Lynton Lodge Hospital
Profile & contact details
|Premises name||Lynton Lodge Hospital|
|Address||45 William Denny Avenue Westmere Auckland 1022|
|Service types||Physical, Geriatric, Medical|
|Certification/licence name||Sunrise Healthcare Limited - Lynton Lodge Hospital|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||26 July 2020|
|Certification period||36 months|
|Provider name||Sunrise Healthcare Limited|
|Street address||45 William Denny Ave Westmere Auckland 1022|
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: 14 November 2018
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The service respects the physical, visual, auditory, and personal privacy of the consumer and their belongings at all times.||Handovers are completed in public areas in the audible distance of other residents and visitors. The conversations could be easily overheard by the residents and visitors in the areas.||Handovers are required to be held in a manner that ensures resident privacy is maintained.||PA Low||Reporting Complete||30/08/2017|
|In assessing whether restraint will be used, appropriate factors are taken into consideration by a suitably skilled service provider. This shall include but is not limited to: (a) Any risks related to the use of restraint; (b) Any underlying causes for the relevant behaviour or condition if known; (c) Existing advance directives the consumer may have made; (d) Whether the consumer has been restrained in the past and, if so, an evaluation of these episodes; (e) Any history of trauma or abuse, whi… (this text has been trimmed due to space limits).||i) One of two enabler assessments and consents were not completed. ii) Two of two enabler risks were not identified during assessment. iii) Two of two enabler risks and two of two restraint risks were not reflected in the long-term care plan. iv) Two of two restraint monitoring forms were not completed. v) Two of two enablers have not been reviewed for appropriateness of current use.||All enabler and restraint use to be aligned with requirements and good practice.||PA Moderate||Reporting Complete||30/08/2017|
|There are adequate numbers of accessible toilets/showers/bathing facilities conveniently located and in close proximity to each service area to meet the needs of consumers. This excludes any toilets/showers/bathing facilities designated for service providers or visitor use.||i) Hot water temperatures are tested but not recorded. ii) Hot water temperatures exceed 45 degrees.||i) Record all hot water temperatures when tested. ii) Ensure hot water temperatures are within acceptable parameters to ensure resident safety.||PA Moderate||Reporting Complete||30/08/2017|
|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.||i) Review of the drug register did not consistently show two staff members signing the register as required by legislation when administering some medication. ii) During the physical medicines round in the facility the staff member; a) did not use the prescription and administration sheet to guide practice; b) unidentified medicines was put aside for later administration; c) handled tablets/capsules inappropriately d) positioned residents for medication administration, without communicating thi… (this text has been trimmed due to space limits).||Medicines management administration processes to be safe and appropriate and to comply with legislation, protocols, and guidelines.||PA Moderate||Reporting Complete||30/08/2017|
|The service is able to demonstrate that written consent is obtained where required.||i) Six of six general consent records did not include consent for outings. ii) Six of six admission agreements did not include consent for outings. iii) Five of the six resuscitation recommendations made by the GP based on the clinical assessments of the residents advanced directives were completed on the advanced directive form.||i) Consent forms to include consent for outings. ii) Admission agreements to include consent for outings. iii) Advanced directives forms and the resuscitation recommendation forms to be clearly identified and signed by the appropriate person.||PA Low||Reporting Complete||06/11/2017|
|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 InterRAI re-assessment did not occur when the residents’ condition changed. ii) Wound care did not include; the type of wound dressings; timeframes for review and evaluation of the wounds; monitoring evidence for all wounds; measurements of all wounds; photographic evidence of wounds; or evidence of all wounds being reflected in the wound care register.||i) InterRAI assessments to be reviewed when the condition of the resident changes. ii) Wound care to be comprehensive, appropriate and all wounds to be included in the wound care register.||PA Moderate||Reporting Complete||06/11/2017|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||i) One hospital resident goes home most days, but this is not documented in the care plan ii) Call bells were not in reach for five residents in their rooms. iii) Wound care charts included two wounds per form for two resident wounds.||i) Ensure that all resident care and support is fully documented in the care plan. ii) Ensure that all residents have a process to summon assistance if needed, or ensure that the care plan documents alternative strategies if the resident is unable to use the call bell. iii) Ensure that each wound has its own wound care assessment and plan.||PA Low||Reporting Complete||25/03/2019|
|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 initial interRAI was not completed within timeframes for one rest home resident. (ii) The long-term care plans were not documented with timeframes for three new residents (one rest home and two hospital).||Ensure that assessments and care plans are documented within set timeframes for new residents.||PA Moderate||Reporting Complete||25/03/2019|
|The service is able to demonstrate that written consent is obtained where required.||Two resident files included resuscitation forms that were incomplete; one had not been signed by the GP and one had not been fully completed||Ensure that residents have a fully documented and signed resuscitation status||PA Moderate||Reporting Complete||25/03/2019|
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: 14 November 2018
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Provisional Audit