Premise details
- Address
- 227 Mount Eden Road Mount Eden Auckland 1024
- Total beds
- 73
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Victoria Mt Eden Limited - Wesley Home and Care
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Victoria Mt Eden Limited
- Street address
- Wesley 227 Mount Eden Road Mount Eden Auckland 1024
- Postal address
- 227 Mount Eden Road Mount Eden Auckland 1024
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 identify external and internal risks and opportunities, including potential inequities, and develop a plan to respond to them. | Management were unaware of the risk and hazard register, and it has not been reviewed or made known to staff. | Ensure the risk and hazard register is made known to staff and that ongoing review occurs. | 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 | Cleaning staff did not use the automated chemical dispenser. Staff dispensed chemicals without using correct personal protective equipment. | i) Manage cleaning using appropriate equipment provided. ii) Dispense chemicals using the correct personal protective equipment. | 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. | There is a very limited activities programme offered. Lifestyle assessments are not always completed. | Implement a well-planned activities programme that meets the needs of residents with sufficient resources to deliver the programme. Ensure that lifestyle assessments, plans and reviews are completed in a timely manner. | PA Low | Reporting Complete | |
| An approved food control plan shall be available as required. | The food control plan has not yet been issued. | Display a current copy of the food control plan. | 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. | (i). Wing B was still under refurbishment: (a). The furnishings and furniture were not yet in place;(b). one room has a pin code lock on the door that needs to be removed and replaced with a handle and (c). There were two rooms without light fittings. (ii). Not all communal toilets/shower facilities have a vacant/in use sign on the door. | (i)(a-c). Ensure wing B is fully refurbished including replacement of room one’s pin code pad with a handle and completion of two rooms `s light fittings. (ii). Ensure all communal toilets/ shower facilities have a vacant/in use sign on the door. | PA Low | In Progress | |
| The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. | (i). There is a lip to the front entrance that might cause a trip entrance. (ii). Contractors and building rubble has not yet been removed from the front at the entrance and the deck leading from the dining room/lounge. (iii). There is not yet a safe pathway for residents to use from the one building to the main building. | (i). Ensure there is safe entry and exit to the building. (ii). Ensure all contractors material and building rubble are removed. (iii). Ensure a safe pathway for residents to use between the two buildings. | PA Low | 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. | (i). There is a very limited activities programme offered. (ii). Lifestyle assessments are not always completed. | (i). Implement a well-planned activities programme that meets the needs of residents with sufficient resources to deliver the programme. (ii). Ensure that lifestyle assessments, plans and reviews are completed in a timely manner. | PA Low | In Progress | |
| An appropriate call system shall be available to summon assistance when required. | (i). The call bell system was not yet installed, functional in all areas or secured in case of Wi-Fi failure. (ii). There is no process in place for staff to summon assistance from the main building if needed. | (i). Ensure the call bell system is installed, fully functional and secured from Wi-Fi outage. (ii). Ensure staff have communication devices in place to summon assistance from staff in the main building when required. | PA Low | 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. | (i). Flowing soap, hand sanitizers and paper towels are not yet in place throughout the refurbished wing including resident bedrooms. (ii). Adequate personal protective equipment is not yet in place at point of care. | (i). Flowing soap, hand sanitizers and paper towels are to be put in place throughout the facility including resident bedrooms. (ii). Ensure adequate personal protective equipment is in place at point of care. | PA Low | 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. | (i). The refurbished wing does not have a sluice room in operation to support the safe management of waste and/or hazardous substances. (ii). There are no MSD sheets available for chemicals. | (ii). Ensure a sluice room is in operation prior to opening the refurbished wing (ii). Ensure there are MSD sheets available for chemicals. | PA Low | In Progress | |
| An approved food control plan shall be available as required. | (i). There is not a current approved food control plan in place. (ii). Not all equipment to transport the food has been purchased or in place. | (i). Ensure a current food control plan is in place. (ii). Ensure equipment to transport food is purchased and in place. | PA Low | In Progress | |
| Service providers shall ensure there are safe and effective laundry services appropriate to the size and scope of the health and disability service that include: (a) Methods, frequency, and materials used for laundry processes; (b) Laundry processes being monitored for effectiveness; (c) A clear separation between handling and storage of clean and dirty laundry; (d) Access to designated areas for the safe and hygienic storage of laundry equipment and chemicals. This shall be reflected in a writt | (i). The storeroom for clean linen is in A wing and has yet to be completed. | (ii). Ensure safe and hygienic storage of linen. | PA Low | Reporting Complete | |
| Service providers shall identify and implement appropriate security arrangements relevant to the people using services and the setting, including appropriate identification. | (i). The CCTV available has yet to be connected to the main building. | (ii). Ensure the CCTV is connected to the main building. | PA Low | Reporting Complete | |
| Service providers shall ensure there are implemented fire safety and emergency management policies and procedures identifying and minimising related risk. | (i). Staff still need to complete a fire drill that includes the new refurbished building. | (i). Ensure staff complete a fire drill that include the new refurbished building. | PA Low | 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: Partial Provisional Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Partial Provisional Audit
