Elizabeth Knox Home and Hospital

Profile & contact details

Premises details
Premises nameElizabeth Knox Home and Hospital
Address 10 Ranfurly Road Epsom Auckland 1023
Websitewww.knox.co.nz/
Total beds278
Service typesPhysical, Rest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameKnox Home Trust Board - Elizabeth Knox Home and Hospital
Current auditorThe DAA Group Limited
End date of current certificate/licence09 June 2021
Certification period36 months
Provider details
Provider nameKnox Home Trust
Street address 10 Ranfurly Road Epsom Auckland 1023
Post addressPO Box 74060 Market Rd Auckland 1543

Progress on issues from the last audit

What’s on this page?

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.

Details of corrective actions

Date of last audit: 02 May 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.The organisation uses the electronic VCare system for their service delivery planning. During the file review, there were examples of service delivery plans that lacked individualised details. Examples included, catheter cares, restraint, behaviour management and preparation for home visits. Service delivery plans document the required supports and interventions related to the individual needs of the residents. PA LowReporting Complete13/05/2019
A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.The controlled drug register does not show that the mandatory six monthly quantitative stocktake has occurred. One medication fridge had its temperature recorded for four days, over the recommended temperature and no action had been taken. There are standing orders which do not meet the requirements of national guidelines. Documentation provided following the audit demonstrated that all three areas have been addressed with systems developed to ensure ongoing compliance with requirements. … (this text has been trimmed due to space limits).Standing orders are reviewed to meet the guideline requirements. The medication fridge temperature process is reviewed to ensure staff are aware of the temperature requirements and action to be taken when the temperature is outside the normal limits. Staff undertake the mandatory controlled drug checks six monthly. PA LowReporting Complete13/05/2019
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.Records are not available to demonstrate that the annual multidisciplinary meetings (MDT) are consistently occurring. Plan and undertake annual multidisciplinary meetings for residents, and ensuring appropriate records are retained. PA LowIn Progress
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.Not all evaluations indicate the degree of achievement or response to the interventions being provided. For example: - Not all goals were evaluated. - Not all MDT reviews are occurring annually. - An issue identified by the physiotherapist evaluation was not transferred into other areas of service delivery documentation. - Paper based short term care plans were sighted, for example, skin tear and inflammation of the arm. The progress notes identified that these issues had been resolved but the… (this text has been trimmed due to space limits).The process of evaluation is all encompassing to include the resident’s goals, and any issues identified by the multidisciplinary team. Documentation on the short-term care plans include review and closure. Annual formal reviews are completed and include comments from residents and family members. PA LowReporting Cancelled
A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.A controlled drug safe has been purchased for each clean utility room but have not year been installed. The planned storage area for medicines in each care room have not yet been installed. Install the controlled drugs safe in each of the two clean utility rooms on Puriri. Install a secure area for the storage of medicines in each resident care room as planned. PA LowReporting Complete26/08/2019
All buildings, plant, and equipment comply with legislation.The certificate of public use has not yet been issued by Auckland City Council for the new Puriri home / building. The temperature of hot water has not been tested in Puriri home resident care areas to ensure it is within the required temperature range. Obtain the Certificate of Public use for Puriri building. Ensure the temperature of hot water at the point of use is at or under 45 degrees Celsius PA LowReporting Complete26/08/2019
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.The deck areas and pathways including near the main entrance have not been completed. There remain hazards within the environment. Handrails have not yet been installed throughout both staircases. Appliances have been purchased but not yet installed in the kitchen, dirty utility room, and domestic laundry on each floor. Ensure the deck areas and pathways are completed around Puriri building and main entrance. Remove hazards from the environment. Complete the installation of handrails in both stairways. Hang the remaining drapery and install all remaining appliances in Puriri including in the kitchen, laundry and dirty utility room on each floor. PA ModerateReporting Complete26/08/2019
Where required by legislation there is an approved evacuation plan.The fire evacuation plan for Puriri home has not yet been approved by the New Zealand Fire Service. A fire evacuation drill in Puriri home has not occurred. Obtain New Zealand Fire Service approval of the Puriri home fire evacuation plan. Undertake a fire evacuation drill that includes Puriri home. PA ModerateReporting Complete26/08/2019
An appropriate 'call system' is available to summon assistance when required.Call bells have been installed in applicable resident care areas in Puriri. The call bell central alert panels, care staff pager / telephone system, and the link to other Elizabeth Knox buildings in the event of an emergency have not yet been completed. Install the central alert panels in Puriri for call bells. Ensure the call bells are linked to staff pager / telephone systems, and emergency calls displayed across the home and hospital centralised call bell system. PA LowReporting Complete26/08/2019

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

Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits which gives an overview of the auditing process and explains what the audit reports mean.

What’s on this page?

Audit reports for this rest home’s latest audits can be downloaded below.

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. 

Prior to 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 Health and Disability Services Standards.

Note: From November 2013, as rest homes are audited, any issues from their latest audit (the corrective actions required by the auditor) will appear on the rest home’s page. As the rest home completes the required actions, the status on the web site will update.

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