Stokeswood Rest Home & Hospital
Profile & contact details
|Premises name||Stokeswood Rest Home & Hospital|
|Address||18 Glen Road Stokes Valley Lower Hutt 5019|
|Service types||Dementia care, Rest home care, Geriatric, Medical|
|Certification/licence name||Bupa Care Services NZ Limited - Stokeswood Rest Home & Hospital|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||15 May 2024|
|Certification period||36 months|
|Provider name||Bupa Care Services NZ Limited|
|Street address||Level 2 109 Carlton Grove Road Newmarket Auckland 1023|
|Post address||PO Box 113054 Newmarket Auckland 1149|
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: 24 February 2021
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|New service providers receive an orientation/induction programme that covers the essential components of the service provided.||Evidence of staff completing their orientation programme were missing in three of ten staff files audited.||Ensure staff submit documented evidence of completing an orientation programme.||PA Low||Reporting Complete||23/02/2022|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||In the dementia unit (20 residents) three caregiver staff are rostered on AMs and PMs (two long shift and one short shift). Caregivers who work in the dementia unit stated that they do not have enough staff to safely complete caregiver responsibilities including cares, medication administration, and kitchen assistant duties. The AM shift staff reported that at times they need to stop their medication administration to assist with cares. This is of particular concern when caregiver vacancies h… (this text has been trimmed due to space limits).||Ensure that the staffing in the dementia unit provides for the safe care of the residents with adequate numbers of staff.||PA Low||Reporting Complete||23/02/2022|
|The methods, frequency, and materials used for cleaning and laundry processes are monitored for effectiveness.||(i) Resident clothing is not always identifiable as belonging to a certain individual. The laundry room contained three tubs of unlabelled/lost clothing. (ii) The cleaning of the carpet in the dementia unit is no longer effective due to the carpets age and saturation with urine.||(i) Ensure processes are implemented to correctly identify and manage resident clothing. (ii) Ensure the urine smell in the carpet in the dementia unit is removed.||PA Low||Reporting Complete||23/02/2022|
|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.||Five of nine resident files showed long-term care plans and/or interRAI assessments were not completed within the timeframes stated in policy. Of these, three were new interRAI assessments (one rest home, one hospital, one dementia), one hospital interRAI reassessment, one rest home initial long-term care plan and one dementia six-monthly care plan evaluation.||Ensure all interRAI assessments and care plans are completed and/or evaluated within the required timeframes according to policy.||PA Low||Reporting Complete||24/02/2022|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||Evidence of annual performance appraisals were missing in four of eight staff files reviewed of staff who have been employed for over one year.||Ensure performance appraisals are completed annually, in line with the organisation’s policies and procedures.||PA Moderate||Reporting Complete||27/06/2022|
|Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy.||(i). One eyedrop and four bottles of oral drops in the medication trolley in current use, were past the manufacturer’s guidelines. (ii). One eyedrop in use did not evidence an opening date. (iii). The medication fridge in the rest home area evidenced temperatures outside the services guidelines for several months. (iv). The temperatures of the medication fridges in both areas were not consistently monitored as per policy.||(i)-(ii). Ensure all eyedrops are dated with opening dates and all date sensitive medications are discarded as per manufacturer’s instructions. (iii) –(iv). Ensure medications fridges are monitored as per policy and corrective actions implemented when outside documented ranges.||PA Moderate||Reporting Complete||11/09/2023|
|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).||Both residents using low beds as a restraint have been assessed as requiring monitoring two hourly while the restraint is in place. On review of both residents’ files, monitoring of restraint use was not as frequent as required.||Ensure restraint monitoring occurs at the frequency determined in the restraint assessment and as documented in the resident’s care plan.||PA Low||Reporting Complete||11/09/2023|
|Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care.||Approximately 50% of internal audits have not been completed as scheduled for 2022.||Ensure all internal audits are competed as scheduled.||PA Low||Reporting Complete||25/09/2023|
|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.||(i). Not all compulsory education programmes have been provided as scheduled, such as (but not limited to) manual handling and end of life care. (ii). Of the seventeen staff working in the dementia unit, seven who have worked for more than 12 months were not enrolled in the dementia standards training.||(i). Ensure all education sessions are provided as scheduled. (ii). Ensure that staff who work in the dementia unit have completed the dementia training within set timeframes, as required.||PA Low||Reporting Complete||25/09/2023|
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.
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.
Audit reportsAudit date: 24 February 2021
Audit type:Certification Audit
- Stokeswood Rest Home & Hospital - Feb 2021 (docx, 50.05 KB)
- Stokeswood Rest Home & Hospital - Feb 2021 (pdf, 196.14 KB)
Audit type:Surveillance Audit
- Stokeswood Rest Home & Hospital - Aug 2019 (docx, 37.3 KB)
- Stokeswood Rest Home & Hospital - Aug 2019 (pdf, 148.13 KB)
Audit type:Certification Audit
- Stokeswood Rest Home & Hospital - Mar 2018 (docx, 48.38 KB)
- Stokeswood Rest Home & Hospital - Mar 2018 (pdf, 188.59 KB)
Audit type:Surveillance Audit