Manor Park Private Hospital

Profile & contact details

Premises details
Premises nameManor Park Private Hospital
Address 14 Manor Park Road Manor Park Lower Hutt 5019
Total beds85
Service typesMental health, Medical, Dementia care, Geriatric, Psychogeriatric
Certification/licence details
Certification/licence nameBizcomm New Zealand Limited - Manor Park Private Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence13 September 2022
Certification period36 months
Provider details
Provider nameBizcomm New Zealand Limited
Street addressManor Park Private Hospital 14 Manor Park Road Manor Park Lower Hutt 5019
Post addressP 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: 15 January 2021

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The service implements processes that involve consumers at all levels of service delivery.The services family/consumer participation policy states the service will implement annual satisfaction surveys; however, these are not being completed Ensure annual family/consumer satisfaction surveys are implemented as per policy PA LowReporting Cancelled
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.There were no corrective actions developed for issues/concerns identified for eight of sixteen internal audits completed for 2019 to date. Ensure corrective actions are developed, addressed and signed off as completed PA ModerateReporting Cancelled
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) Long-term care plans had not been completed with 21 days for three psychogeriatric residents and one mental health resident. (ii) First interRAI assessments had not been completed for three psychogeriatric residents within 21 days of admission. (i)-(ii) Ensure long-term care plans and interRAI assessments are developed within the required timeframes. PA LowReporting Cancelled
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.During the tour of the facilities it was identified that one of the residences toilets skirting boards required repair. Ensure all repairs identified are implemented in a timely manner to minimise risk of harm to residents. PA LowReporting Cancelled
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). Two eye drops had not been dated on opening. (ii). The controlled drug register had not been checked weekly. (i). Ensure that eye drops are dated on opening. (ii). Ensure that the controlled drug register is checked weekly. PA ModerateReporting Complete21/02/2022
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.Two new resident long term care plans from the PG unit were not within set time frames. Ensure that new residents have care plans documented within time frames PA ModerateReporting Complete21/02/2022
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i). One mental health resident did not have early warning signs documented. (ii). Weights were not recorded for two residents (one mental health, one PG). (iii). One PG resident did not have individualised interventions for behaviours that challenge. (iv). One PG resident did not have nutritional needs included in the care plan or nutrition plan. (v.) Recognition and care of a resident with seizures was not documented for one PG resident file. (vi). One PG resident care plan documented the … (this text has been trimmed due to space limits).(i). Ensure all mental health residents have documented early warning signs. (ii). Ensure weights are recorded as per plan. (iii) – (v) Ensure that care plan interventions address all assessed needs (vi). Ensure that care plan interventions are implemented, such as analgesia prior to dressings. PA ModerateReporting Complete21/02/2022
Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.Activity plans for two PG residents were not individualised to reflect the activity assessment. Ensure that each resident has an individualised activity plan. PA LowReporting Complete21/02/2022

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. 

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.

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