stop residents accessing the fire escape. | Ensure that egress is not blocked. | 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 corrective action manager.
- Date action reported complete
The date that the corrective action manager 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: Surveillance Audit
Audit date:
Audit type: Certification Audit
