Gracedale Hospital

Profile & contact details

Premises details
Premises nameGracedale Hospital
Address 68 Mount Roskill Road Mount Roskill Auckland 1041
Total beds36
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameSelwyn Care Limited - Gracedale Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence10 April 2020
Certification period36 months
Provider details
Provider nameSelwyn Care Limited
Street addressLevel 4 1 Nugent Street Grafton Auckland 1023
Post addressPO Box 8203 Symonds Street Auckland 1150

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: 01 February 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Where progress is different from expected, the service responds by initiating changes to the service delivery plan.i) Required changes to interventions are documented in the evaluation section but the interventions at the beginning of each section of the care plan are not updated when needs change ii) Lifestyle care plans (summary document) had not been updated for five residents (four hospital and one rest home) with weight loss, a change in dietary requirement, wounds and infections. Ensure that any changes made to the interventions as part of the care plan evaluation are updated and correctly recorded in all areas of the care planning documentation. PA LowReporting Complete27/09/2017
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.i) Two of six files reviewed (hospital) for residents with weight loss did not have the interventions that were documented in the progress notes by the dietitian (one several weeks before and one three days before the audit) implemented or transferred to the nursing care plan or communicated to the kitchen. ii) One hospital resident with three skin tears had a combined wound care plan for the three wounds (skin tears) all sustained following a fall. An initial assessment was documented for … (this text has been trimmed due to space limits).i) Ensure that all interventions documented by allied healthcare staff in the progress notes are transferred to the nursing care plans and implemented and all changes to dietary requirements are communicated to the kitchen. ii) Ensure there is a separate wound care management plan for each wound. iii) Ensure that all initial wound assessments, wound assessments and each dressing change are documented fully. iv) Ensure that all PIs are fully assessed and correctly staged and the care plan inte… (this text has been trimmed due to space limits).PA ModerateReporting Complete27/09/2017
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 part vial of morphine was found opened and covered with micropore tape in the controlled drug cupboard. This vial was being retained for later use. Ensure that the storage and disposal of medication complies with all legislative and contractual requirements. PA LowReporting Complete27/09/2017
All records pertaining to individual consumer service delivery are integrated.There are a number of folders in use in the clinical area containing resident information - (resident file, wound folder, short-term care plans, care givers information, daily care chart, bowel book and other monitoring records). The resident information is not integrated and the information documented in each folder/area is not consistent. One resident (hospital tracer) with three PIs had interventions documented to manage the PIs in multiple areas including the progress notes, wound care p… (this text has been trimmed due to space limits).Ensure resident files are integrated. PA ModerateReporting Complete27/09/2017

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.

Audit reports

Audit date: 01 February 2017

Audit type:Certification Audit

Audit date: 23 September 2015

Audit type:Surveillance Audit

Audit date: 20 February 2014

Audit type:Certification Audit

Audit date: 10 August 2012

Audit type:Surveillance Audit

Audit date: 10 February 2011

Audit type:Certification Audit

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