Manor Park Private Hospital
Profile & contact details
|Premises name||Manor Park Private Hospital|
|Address||14 Manor Park Road Manor Park Lower Hutt 5019|
|Service types||Geriatric, Psychogeriatric, Mental health, Medical, Dementia care|
|Certification/licence name||Bizcomm New Zealand Limited - Manor Park Private Hospital|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||13 September 2019|
|Certification period||36 months|
|Provider name||Bizcomm New Zealand Limited|
|Street address||Manor Park Private Hospital 14 Manor Park Road Manor Park Lower Hutt 5019|
|Post address||P O Box 45160 Waterloo Lower Hutt 5042|
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: 05 December 2017
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The appointment of appropriate service providers to safely meet the needs of consumers.||Seven of nine staff files reviewed did not contain evidence of reference checks.||Ensure all staff files contain appropriate reference checks.||PA Low||Reporting Complete||07/12/2016|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||Two psychogeriatric residents did not have an InterRAI assessment within 21 days of admission and three psychogeriatric residents did not have routine InterRAI assessments completed as part of the six monthly reviews as from 1 January 2016. This is due to the resignation of trained InterRAI assessors, which the provider has taken steps to replace however, the scheduling of training for the new staff, which is beyond the control of the provider, has led to a delay in the carrying out of InterRAI… (this text has been trimmed due to space limits).||Ensure that contractual obligations are met around InterRAI.||PA Negligible||Reporting Complete||07/12/2016|
|Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.||As the facility has not yet opened, staff have not completed a fire drill or training around the fire evacuation procedure.||Implement fire drills for all staff in the new building.||PA Low||Reporting Complete||29/01/2018|
|All buildings, plant, and equipment comply with legislation.||a) The Certificate of Public Use has not yet been signed off; b) hot water has not yet been adjusted to the correct temperature, therefore monitoring of safe hot water temperatures has not occurred.||a) A Certificate of Public Use must be sighted by DHB/HealthCERT prior to opening; b) provide evidence that hot water temperatures in resident areas are within the required limits.||PA Low||Reporting Complete||29/01/2018|
|Consumers are provided with safe and accessible external areas that meet their needs.||(i) Outdoor areas are yet to be completed with furniture and ramped for ease of access. External gardens, paths and seating areas require completion. (ii) The dementia unit outdoor area is not yet secure.||(i) Provide evidence that the external areas and surfaces are safe and accessible for residents. (ii) Provide evidence that the outdoor area for the dementia unit is secure.||PA Low||Reporting Complete||29/01/2018|
|Where required by legislation there is an approved evacuation plan.||The fire evacuation scheme has not yet been approved by the New Zealand Fire Service.||Provide evidence that the NZFS has approved a fire evacuation scheme for Manor Park.||PA Low||Reporting Complete||29/01/2018|
|The appointment of appropriate service providers to safely meet the needs of consumers.||The service has not yet employed sufficient caregivers to provide 24 hour cover for the projected roster when the dementia unit opens.||Ensure sufficient staff are employed to provide an effective and safe service in the dementia unit, prior to residents being admitted to the dementia unit.||PA Low||Reporting Complete||31/01/2018|
|New service providers receive an orientation/induction programme that covers the essential components of the service provided.||Orientation for staff is yet to be provided. Advised that the newly employed staff commencing will all receive a two-day orientation/training at the facility prior to opening. The current orientation packages will be completed with modifications and additions to include the altered levels of care. Training such as fire drill/safety is to be provided before opening. Registered nurses are to complete an extra orientation day, specific to their role.||Ensure the planned orientation is completed.||PA Low||Reporting Complete||31/01/2018|
|Service providers responsible for medicine management are competent to perform the function for each stage they manage.||Registered nurses will be employed to manage and administer medications. Advised that medication competencies will be completed during induction and annually.||For new staff commencing who will have medication administration responsibilities, ensure all have completed medication competencies.||PA Low||Reporting Complete||31/01/2018|
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: 05 December 2017
Audit type:Partial Provisional Audit
- Manor Park Private Hospital - Dec 2017 (docx, 38.48 KB)
- Manor Park Private Hospital - Dec 2017 (pdf, 133.82 KB)
Audit type:Certification Audit
- Manor Park Private Hospital - Jul 2016 (docx, 51.72 KB)
- Manor Park Private Hospital - Jul 2016 (pdf, 180.18 KB)
Audit type:Surveillance Audit
- Manor Park Private Hospital - Jan 2015 (docx, 44.72 KB)
- Manor Park Private Hospital - Jan 2015 (pdf, 131.61 KB)
Audit type:Certification Audit
- Manor Park Private Hospital - Jul 2013 (docx, 203.58 KB)
- Manor Park Private Hospital - Jul 2013 (pdf, 852.45 KB)
Audit type:Surveillance Audit
Audit type:Provisional Audit