Summerset at Karaka
Profile & contact details
|Premises name||Summerset at Karaka|
|Address||67 Hingaia Road Karaka Papakura 2580|
|Service types||Rest home care, Geriatric, Medical|
|Certification/licence name||Summerset Care Limited - Summerset at Karaka|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||29 September 2018|
|Certification period||24 months|
|Provider name||Summerset Care Limited|
|Street address||Level 12, State Insurance Tower 1 Willis Street Wellington Central Wellington 6011|
|Post address||PO Box 5187 Lambton Quay Wellington 6145|
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: 18 September 2017
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|In assessing whether restraint will be used, appropriate factors are taken into consideration by a suitably skilled service provider. This shall include but is not limited to: (a) Any risks related to the use of restraint; (b) Any underlying causes for the relevant behaviour or condition if known; (c) Existing advance directives the consumer may have made; (d) Whether the consumer has been restrained in the past and, if so, an evaluation of these episodes; (e) Any history of trauma or abuse, whi… (this text has been trimmed due to space limits).||The risks associated with the use of a restraint or an enabler were not fully documented as part of the assessment process for two hospital residents using an enabler.||Ensure that all sections of the restraint assessment form are completed, and the risks associated with the use of the restraint or enabler are documented as part of the assessment process.||PA Moderate||Reporting Complete||17/01/2018|
|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) Stock medication is currently sitting in a box and has not been safely stored in the cupboard. (ii) Robotic packs of PRN medication in the medication drawer of the trolley are all mixed together and not systematically stored. (iii) There were documentation shortfalls identified in the controlled drug register including; a) Weekly controlled drug checks were not always completed; (b) There were examples of incorrect record keeping entries for medications discarded; the entry on 15 June 2017… (this text has been trimmed due to space limits).||(i- ii) Ensure a process is implemented where all medications are stored appropriately and safely. (iii) Ensure the controlled drug register is maintained and evidences accurate record keeping as per medication legislation and guidelines||PA Moderate||Reporting Complete||17/01/2018|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Two of five care plans did not reflect the resident’s current level of support for; (i) one hospital resident with pain management instructed by specialist, (ii) one hospital resident with a pressure injury had no instruction re skin integrity checks or skin care, management of current UTI, and management of weight-loss (link tracer)||Ensure all interventions are documented to support resident current needs.||PA Moderate||Reporting Complete||12/03/2018|
|All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.||(i) Not all kitchen staff have completed food safety training (four kitchen assistants/café assistant). (ii) Fridge temperatures were not always documented.||(i) Ensure all kitchen staff have completed food safety training. (ii) Ensure fridge temperatures are documented as required.||PA Low||Reporting Complete||12/03/2018|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||Three of five staff files did not evidence an up-to-date annual performance appraisal||Ensure that annual performance appraisals are completed for all staff||PA Low||Reporting Complete||12/03/2018|
|Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.||i) Ensure that the internal audit schedule calendar is adhered to. ii) Ensure that any corrective action plans required for any internal audits that are not compliant are completed and signed off.||i) Ensure that the internal audit schedule calendar is adhered to. ii) Ensure that any corrective action plans required for any internal audits that are not compliant are completed and signed off.||PA Low||Reporting Complete||12/03/2018|
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: 18 September 2017
Audit type:Surveillance Audit
Audit type:Partial Provisional Audit
Audit type:Certification Audit
Audit type:Partial Provisional Audit