Sacred Heart Home & Hospital

Profile & contact details

Premises details
Premises nameSacred Heart Home & Hospital
Address 295 Brockville Road Brockville Dunedin 9011
Total beds53
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameLittle Sisters of The Poor Aged Care New Zealand Limited - Sacred Heart Home & Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence21 September 2023
Certification period48 months
Provider details
Provider nameLittle Sisters of The Poor Aged Care New Zealand Limited
Street address 295 Brockville Road Brockville Dunedin 9011
Post addressPO Box 47276 Ponsonby Auckland 1144

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: 03 November 2021

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.There is only minimal evidence of resident /family participation. A resident/relative satisfaction survey was last conducted in 2019 and resident /family meetings have not been held since 2019. Ensure that residents and relatives have input into the quality programme e.g. through satisfaction surveys and regular resident/family meetings. PA LowReporting Complete08/06/2022
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Two of four staff files reviewed of staff who have been employed for over one year failed to reflect evidence of an annual performance appraisal. The HR advisor confirmed that staff performance appraisals are behind schedule. Ensure staff performance appraisals are completed annually as per policy. PA LowReporting Complete08/06/2022
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.There was no documented evidence that medications were stored under the recommended 25 degrees Celsius. Document evidence that all medications are stored under 25 degrees Celsius. PA LowReporting Complete08/06/2022

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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