St Joseph's Home & Hospital

Profile & contact details

Premises details
Premises nameSt Joseph's Home & Hospital
Address 9 Tweed Street Herne Bay Auckland 1011
Total beds31
Service typesGeriatric, Medical, Rest home care
Certification/licence details
Certification/licence nameLittle Sisters of The Poor Aged Care New Zealand Limited - St Joseph's
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence13 July 2019
Certification period36 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: 11 December 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Each episode of restraint is documented in sufficient detail to provide an accurate account of the indication for use, intervention, duration, its outcome, and shall include but is not limited to: (a) Details of the reasons for initiating the restraint, including the desired outcome; (b) Details of alternative interventions (including de-escalation techniques where applicable) that were attempted or considered prior to the use of restraint; (c) Details of any advocacy/support offered, provided o… (this text has been trimmed due to space limits).Two of three restraint-monitoring forms sampled did not demonstrate consistent evidence of required monitoring. Ensure restraint monitoring is completed and documented according to the timeframe determined and according to the risk. PA LowReporting Complete21/06/2017
Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.Nutritional needs as stated in the care plans was not documented as communicated to the kitchen. Three of five care plan’s nutrition information did not match the information documented in the kitchen Ensure that the kitchen is aware of the nutritional needs of the residents PA LowIn Progress
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(1)For hospital level care: (i) two residents with wounds did not have the interventions documented around the current skin integrity issues, (ii) two residents with increasing behavioural issues did not have de-escalation interventions documented in sufficient detail to guide staff. (iii) Interventions were not documented for one resident in relation to risks associated with warfarin. (2)For rest home level: (i) One resident did not have interventions documented for; high falls risk, use of ox… (this text has been trimmed due to space limits).Ensure that care plans document the care and support needed to provide care for residents PA ModerateIn Progress
Consumers have a right to full and frank information and open disclosure from service providers.Fifteen of twenty-six accident/incident forms reviewed did not include information that family had been contacted following an adverse event. Ensure the accident/incident form contains evidence of family being contacted (or if not, an explanation why they were not contacted). PA LowIn Progress
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)Eight of ten medication charts reviewed did not include a ‘stop date’ for short-term medication. For one resident this meant that eye medication charted for one week, with a further week charted if needed, had been administered for a month. (ii) Five of ten medication charts did not include indications for use of ‘as required’ medicines and (iii) one eye medication dispensed for one resident was being administered to another resident (who was also prescribed this medication). (i)Ensure that short-term medications have a documented ‘stop date’. (ii) Ensure that ‘as required’ medications include indications for use and (iii) ensure that medications prescribed are administered to that resident. 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. 

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 reports

Audit date: 11 December 2017

Audit type:Surveillance Audit

Audit date: 16 May 2016

Audit type:Certification Audit

Audit date: 12 November 2014

Audit type:Surveillance Audit

Audit date: 28 May 2013

Audit type:Certification Audit

Audit date: 26 January 2012

Audit type:Surveillance Audit

Audit date: 26 May 2010

Audit type:Certification Audit

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