Lexall Care

Profile & contact details

Premises details
Premises nameLexall Care
Address 19 Denver Avenue Sunnyvale Auckland 0612
Total beds58
Service typesMedical, Rest home care, Geriatric
Certification/licence details
Certification/licence nameLexall Limited - Lexall Care
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence26 June 2021
Certification period36 months
Provider details
Provider nameLexall Limited
Street address 19 Denver Avenue Sunnyvale Auckland 0612
Post addressPO Box 100347 North Shore Auckland 0745

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: 16 April 2018

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.i) Ten of sixteen internal audits reviewed that required corrective actions, did not have documented evidence of being followed up and signed off as completed. ii) There was no documented corrective action plan in place to follow-up on identified areas of improvement from the resident/relative satisfaction survey completed in 2017. Ensure that corrective action plans are documented where needed and these are followed up and signed off as completed. PA LowReporting Complete17/09/2018
The appointment of appropriate service providers to safely meet the needs of consumers.Nine staff files were reviewed, six of the nine files did not have documented evidence of completed orientation programmes and checklists. Ensure that all staff complete orientation programmes and checklists. PA LowReporting Complete17/09/2018
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.On the day of audit, the downstairs medication room had empty syringes labelled with the previous contents in a clean bowl, there was no resident name or date. The RN explained that this was in case they need to give the medications again (to the same resident). The clinical manager explained that this was not the usual practice for the service and would investigate. Ensure that single use syringes are not re-used. PA ModerateReporting Complete17/09/2018
All buildings, plant, and equipment comply with legislation.A review of water temperature in resident areas evidences that they have been over 45 degrees for seven out of 12 months in some areas of the home (46 to 48 degrees). The service advises that they have been adjusted each month, but this intervention has not sustained lower temperatures. Ensure that water temperatures remain below 45 degrees in resident areas. PA LowReporting Complete17/09/2018

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: 16 April 2018

Audit type:Certification Audit

Audit date: 16 November 2016

Audit type:Surveillance Audit

Audit date: 29 April 2015

Audit type:Certification Audit

Audit date: 05 November 2013

Audit type:Surveillance Audit

Audit date: 02 April 2013

Audit type:Partial Provisional Audit

Audit date: 30 April 2012

Audit type:Certification Audit

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