Stokeswood Rest Home & Hospital

Profile & contact details

Premises details
Premises nameStokeswood Rest Home & Hospital
Address 18 Glen Road Stokes Valley Lower Hutt 5019
Websitewww.bupa.co.nz/care-homes/care-homes/choose-a-care-home/wellington/stokeswood-rest-home-and-hospital/
Total beds87
Service typesDementia care, Rest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameBupa Care Services NZ Limited - Stokeswood Rest Home & Hospital
Current auditorBSI Group New Zealand Ltd
End date of current certificate/licence15 May 2027
Certification period36 months
Provider details
Provider nameBupa Care Services NZ Limited
Street addressLevel 2 109 Carlton Grove Road Newmarket Auckland 1023
Post addressPO Box 113054 Newmarket Auckland 1149
Websitewww.bupa.co.nz/

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: 07 March 2024

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care.(i). Full staff meetings, RN/Clinical meetings and weekly clinical review meetings have inconsistently occurred for 2023/2024. (ii). The following meetings have not occurred at all for 2023-2024: head of department meetings, infection control and restraint meetings, resident and family meetings. (iii). The three environmental audits were not completed for 2023. (iv). The satisfaction included a low activities satisfaction. Quality initiatives have not been completed/ implemented . (v). Quality i… (this text has been trimmed due to space limits).(i)-(ii). Ensure meetings occur as scheduled. (iii). Ensure audits are completed as scheduled. (iv)-(v). Ensure there is documented evidence of quality initiatives where improvement is required. (vi). Ensure meeting minutes reflect discussion of quality data, restraint outcomes and corrective actions are discussed with staff. PA ModerateIn Progress
Meaningful activities shall be planned and facilitated to develop and enhance people’s strengths, skills, resources, and interests, and shall be responsive to their identity.(i). One staff was on leave and another who had recently left their role, neither were replaced on the roster. The activities programme was facilitated by one activity person across the service for at least two weeks. There was no activities person on the second day of the audit for the care home. (ii). No current or historic activity planner was available for the dementia unit for the auditors to view. (i). Ensure that the key workers are replaced to ensure continuity of facilitation of the activities programme. (ii). Ensure there is a documented activity programme. PA LowIn Progress
A medication management system shall be implemented appropriate to the scope of the service.(i). Medication room and fridge temperature monitoring has not been completed consistently as per policy in the dementia medication room and the rest home medication storage cupboard. (i). Ensure temperature monitoring of medication rooms and fridge are completed consistently as per policy. PA ModerateIn Progress
Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin… (this text has been trimmed due to space limits).(i). One hospital resident interRAI assessment and care plan interventions were not reflective of the current resident status in relation to mobility and nutrition as observed during the audit, as per staff interviews and progress notes reviewed. The same resident did not have a behaviour plan for behaviours identified in the progress notes and as identified during staff interviews. (ii). One hospital and one rest home resident did not have detailed interventions documented in relation to manag… (this text has been trimmed due to space limits).(i)- (vii) Ensure care plans include interventions to support all assessed needs including acute changes in health status. PA ModerateIn Progress
There is an IP role, or IP personnel, as is appropriate for the size and the setting of the service provider, who shall: (a) Be responsible for overseeing and coordinating implementation of the IP programme; (b) Have clearly defined responsibility for IP decision making; (c) Have documented reporting lines to the governance body or senior management; (d) Follow a documented mechanism for accessing appropriate multidisciplinary IP expertise and advice when needed; (e) Receive continuing education… (this text has been trimmed due to space limits).The infection control officer is new to their role (1 month) and has not yet received induction and training for the role. Complete the infection control officer induction and training for their role and responsibilities. PA LowIn 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).Five (three hospital, one dementia and one rest home), of seven resident files reviewed, of residents who have been in the care home for more than six months, did not have care evaluations/ progression towards goals completed six monthly Ensure care evaluations are completed at least six monthly and document the progression towards meeting goals PA LowIn Progress
Alternative essential energy and utility sources shall be available, in the event of the main supplies failing.There is no documented process in place to check the civil defence equipment at regular intervals Ensure civil defence equipment/supplies are checked at regular intervals. PA LowIn 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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