Shelly Beach Dementia
Profile & contact details
|Premises name||Shelly Beach Dementia|
|Address||19 Shelly Beach Road Saint Marys Bay Auckland 1011|
|Service types||Dementia care|
|Certification/licence name||Graceful Home No.2 Limited - Shelly Beach Dementia|
|Current auditor||HealthShare Limited|
|End date of current certificate/licence||02 March 2021|
|Certification period||36 months|
|Provider name||Graceful Home No.2 Limited|
|Street address||30 Ranui Road Remuera Auckland 1050|
|Post address||PO Box 28188 Remuera Auckland 1541|
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 2018
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The appointment of appropriate service providers to safely meet the needs of consumers.||A review of five staff files indicates that there is missing documentation including signed contracts, evidence of reference checking of new staff and documentation of criminal vetting.||Ensure that each staff member has a signed contract, documentation of reference checks and documentation of criminal vetting.||PA Moderate||In Progress|
|An appropriate 'call system' is available to summon assistance when required.||Call bells are on the outside walls of bedrooms and may not be able to be accessed by staff, residents (noting that residents may not be likely to ring for help) or visitors when inside the bedroom. Staff state that they do not need to use the call bell system as staff are always present and the home is small enough for others to hear any calls for help. The improvement was identified as being required at the previous provisional audit and the director/manager has been exploring ways of addressi… (this text has been trimmed due to space limits).||Ensure that there is a call system that a person to call for help if inside a bedroom.||PA Low||In Progress|
|The organisation has a clearly defined and documented infection control programme that is reviewed at least annually.||The infection control programme has not been reviewed and annual report not completed in the last year.||Ensure infection programme is reviewed and infection control annual report completed every year.||PA Low||In Progress|
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: 15 January 2018
Audit type:Certification Audit
Audit type:Provisional Audit