Papakura Private Hospital
Profile & contact details
|Premises name||Papakura Private Hospital|
|Address||7A Youngs Road Papakura 2110|
|Service types||Physical, Rest home care, Geriatric, Medical|
|Certification/licence name||Wairiver International Limited - Papakura Private Hospital|
|Current auditor||Health Audit (NZ) Limited|
|End date of current certificate/licence||31 May 2022|
|Certification period||48 months|
|Provider name||Wairiver International Limited|
|Street address||11 Irene Avenue Mount Eden Auckland 1024|
|Post address||11 Irene Avenue Mount Eden Auckland 1024|
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: 10 March 2020
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Professional qualifications are validated, including evidence of registration and scope of practice for service providers.||There is no evidence that the general practitioners who provide medical services to the facility have current practising certificates||Obtain evidence that the general practitioners who provide medical services to the facility have current practising certificates||PA Low||Reporting Complete||31/08/2020|
|All buildings, plant, and equipment comply with legislation.||i)The Building Owners Checklists related to the Building Warrant of Fitness have not been kept up to date at the required intervals since November 2019. ii)There is no evidence that electrical safety checks and calibration of measuring devices have occurred in the last 12 months.||Ensure that required checks and inspections are kept up to date.||PA Moderate||Reporting Complete||23/09/2020|
|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.||InterRAI assessment was still not completed for one resident six weeks after admission.||Provide evidence that interRAI assessments are completed within three weeks of admission.||PA Low||Reporting Complete||23/09/2020|
|Service providers responsible for medicine management are competent to perform the function for each stage they manage.||Medication competencies are not reviewed annually as required.||Provide evidence that medication competencies for all staff who administer medications are reviewed annually and are current.||PA Low||Reporting Complete||23/09/2020|
|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.||Medication charts reviewed did not have documented evidence of the effectiveness of PRN medication administered.||Provide evidence that the effectiveness of PRN medication administered is documented after use.||PA Low||Reporting Complete||23/09/2020|
|Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.||There is no evidence that the current menu has been reviewed by a dietitian or nutritionist.||Provide evidence that the menu has been reviewed by a registered dietitian.||PA Low||Reporting Complete||25/11/2020|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||i) No performance reviews have occurred since 2018 so training needs have not been identified. An ongoing training program has not been planned since 2018. ii)Training opportunities are provided but records are not consistently maintained. For example training provided by an external clinical expert for special care of renal dialysis patients has not been recorded.||Update all performance reviews, including identification of training needs. Develop, document and implement an annual ongoing training program. Maintain both session and individual records of all training undertaken by staff.||PA Moderate||Reporting Complete||25/11/2020|
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: 10 March 2020
Audit type:Surveillance Audit
- Papakura Private Hospital - Mar 2020 (docx, 36.21 KB)
- Papakura Private Hospital - Mar 2020 (pdf, 141.79 KB)
Audit type:Certification Audit
- Papakura Private Hospital - Mar 2018 (docx, 44.94 KB)
- Papakura Private Hospital - Mar 2018 (pdf, 174.11 KB)
Audit type:Provisional Audit