Hillcrest Hospital

Profile & contact details

Premises details
Premises nameHillcrest Hospital
Address 86 Friesian Drive Mangere Auckland 2022
Total beds80
Service typesGeriatric, Physical, Rest home care, Medical, Dementia care
Certification/licence details
Certification/licence nameCHT Healthcare Trust - Hillcrest Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence22 November 2018
Certification period36 months
Provider details
Provider nameCHT Healthcare Trust
Street address 97 Great South Rd Market Road Auckland 1543
Post addressPO Box 74341 Market Road 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: 13 June 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines.i) Non-packaged, regular medications are not signed for individually for each medication, demonstrating that this has been administered. ii) In eleven of 18 charts sampled there is either no indication for use documented for ‘as required’ medications, or the pharmacy has generated a generic list of uses for that medication which is not specific to the resident for whom the medication is prescribed. i) Ensure that all non-packaged medications have each medication individually signed as administered. ii) Ensure that indications for use are documented for all ‘as required’ medications and that these are specific to the resident. PA LowReporting Complete27/01/2016
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.i) Eight of nine care plans (three dementia and five hospital) do not document interventions for all identified needs. Examples include culture, diabetes, asthma, COPD, hoist use and dermatitis; ii) seven of nine wounds do not have a comprehensive assessment documented; iii) one resident has a grade one pressure area as indicated by ongoing progress notes (now resolved). This was not identified as a pressure area so no incident form, pressure area report or wound assessment or management plan … (this text has been trimmed due to space limits).i) Ensure care plans document interventions for all identified resident needs; ii) ensure that all wounds have a comprehensive assessment completed; iii) ensure that all pressure injuries are identified and that appropriate management is documented. PA ModerateReporting Complete27/01/2016
Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.Two of the three activities coordinators had been on leave for the month prior to the audit and a full activities programme had not been provided in the hospital on Mondays, Tuesdays and Wednesdays. Ensure a comprehensive activities programme is provided during each week for all residents. PA LowReporting Complete27/01/2016

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: 13 June 2017

Audit type:Surveillance Audit

Audit date: 05 October 2015

Audit type:Certification Audit

Audit date: 30 April 2014

Audit type:Surveillance Audit

Audit date: 18 September 2012

Audit type:Certification Audit

Audit date: 20 July 2011

Audit type:Surveillance Audit

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