Radius Lexham Park
Profile & contact details
|Premises name||Radius Lexham Park|
|Address||3 Binnie Road Katikati 3129|
|Service types||Geriatric, Medical, Rest home care|
|Certification/licence name||Radius Residential Care Limited - Radius Lexham Park|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||14 August 2020|
|Certification period||36 months|
|Provider name||Radius Residential Care Limited|
|Street address||12 Viaduct Harbour Avenue Auckland Central Auckland 1010|
|Post address||PO Box 450 Auckland 1140|
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: 24 January 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||Only seven staff have completed training around skin integrity and pressure injury prevention.||Ensure all staff have received training around maintaining skin integrity and reducing the incidence of pressure injuries.||PA Low||Reporting Complete||20/11/2017|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i) One resident had two unstageable pressure injuries incorrectly graded as stage 1. Registered staff interviewed were not aware of what an unstageable pressure injury was. (ii) Two fluid balance charts and one turning chart sampled had not been accurately completed.||(i) Ensure staff are trained in the assessment of pressure injuries and that these are correctly assessed. (ii) Ensure monitoring forms are accurately documented.||PA Moderate||Reporting Complete||20/11/2017|
|Where progress is different from expected, the service responds by initiating changes to the service delivery plan.||Three of six long-term resident files sampled (one rest home and two hospital) had not been updated when resident needs had changed.||Ensure care plans reflect each resident’s current needs.||PA Low||Reporting Complete||20/11/2017|
|Where progress is different from expected, the service responds by initiating changes to the service delivery plan.||(i)There were no documented interventions for one rest home resident requiring management of leaking oedematous legs as per progress notes. (ii) there were no interventions documented for a resident with recent confusion or for a change in his sleeping position requirements. (iii) A current short-term care plan in place for wound cares had not been evaluated for 30 days. (iv) Effectiveness of ‘as required’ pain relief was not consistently documented for one rest home and one hospital resident… (this text has been trimmed due to space limits).||(i) and (ii) Ensure care plans reflect each resident’s current needs. (iii) Ensure short-term care plans are evaluated in a timely manner. (iv) Ensure the effectiveness of ‘as required’ medication is evaluated.||PA Moderate||Reporting Complete||20/05/2019|
|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 of five files reviewed (both recent admissions) did not have initial interRAI assessments completed within contractual timeframes.||Ensure initial interRAI assessments are completed within 21 days of admission.||PA Low||Reporting Complete||20/05/2019|
|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)One of ten medication charts had short-term medications with no stop date documented; (ii) Four of ten (two hospital and two rest home) signing charts did not evidence medications were given as charted; (iii) The times of administration of controlled drugs was not entered in the controlled drug register for four entries; (iv) Refusal of regular controlled drugs were documented on an ‘as required’ signing sheet.||(i)Ensure that short-term medications have a stop date documented; (ii) Ensure medications administered are signed for with a signature and according to the medication chart; (iii) Ensure the time of administration of controlled medications are entered in the controlled drug register; iv) Ensure controlled drugs given or refusals are documented on the correct signing sheet.||PA Moderate||Reporting Complete||20/05/2019|
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: 24 January 2019
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit