Lester Heights Hospital
Profile & contact details
|Premises name||Lester Heights Hospital|
|Address||93 Fourth Avenue Woodhill Whangarei 0110|
|Service types||Physical, Rest home care, Geriatric, Medical|
|Certification/licence name||Lester Heights Hospital Limited - Lester Heights Hospital|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||15 November 2020|
|Certification period||36 months|
|Provider name||Lester Heights Hospital Limited|
|Street address||41A Millen Avenue Pakuranga Auckland 2010|
|Post address||41A Millen Avenue Pakuranga Auckland 2010|
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: 27 February 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|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.||Three of twelve medication charts sampled (two hospital and one YPD) had prescribed medications that were not signed as administered.||Ensure documentation reflects that medications are administered as prescribed.||PA Moderate||Reporting Complete||18/09/2018|
|Consumers have a right to full and frank information and open disclosure from service providers.||Two of ten incident forms sampled and the corresponding resident files do not document that family were informed of incidents.||Ensure family are informed of all incidents and that this is documented.||PA Low||Reporting Complete||18/09/2018|
|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.||(i)The first interRAI was not within timeframes for one new rest home level resident. The LTCP had been completed prior to the first interRAI assessment. (ii) Evaluations of care were not aligned to the interRAI for one hospital and two rest home residents.||(i)-(ii) Fully implement the process for interRAI timeframes and link to timeframes for new long-term care plans and evaluations of care plans.||PA Low||Reporting Complete||13/08/2019|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i). One rest home resident did not have interventions for high falls risk. (ii) –(iii). One rest home resident did not have the need for a low sodium diet documented in the kitchen, (although the cook was aware) and two weekly weights had not always been documented as per GP instruction. (iv). Acute care plans did not have a formal holistic assessment of the wound and a management plan documented.||(i)-(ii). Ensure that care plans reflected clinical needs and that all associated services have documentation regarding resident needs. (iii). Ensure that weights are documented as per instruction. (iv). Ensure that all wounds have a process documented that includes a formal assessment and management plan.||PA Low||Reporting Complete||13/08/2019|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||The service activity plan does not provide a range of activities to suit all residents including those with higher needs, and younger residents.||Ensure that there is an activity programme in place that provides meaningful activities for the wide range of residents at the service.||PA Moderate||Reporting Complete||13/08/2019|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
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 reportsAudit date: 27 February 2019
Audit type:Surveillance Audit
- Lester Heights Hospital - Feb 2019 (docx, 34.08 KB)
- Lester Heights Hospital - Feb 2019 (pdf, 133.16 KB)
Audit type:Certification Audit
- Lester Heights Hospital - Aug 2017 (docx, 43.9 KB)
- Lester Heights Hospital - Aug 2017 (pdf, 170.27 KB)
Audit type:Surveillance Audit