Lakeside Retirement Lodge

Profile & contact details

Premises details
Premises nameLakeside Retirement Lodge
Address 43 Helvetia Road Pukekohe 2120
Total beds30
Service typesRest home care
Certification/licence details
Certification/licence nameLakeside Lodge Rest Home Limited - Lakeside Retirement Lodge
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence10 May 2019
Certification period36 months
Provider details
Provider nameLakeside Lodge Rest Home Limited
Street address 43 Helvetia Road Pukekohe 2120
Post address

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: 26 September 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.“As required” medicines were not correctly recorded by the GP in 9 of 12 medicine charts reviewed. Target symptoms and the rationale for using the as required medicines were not listed by the GP. The indication of the frequency and dose range were not recorded as specified in the Medicines Care Guides for Residential Aged Care. Ensure the GP charts as required medicines according to the Medicine Care Guides for Residential Aged Care. PA LowReporting Complete20/07/2016
Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.Four of five residents admitted since 1 July 2015 did not have an interRAI assessment completed within 21 days of admission. However their interRAI assessments were completed shortly thereafter. Ensure all residents that are admitted have an interRAI assessment completed within 21 days of admission. PA LowReporting Complete20/07/2016
The appointment of appropriate service providers to safely meet the needs of consumers.There was no documented evidence to indicate that reference checking is completed before staff are employed. Ensure there is documented evidence of reference checking being completed for potential applicants. PA LowIn Progress
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Two, of four nightshifts indicated that there are no staff available who hold a current first aid/CPR certificate. Ensure that there is a minimum of one staff available at all times who holds a current first aid/CPR certificate. PA LowIn Progress
The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.Six of fifteen unwitnessed falls did not reflect evidence of neurological observations/vital signs. The RN documented ‘observed’ only. Ensure neurological observations are completed for any suspected injury to the head. PA LowIn Progress
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Four of five resident files reviewed did not document interventions to reflect current changes in care needs or current assessed needs for, however caregivers interviewed could describe current cares for each of the files reviewed.; i) a resident with high falls risk had no documented falls prevention measures ii) a resident with recurrent UTI had interventions to support management of the UTI iii) a resident with diabetes on insulin had no documented interventions to manage hypo/hyperglycae… (this text has been trimmed due to space limits).(i-iv) Ensure interventions are documented for all current needs including changes in health status PA LowIn Progress
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 following shortfalls with medications were identified; (i)On three occasions medications were left with the resident and not observed to be swallowed by the resident. (ii)On three occasions medication was signed for prior to administration. (iii) Five expired medications were found in the imprest cupboard. (iv) One resident file (tracer) had medications signed for at dinner and supper time on several dates, however, medications were no longer charted (i-ii) Ensure all medication is administered as per medication legislation and guidelines. (iii) Ensure expired medications are discarded in a safe manner. (iv) Ensure only charted medications are signed as given PA ModerateIn Progress

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: 26 September 2017

Audit type:Surveillance Audit

Audit date: 07 March 2016

Audit type:Certification Audit

Audit date: 02 October 2014

Audit type:Surveillance Audit

Audit date: 19 March 2013

Audit type:Certification Audit

Audit date: 10 August 2011

Audit type:Surveillance Audit

Audit date: 19 March 2010

Audit type:Certification Audit

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