Shelly Beach Dementia

Profile & contact details

Premises details
Premises nameShelly Beach Dementia
Address 19 Shelly Beach Road Saint Marys Bay Auckland 1011
Total beds14
Service typesDementia care
Certification/licence details
Certification/licence nameGraceful Home No.2 Limited - Shelly Beach Dementia
Current auditorThe DAA Group Limited
End date of current certificate/licence02 March 2024
Certification period36 months
Provider details
Provider nameGraceful Home No.2 Limited
Street address30 Ranui Road Remuera Auckland 1050
Post addressPO 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: 01 December 2020

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
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.Three monthly medication reviews were not being documented by the GP and not all outcomes of administered PRN medications were documented. Provide documented evidence of three-monthly medication reviews and evaluation of administered PRN medication PA ModerateReporting Complete09/06/2021
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.Some meat in the freezer had past the use by date. Ensure all meat that has passed its use by date is removed from the freezer and is disposed of. PA ModerateReporting Complete09/06/2021
Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.Menu has not been reviewed by the registered dietitian within the last two years. Provide evidence that residents’ menu has been reviewed by the registered dietitian. PA ModerateReporting Complete07/12/2021
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.Staffing requirements for the night shift do not meet contractual requirements. Increase the availability of staff over the night shift. PA ModerateReporting Complete07/12/2021
Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services.Records are not available to demonstrate there is a staff member on duty at all times with a current first aid certificate and medication competency. The registered nurse role is currently vacant (since 18 August 2022) when the RN resigned. Recruitment for a replacement is underway. Ensure records are available to demonstrate that there is a staff member on duty at all times with a current first aid certificate and medication competency and records are available. Employ a registered nurse to have oversight of resident’s clinical care and undertake the roles and responsibilities as detailed in the aged related residential care contract. PA HighIn Progress
The following aspects of the system shall be performed and communicated to people by registered health professionals operating within their role and scope of practice: prescribing, dispensing, reconciliation, and review.Two out of 11 residents’ medication charts were overdue for review, due in June and July 2022 respectively. Ensure three monthly medication reviews are completed within the required timeframes. PA ModerateIn Progress
Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services.A training plan for 2022 has yet to be developed. There has been limited training provided to staff in 2021 and 2022 as per training records sighted and staff interviewed. Develop and implement a training plan that is appropriate to the services provided and aligned with aged related residential care contract and Nga Paerewa standards, and ensure appropriate records are retained. PA ModerateIn Progress
Service providers shall understand and comply with statutory and regulatory obligations in relation to essential notification reporting.Not all essential reporting events are being reported to comply with statutory and regulatory obligations. Ensure all essential reporting events are being reported to the appropriate authority/agency in a timely manner to comply with statutory and regulatory obligations. PA ModerateIn Progress
Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy.Records were not available to demonstrate all applicable care staff have a current medication competency. Ensure records are available to demonstrate all staff administering medications have a current medications competency assessment and this is reviewed annually. PA ModerateIn Progress
Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits).(ii) Four out of five residents’ long-term care plans have not been updated following completion of interRAI assessments. (ii) One resident’s interRAI assessments did not accurately reflect current falls data in the 90 days prior to the InterRAI assessment being completed and falls prevention strategies were not adequately identified in the long-term care plan. (iii)Two out of 11 residents did not have current interRAI assessments in place, last completed in June 2021. (i)Ensure all long-term care plans are evaluated following completion of interRAI assessments. (ii)Ensure interRAI assessments and long-term care plans reflect resident’s current care needs such as falls. (iii)Ensure all interRAI assessments are completed within the required timeframes. PA ModerateIn Progress

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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