Papatoetoe Residential Care

Profile & contact details

Premises details
Premises namePapatoetoe Residential Care
Address 3 Fairview Road Papatoetoe Auckland 2025
Total beds30
Service typesRest home care, Geriatric
Certification/licence details
Certification/licence namePapatoetoe Residential Care Limited - Papatoetoe Residential Care
Current auditorThe DAA Group Limited
End date of current certificate/licence15 June 2021
Certification period36 months
Provider details
Provider namePapatoetoe Residential Care Limited
Street address 22 Waipapa Landing Place Kerikeri 0230
Post address22 Waipapa Landing Place Kerikeri 0230

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 November 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Service providers responsible for medicine management are competent to perform the function for each stage they manage.Caregivers do not hold medication competencies to support the checking of medications administered by the registered nurses. Provide evidence that all staff who hold medication responsibilities undergo competency assessments to perform the function they are assigned. PA ModerateReporting Complete19/09/2018
The facilitation of safe self-administration of medicines by consumers where appropriate.Eight residents’ had not been assessed by the registered nurse and GP to show that they were competent to self-administer their medications safely. There is no ongoing process to monitor that medicines are being self-administered as prescribed. To provide evidence that residents’ who are self-administering their own medications are assessed as competent and meet the recommended medication guidelines for self-administering medications. Implement a process to monitor that patients are self-administering their medicines appropriately. PA ModerateReporting Complete19/09/2018
The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.The identification, assessment, intervention and evaluation for wounds and pressure injuries was not always documented in applicable sampled files To provide evidence of assessment, planning, provision, evaluation of wound care plans. PA LowReporting Complete11/12/2018
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Annual performance appraisals are not consistently occurring. A schedule detailing when staff appraisals are due has not been developed. Records were not available to demonstrate that ongoing staff training on restraint minimisation/use of enablers, abuse and neglect, and prevention and management of pressure injuries has occurred annually as scheduled in 2017 and 2018 to date. Ensure a process is in place to identify when staff are due annual performance appraisals and undertake these. Ensure staff receive training on all applicable topics. PA LowReporting Complete11/12/2018
Key components of service delivery shall be explicitly linked to the quality management system.Key components of service delivery including restraint minimisation and infection prevention and control is not explicitly linked to the quality and risk programme. Staff meetings no longer include these topics in the minutes sighted. Ensure infection surveillance data and the use of restraint and enablers is explicitly linked to the quality and risk programme. PA LowReporting Complete11/12/2018
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.The interRAI reassessments have not being completed six monthly for five out of 23 residents, with one of these overdue by over seven months. Ensure that interRAI reassessments are completed six monthly. PA ModerateReporting Complete25/03/2020
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.A food safety plan has not been documented or registered with the applicable regulatory authority. A verification audit of the programme has not been undertaken as required by legislation. Document a food safety plan and register this with an appropriate authority and have implementation of the programme verified by a third party as required. PA LowReporting Complete25/03/2020
New service providers receive an orientation/induction programme that covers the essential components of the service provided.Bureau/agency registered nurses are being utilised to cover shifts. Records were not maintained to demonstrate their induction/orientation. Records were not available to demonstrate that two staff employed since October 2017 have completed the organisation’s orientation programme. Ensure new employees and bureau/agency RNs are given and orientation or induction relevant to their role and that records are retained to demonstrate this. PA ModerateReporting Complete25/03/2020
The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.The copies of three out of eight incident reports sampled at random, that are held in a centralised incident file, have investigations and follow up on the reverse of the reporting form that are unrelated to the reported event. Actions taken in response to a medicine error involving a bureau registered nurse were not documented. Ensure that investigation and follow-up consistently occur for all reported events and that records are retained to demonstrate these processes relate to the correct reported event. PA LowReporting Complete09/06/2020
An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.A complaints register is not being maintained. Two complaints are not present or referenced in the complaints folder. All records related to the responses for two other complaints could not be located. Maintain a complaint register that includes details of all complaints. Accessible records are available that demonstrate all stages of the complaint management process and that timeframes align with the Code of Health and Disability Services Consumers’ Rights (the Code). PA ModerateReporting Complete09/06/2020

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. 

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.

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