Stokeswood Rest Home & Hospital

Profile & contact details

Premises details
Premises nameStokeswood Rest Home & Hospital
Address 18 Glen Road Stokes Valley Lower Hutt 5019
Total beds87
Service typesMedical, Dementia care, Rest home care, Geriatric
Certification/licence details
Certification/licence nameBupa Care Services NZ Limited - Stokeswood Rest Home & Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence15 May 2018
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

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 September 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Consumers are given the choice and advised of their options to access other health and disability services where indicated or requested. A record of this process is maintained.Referrals for re-assessment for two residents have not been initiated for two rest home residents with challenging behaviour as per medical notes. Ensure re-assessments for higher level of care is initiated as per medical advice and within a timely manner. Referrals for needs assessments for both rest home residents were faxed and sighted on the day of audit. PA LowReporting Complete29/09/2015
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i). Two dementia care plans lacked interventions to support management of behaviours that challenge. (ii). Monitoring of the lap belt restraint for one hospital resident was not undertaken for three days. (i).Ensure behaviour management strategies are clearly documented in the long term care plan. (ii).Ensure restraint monitoring documentation is completed. PA LowReporting Complete29/09/2015
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.The kitchen including the inside of fridges and freezers and the doors of these, corners and shelves were dirty and had food particles around them. Ensure the kitchen is maintained in a clean and hygienic manner. PA ModerateReporting Complete05/12/2016
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.i) Pressure injury prevention and management was not well documented or implemented for the following: a) hospital resident (tracer) care plan had not been updated since March 2016 (the resident became hospital level care in June 2016), and does not reflect the resident’s current needs. The care plan does not reflect the needs identified in the InterRAI assessment. Pressure injury risk management is not addressed in the care plan; b) Unstageable pressure injury 1: Photographic evidence demon… (this text has been trimmed due to space limits).i) Ensure that pressure injury prevention, and management documentation and implementation of care measures is appropriately completed, for all residents with pressure injuries. ii) – iii) Ensure that all resident care plans reflect each residents identified current needs. PA HighReporting Complete13/12/2016
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.(i) Attendance at core in-service training has been low, meaning insufficient staff have adequate training. For example: Code of Rights – 12 of 70 staff, Abuse and neglect – 9 of 70 staff, Cultural safety – 5 of 70 staff, pressure injury prevention – 11 of 70 staff. (ii) There are five staff that have worked in the dementia unit for more than 12 months that have not completed the required dementia standards. (i) Ensure that sufficient staff attend education sessions to provide certainty that staff have received training in required areas. (ii) Ensure all staff working in the dementia unit have completed the required dementia standards within 12 months. PA ModerateReporting Complete13/12/2016
The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.Two pressure injuries (one unstageable for a hospital resident, and one grade two for a rest home resident) did not have an incident form completed. Ensure an incident form is completed for every pressure injury. PA LowReporting Complete13/12/2016
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.Three short-term care plans in the dementia unit had not been evaluated, and one long-term care plan (also dementia unit) had not been evaluated in the past year. Ensure long-term care plans are evaluated at least six monthly and that short-term care plans are evaluated in appropriate timeframes. PA LowReporting Complete13/12/2016

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.

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