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 2024|
|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: 27 May 2021
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Each episode of restraint is documented in sufficient detail to provide an accurate account of the indication for use, intervention, duration, its outcome, and shall include but is not limited to: (a) Details of the reasons for initiating the restraint, including the desired outcome; (b) Details of alternative interventions (including de-escalation techniques where applicable) that were attempted or considered prior to the use of restraint; (c) Details of any advocacy/support offered, provided o… (this text has been trimmed due to space limits).||Interventions including frequency of monitoring when the restraint is on is not documented in the care plan.||Document interventions including frequency of monitoring in the care plan.||PA Low||Reporting Complete||13/10/2021|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i).Two residents who were classified as a high risk of pressure injury did not have their positioning charts consistently completed. (ii). Neurological observations (four of six reviewed) were not consistently documented according to organisational policy for residents with unwitnessed falls and/or a hit to the head.||(i)-(ii). Ensure all resident monitoring charts are fully completed in a timely manner and according to policy.||PA Moderate||Reporting Complete||13/10/2021|
|A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.||(i) Corrective action plans are not well documented with actions, responsibilities, and timeframes when issues are identified through audits. (ii) There is limited documentation of resolution for a number of issues raised in audit reports and limited documentation of resolution when issues are identified at meetings.||(i) Document corrective action plans with actions, responsibilities, and timeframes when issues are identified through audits. (ii) Document evidence of resolution of issues when raised in meetings.||PA Low||Reporting Complete||13/10/2021|
|An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.||(i). There was no documentation relating to two verbal complaints raised by residents or family interviewed by the auditor. (ii). A complaints register is not maintained.||(i). Document verbal complaints raised by residents or family. (ii) Maintain an up-to-date complaints register.||PA Moderate||Reporting Complete||19/10/2021|
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.
From 1 June 2009 to 28 February 2022 rest homes were audited against the Health and Disability Services Standards NZS 8134:2008. These standards have been updated, and from 28 February 2022 rest homes are audited against Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.
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 Ngā Paerewa Health and Disability Services Standard.
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 May 2021
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Provisional Audit