St Patricks Home and Hospital
Profile & contact details
|Premises name||St Patricks Home and Hospital|
|Address||3 Wilding Avenue Epsom Auckland 1023|
|Service types||Geriatric, Medical, Rest home care|
|Certification/licence name||St Patricks Limited - St Patricks Home and Hospital|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||03 April 2021|
|Certification period||24 months|
|Provider name||St Patricks Limited|
|Street address||3 Wilding Avenue Epsom Auckland 1023|
|Post address||3 Wilding Avenue Epsom Auckland 1023|
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: 25 February 2020
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|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.||One rest home and one hospital level resident’s initial interRAI were not within timeframes.||Ensure that the timeframes for interRAI initial assessments are within 21 days.||PA Moderate||In Progress|
|Service providers have access to designated areas for the safe and hygienic storage of cleaning/laundry equipment and chemicals.||i) Clean and dirty areas of the laundry were not clearly delineated. ii) Cleaning products were stored in areas accessible to residents.||i) Ensure clear delineation of clean and dirty laundry areas. ii) Ensure all chemicals are stored securely.||PA Low||Reporting Complete||29/05/2019|
|All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.||i) Fridge and freezer temperatures are recorded three times per week and this practice does not ensure safe and appropriate storage of food. ii) Not all residents receive food in alignment with their nutritional requirements to meet specific medical conditions, and changes to dietary needs are not always implemented.||i) Fridge and freezer temperatures to be monitored at least daily to ensure safe and appropriate storage of food. ii) Ensure the kitchen is informed of dietary requirements to ensure all residents receive food in alignment with their nutritional needs and medical conditions.||PA Moderate||Reporting Complete||29/05/2019|
|The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate.||Progress notes are insufficient to inform the resident’s care needs and do not completed in line with relevant guidelines and best practice.||Progress notes to be in sufficient detail to inform resident care needs and completed in line with relevant guidelines and best practice.||PA Moderate||Reporting Complete||02/09/2019|
|Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.||i) Evaluations of STCP and LTCP are not consistently completed to reflect the changed needs of residents. ii) Evaluations of STCP and LTCP are not consistently signed or dated when completed. iii) Evaluations of care plans do not consistently document progress towards meeting the desired outcome. iv) Activity plans are not consistently reviewed within the required timeframes.||i) Ensure evaluations of STCP and LTCP are not consistently completed to reflect the changed needs of residents. ii) Ensure evaluations of STCP are signed and dated when completed. iii) Ensure evaluations of care plans document progress towards meeting the desired outcome. iv) Ensure activity plans are reviewed within the required timeframes.||PA Moderate||Reporting Complete||29/10/2019|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||i) When a resident’s condition changes, interventions recorded in the LTCPs did not always reflect the changed needs. ii) Interventions recorded in STCPs did not always support the achievement of the resident’s goals.||i) Ensure when a resident’s condition changes, interventions recorded in the LTCPs reflect the changed needs. ii) Ensure interventions recorded in STCPs support the achievement of the resident’s goals.||PA Moderate||Reporting Complete||29/10/2019|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||i) Long-term care plans are not always based on interRAI assessments or reflect the needs of residents. ii) Short-term care plans are not always completed for management of acute problems.||i) Ensure long-term care plans are based on interRAI assessments and reflect the needs of residents. ii) Ensure short-term care plans are completed for management of acute problems.||PA Moderate||Reporting Complete||29/10/2019|
|The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.||i) Not all residents’ needs are identified in the initial assessment. ii) InterRAI assessments do not consistently trigger the additional care needs of residents. iii) When the condition of a resident changes, the NASC team is not consistently informed to review the level of care. iv) Residents’ nursing care needs are not consistently identified during goal setting.||i) Ensure residents’ needs are identified in the initial assessment. ii) Ensure InterRAI assessments trigger the additional care needs of residents. iii) Ensure when the condition of a resident changes, the NASC team is informed to review the level of care. iv) Ensure residents’ nursing care needs are consistently identified during goal setting.||PA Moderate||Reporting Complete||29/10/2019|
|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.||i) InterRAI assessments are not consistently completed within the required timeframes. ii) Long-term care plans are not always completed within three weeks of admission.||i) Ensure InterRAI assessments are completed within the required timeframes. ii) Ensure LTCPs are completed within three weeks of admission.||PA Moderate||Reporting Complete||29/10/2019|
|Consumers have a right to full and frank information and open disclosure from service providers.||i) Admission agreements are not available in languages that could be understood by the resident or their family. ii) Not all admission agreements were signed within the required timeframes.||i) Ensure that admission agreements are available in a language understood by the resident. ii) Ensure admission agreements are signed by the resident or their nominated representative within the required timeframes.||PA Low||Reporting Complete||29/10/2019|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||i) The documented staffing rationale (skill mix policy and rosters) do not reference the processes and requirements for safe staffing relating to the layout of the facility and the external units. ii) Current RN oversight does not assure the required skill mix and experience or access is in place to provide safe care in a timely manner for all residents.||i) Ensure policy, guidelines and rosters reflect the additional need for oversight and service delivery in association with the layout of the facility for all residents, including the external units. ii) Ensure sufficient and accessible aged care experience RN oversight is in place with the required skill mix and experience to provide safe care for all residents, in a timely manner.||PA Moderate||Reporting Complete||04/11/2019|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||One hospital resident with a supra pubic catheter did not have care needs fully addressed in the care pa. One rest home resident with behaviours that challenge had this issue documented in the care plan but no interventions to manage.||Ensure that all care needs are fully documented in the care plan.||PA Moderate||In Progress|
|Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.||(i). Meeting minutes do not reflect that all quality information is communicated to staff including; incidents and accidents, complaints, and internal audit results. (ii). The annual family/ resident survey results have not been documented as communicated to family and residents.||(i). Ensure that quality information is documented as communicated to staff residents. (ii). Ensure that the family/resident survey results are communicated to family and residents||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: 25 February 2020
Audit type:Surveillance Audit
- St Patricks Home and Hospital - Feb 2020 (docx, 33.63 KB)
- St Patricks Home and Hospital - Feb 2020 (pdf, 132.41 KB)
Audit type:Certification Audit
- St Patricks Home and Hospital - Jan 2019 (docx, 53.55 KB)
- St Patricks Home and Hospital - Jan 2019 (pdf, 211.72 KB)
Audit type:Surveillance Audit
- St Patricks Home and Hospital - Jul 2018 (docx, 40.5 KB)
- St Patricks Home and Hospital - Jul 2018 (pdf, 162.28 KB)
Audit type:Provisional Audit